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246 NE 100 St (4)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE ate 7� ' ( Job A.. , " , 44 Tax Folio ) / 3 a 0 (, 013 ( l [ Z) gal Description S e c " l Historically Designated: Yes No X Master Permit # l Is I 1 Owner/Lessee / Tenant TTly N— PA 4 Y Il l Dti Owner's Address 01 /C-' S7 Phone 305— 7L5 2 Contracting Co. Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION PQ 1 VI + CJ L'T S 1 e c �'? O u 5 E Square Ft. l ' ) £t O 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. �• -� 11 • . .. •• • N as to My Commission FEES: PERMIT b d/oronlo o5iden Dtp of Contractor or Owner- Builder President p O lw q .',: v ',At • (.:<, AtNAELA M F tzCKE'q * GAMhlif3a'dN p;uta2ER o ® c` MY rinTRES RADON ae c6 / S Address _a12- Notary as to Contractor or Owner- Builder Date My Commission Expires: C.C.F. ° 'V ONOTARY S 0 0 BOND TOTAL DUE Date APPROVED: r/74/ Zoning Building Electrical Mechanical Plumbing Structural Engineer DATE: 8= 9 -0 / OWNER'S NAME: TDn w- 6 / r sperr PHONE: 303= 257iS' LO ADDRESS: (.7?/4 la /J 1 CID ST * *** c** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: Sa nil-- CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls R eJ k rea rn Fascia ICU h i.1-2 Drip Cap/Drip Edge (A) h �4-e Soffit N/A- Roof Flower Bins eic_,14 e,'e& w Shutters i`li- Awnings N j0- Chimney t2i ( r'etk wt Doors and door jams wi' i{ Garage Doors wh,, Railings N A Fences . /4- Decorative Metal N f All brick (simulated or regular) Stucco Banding ►J /W- Any other stucco features N1• Accessory Buildings /v1 x�- 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 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 sa MIAMI SHORES VILLAGE Paint Color Approval and Agreement lai ature .O• wner ate * * * * * * * ** * * * * * * * * * * * * * * ** APPROVED: 'fa Building Official 0 7 / 7 / 0 / . Date N Signature of Contractor Date ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date /.' Job Address ( /k 4) Legal Description 74l‘/ 6 Owner / Lessee / Tenant /rTZt Owner's Address ja /C2L° APPROVED: Notary as to Owner and /or Condo President My Commission Expires: 3 mil/ S'Seeil Signature of owner and /or Condo President Date: Date: Z7 6/9 Mechanical Plumbing Tax Folio)) 3 3 pf 7 6 My Commission Master Permit # 7 Phone 7T7 - 125 2' Contracting Co. ;��/.• /� Address 5 lU /S /-� �iv � Qualifier l UIv 9 4 2 -'-- /S 4, State # Municipal # Competency ii S:W Ins.Co. Architect /Engineer Bonding Company Mortgagor - Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION paeS,S C1�a-►U � 4 \L�T \�+ ©C)F U f? 7 ( f� Square Ft. Estimated Cost(value) S 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. ure of Contractor or Owner- Builder . �� ••'' arc: JOSEPHINE CHURCH ` ot• " y as to C." '' s niviCaelaseirblidalidt Ns GCMG ** * * f, * * * * ** * * � * * * * * * ** FEES: PERMIT ✓ ,� /� RADON C . C . F . '' - NOTARY " ' TOTAL DUE 44 , 9 � 4' Fire Other Zoning Electrical Engineering