30 NE 100 St (9)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
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Date t7' D Job Address A/30 M - l,(50 Sa`,r ed Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant 1/ 1�0 -nA.0 SaAt U)ervii
Owner's Address 3 0 1' 0 /0 S /--
Contracting Coif (It r 9 t..k _ Address
Qualifier SS#
State # Municipal # Competency #
Address
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one):
WORK DESCRIPTION j/
Square Ft. l („
Signature of owner and/or Condo President
Notary as to Owner and/or Condo President
My Commission Expires:
FEES: PERMIT
APPROVED:
Address
Address
ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
Part- E ki wr,i
Estimated Cost (value) 4 q 5b
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 OF 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.
RADON
for or Owner -Build
�� SS
Date Signature of
Date Notary to Contractor or
My Commission Expires:
Master Permit #
C.C.F. t NOTARY J BOND
Phone( 3 OS , "7 5 q "7 40
Phone
Ins. Co.
4/ , '
0 S3 a4 ° 3
er -Buit kADYS J VILLAR D to
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
MY COMMISSION EX ?. MAR. 1 I'I.J
TOTAL DUE
�
Zoning Building Electrical
Mechanical Plumbing Structural Engineer
`O�
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MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE)'
OWNER'S NAME: 4 (,14_,, Fl /gym HONE• - 734'-9 '7 '9
ADDRESS :fin G ?�`,c2�,t�e.r�/
******** ************************* * * * * * *. * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE:
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls A aA\ )c rz,,,6 at 3`
11N■
V
rip Cap/Drip Edge
Soffit
Roof
Flower Bins
Shutters
awnng
Chimney
Doors and door ja
Garage Doors
Railings
Fences
Decorative Metal
APPROVED:
Le k-k
All brick (simulated or regular)
Stucco Banding
Any other stucco features
Accessory Buildings
Other
cr
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.
V'
ignatuof Owner / Date Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
W1/19i
Building Official Date 4/23/01
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date V 122_ . Job Address ( 30 1uE /2)^..1 Tax Folio // 3aDj ti /z3® if
Legal Description r f/7 9
717,9 �11,,/// 04/I4Aaster Permit #
Owner / Lessee / Tenant C' KV` Sc., Ll L - F 32 --t.k I
Owner's Address 3' NE T& S )3 0
Phone �s
Contracting Co. (=
Qualifier SS# - - Phone
State# Competency # Ins.Co.
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one):
WORK DESCRIPTION
'ERMIT FEE: APPROVED:
3
Fire
Address
Square Ft. Estimated Cost 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.
Signature H of ,Owner and • ndo President
Date: Date:
ELECTRICAL PLUMBBINNG - MECHANICAL PAVING FENCE SIG
/
.Signature of Contractor or Owner- Builder
dots as Owner and/or Coi President Notary as to Contractor or Owner- Builder
y C ission Expires: Ailik 9?� M Cne.nnissio.. Expires:
Other %)1
ing Building Electrical
AL Mechanical Plumbing Engineering