PAINTPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 04 ar.) - ig Job Add c_5 /` /4- /8 . Tax Folio
Legal Description / S S / V L_ '� 5 t 5G, Historically Designated: Yes No
Owner/Lessee / Tenant (..... Z:/ A r ._y =
Owner's Address `S 5 `> f r � 21 . h . 5
Contracting Co.,2( F; A/A j F F' Address 1 M
Qualifier SS# s�
State # Municipal # Competency #
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one BUILDIN ' ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Ex e-•- , cr I } H
Square Ft. Estimated Cost (value) 8 5 x
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 regulate .construction and zoning. Furthermore, I authorize the above -named contrac or to 4o e work stated.
I /
`Signature er and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT Y6 RADON
APPROVED:
Zoning
Mechanical
Master Permit # Z-/ ? D
Phone 7- S — Z
W
7744M
September Leaf
Signature of Contrpotor oriawner- Builder
C28
Date
e „
No On r w°Cz tT
My co t
con-miss(' ssi (iiikvinRA M
M NUM SE
1 4
. l,(2 y ie�so C --6
J/„)' -47 1 p
/9C D/12..,6C-
C.C.F. ,e• ' , NOTARY BOND
TOTAL DUE
1-70 bcD
Bugg LS-
71,24Cg Electrical
Plumbing Engineering
7
PERMIT APPPLICATION FOR MIAMI SHORES VILLAGE
Date Il f Address '151/ ► f V Ci y Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant 0 u ' i PI F V ' Cl P () a 1 A a n co rl Master Permit # go/C?(
Owner's Address 910? t \i £ / / t i% "f ' Phone c i c - 0'3 -ill
Contracting Co. 0 VJ Y j € r Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ] ELE PLUMBING G MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION G1 - T 1 '� ■ "� GU l 1 Vl ✓1 j� ��
(1 r F cA
0
Square Ft. Estimated Cost (value) SO
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.
Notary as to Owner and/or Condo President
My Commission Expires:
/op
/
FEES: PERMIT ga RADON C.C.F.
5 -a-v�- l tom
Signature of owner and/or Condo President Date Signa)e of Contractor or Owner- Builder
Date d'Totary as to Contractor or Owner- Builder
My Commission Expires:
r SC) NOTARY 3'
J
TOTAL DUE
r
7/30
Date
7 3 - 9-E ,
Date
APPROVED:
Zonin g Building 1 Electrical
Mechanical Plumbing Engineering
b
August 14, 1996
Raegan Hanson
2108 N. E. 124 Street
N. Miami, FL
Permit # 40181
Job Site: 955 N. E. 98 Street
Miami Shores, FL
Owner: Hanson
Dear Sir:
This is to notify you, per SFBC 302.1(f)(1) that the above permits have been
approved. These permits are not valid and work may not commence until all
fees have been paid.
Our Building Counter is open from 8:30am to 5:00pm Monday through Friday, for
issuing of permits.
Sincerely:
Michael A. Sprovero
Assistant Director of Building and Zoning
a,tvci Sote2i
BUILDING AND ZONING DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES, FLORIDA 33138-2382
TELEPHONE (305) 795-2204
FAX (305) 756 -8972
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date /(ji Job Address /i4 Tax Folio
Legal Description
Owner/Lessee / Tenant
Owner's Address
Mechanical
Permit Type (circle one):
WORK DESCRIPTION
lA
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
APPROVED:
Zoning Building
C v
Historically Designated: Yes
Address
Address
Square Ft. Estimated Cost (value
Master Permit #
Phone
374// Alf; /
Contracting Co
Qualifier
State #
Architect/Engineer
Bonding Company
Mortgagor Address
SS# - Phone
Municipal # Competency #
Address
Ins. C
Notary as to Contractor or Owner- Builder
My CcSniiii ssion Expire ;
Electrical
No
5 f"
C25
BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
`/ l�Z`LP" /LX - �.t )>�� % t yo (.c( 6/2
Y /A2 i 7 «lam jA S.16 f ey7E•gd,
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 do the work stated.
Signature of .ntractor or Owner- Builder Date
7/6 �L
Date
FEES: PERMIT t i a RADON C.C.F. S NOTARY ,f • TOTAL DUE ‘7'S
Plumbing Engineering