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165 NE 98 St (15)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 10050 N.E. 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305 -795 -2204 • Fax: 1305 32q 2003 Date 5 Job Address J/ C /M A (,? J '/ Tax Folio 1: Legal Description Historically Designated: Yes No Owner /Lessee/Tenet 6:( /Xer 7 Owner's Address Phonc 4/ -.17 � -' " 7 57- Contracting Co. thi .P Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. Permit Type (circle one): BUILDING ELECTRICAL ef 7 72 - Kt /A / CIS WORK DESCRIPTIO Square Ft. Estimated Cost (value) r) ' CC) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANY ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for all disciplines. OWNERS AFFIDAVIT: 1 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. own • -lfor condo ' 'b Mabel Vargas Expires: Jul 13,4x@7 Signature of Contractor or Owner Builder Date , • . . • ?: Bonded Thru ' ' °i `' Atlantic Bonding/Co., Inc. / G • / Notary 'ils to Owner and/or Condo President ' Date Notary as to Contractor or Owner Builder Date My Commission Expires My Commission Expires FEES: PERMIT D RADON APPROVED: Zoning Building Mechanical C.C.F . l Qv NOTARY 6'0° BOND TOTAL DUE SEP 1 12003 Electrical Master Permit # 1 : c PLUUI,VIBING MECHANICAL ROOFING rFf' Plumbing Structural Engineer MIAMI SHORES VILLAGE BUILDING DEPAV -iMENT 305- 795 -2204 Building Inspection Request Date 3 Type Insp'n FbI[ I LA I Permit No. 6P 3 )( n Name G 1 I i )-Q Address (OS Company 00U i( Phone # Inspection Date Approved Correction Re- Insp'n Fee MIAMI SHORES VILLAGE Paint Approval and Agreement DATE: 9/q/03 OWNER'S NAME: &/766v� /Y, PHONE: 305 ADDRESS: /AS N 9? Sf . • ********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * All Elements on the site must be listed and indicate the color to be painted. Walls '100 !0 Fascia q CC: { Drip Cap/Drip Edge 100 Soffit .7L f) Roof N.)0. Flower Bins r11X . '7en -- Shutters ••3(.) Awnings }4 - 160 Chimney ti C� Doors and door jams N 90C (c Garage Doors Railings Fences Decorative Metal tiC U U All brick (simulated or regular) Stucco Banding - Any other stucco features 110 Accessory Buildings rlly Other '3 N\ COW - 119 ice - . OWNER'S AFFIDAVIT: I certify that all the foregoing information is accura and that all work will be done in compliance with all applicable laws regulating construction and zoning. I authorize the above -named contractor, if applicable, to do the work st • . = • . Furthermore , the paint colors will be as per the attached sampl s APPROVED: e of • wn: ate Signature of Contractor Date ** E" * * * * * * * * ** *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ?'e/ 1(c)/ c Building Official Date aooc WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Addres I( 5 AJc Q( S S I Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant X j o r3 ► \ C J . A /c. Master Permit # Owner's Address-k SrA frt_ E Phone Contracting Co. Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Address Architect/Engineer Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION N‘(v / [ c -L. C.o La (o LA-0 Square Ft. Estimated Cost (value WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws re sting construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. C4.4-0—) 28 Signs ondo President Date Signature of Contractor or Owner- Builder Date VST: -/y a -s' /.- rOo -o No as to 0 d/or ondo President- - - - ':Notary as to Contractor or Owner - Builder My Commission xpires: si, , ef5; v.ru_A3 My Commission Expires: i\?. °e :T.Y: 31,4C"4 L'/a.'ts or • °._;u �sa.la C , t :C v! r� CC7,.::3 • Ce.r�J�_ s: ...r� NC. 1( FEES: PERMIT . 00 RADON C.C.F. (o 0 NOTARY APPROVED: Zoning Building /� ► Electrical Mechanical Plumbing Engineering BOND TOTAL DUE Date - fiii I h 1 4° 411 El II =III I H Elll 4 ,, _IE I III - 4 E111=1 11-1-111 1== IIE- E111-_-__I 4 III:= 1== I II E-111 III 0 11 I 1=111=1 11 111= E111= 1 111 11 1 1 I I 1 1 1 1 Ccticrete This property described as: Lot 23,.Rn.l. the Fast } of Lot block 17, AN AMENDED PLAT OF MIAMi according to the Plat thereof, as recorded in Plat Book 10, Page 70, of the Public Records of Dade County, Florida. 4 'RC)PFRTY A 8.50 Vit:\ ms s. t m /0.04 44/P5 b N M K M / 5,4o' PM 1 1 Al Itl \1111111111 Mr.. AII:MA1 IIMC AAp 1 111 1)MII.IA•tl. IIAIU h }1;A1, ry►' I1,111t1114 1 11 1.41\111 Y4 SHORF3 SECTION NO. l, /5 4L 1Ey eiO/450,4a /10 4 , w Ir�G e'7LC re/ gC , 4'xe f L ' ?; ,a vF M cClune, uonald 1.. and Debra J. lb 1 heerhl lamb ;hal the IWve, ,epre. ��, ,�� X 7 5: 3r.5 /0 9 i9 ea /z 2 Sa - •7f. '�M ° . X.// E • 99T �"�• ,16 / )// i / On) r VV //e 14- ,L/e 7 7 2$ C /c Florida. LANNES AND GARCIA, INC. 1 41 Y '. ROV I Ho. (11 2 B P 4