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PAINTMortgagor Square Ft. > > 6 a3 Notary : o Owner and/or Condo President My Co • ssion Expires: FEES: PERMIT APPROVED: Zoning Mechanical Plumbing PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 60 W E 99°4 \ALAI R @g S� �O P610 • Tax Folio 11 —3Z0 (O — 013 — 10 60 S 1 1 0H C 1 AMA Legal Description 1 .- 01— S t.oT S\Zt 50.000x 115 Historically Designated: Yes MIA No V Owner/Lessee / Tenant 3 ' 0 •kH-- GnZKAW Master Permit # 1, / 7 7 7 Owner's Address b0 14 t. y9 3{.. 1 t A►/ 1 aut_ts, Rt, 33138 - 2339 Phone 1()S4 2 • 1c Contracting Co. 53\1 w W t1 e�L R 0 O/ S Address / 77 1 C.v ' 7 4 lJ X r� ! Qualifier ,E t' _ J v d Lop e_ . Z SS# - - Phone 3 c.s State # /� L 4 , Municipal # / /-. y 7 1 7 to fr 3 Competency # / x-17 ( Ins. Co. T 1 1 e. h i es '4 S Architect/Engineer � Address Bonding Company Address RADON 2 -639. % -02 0 Date Address Permit Type (circle one):GUILDINC ELECTRICAL PLU i G MANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION E- 9CT@Q\©b._ I'mverIU 4 0..00F \RJR\ TA N\ Cout2 Z AS 1S 'T C QLe,� ? ' oo f GS e p . Estimated Cost (value) x / 4' 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 tha all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning urtherm• e, I authorize the above -named contractor to do the work stated. or or •t "r res: CL.k VILLAR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC714103 MY COMMSSION EXP. MAR. 1 Signature of No Ores to Contrac My Commission Ex C.C.F. / f NOTARY 5 ' BOND 2 - f0/ tractor or Owner - Builder Dal c4 9 1— 1`C/ Electrical Structural Engineer Date MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: 1 102.10 OWNER'S NAME: Gk)zH -14 PHONE: 3os'2_4\ -166ro ADDRESS: 60 :N =QR k S • 1sk\owA '. Sko ., .. FL 33 \3g- 2.1.19 ************************************ * * * * * * * * * * * * * * * * * * * * ** * * * * * ** ADDRESS OF SITE: avAiL u.4, 0, CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls StAGQ�u -S Fascia U azt., w‘kvrt, tioso Soffit ULvv, Puvt w"-,Zt. yoso Roof SkNM_ ks is Now Flower Bins NIA Shutters ULt P∎3 . 40 %t Awnings yl.A Chimney Ni A Doors and door jams ut.:1e pvz w \klT. ‘koSo Garage Doors 44 Yt sic_ Railings talk Fences NtA Decorative Metal Nita All brick (simulated or regular) !Jo cK16.4 Stucco Banding 1414, Any other stucco features Accessory Buildings Ntk Other a QoNi GAT 4 w \1 P00.c.N ; &i. SNA•'. 6W - - t WAN APPROVED: ae Building Off ia l 17010/ Date T!l L RtSZ 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. 0 H SEAGREEN PEC 5 z.' ULTRA PURE WHITE 4050 • W [21 O F T lEE W ALL& "7 9 -0/ Signature of Owner Date Signature of Con actor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION PERMIT APPLICATION FOR IAMI SHORES VILLAGE Date v� �� q Job Address e/O D 71/41. 7 • 9 • '7 Tax Folio // - 3 D 6 0 /3 / o6 6 Legal Description 1-O 7 5 / ) Master Permit # 74..R Z3 Owner's Address g 1 k • t4 • Ito 7 /.,/ " 4- Phone 95' 4 -.Cc" ) -- 0 Contracting Co. L Address '7r 4- /3- Owner/Lessee / Tenant kb 0tiF �9 0;2 E Qualifier State # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one 1PAup Qcts -fi ()tow, +R1 a -t ••�� ° ek'ov% otv trer_s d Square Ft. Estimated Cost (value) CD WORK DESCRIPTION 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. d/or Con. 4 President Date otary as to Owner and/or Condo President • r D My Commission Focpicgs: Barbara E. Utr, "Ch s:.o: u�; =: Co,fssion ft CC 9; ex NOV • 2�.t, Z4u2 BONDED TH INC. " ( � .` ATLANTIC BONDING CO.. FEES: PERMIT APPROVED: Zoning Building Mechanical Plumbing Municipal # RADON C.C.F. Historically Designated: Yes No Phone SS# Competency # Ins. Co. Address Address Address ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Signature of Contractor or Owner- Builder Date Notary as to Contractor or Owner- Builder Date My Commission Expires: NOTARY BOND Electrical TOTAL DUE Engineering