PAINTING/ • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date / Job Address ( ! 3 k) E ge S ` Tax Folio
Legal Description
Owner/Lessee / Tenant R R LIC A, � C ( t'
∎
Owner's Address `
Contracting Co
Qualifier // / _ t SS#
State # Municipal # Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle o : BUILD t : LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
Square Ft. Estimated Cost (value) 5 70 G D
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.
a � + k)i
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
ction and zonin urthermore, I authorize a above -named contractor to do the work stated.
ture of owner and/or Cond
otary as n Own
My Commission E
FEES: PERMIT
APPROVED: Zoning
Mechanical
v1) LJ �
4 Y PU S , ANGELA M
CI WMS *ON NUMBER
CC7697
�: ;. •' ? ton E:MHrS
RADON
�o ( ve5
President zip
-")n5 0 8 -0S -06
2
Building
Historically Designated: Yes
Kfttairess
U A/ /L —A-
ture o
as
tractor .r • - Builder L
(A, 3375 ' / /G-a
.. •
YSI VILLAR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
MY COMMISSION EX ?. MAR I
er-
Sign
Notary
My Co
ster Permit # 9• 9 33
Ph e 3°5
OS *` S 4 (000 C1
Phone &Q b p [ of oh
I C ntractor or
ssion Expires:
C.C.F. J NOTARY .S (') O BOND
Electrical
Ins. Co.
TOTAL DUE
No ry
Plumbing Structural Engineer
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DAT (Z,( , LC) 01 4 U GLUc
OWNER'S NAME: ci 1� Qt- S1' PHONE: c)S -
ADDRESS: '( iOrrAt. 3ZN
********************************* t * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: 9 (3 Ijc,
CONTRACTOR & LEE (if appl c i abl )
COMPANY NAME: ! ) L d1c k' I t iJ PHONE: ;S6 g/ d/c
******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls 34 a- (±\'t , s
Fascia c )._I - So MoO OtA1 rJ fflaSS
Drip Cap/Drip Edge tAbov6'
Soffit I( '
Roof
Flower Bins Noadc
Shutters iCNE
Awnings tddiJe
Chimney C3/110 /c, -?
Doors and door jams ci tU(Z
Garage Doors al ci 2.- 3 moor Ant INSE
Railings 0
Fences aq 80 N coo
Decorative Metal tU OM
All brick (simulated r regular) 1 f 0
Stucco Banding N f
Any other stucco features
Accessory Buildings
ORlitiad
OWNER'S AFFIDAVIT: I certify that all the foregoing informa 1
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
the work stated. Furthermore , the paint colors will be as per the attached
APPROVED:
Building Official Date
Signature of Owner Date Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01
PERMIT NO.
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT'
DA TE
SECTION
BY
ZONING
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subject to compliance with all Federal. State.
County. Village Pules tad regulations. Wage assumes
no responsibility for accuracy offor results from
these plans.
2. This copy of plans must be avalltbte on
building elte or no inspection wig be conducted.
•
•
JOB AODRESS
APPLICANT 0 et c f. sv
PHONE f#
APPUCATION
SHEET OF
MISCELLANEOUS / 7 o l N-0,Vat42'
Q �✓ Z -a
Avc, 1 14 j , / (4.
No
U44/441, t.6-4/
i4=t/A
CRITIQUE SHEET
7 to owkter
DATE ZtL I V y COMMENTS
, e A.1-6 1 Cie l*
1)'J cw`�re f\ 15 i� 61 CC `1 t r
INITIALS
v fl
147-
K i 'f set led ors
- Terroc01'46. * co A te /(n't off` rob
.bric(c
co-A- 5 r l- k itN t - 4D f
tao, E Luc i
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information ( � is provided in this N of Commencement. l-
1. Legal description of property and street address: `7 13 1) C 9 2S � ' ' nc 1 (C� S l\.QJtoik 3 3 3
_ • 4/ A
ENP ' . •
2. Description of improvement:
3. Owner(s) name and address:
Sipnature of Owner
Print Owners Name
Sworn to and subsc
jj -1/
Notary Public
Print Notary's Name
My Commission Expires:
13 (1/4) f 1a►nmi
Interest in property:
Name and address of fee simple titleholder:
4. Contractor's name and address: & 0 Re S 1 R (1J) 1 j 5
1 110 "if I ILO 19 z4 ST j .I(Y\ ' 33? (o e
5. Surety:(Payment bond rEgiuired by owner from contractor, if y)
Name and address: j ,. l7 )4 ?/!/I a 17/(7 /1 /,,r/ /c./..3 J
7
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
Et. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different d - to is specified)
A R
R /o1'A
ed before me this /7 day o
6 OA
`iTATI Of • F i .01•ZITIA,. GC UN T Or .`"'A7)1.:
c : Lf '!'w". ! :sa at°,.. "ca:. cf.'ito
r ;ro pn / rt q. =; dad '�'� t4d1
.Vi7'J;7s ; my ha ( a n , l rJ f - l S..r:rf.
