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PAINT PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date t 0 —1 S Job Address ( (o i 4.c to 1 Sftt l Tax Folio Legal / -- / C�( ?w Tenant / Tenant / r C-Z ( a L 'Z S Owner's Address .4 z? / 4 • • /0/ 5T/ £ Square Ft. WARNING TO OWNER: 1 RESULT IN YOUR PAYING CONSULT WITH YOUR LE Application is hereby made to certify that all work will be pe permits are required for ELECT. OWNER'S • FIDAVIT: I cer laws re _ 0 0�tion and A tikOr t Signs FEES: PERMIT RADON APPROVED: Zoning Mechanical tbdr d/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: Building Plumbing Historically Designated: Yes No m Master Permit # Phone kg-6 �8 Contracting Co. �--et-1/•i CF R- - 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 SIGN WORK DESCRIP'T'ION t L h NcE g.itf k C_ P 1 1 - 'e -- ;value) 5 O 'CEMENT AND YOUR FAILURE TO DO SO MAY ERTY (IF YOU INTEND TO OBTAIN FINANCING, lG YOUR NOTICE OF COMMENCEMENT.) d above, and on the attached addendum (if applicable). I )nstruction in this jurisdiction. I understand that separate MECHANICAL WORK. igna j f Contrac or or_ at.: -work- '11 be done in compliance with all applicable r. for to d the wo ted. otary as to Contractor or Owner - Builder My (`..,,,,,_.,_ Fxnirec tip;RY 'PL® i1AL NOTARY SEAL o 4i SANDRA M MONTIEL el C OMMISSION NUMBER CC401261 EAY COMMISSION AUG. 17 990 C.C.F. NOTARY 5, Electrical -'2 22 - oN Se-1-1 er- Builder Date Date BOND C7 TOTAL DUE 4 46 Engineering Date 5/18/92 Legal Description Owner / Lessee / Tenant PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Add eAs 461 N.E. 101 St. Fla" /7 4// 010,.//44 - East 10 Ft. of Lot 19, all Lot 20 and West 1/2 of Lot 21, Mitchell S. Polansky Owner's Address 461 N.E. 101 St., Miami Shores, Florida 33138 Contracting Co. Address Qualifier 0�Lji1 }Ylf e SS# - - Phone State 1 Municipal 4i Competency # Ins-Co, Architect /Engineer Address Bonding Company Address Mortgagor - Address_ Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFIN WORK DESCRIPTION Paint exterior of house and garage. Square Ft. Estimated Cost(value) $1,650.00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DC SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTENI TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU/ NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, an on the attached addendum (if applicable). I certify that all work will be performed to meet th 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: be done i authoriz I certify that all the foregoing information is accurate and that all work wil. with - pplicable laws regulating construction and zoning. Furthermore, contractor to do the work stated. Si D A gaikabo t a re o 11 = n d/p�- do President di 0 l 'i,e;r(;)/56 . U� Nota y •s o Owner and • Co9r WIkesiden Notary as to Contractor or Owner- Builder My Commission Expires: � FFICIAL SEAL My Commission Expires: DEIaDRE M. KING :,,•r,+: MY COMMISSION EXPIRES * * * •�� ° OP rw;r * JANUARY 09, 1994* * * * * * * ** ** * APPROVED: FEES: PERMIT i 7, s O RADON C.C.F. AO4 NOTARY TOTAL DU e'�Q Fire Zoning Buildin Mechanical Plumbing, Tax Folicll f• 'o /7 D Master Permit/ 1P ,3024 Phone (305) 751 -2377 , PB 15 P. 14 771 1 0 71T11 FENCE SIGt Signature of Contractor or Owner- Builder Date: Other Electrical Engineering Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. i algAr D 6 Owner's Name and Address // /eh/. ��+ � L /We/5 �/ "NO• yc / Street / U Registered Architect and/or Engineer &cI / C/t Location and legal description. of lot to be built on: V Lott / 29 0'' W/ 9 Subdivision -7/1,,e Name and address of licensed contractor Street and Number where work is to be done State work �to be done and purpose of building (by floors), state exterior col s (submit samples) /r cz' C - /b Na6�lr )(A / -4 k/ Palm SciMOles on heick New Building Remodeling Addition Repairs To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements S / ' 00 Amount of Permit $ T51 ( f Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida. Permanent Supplement. and has complied with the provisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agree employ only such subcontractors, on work to be performed under this per as are licensed by Miami Shores Village. Remarks Permit No. Disapproved (Signed) STATE OF FLORIDA COUNTY OF DADE. • 1 SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ack Howled n ts. person appeared and who. being by me first duly sworn, upon oath deposes and says that he is the of the above described construction. that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Da Date (Signed) 7/ ..70 l obirf; • Read. Sworn to and Subscribed before me. Notary Public. State of Florida No. of Stories and for no other purpose. to me well known. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Angel Fur A 12-1W Celestial Glow A 12 -2W Salmonette B 12 -3W Titian t B 12 -4D Kabuki Orange B 12 -5D Incarnadine A 12 -6W Prawn A 12-7W Trumphet Bud A 12 -8MT Shrimp A 12 -9MT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Q Ownei s Name and Address — 6 ' .N,,ra -)r)" r^ Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Da ? -- Street.-12-LE 10 / .sf Subdivision Street and Number where work is to be done ` v 7 • State work to be done and purpose of building (by floors) /. New ' Building_ __________ Remodeling __ Addition Repairs No. of Stories_ • • To be constructed Kind of foundation. Estimated Total cost of improvements $ — — Amount of Permit $_ Roof Covering Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement. and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated area true. Permit No.__ w!__ __ Date Read, Sworn to and Subscribed before me. Disapproved (Signed) _. Date Building Inspector Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved __and for no other purpose. 4 to me well known, NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. __Date MIAMI SHORES VILLAGE, FLORIDA BUILDING MI DATE r ELECTRICAL - 1 111 PERMIT N° 5849 Contractor's PLUMBING) License No. rl Work to be performed under this Permit f r" ' '` Owner of i _ Building :i t i i V i �L. t'" /"C' Architect o r�Bt ,s A /'t f Legal Lot Description Bl. Subdi- vision y 19441 • Address of / /1 f 6 / 1 .r Value of Amt. of t , Building' / l L/' / ( ) Projec f Permit / f,, "'�.+ This pennit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 respon- sibility for work done by his agents, servants or employees. r Signed• e'' ) I" _' !r 1 ' t ( By INSPEcybR 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 responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY