320 NE 100 St (13)4
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
DateX 2 0' / Job Address 3� a /2r L & O / r57 Tax Folio
Legal Description Historically Designated: Yes No
Owner /Tenant,/ //1iPRtT C- 7)V 2 1 -1 0
1�j4,[�D� Master Permit #
Owner's Address ? 0 01 ,e , / 0 OQ „ Phone 3 0.5 5s L., 8 ? ti 9 0)
Contracting Co }i Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
P42 ii/4/6-
WORK DESCRIPTIO
Square Ft. Estimated Cost (value /, !> O • O U
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.
C d 6
Signature of owner and/or Condo President Date e of Contractor or Owner - Builder Date
_ ,
Notary as to Owner and/or Condo President Date Notary a to Contra or or
My Commission Expires: My Commission Expires:
FEES: PERMIT /7 0 RADON
•
APPROVED: (1.•\
Zoning aa
Mechanical
C.C.F. f NON 0 NOTARY 5 r_ O 6
2 11 (
TlatP
O �PRV PUB A N C ELA P. ' 3ECKER
•
CC706697
< ts NC O MY CC: :3i30JJ EzP(R! S
OF F� NOV. 9r,2002
BOND
TOTAL DUE (-? p
V VC)/ Building Electrical
Plumbing Structural Engineer
DAT
OWN}R' S /` o /) PHONE:
ADDRESS: �i 3 O Jt2 f /UV Yr
* * * * * * * ** ************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** S
ADDRESS OF SITE: /, 1
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls O, N/9�a So/.7) t,Ja3Yg
Fascia
Drip Cap/Drip Edge
Soffit
Roof
Flower Bins
Shutters
Awnings
Chimney 0R I�'��vL(7 s 41g3 4 /2,
Doors and door jams (,v�1/7`c
Garage Doors
Railings `'
Fences \V
Decorative Metal
All brick (simulated or regular)
Stucco Banding [,{/`j
Any other stucco features
Accessory Buildings
Other
MIAMI SHORES VILLAGE'
Paint Color Approval and Agreement
NA E
N
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.
l v444 Sid /0/
gnature of Owner Date Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
Building Official Date 4/23/01
R
APPROVED:
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: b) 770
OWNER'S NAME: /2 04, -7 /2 PHONE:
ADDRESS: 320 `i/ /Uc)
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: ._94 6-"" "
CONTRACTOR & LICENSE (if applicable)
COMPANY NAME: PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls Pe b 1 Ie s t o 11 C" e i% 9 -e_ IBC - (? O
Fascia Co e )')')i a09`i- 0
Drip Cap/Drip Edge
Soffit
Roof
Flower Bins
Shutters
Awnings
Chimney
Doors and door ams
Garage Doors
Railings
Fences
Decorative Metal
All brick (simulated or regu
Stucco Banding
Any other stucco featu es
Accessory Buildings
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
samples.
O daZ
Signature of Owner Date Signature of Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED:
Building Official
186
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
' ?- 21 11 ) •
rD
Cr
0
00
0
0
r
OZ aum Jaddo)
4/23/01
No.
STREET
PART OP LOT
LOT
BLOCK
SUBDIVISION
,./eo
ROOF
*
ve
, A ,..
..
FRONT
DEPTH
HEIGHT
STORIES
TYPE OF
BTRUkTIO
~ BUILDING TO BE USED FOR
ROOF
COST OF BUILDIN
PERMIT FE[
Fr e
o e ,
co
1
i aid e Aptsiltores, Hotel
11 II��
.r
BUILDING PERMIT
Owner of Building /
Architect
Contractor or Builder
PROPOSED LOCATION
This permit is issued to
the building above described, as per app
that all facts stated in the application
* compliance with the building laws'Sf
lations of the building department of
, ordinances or rules and regulations,
Dated
DESCRIPTION OF BUILDING
MIAMI SHORES V.i1.4, AGE
OFFICE OF BUILDING INSPECTOR
i Shores Village, Florida, /' ' , 19
N° 598
• / - '
on, Plans and Spe cations heretofore filed in this office. This permi granted upon he express condition
rue and that the co struction complies strictly with the plans and spe cations submitted, and in accordance
the State of Florida and with the building ordinances and zoning la : f Miami Shores Village, and rules and
Miami Shores Village. This permit may be revoked aJ�..aawy. ' •1 the violation of any provisio of said
or upon any change in the plans and specifications ua`duth �": ".!'the building inspector.
To
NG INSPECTOR
In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application
and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the
building ordinances and zoning laws of Miami Shores Village and all rules and regulations of the building department of Miami Shores Village.
(SEAL)