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151 NE 101 St (9)Tenant/Lessee Name Miami Shores Village Building Department FRECTIVED SEP O ° 2003 BUILDING,, PERMIT APPLICATION FBC 2001 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. 131 =1'-f' & Master Permit No. Permit Type (circle): Building Electrical Plumbing Mechanical Roofing 2 Owner's Name (Fee Simple Titleholder) PAl2t `' (C�' p Phone # S -73 9 - 32C3 Owner' Address 15 1 I v e 10 City ti M..t State Zip g3 1 �B Phone # Job Address (where the work is being done) born-e, City Miami Shores Village County Miami -Dade Zip Is Building Historically Designated YES NO Contractor's Company Name Phone # Contractor's Address City State Zip Qualifier Architect/Engineer's Name (if applicable) • Phone # Architect/Engineer's Address City '- State Zip $ Value of Work For this Permit 1 0O Square Footage Of Work: Number of: Bays Stories Families Bedrooms Baths Type of Work: DAddition DAlteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: pit 'hi- the House * * * * * * * ** * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** County Escrow Fee $ . -lQ 0 Permit Fee $ (00 •O U Notary $ 5 ,00 Education/Training Fee $ Tech $ Scanning $ Radon $ Code Enforcement $ Bond $ Struct. $ Minus Plans Check Fee $ Total Fee Now Du (Continued on opposite side) it Fe 130:00 00 1O Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC 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. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowle ' ged before me this The foregoing instrument was acknowledged before me this day of , 20,by day of - ,20 who is personally knq to mel8llhic kd who is personally known to me or who has produced gfilletilf451V iiiiPi2Ii884id take an oath. as identification and who did take an oath. Expires: Jul 13, 2007 NOTARY IC ; oa° Bonded Thry NOTARY PUBLIC: 4tlan c Bondin+ Co,. Inc Sign: 1 r Sign:. Print: -- Print: My Commission Expires: My Commission Expires: (Certificate of Competency Holder) State Certificate or Registration No. Certificate of Competency No. ************** 6******* * * * * * ** * * * * * * * * * * * * * * ** ** * * ** ** ********************** * * * * * * ** * * * * * **** * * * * * * ** * * ** ** APPLICATION APPROVED BY: chc7/7 /03 7/iloo SEP - 9 2003 Plans Examiner Engineer Zoning MIAMI SHORES VILLAGE 41 o . Op Paint Color Approval and Agreement DATE: 08 18 (O OWNER'S N - 3:: .vt- hlt .-L- ` PHONE: 3c 5 - - 7 S - °l es 3 ADDRESS: ►S► N • e:. . to t. s I'I4►A-wti (ti v ?$ **********************************. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: SAME CONTRACTOR & LICENSE (if applicable) Ni A . COMPANY NAME: PHONE: ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls pi Fascia PI o Drip Cap/Drip Edge N /1 r Soffit N/P S Roof N / P I En Flower Bins N / j R.1.- x 3 kJ r Shutters N / P crl Awnings N / P fA H Chimney N l P 1 M x Doors and door jams N I - I " 1 ----,,,z Garage Doors N � P i Railings N I P Q - Fences N / P V En Decorative Metal N P (Td All brick (simulated or regul ) Stucco Banding Any other stucco features 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 • ork stated. ermore the paint colors will be as per the attached sam s. Of3 M/3 Signature of Owner ati Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 0 Building Offici • 1 Date 4/23/01 4 Miami Shores Village 10050 NE 2nd Avenue Building Permit Phone: 305 - 795 -2204 Permit Number: BP2003 -1467 Printed: 9/10/2003 Applicant: SHARON Owner: HELD JOB ADDRESS: 151 NE 101 Contractor Local Phone: Parcel # 1132060131950 Signed: (INSPECTOR) HELD SHARON ST Contractor's Address: Page 1 of 1 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 