';1! r LF ,C r% Con
C� 1R450842 2001 AUG 17 14:41
3 � 06
�3 70.0
Prepared by: / el !1 LZ-t 4
®
Address: (((a /t/ CY/ /(/ 3
123.01.52 2193
MIAMI SHORES VILLAGE
ii r n ; - b
DATE: 3 t 3 - d t k 3c - "?s y i t' ',
' 1
OWNER'S NAME:CR (11A QcCt.t,e., A PHONE: cmC 3 o(,_; •' Sir )�
ADDRESS: ci 13 ti L 9 S r L Zt P1)2 L. t S hd 3 _
********************************** 4 * * * **
ADDRESS OF SITE: ( 1 13 R. _ 2 4 } )c1r�Y�to'1( 33
I I
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE.
Fascia
Soffit
Roof n1 o IQ
Flower Bins N
Shutters
Awnings
Chimney
m es.
APPROVED:
Paint Color Approval and Agreement
S
Building Official Date
******************* - * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * **
All Elements on the site ust be listed and indicate the s for to
Walls al L,G — �a
Doors and door jams F i wog. P\ \c tw,a^:b°Oit--'
Garage Doors wCN „,a Qt 43 - 3
Railings a I A
Fences NQ w we 04_ Qxt u; o ls . l _
DecoratfveMetal'
All brick (simulated or regular)
Stucco Banding N 1 W
Any other stucco features
Accessory Buildings 11
Other gfl� as Al 3 -3 0
wood S( iq & r1C. .\ iT)KtAL e2 Lk) ktsz_
OWNER'S AFFID IT: I certify that all the fore oing information is accurate
and that all work will be done in compliance with all pplicable laws regulating
construction and zgfiing. I authorize the above -name contractor, if applicable, to
el o
the work stated. Furthermore , the paint colors will e as per the attached
docks
Signature of Owner Date Signature of Contractor Date
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
4
DATE: j' .3 - C�I
1 1 `
OWNER'S NAME:C fA I� kgIf1 _ C (t.t ( j A PHONE:: colt"
ADDRESS: ( I P) k) ( ��, `` �:.' " !`� > > �� >,�� j )16t 5l`' 31
****************** * * * * ** * * * * * ** * * * * * * * * * * * * * * * * ** * * * ** ** * * * **
CONTRACTOR & I,E N ( applica)
COMPANY NAME: t_, _, - cO1() R.a A far i J ^ PHONE: Cc 1 } O S�'
********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: ( L J, . � � ► � � l� ��i �) KC, r 3?.;/
All Elements on the site must listed and indicate the color to be painted.
Walls �' �;`h 1i ( '
.) `-lei
Fascia
Soffit (1
Roof i 2`r .
Flower Bins 6 R
Shutters 1c) k
Awnings k`)
Chimney
Doors and door jams 4 -..; K(19, Lc)cc- •
Garage Doors Me* iri c h v ` r ,a) l -
Railings
Fences — '._� c :; P� r� I4r ci(:
Decorative Metal Ig r) nl E.
All brick (simulated or regular) IC A
Stucco Banding tvt'!1)
Any other stucco features L CQ
Accessory Buildings J,)O
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
onstruction and zoning. I authorize the above -named contractor, if applicable, to
the work : ed. hermore the paint colors will be as per the attached
d
c sa�
M1AMI SHORES VILLAGE
Signature of Owner
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED:
Paint Color Approval and Agreement
nti -
(uk 3(r - 25(I4'('
Date
Building Official Date
61
ic
Signature of Contractor Date
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION