319 NE 101 St (4)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date l l 13 /frb Job AddressY 3 1i NtE. O Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant' b na, [_a O-Cs.5 Master Permit # 4'7 9g9
Owner's Address 3lq iV. . )C 1 9 aM i S aS Phone 305) 757 - 7 D (a.O
Contracting Co. Q IV 11 -e VJ .,(SCI. Lti2(,,5 Address
Qualifier SS# Phone
State # Municipal # � Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION?( J t'1 �(' ( a r
DESCRIPTION?(
Ft. Estimated Cost (value) 2.0n
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
constru ion an ning. Furthermore, I authorize the above -named contractor to do the work stated.
S
My Commission Expires:
FEES: PERMIT
APPROVED:
Zoning
Mechanical
RADON
11
Notary as to Owner and/or Condo President Date J otary as to Contractorb Date
bo
C.C.F. at/ 0 NOTARY S BOND
�.
192.3 5 5611°-° s�
My Commission Expire GLADYS J VILLAR
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC714103
MY COMMISSION F.XP. MAR, 1,2002
Electrical
- ' lder
TOTAL DUE
1:a
Date
Plumbing Structural Engineer
Y 4. ‘
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: /vovaM3c' co
OWNER'S NAME: LISA LA P.m PHONE: 7S7 - 7060
ADDRESS: ivcr Jo/ It SrsaffE'%
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: S z
CONTRACTOR & LICENSE (if applicable) 00A-c2 1 s PA-'m Ti , vG
COMPANY NAME: PHONE. ----
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls -
Fascia it I
Soffit
Roof OBI 4
Flower Bins NI A
Shutters e( A
Awnings A4 a
Chimney $ /
Doors and door jams it- a
Garage Doors a
Railings N/4
Fences N f F}
Decorative Metal
�
All brick (simulated or regular) PiA
Stucco Banding nrpl.
Any other stucco features U;,J i:lls - Aialled
Accessory Buildings WI /-
Other
OWNER'S AFFIDAVIT: I certify that all the
and that all work will be done in compliance wi
construction and zoning. I authorize the above-
do the work state. urthermore , the paint colc
sA
arof • ner D. e Signature of Contractor lid LC
* * * * * * * * * * * * ** ******************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED:
Building Official Date
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
PERMIT J APPLICATION FOR MIAMI SHORES VILLAGE
Date ' r tb Address /1(6. /
/ a ( Ssi4 Tax Folio 3) 0/3 5200
•
Legal Description Historically Designated: Yes No
4 4 6 Master / Tenant - Permit # .70
Owner's Address 7 ` 7 k& ` 0/ V. Phone 7P- 7d ( 6
Contracting Co. `„1 1/1,Qlr. Address
Qualifier SS# _ - Phone
State # Municipal # Comp _ Ins. Co.
Architect/Engineer Addref
Bonding Company Addn.__
Mortgagor Address
Permit Type (circle one): BUILDIN ELECT CAL PLUMBINC M CHANICAL .l ROOFING PAVING FENCE SIGN
c o d� Cad a
WORK DESCRIP'T'ION �a k D. �, �1 � I/ ��,..5 -e `� CAI ('1( `., y r -
Square Ft.
eu°
Estimated Cost (value)
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 an at all work 1 be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -n • co actor • *• o e work stated.
Signature of owner and/or Condo President Date
My Commission Expires:
PERMIT
RADON
C.C.F. d�
My Coirunis$in,
n •
ontractor or Owner- Builder Date
Notary as to Owner and/or Condo President Date Notary as to Contractor or Owner- Builder
Date
�- z 8 -�
NOTARY TOTAL DUE I / ‘ 0
APPROVED:
Zoning Building Electrical
Mechanical Plumbing Engineering