21 BLK 14 LOT SIZE 50.000 X Fees: Description Amount FEE2003 -5415 Building Fee $60.00 FEE2003 -5416 Notary Fee $5.00 FEE2003 -5417 CCF $0.60 Total Fees: $65.60 3� (pO Permit Status: APPROVED Permit Expiration: 3/6/2004 Construction Value: $100.00 Work: PAINTING HOUSE Total Fees: $.6 ifya Total Receipts: In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, servants or employes. REG C01 091103 1502 (001 010246 CAS Signed: (Contractor or Builder) BY: L_ Miami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 10 /16/2002 Applicant: ELIZ Owner: SHEPHERD JOB ADDRESS: 151 Contractor Local Phone: Parcel # 1132060131950 Signed: igned: NE 101 Building Permit Permit Number: BP2002 -1761 ntractor or Builder) SHEPHERD ELIZ ST Contractor's Address: Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 21 (INSPECTOR) BY: Permit Status: APPROVED Permit Expiration: 4/14/2003 Construction Value: $500.00 Work: EXTERIOR PAINTING AS PER AGREEMENT Page 1 of 1 If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection fee is $50.00, which must be paid in advance before calling for another inspection. BLK 14 LOT SIZE 50.000 X Fees: FEE2002 -5785 FEE2002 -5786 FEE2002 -5787 Description Building Permit Application Fee CCF Notary Fee Total Fees: Amount $60.00 $0.60 $5.00 $65.60 Total Fees: $65.60 Total Receipts: $0.00 This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submi d to . e proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either myself, my agent, sery is or employes BY: • r I II . « , • SHEPHERD UNLIMITED INC DBA MARITIME EQUIPMENT CONSULTANTS e DATE TPOTHE � / J I V I� � ORDER OF 5 S J P 1 BankofAmerica, ACM R/1 FOR v `'l v0010220' 1:0631002 774 0036 ?L32599LH' ack_for deta it s.41 1022 63- 27/831 FE 988 DOLLARS 8 MIAMI SnuliEsNII,LaGE Paint Color Approval and Agreement I DATE: /4 ✓/OWNER'S NAME: e HONE: ADDRESS: / 5/ / JkJ 5 ************************ 1 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * ** ADDRESS OF SITE: es m t 46 CONTRACTOR & LICENSE (if applicable) ,. I COMPANY NAME: / PHONE . ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted..• Walls Fascia Drip Cap/Drip Edge Soffit Roof At/14 t -1-c, Flower Bins Shutters Awnings Chimney a.Q J07/5-- Building Of !al Date Doors and door jams Garage Doors Railings Fences Decorative Metal All brick (simulated or regular Stucco Banding Any other stucco features 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. Furt rm , the paint colors will be as per the attached samples. Signature of Owner Date Signature of Contractor Date ************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 ELECTRICAL TYPE Minimum Fee QTY. TYPE Dryer QTY. 'nil Outlet, Appliance QTY. TY'1'1: Service Repair (fry. A/C Central 1 -3 Ton Heating Strips, each Fan Outlet, Wall Service, Temporary Paint Booth A/C Central 4 -7 Ton Fire Pump Outlet, Switch Piping, Flammable Liquid Signs A/C Central 8 -15 Ton Fixture - Fluorescent - Process/Pressure Piping Oven Space Heater (kw) A/C Central 16 -20 Ton Pressure Vessel Fixture Light Parking Lot Lights Spas/Hot Tubs A/C Central 20+ Ton Flood Lights Plugmold/Strip Subfeeds, No. of Amps A/C Window FPL - Load Central Posts Swim Pool, Commercial Air Conditioners Garbage Disposal Range/Range Top Swim Pool, Residential Chiller Generators, etc. Receptacles Switchboards Clear Violations Heat Recovery Refrigerator, Comm. (p/PH) Temp Serv., Construction Compactor Low -volt, Burglar Refrigerator, Domestic Temp for Test - 30 days Deep Freezer Low -volt, Fire Renew - Temp Service Water Closet Demolition Low -volt, Intercom/Teleph. Repair Circuits Water Heater Dishwasher Low -volt, Television Service, Number