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PAINTDate Legal Description wner/Lessee / Tenant 7 �, l2 O( C (L t S T i N l3r A 3 2 AM S Master Permit # `Owner's Address 3 4 N• c• c‘9 S t. Contracting Co. Address Qualifier SS# State # Municipal # Competency # Address Architect/Engineer Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION ? � illl so/4c eS7 I2 ;op.. (k A L LS 4— soX'�,g Square Ft. Estimated Cost (value) 3 0 O0 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. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT RADON C.C.F. b t) NOTARY S D 0 BOND APPROVED: TOTAL DUE D Zoning �� uilding Electrical Mechanical PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Job Address i (*I S + ' � _ Tax Folio 1 3 D, t k- 0! 3 55 o v tip D Historically Designated: Yes No Address Date •tary : to Contra My Commission Ex Phone O('S") 1 5 1— 2 4 Sf Phone Ins. Co. L NOTARY SEAL 6 ANGELA M BECKER � COMMISSION NUMBER pi's'!c t CC786697 ...- Ip MY COMMMSSION E%p,REs NOV. 15,2002 ©s `29- ,I1 zZ, o6 D Dat Plumbing Structural Engineer MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: O 2 - LOWNER' S NAME: j �1g x c R CS %Nil Ag,eA(t HONE: 3O - "363- 2 I �' f DDRESS: 3 4-S N. p. O0 S � ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** i— ADDRESS OF SITE: i 3 Nis E CONTRACTOR & LICENSE (if applicable) h) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls EYTCf(z'o (=TO(iC Fascia 40104 Drip Cap/Drip Edge t) / Soffit Roof Flower Bins Shutters Awnings Chimney Doors and door jams Garage Doors Railings Fences Decorative Metal N A. / A �p A p 1 I- 1.) I All brick (simulated or regular) ' Stucco Banding N 1 Any other stucco features ti f Accessory Buildings Other NIP 0 0 OWNER'S AFFIDAVIT: I certify that all the foregoing information i,_ 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 sam. - s. v ignat• .... f Owner Date Signature of Contractor *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: Cc 2+ D/ /,- Building Offi Val Date Date WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address Legal Description 11V-• Owner / Lessee / Tenant Owner's Address Contracting Co. Qualifier State # Architect /Engineer #00451; Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN 7 WORK DESCRIPTION C �i / GC(•►Z.g ,1n r1 kLeeNt N ary As to Own Mj►' Commission * * PERMIT FEE: AY - v X3,0 3(--b DU1 1 F i J r t ( Competency # r a d /or C ndo esident Expires: NOMY PUB 1 STATE OF FLOf2M * * MY COWAN EXP4ES APRILIG. 1992 BOWDE THRU STEMBLER.ADAMS a SWEET APPROVED: Fire 11 Address SS# - - phone Address Address Zoning Building -_) Z )t , J9 1 Mechanical Plumbing Tax 1 io // J�U /3 .S,5 1 M l 1WMaster Permit ��✓� O phone ; - Ins. Co. GU Square Ft. Estimated Cost S 7) 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. 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. Fur rmore, I authorize the above -named contractor to do the work stated. 1 ) 71 ( f;)441CA , Signature of Owner and /or Condo President Signature of Contractor or Owner - Builder Date: Date: Notary as to Contractor My Commission Expires: * * * * Other Electrical Engineering or Owner - Builder * * *