PAINTWeik 6 °
•
Date Pk 1610 )
Legal Description Historically Designated:
Owner/Lessee / Tenant Uo h n C n 3 r\ V i C L
�
Owner's Address N I E- c ! 5-fat e fi Phone 005 - 75b - $V
Contracting Co. f AAh&S}) Address
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 FENCE SIGN
WORK DESCRIPTION
Square Ft. Estimated Cost (value) fsi 00
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 zor}ing. Furthermore, I authorize the above -named contractor to do the work stated.
. /c. �►
No : as to c' er anal or
y Commission Expires:
FEES: PERMIT (),
APPROVED:
Mechanical
ERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 3 Li- £ 9 9 SI
uv
° ) 70/
RADON
, a
i ,,A Y p 0 ANGELA
_ 14N ( 1 7 1 (; cou,. s90N NUMBER
.s t Q CC786697
Uf a* Pt 44\ O MY COMMISSION 200
C.C.F.
Tax Folio
Vf-&- , 5/c j
1
Date Signat re of Contractor or Owner- Builder
a - - << ^ab,Dy
Building
NOTARY — a 0 BOND
Electrical
Yes No
Master Permit #
Notary as to Contractor or Owner- Builder
My Commission Expires:
TOTAL DUE
Date
Date
Plumbing Structural Engineer
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: 0 (9 I i 5 to
OWNER'S NAME: hh [-1-E tJyg V I is L PHONE: 305 75( —
ADDRESS: 31'9 1\1%E- qq tti 51 e. t
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE:
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the s must be listed and indicate the color to be painted.
Walls 0 0 \) /io ) 9p tre
Fascia
Drip Cap/Drip Edge
Soffit �
Roof 1
Flower Bins
Shutters wk t . i
Awnings ✓ 7 g3 I S�� f -
Chimney
Doors and door jams D G 23 100 s ) r e .e
Garage Doors
Railings
Fences
Decorative Metal fi
All brick (simulated or regu ar) !�
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
\W 04-4
Signture of Over Date Signature of Contractor Date
* * *+ ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
sam
e
APPROVED:
Building ffi ial Date
ildin� O
J) "7
C)
0
0
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date // -77 Job Address
Legal Description
! �/G{ / Master Permit t
Owner/Lessee /Tenant )( J� n //et?i'y t-1 � C,
Owner's Address 349 AfsE ` 4 g ,p 47/ FL Phone)( 005 75 2 V 4'
Address /Stn -�/� - V //he _ r/
Contracting Co � j�,, -�
Qualifier)( O •i'T,, / �i c e , I' SS# - Phone E l �c221
� i � a Qc
X State # 6j, �8 / ! Municipal # &2_12 9,e ompetency # Co. 97,0 `l A
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRIC% PLUMBING ME HANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft.
AVIMTNGS LTG HT C� I`ec)o vfTtH
P / (F . 7`11-7)(a .- tc
OA eke, 6.
Estimated Cost (value) j5 :.9?//4 - c X
FEES: PERMIT
Notary as to Owner and/or Condo President Date
My Core I NOTARY SEAL
O _ SANDRA M MONTIEL
2 =-* COMMISSION MOM - CC401201
it 7f M A Y O MISSIO SAP .
a.t-a„,J5)72)9.6
RADON
Tax Folio
Historically Designated: Yes No
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.
igna e of 0 ntractor or Owner-Builder
f nat a of owner ar /or Condo President n/07
otary as to Contractor or Owner - Builder
y Commission Expires:
Date
Date
C.C.F. lee NOTARY 4:9 BOND
TOTAL DUE"1�f�
APPROVED:
Zoning Building l g /7 Electrical
Mechanical Plumbing Engineering
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein
described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the
State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether
herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work.
Owner's Name and Address 44 rS , L UC l.f VI Uc f
Registered Architect and,or Engineer
Name and address of licensed contractor
Location an description of lot to be built on: �,Q /f
Lottif h *� Block Subdivision £ / /// 3 R I/ I /3 •� •
New Building Remodeling
AWN. PI5 11-1hti
100 PONDEROSA PINE
-C IB8)
STATE OF FLORIDA
COUNTY OF DADE.
} SS.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date r t/ 3 I 19 5 O --
No. 3Y4 Street NE 9 q sr.
Street and Number where work is to be done
State work to be done and purpose of building Iby floors). state exterior colors (submit samples)
•
a - •
i
and for no other purpose.
Addition Repairs
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ / / Amount of Permit s air
Wall Plan Cubage
fort of S
IN 0 - Size of Building Lot
N33119 1VIN0100 90l
Remarks (Signed)
No. of Stories
ces with reference to the building and its construction may be sent to
ae understands and accepts his obligatons as an employer of Labor under the Florida Workmen's
ermanent Supplement. and has complied with the provisions thereof. and will require similar
work to be performed under this permit; and will post or cause to be posted for inspection
Act. The undersigned agrees to employ only such subcontractors, on work to be performed
Before me. the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments, personally appeared
to me well known.
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoi g application, and that he did sign the same. and that all facts therein by him stated are-true.
Permit No. 6,t F� Date / 7 � ( P Read. Sworn to and Subscribed before me.
Disapproved Date
{ L / Notary Public. State of Florida
(Signed) YV
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship.