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400 NE 100 St (2)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 1 1 vV �� 10 sI sire Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant/ /IA ' /OA) ' - PASS Master Permit # 4 7 Owner's Address Phonex 3o5- 75 I lcS / Contracting Co. £ 4/1 a.-V Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (ciircle one): ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION/ ( Pd"e SSwtc T L2 G> t � w e L'U¢ ` KAY IWf- d �z%� r (, �,(k,c v _. s 1 t ( p 6f t. (o X y # Square Ft. Estimated Cost (val> W 7 t'D I 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 of owner and/or Condo President Date Signature of Con Notary as to Owner and/or Condo President My Commission Expires: FEES: PERMIT ' D RADON Date Notary as Contractor or My Commission Expires: C.C.F. 160 NOTARY ,C ax4e4,, / (r or Owner- Builder Date - 4 -k- o3o - , ©off OFFICIAL. NOTARY SEAL GLADYS) VILLAR NOTARY PUBLIC OF FLORIDA COMMISSION NO. CCC714103 MY COMMISSION EXP. MAR. 1,2002 BOND TOTAL DUE APPROVED: Zoning Building ! ,T Electrical Mechanical Plumbing Structural Engineer MIAMI SHORES VILLAGE, FLORIDA UILD NG Y ❑ -LFCTRICAL ❑ PERMIT N? 11117 IUMBING iOOFI NG A-7;/ 1 ?wner of 91 . Building krchite t Contraefor ' (di or Builder_,.,, % G ork to be performed under this Permit ✓ t 1 BL Subdi- vision Value of Project $ DATE Signed: Ale- -r• d 1f I . BY `fi / r v' 195 Contractor's License No Legal Lct Description Address of Building 1 i 1 77 / f} This permit ns granted to the contractor or builder named above to construct the building or to install the equipment or device des ed 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 tie statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Amt. of Permit In considerat:on of the issuance to me of this permit I agree erform the work covered hereunder in compliance with all ordinAs and regulations pertaining thereto and in strict conformity with the plans, drawin : s tements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work don either, myself, my agent, servant or employee. do a $ 0144 • • atuttn L - otio. Painting ... Decorating ... Waterproofing 669 N. W. 8th Street Miami 36, Florida Miami Shores City Hall 10050 N. E. 2 Ave Miami S ho r e, s Fla.. Gentlemen: Enc. Licensed, Bonded, Insured Contractors Marcjn 16, 1951 We are enclosing our check in the amount of $1.00 for a, permit to do painting at the home of Mr. J. M. Knowles, 400 N. E. 100 St., Miami Shores, in the amount of $550.00. Please send this building permit directly to our office at 669 N. W. 8 Street, Miami. Yours very truly, TOO •` PAINTING CORP. Louis Touby, Pres. Phone 3 -5000