of Amps Water Heater New MECHANICAL TY'PF. Minimum Fee QTY. TYPP. Condensate Drain QTY. TYPE Generator QTY. TYPE Refrigeration, Tons Q"1'Y. A/C Central, Tons QTY. Cooling Tower Heating Strips, each Vent Hood, Cost A/C Wall/Win. Tons Dryer Vents, Number of Paint Booth Ventilation, Cost Air Handler, Tons Ductwork, Cost of Piping, Flammable Liquid Periodic Inspections Barbecue Fire Sprinkler System - Process/Pressure Piping Pump and Abandon Bath Fan - Vented, # Fireplaces, Number of Pressure Vessel Gas - Appliance PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QTY. TYPE Miscellaneous Fixture QTY. TYPE Soakage Pit QTY. Bath Tub Drinking Fountain Miscellaneous Repairs Solar Water Heater Bidet Filter Replace Pool Piping Sprinkler Repair Cap - Fixture Fountain Pump and Abandon Sprinkler System Cap - Water Gas - Appliance Pump, Domestic Supply, AC Well Cap - Sewer Gas - Natural Pump, Fire Stand Temporary Toilet Catch Basin Gas - Propane Pump, Re- circulate Temporary Water Closet Clothes Washer Gas Piping Pump, Replace - Pool Urinal Dental Chair Grease Trap Pump, Sprinkler Utility - Sewer Discharge Well Ice Maker Pump, Sump Utility - Water Dishwasher Indirect Wastes Relay Repair Vacuum Pump Disposal Interceptor Roof Inlet Water Closet Domestic Well Laundry Tray Septic Connection Water Heater Drainfield, 4" Tile/Res. Lavatory Septic Tank Water Heater New Drains, Area Meter Set (Gas) Sewer Connection Water Re -pipe Drains, Floor Minimum Fee Shower Water Service Drains, French Miscellaneous Equipment Sink Well, Supply Page 3 PERMIT APPLICATION INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below. RECEIVED AND REVIEWED BY: DATE: SECTION BY D TE Zoning /t✓�' /0/7.57 4) Electrical !� Mechanical Plumbing Fire Public Works Structural • Building Official l a - Page 4 OFFICE USE ONLY CHECKLIST ❑ OWNER - BUILDER FORM (Attach) ❑ FIRE DEPARTMENT APPROVAL (Commercial / multi - family) ❑ CONCURRENCY (New Construction) ❑ OTHER (Specify & Attach) $3.00 per page (Scanning Fee) Miami Shores Village Bond Metropolitan Dade County (C.C.F.) Inspector State Educational Fund State DCA (Radon) Code Enforcement Fine Zoning Review Notary ❑ PROOF OF OWNERSHIP (Attach) ❑ HRS / DERM APPROVAL (Septic / Sewer) ❑ IMPACT FEE (New Construction) ❑ OTHER (Specify & Attach) $' (sq.ft. = x/1000 x ¢.60) $ (¢.005 /sq.ft.) $ (¢.01 /sq.ft.) $ S -0 0 PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2"° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com TYPE OF MANAGEMENT (✓ ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'l Attachment Other Add'I Detachment Other Step 1. APPLICATION 0\Job Address: lS 1 hi rr ) 01 o2k. Address KPt• Folio Number Lot Block Subdivision PB PG Current Use of Property Proposed Use of Property Tenant Information PERMIT TYPE (✓ ) Building Electrical Mechanical Plumbing LPGX Roofing Fence Other? L., PERMIT CHANGE (✓ ) Chg. Contractor Renewal Revision Extension Supplement Reinspection ARCHITECT Name License No. Address Telephone Fax PROPERTY OWNER ame Address Home Telephone Business Telephone Fax Master Permit No. Subsidiary Permit No. INS'T'RUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village: Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit- ted along with this permit application. Step 2. Sub it the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the proc� sing of your application, you may be asked to submit additional information. City 0 Description of ork to. PERMIT APPLICATION P.occ)=D--- i76,/ Zip Zoning Linear Feet Square Feet Units Floors Value of Work C h Bldg Value Tax Assessed/Appraised Value Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR Name License No. Address Telephone Fax Qualifier Name Page 2 In1 POIf'ANT NOTICES 1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m. to 5:00 p.m. No inspections will be conducted on weekends or holidays. 