PAINT PERMITSPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address 1 c 96 AN q 95 Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant)' ez rp 444 1 /y:. .�� ' ' c7GuJ Master Permit # '9/ Ol
Owner's Address g16 /" E 9 gr Phone x CS - 737q F$ 0 7
Contracting Co.
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one . (BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING F NCE SIGN
WORK DESCRIPTION T A / ilt7 C% " M.CUJ 4.0 ,
Signature of owner and/or Condo President
Notary as to Owner and/or Condo President
My Commission Expires:
FEES: PERMIT
RADON
Address
Square Ft. Estimated Cost (value) J T'r/f/
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.
OWNERS AFFIDAVIT: I 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.
Date / Signature o
Date Notary a
My Commission Expir
ntractor or Owner- Builder
a "G - Y &- 0
STATE OF 11031DA
COMM 1ON NO. CC714103
MY COMMiS ON EXP. MAR. 1 C52
C.C.F. ` 6 0 NOTARY BOND
TOTAL DUE
0/
Date
APPROVED:
Zoning G-C
Mechanical Plumbing Structural Engineer
uilding
Electrical
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE• c,Q *6Z _
OWNER'S N • :� _ 1 / PHONE: a k — 9 fr 7S 9 3 91
ADDRESS:
* * * * * * * * * * * ** * * ** ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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 I t`
Fascia to -k1'r
Drip Cap/Drip Edge
Soffit
Roof !,itaaD
Flower Bins 1
Shutters kid
Awnings 1 J
Chimney A
Doors and door jams
Garage Doors
Railings
Fences
Decorative Metal
All brick (simulated or regul
Stucco Banding
Any other stucco features
Accessory Buildings
Other
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 regulating
construction and zoning. I authorize the above -named contractor, if applicable, to
do the work stated. Furthermore , the paint colors will be as per the attached
samples.
r 5C .12 -Dl
APPROVED:
Building Official Date
Signature of Owner Date Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date / 95 Job Address 294- /Y ? , T; 7 Tax Folio
Legal Description /
Owner / Lessee / Tenant .�E7� �/1Ji //( Master P�r��it # 3
Owner's Address
Contracting Co. Z
ti
Signature of owrier and /or Condo President
Date:
3 /,//Y
Notary as to Owner and /or Condo President
My Commission Expires:
** * * * * * *
FEES: PERMIT f 7 RADON C.C.P. -5!
APPROVED:
Fire
Zoning Building
Mechanical Plumbing
Phone _ 7`X= d,5 77
Address
Qualifier SS# - - Phone
State # Municipal # Competency #
Architect /Engineer Address
-
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BU ELECTRICAL PLUMBING MECHANICAL R OOFING PAVING FENCE SIGN
WORK DESCRIPTION
1 G/Jt ,/ z &e /r» 4 - / >'747//, ' --
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 regulating construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.
S ignature of Contractor or Owner- Builder
Date:
No
My
1.
r p4A' 1zg 5t iatiCbtfYoRE
. � c UY R
9 1 1 ' Q CC401261
MY COMMISSION .EXP.
e oF fo A*JG. 17:1998 *
er- Builder
* **
00
6a
NOTARY S TOTAL DUE T 3
Other
75 ' Electrical
Engineering