55 NE 99 StDate
Legal Description Historically Designated: Yes No Master Permit #
Owner/Lessee / Tenant toeA a4„.
t../"N
'Cfwner's Address t/' �� gg ,� / aJ �D�PE S Ph no e t30t/ - 7 e ! 7- � f 6lAi
Contracting Co. S d w- r es s i 7 7 /4 ( S Lei 77 /X -92
Qualifier L - U d 2 — d , Q 2 Z SS# ) - 5 3 2,
State # F La Municipal # y 71 710: ` 3 Competency # 1(4 7 `,L ( Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICALL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Ph egg 0 P e /f N
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.
truct
e of own
as to
er
YSEAL Date
es: GLADYS)VILI.AR
NOTARY PUBLIC STATE OP FLORIDA
COMMISSION NO. CC714103
RAY 00 ,_'rMON EXP. MAR. 1
Sign
Notary
My Co
APPROVED:
Zoning
Mechanical
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 95 f / , Tax Folio //3.2 06 0 /3 / Yo
AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in co iiii ce with all applicable laws regulating
and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
■
I '
Signature . ' Contractor or Owner -Bui1 ' er
O Z
Sion Exp
and/or Condo Pres Date
LDe `/Z0 2t' '1-2P
FEES: PERMIT Co D f RADON
5/070(
Building S7/4 Electrical
Plumbing
Al
ommission Ex
t! /ao z oo 21( ) 2 / 1
Notary s o Contrac
jv /i
or or Owner 4114VILLAR
; rARY PUBLIC STATE 07 FLORIDA
COMMISSION NO. CC714103
MY CO I IORi EXP MAR _1
7
C.C.F. ( NOTARY ) . BOND
Date
TOTAL DUE
Structural Engineer
12/
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: i
OWNER'S NAME: ` 7 O'4 24 do PHONE:'/ = 7 ✓7 e arov
ADDRESS: / 74,97, oegS
* * * * * * * * * * * * * * * * * * * * * * * * * * ***** * * * * * * * * * * * ** * * * * * * * * * * * * * * ** **
ADDRESS OF SITE: 64
CONTRACTOR & LICENSE '(f applicable
COMPANY NAME:4.5696 ev /� /fife ( �oo s PHONE:,, j-. cl3 •3 V
******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indica a the color to b,-
Walls " 7eS, 7 ad Nre) -/ / 7 4 1 09
Fascia e2 2 4
Drip Cap/Drip Ed e���I
Soffit
Roof j,¢
Flower Bins su . 7n E,
Shutters
Awnings �7 /l
Chimney 77,,E
Doors and door jams <G;4 Te &4/ / 0 61/ a?
Garage Doors / , LLE s G'ove t o 51 o 73
Railings ,/ ,Q 8W4 /n G y
Fences /-
Decorative M t 1 �
All brick (simulated or regular)
Stucco Banding 4
Any other stucco features
Accessory Buildings
Other
Meeting House • 50YY 74/069
Gateway • 1OGY 17/127
Miller's Cove • 10GY 56/073
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
ork stated. Furthermore , the paint colors will be as per the attached
c ° S LL- 7 )
o O l
Date
ignature of Owner Date Signature of Contractor
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED: WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
740
Building Offici Date
4/23/01
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 10 3 Job Address .S 5 AIE 9 31 Pt 1: 0216 ax Folio
Legal Description
Owner/Lessee / Tenant . CL A- ✓ n > A- OL 4- n
Owner's Address
s y L g q / mil . l/a 11/ f�J3?Q hone
Historically Designated: Yes 7 No
3
Master Permit # S -5
-3o
Contracting Co.X A- H nN ('C Lva , Address ,
Qualifier SS# - i
State # Municipal #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Pte% r • 40U.S, 2_ f— 2(i8P
Square Ft. Estimated Cost (value) ann,
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 Si
Not
My
sS10 i 1DR SEAL
SOP f
COMMISSION PIUL.1D
,, tlt ,% CC401261
yl F Q� MY CO1.. MISSION EXP.
OF FAO AVG. 17 1898
i
FEES: PERMIT O . RADON
6 a7) - Y Sr 4eat,t(oAA afrtm
Building
Date Notary as to Contractor or Owner -B der
My Commission Expires:
Competency # _I
1/8
A 1 ►Ilt �= �
a ature of Contractor or 1 wner- Builder Date
ov
C.C.F. NOTARY TOTAL DUE
APPROVED:
Zoning
Mechanical Plumbing Engineering
Electrical
338
`o/d/gs
Date