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900 NE 100 St (10)Date Legal Description r � Hiistoorically Designated: Yes I-Owner/Lessee / Tenant R/C (' / (✓ , Pc- /1,C/ cch q33 Master Permit # (it `f Address 9D o /U /O° s r ` J Q - 7 �/ - 4 - er's Contracting fl/('cL /? /// 7 /4ddress Qualifier' SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Mortgagor Permit Type (circle o WORK DESCRIPTION (2,194-1 "TO F rek ok Square Ft. 'timated Cost (value) a 4 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 Notary a My Co FEES: PERMIT APPROVED: Mechanical PERMIT APPLII CATION FOR MIAMI SHORES VILLAGE D/ Job Address 900 A/6 7X X St" Tax Folio ■ • 1 1 1 xpires ."' I, GLADyg CIA J i VILLAR NOTARY PUBLIC STATE OF FLORIDA COM II SSION NO. CC7I4103 MY COMMISSION EXP. MAR. 1 002 RADON ssion zoning it` or Condo President Date P3b L/ o� Condo President Date Building LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Plumbing Address Address on to y Commission Exp C.C.F. 1 • g NOTARY I re ` . !1I yr hev No s: `P ." B!� ANGELA M BECKER RY PG OFFICIAL NOTARY SEAL O q COMMSSION NUMBER it 4 'III' Q CC786697 9le CF FLO c\ MY COMMISno EXPIRES ES 5 - 14113 - - 0 at l fv2,. ( Electrical Structural Engineer DATE: ' /8 0 OWNER'S NAME: ADDRESS: g( /0/_- (fit) d " ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: (PO (vim /D© ST CONTRACTOR & LICENSE S,if applicable) COMPANY NAME: 27 / L (9/2E_S PHONE: 305-68/ - O ?0 ********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls M(` /(,e l- C ■ Fascia YE 5 f u h 17 . Drip Ca /Dri Ed 1 E5 "3h 1 a ��� P P P g 0 (3T •�ti' Soffit 'E.5 IN l� 12<1 , , Roof �1' l/� . 0 it ,4 I f j J , � / J� V f k f o Y= N C CD Flower Bins Vii Al )/c� 4 � 9 e �� � �� °a U Shutters Y� tjjh i l-ct)) 6yr�wl Awnings / /q g c: 013 Chimney V E5 ALLr utfri &l?el Hk77 d mo o ' UN ' Doors and door jams, E - 5 - &CC J /oE l'v/i' 'k W a: CA Garage Doors ye- �zkfFiel /v� P J Railings /vbg © Z 0 Fences JA 3 � p � n. I j Decorative Meta yE5 '& ' (.. 70,..,°2- 0o 11 a � A All brick (simulated or regular) /V�/ � g , Stucco Banding xj $ Lim o Any other stucco features' ,&I A I wit° Nf A 4. MIAMI SHORES VILLAGE Paint Color Approval and Agreement Accessory Buildings Other Building Official Date Pk„, PHONE: y -��7 9Z 4/6 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 s ples.��`� Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: ‘;- OWNER'S NAME:7&4a1d & PHONE: ?-7OS - 7S '7. 9 S1 ADDRESS: . 90(2 /l= /Po s 7_" ***************** * * * * * * * * * * * ** * * * * * * * * * * * * * * * ** ADDRESS OF SITE: S ii L� CONTRACTOR & LICENSE (if applicable) COMPANY NAME: PHONE: ****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be pa,i Walls Fascia ' 1 , wk`2 Drip Cap/Drip Edge L,,, Soffit (T(: Roof /•4 Flower Bins IJ A p \'k ilt- PDT Shutters a- llOm (IS C-Vek 1TOC?e.& Awnings 1J) A Chimney 1) hnk, ( �� s� h Doors and door dams 1`U c) T&/) , fe /l 16- Ak Garage Doors Lu& iJ/ Railings / Fences /J /IQ Decorative Metal t All brick (simulated or regular) Af j0 Stucco Banding Ay/4 Any other stucco features N R Accessory Buildings /v Other APPROVED: Building Official Date ft OWNER'S AFFIDAVIT: I certify that all the forego and that all work will be done in compliance with all ap construction and zoning. I authorize the above -named col do the work stated. Furthermore , the paint colors will be as ignature of Owner Date Signature of Contractor ************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** WHEN PAINTING IS FINISI CALL FOR FINAL INSPECT pQ, 4/23/01