2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris. 3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS. 4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is required for work in or near the street/sidewalk. 5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer which requires a separate permit. 6. PORTABLE TOILETS for a construction site require a separate permit. 7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department. 8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement. 9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is'required for applications involving sewers. AFFIDAVIT - Please read carefully. Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY, ROOFING and SIGNS and there may be additional permits required from other governmental agencies. I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must conform to the current code requirements of the Building Code. WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at: 22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and Choosing a Contractor. STATE OF FLORIDA, COU Signature of Owner ,QLS..4 —\ Print Name SEAL: and subscribed before me this CF PERMIT APPLICATION STATE OF FLORIDA, COUNTY OF MIAMI -DADE Signature of Contractor / Qualifier Print Name Sworn to and subscribed before me this day of gnature of ; M a r y P u b l i c tate of+ i e ' . Signature of Notary Public - State of Florida 0 • ANGELA d N Y . n co:: :: crn,: - SEAL: ti w Personally known OR, Produced Identification Personally known OR, Produced Identification Type of Identification Produced: Dz. 3 ! b 3'1a) 59 -0) Ope of Identification Produced: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 1 / 15 ! /X I° 5 Tax Folio Legal Description / Tenant \/ er's Address s tRo■ s4L ContractingCo — pal Address Qualifier SS# State # Municipal # Competency # Architect/Engineer Address Bonding Company Mortgagor 7 - Address ically Designated: Yes No Master Permit# ! 7 3 Pho g %3 ��✓ 7 �f Address Phone Ins. Co. Permit Type (circle one)t UILDING1 ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTTONX 1hiTLOG P Square Ft. Estimated Cost (value) 1, c ` , 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 m comp . 'th all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Signature of owner and/or Condo President Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT O RADON C.C.F. . ' NOTARY ‘2C) 1 APPROVED: 72/2 , 7/e/70/ Zoning C—' !� Building Date Signature of on ;cl or ! ; er - Bui1 s t� Notary as : Contractor My C • ssion Expire Electrical 7 6 3 LS Or OPFICI ANOTARY SEAL rT A nvrq VILLAR **WC STATE OF FLORIDA Date COMMISSION NO. CC714103 MY COMM15S1ON EXP. MAR. 12O02 BOND TOTAL DUE -� ' G v 60 I Mechanical Plumbing Structural Engineer • • MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: gO° OWNER'S NAME: Q< L) $ L(� PHONE: 3(:) —7S ADDRESS: /S7 //Ass' /'/ 5 ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: / 3-7 CONTRACTOR & LICENSE (if applicable) itJ COMPANY NAME: PHONE: ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to iv painted. Walls Qtstrk,;.: a.ry „V_) Fascia Sulam', Q11- SK Drip Cap/Drip Edge wA Soffit 1e 5/4/7 Roof cv►'� t`t� Flower Bins /V�¢ Shutters w h,■- Cs Awnings 6}A, Chimney /1 $. Doors and door jams t,tJ/-} Garage Doors uutJlq s c v - G c.a5Z Railings Fences Decorative Metal All brick (simulated or regular) Stucco Banding Any other stucco features /1 Accessory Buildings Other APPROVED: 0 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. F s, - rmore , the paint colors will be as per the attached samples. ' Signature of Owner `` 10 at Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION f�.