1480 NE 101 St (3)OLt NA
MIAMI SHORES VILLAGE Q1
BUILDING DEPARTMENT
305- 795 -2204
Budding Inspection Request
Date I q 1
Type Insp'n r �I i n
Permit No. a20-3- `ci L .
Name I ' S \r)b
Address 14E0 1 01 al-
Company fnpl )(€ p w1
Phone #
Inspection Date
Approved
Correction
Re-Insp'n Fee
10
10 ,op ct
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Bui ding Inspection Request
Date 1
Type Insp'n' In
Permit No. PU ` Eeka
Name 5 ID61 r R `S
Address '54 q 6s
Company
Phone #
Inspection Date 20
Approved P-7) 7 >0 o
Correction ❑
Re- Insp'n Fee ❑
3013
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 7
Type Insp'n '' n
Permit No. 13P03 -7
to
Address
Company
Phone #
Name { J0C1 1
r €
Inspection Date 120 c
Approved 4" "
Correction ❑
Re- Insp'n Fee ❑
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee
° W i n
MIAMI SHORES VILLAGE
� 3
BUILDING DEPARTMENT
305- 795 -2204
Bulding Inspection Request
Date's ICI
Type Insp'n PG lei
Permit No. 6P o J `w
Name MO (E yi ryt le r.
.
Address 235 t►" & 'US S)
Compan Co m pJ e to Noine
zo
v
IU •00 G� .
Legal Description
Owner /Lessee /Tenet
/ /0/
Contracting Co.
Owner's Address
Qualifier
MIT APPLICATION FOR MIAMI SHORES VILLA
venue • Miami Shores, Florida 33138 • Phone: 305 - 795 -2204 • Fax: 3
. -
a3 /y�o LE 10/ Job Address Tax Folio
t91 k
:mow 3.3IfdJ Pho e (`-'�J5 J (Fir C{lyy( e- G ciA dress At 7d 066 `30 '
Phone 19J-
Municipal # Competency # d � y /3/ Ins. Co. m u- Aie04 --S
State #
IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY,
THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE
BEFORE CALLING FOR ANOTHER INSPECTION.
WORK DESCRIPTION:
Permit Type (circle one): BUILDING
P�
eLf-fulz
/10 21
S Ft. Estimated Cost (value) Z, ' 6D
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 ANY 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 all disciplines.
OWNERS 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 of owner and/or
ndo President
Notary as to Omer and/or Co
My Commission Expires
FEES: PERMIT
APPROVED:
Zoning
Mechanical
eMichael TWasi(PWyC2Pate
'Commission # DD096211
Ex ; : ! . res April 10, 2006
e Bonded Thru 4
.*:,?4,11-.0 At]antic Bonding Co., IIb6
4. " - 3 Building
ELECTRICAL
Ag 03
Date
Historically Designated:
Master Permit
PLUMBING
NOTARY
Yes
MECHANICAL
ture of Contractor or Owner it Date
as to Contractor r Owner : uilder
y Commissiore M Becker
My Commission DD150046
V on" Expires November 15, 2006
C
Ecr OVER
'5-75 2 o 2003
No
ROOFING
b
D
BOND ,l
TOTAL DUE 6 . t9 0
Electrical
Plumbing Structural Engineer
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
OWNER'S NAME: Z?' 1- PHONE: oS ?6'' - z3 3
ADDRESS: /? /
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: »/ . /d/
CONTRACTOR & LICENSE (if applicable) a V /3/
COMPANY NAME: C� grivcier PHONE: (..v. SO` - / &d
* * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * ** *4 * * * * * * * * * * * * * ** * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.:
Walls 8 j ' / 7 —
Fascia Gvi
Drip Cap/Drip Edge GoLt
Soffit rvG.
Roof A7/?g
Flower Bins le4 e
Shutters /1f
Awnings. k /h
Chimney wG
Doors and door jams 44.
Garage Doors 4)A,4
Railings 04/%
Fences p 1
Decorative Metal
All brick (simulated or regular) A //j
Stucco Banding . /if
Any other stucco features Ai /
Accessory'Buildings '
. w /7 /
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 e attached
samples.
Signature of Owner
******************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED:
Building Official Date/
Da
Dae Signatur
' 1/A 871
of Contract Date
* * * * * * * * * * * * * * *
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
4/23/01