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PAINT PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / /zir < Job Address / /✓e /a/ sr. Tax Folio Legal Description Historically Designated: Yes No v GA / Tenant .�J cam//✓ GJ. Owner's Address /26 C ,.,e / 0 / S x, Contracting Co. /n. 066 4e5 Master Permit # Address 79/0 6007 3 /�io;Aac� Queer /9-7 Phone d',' - 12(3 State # Municipal # Competency # Pfr .5 <}P,?5 Ins. Co. Architect/Engineer Bonding Company Mortgagor t(SL.1 Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION f - f".e,rs.4c-° /.- e$ 41...-2 / / /W ' .. 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. 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. i ature of owner and/or Condo President ....., ,. _,I _..,___., .4..:'ary as to Owner and/or Condo President Date My Conunission Expires: FEES: PERMIT Date �ESS (la - pul - ncrilA- . 43TP IJ6U c. STrcrt of r- LIDq" AT LAW.- eN eoln�'n 5 to+-3 EXP. (2 /Si b " 'l v RADON _C. - v NOTARY APPROVED: Zoning Mechanical Plumbing g Phone6e r 7- 9y9 z (o) -7.pp- 9 //. Signature of Contractor or Owner- Builder )ef,� /(2 & Qir1M Notary as to Contractor or Owner -) ui1d My Commission Expires: Electrical Date / / /o1P Date ■ BOND TOTAL DUE rb • g o Engineering PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address /o��� /L/� L7/ bpb� 1 1 d/k atiaai Date Legal ISescrkption Owner / Lessee / Tenant x 0,44„:„._ Owner's Address /?-moo ' /!/4 /Z/ - • Phone 7.(7% Contracting Co. C252?ia.E/4 -�j e. Address ce )/ /{/&_ / `1/ h 2S Qualifier Phone y'S/.�'� 3 V State# Competency# Ins.Co. Architect /Engineer Bonding Company Mortgagor Permit Type (circle one • • BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN WORK DESCRIPTION Sque WAR! DO INT] REC1 Appl on t star perm Address Address Address / OST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO A PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU WING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE ,./OF COMMENCEMENT). teby made to obtain a permit to do work and installation as indicated above, and Lddendum (if applicable). I certify that all work will be performed to meet the laws regulating construction in this jurisdiction. I understand that separate uired 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 My Commission Expires: * . * PERMIT FEE: APPROV 372 Estimated Cost Tax Folio j/M gg' OO/. J Master Permit # X c-bwc-e 62-6?„) s .�, expires Po9 Building ' Electrical Mechanical Plumbing Engineering ,19(e--4). . 1 f • . ure of Contractor or Owner - Builder Notary as to Contractor or Owner - Builder My Commission Expires: (-Other Wzi19)v MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR 1/0511111ING PERMIT Permit No 4 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 'pacified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Sv‘..14--AvvAia Street. Regl /or Engineer Location and Legal Description Lot-- / Street and Number where work is to be performed—No State work to be preformeil and purpose of building (By Floon) New Building Remodeling Addition No Street_ Bloplr 6) 6 £, / / st Size Septic Tank.. of Tank._ Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit *'*%( Amount of Permit $ / ( Signed)_ 1 4 4'k t ? ‘ r : Inspector P— _ The undersigned appllcant for this building permit does hereby certify that he =demands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5908, Compiled General 4aws of Fl ennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors lor su . of tractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the si .. .. of th work su6 public or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, to ormed nder, permit, as are licensed by Miami Shores Village. Repairs No. of Stories Capacity Gab. STATE OF FLORIDA, } so. COUNTY OF DADE. 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 foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida • .. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made enecessary by improper notice for inspection, or faulty materials and/or workmanship. ,__.--- - CATCH FLOOR - DRINKING FORITING . TOTAL 'mynas Comm „,0 0 ''''' LIST --....4–.. CHICK ....... ----- - - , CONTR. LIST CHZCS SCPTIC -_ ___________________ SWHA•G — NIV , MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR 1/0511111ING PERMIT Permit No 4 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 'pacified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address Sv‘..14--AvvAia Street. Regl /or Engineer Location and Legal Description Lot-- / Street and Number where work is to be performed—No State work to be preformeil and purpose of building (By Floon) New Building Remodeling Addition No Street_ Bloplr 6) 6 £, / / st Size Septic Tank.. of Tank._ Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. Size of Soakage Pit *'*%( Amount of Permit $ / ( Signed)_ 1 4 4'k t ? ‘ r : Inspector P— _ The undersigned appllcant for this building permit does hereby certify that he =demands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5908, Compiled General 4aws of Fl ennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors lor su . of tractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the si .. .. of th work su6 public or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, to ormed nder, permit, as are licensed by Miami Shores Village. Repairs No. of Stories Capacity Gab. STATE OF FLORIDA, } so. COUNTY OF DADE. 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 foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida • .. NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made enecessary by improper notice for inspection, or faulty materials and/or workmanship.