�� 0/d/ Building Off fal Date 4/23/01 Date S `?`:;' Job Address 1 SJ 'Vk 10 1 S ( Tax Folio Legal Description / Tenant PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Historically Designated: Yes No Master Permit # S S� \ 5kt 4(.)(4,A-.6V Owner's Address l f) (r 10‘ J'�; Phone 3 7 �-- - C' / 01 © / W ry 893 - 7x 7/ Contracting Co. 4V014.)�, Address Qualifier SS# Phone State # Munici lvArTAN �, . mpetency # Ins. Co. Architect/Engineer , ddress / Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION 1(l))1,(2c iqQ - `+- ( •C)1 6 '5'(7► Gd � 4✓1�l�"r/ Square Ft. Estimated Cost (value) Z e - 5C 12 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. Furth • ■re, I tthorize the .bove -named contractor to do the work stated. 7, ,o Signature o 4 wner and C . ( s ' • r Date Signature of Contractor or Owner- Builder Date . 9 .ry Notary as to Date Notary as to Contractor or Owner - Builder Date My Commissi My Commission Expires: APPROVED: Zoning Mechanical n Expires:GLADYSJ VILLAR NOTARY PUBLIC STATE OP FLORIDA COMMISSION NO. CC714103 MY COMMISSION EXP. MAR.1 002 3 ..� FEES: PERMIT 0 RADON C.C.F. o NOTARY r BOND aw.m,*? 4 (011 Electrical TOTAL DUE Plumbing Structural Engineer Date PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 3 - -Th Job Address /5/0 /0/ SA Tax Folio Legal Description Historically Designated: Yes Owner/Lessee / Tenant R / sA epi - Owner's Address 5J /VF )O 1 j4— Contracting Co. J, )/OOT9 Queer J/C /)hj State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): t UILDIN LECTRICAL PLUMBING WORK DESCRIPTION ignature of owner and/or Condo President APPROVED: Zoning Mechanical J)7 Notary as to Owner and/or Condo President My Com_missi i e0_ y, 012AL - '1 ?T confi—srioN NUCLI ER o roinN,werm Est?. v._a 4 ''1'13 FEES: PERMIT L od RADON Building Plumbing ate Date 3�7C 3 Master Permit # Phone Address // 35 //4rn S ,5a1,, ce SS# 17/1 -6Q -y Phone g6 -7V '5a -2 ke-P vcitizr5 Square Ft. Estimated Cost (value) ' No v23 ROOFING PAVING FENCE SIGN 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 • ego' - information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonin • F or: -. uthorize the above -named contractor to do the work stated. L � r ure of Con actor Sidndl or Ow r- Builder C.C.F. ° 3-0 NOTARY Date Notary as to Contractor or Owner- Builder Date My Commission Expires: 3 - �B <'�' �,�V SAL e®MIISSaI0 :1 NUUMER CC4012G9 r) ('-r 1 r n cj • TOTAL DUE 6 l3 < SANDRA C.J [" )ONTIEL Electrical Engineering Legal Description / Lessee / Tenant TtiIYSdLL LAC. /7�f�eT S Master Permit # Owner's Address ,S"/.54 A3 Contracting Co. Ot.IJeU - , 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 SIG, WORK DESCRIPTION PERMIT "APPLICATION FOR MIAMI SHORES VILLAGE Job Address /'/ �( /d✓ Square Ft. Estimated Cost(value) /2d0, d 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 zonin :j. F j hermor I authorize the above -named contractor to do the work state Signature of owner and /or Condo President Date: Notary as to Owner and /or Condo President My Commission Expires: a/ / 4 4 A S: 5 / � Tc+lg ADD ek 0-01N 8rxrer/ 0 F / f d -- ** * * * * * * * * * FEES: PERMIT - /f- RADON C.C.F. / 400 APPROVED: Fire Zoning Buildin Mechanical Plumbing Tax Folio // 320‘ Phone 7S%- o / C,/ Contractor o Signature o Dat Notary as to My Commissio Builder 11 -tr�g cVO 1 eazBuil * COMMISSION NUMBER CC255237 MY ���c • ' " Q � MY COMMISSION EXP. OF JA? 2161997 ** NOTARY , TOTAL DUE Other N--/ Electrical Engineering