PAINT PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 3 • 1 • ( Job Address oi- (4.0. / O ' s / Tax Folio
Legal Description ?i4:V "/VLF 6 E?/oaN Historically Designated: Yes No `/
/ Tenant /* j /L(S REy1 D LJ)S Master Permit # vgn D
1 - r j ,
Owner's Address i4 g. . e • /0 I s� Phone 7S �-J - 0 0 `
Contracting Co. SGvv���l nI Tn[ d Address 66 7 44410. Ss
Qualifier pFj ' BU�� SS# Phone 7.57 — 7/61
State # — Municipal # / 39'64 Competency # 9`/ 5o Ins. Co /NEP,
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION g1Arr ERlt,1R c flJ .l1j e2/f -y) ,
Square Ft. Estimated Cost (value) // . OD
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.
r /.. 1_ ..1:
gnature of owner and/or Condo ; esident Date
COMMISSION A CC978568 •
EXPIRES DEC IS 2004
SONDES) THROV3P1
AIAANIA eN0 XI
i.Y•LJ L it .i:. ; _ . i�d "•l . ♦A'LA' Al
Notary as to
My Commissio
FEES: PERMIT
•
RADON
L
as t
/ ' 9
4
of Contr tor • . er- Builda�/
si b• rUC:STA RFLORIDA
MISSION NO. CC714103
MY COMMISSION EXP.
Signature o
Notary
My Co
Z
C.C.F. 1, ✓ NOTARY BOND
TOTAL DUE
Date
3 - 0/
Date
APPROVED:
Zoning r /f/Cui1ding .� o 2) Electrical
Mechanical Plumbing Structural Engineer
• .-* MIAMI SHORES VILLAGE
DATE: 3 - 7 • o(
Paint Color Approval and Agreement
OWNER' S NAME: /Wx.s /VeS cEyo Lps PHONE: 7'1 009/
ADDRESS: , • / pi
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: t,(- /4-C: tot "
CONTRACTOR & LICNSE (if a licable) 9 B 5 00
COMPANY NAME: V 1 Ni it4b- PHONE: /S- 7
7
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls aEnl�if,4
Fascia
Soffit
Roof _--
Flower Bins
Shutters
Awnings
Chimney
Doors and door jams 0-) Doze5 - V44-1 -i .
Garage Doors -
Railings
Fences
Decorative Metal
APPROVED:
3/7//
Building Of cial Date
N Pr
Navajo White 73
— �– - -
All brick (simulated or regular) pi �o ' o ali.\/-n-,./L �.((�/ _
Any other stucco features
Stucco Banding o � A1-5
y
Accessory Buildings fRopf - r 1J°A 4 S tie C -► 4 .R0 4, &E -
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. Furthermore , the paint colors will e as per the attached
ge 3- 7.
s. -- •les.
i D o/
Signature of Own Date Signature of Contr. tor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
Owner / Lessee
Owner's Address
WORK DESCRIPTION
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date g1/13 /3 Job Address Z g -- 1Z /
L e
Legal Description' -G
Tenant
I\ Gib 4/14€—
Signature of owner and /or Condo President
Date: "0.4-6-4-- 5- / f 7'j 3
,�.. .� /1
Notary as to Owner Ni or ondo President
Y PUBLIC STATE OF FLORIDA
My Commission - Ex p ir ' s COMMISSION EXP SEPT.20,1994
BONDED THRU GENERAL INS. UND.
* * *
Zoning
Mechanical
Tax Folio // /' 11 0 1 7
ieAl D JYl g / S
Contracting Co. (Ve iarl {
Qualifier/4.1X4-94- �/ G�UGi Phone
Address
Master Permit #
Phone
/61C i/i
‘,.,(,(„tif.eAtte Ai
Date: . c.-G-.- S 1' T3
9 V7 - ?Co
State # Municipal # d 2 «3 Competency # I /3.f Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING P G FENCE SIGN
(: 71 - N
�
MY COMMISSION EXP SEPT.20,1994
Square Ft. Estimated Cost(value) (o &‹),
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.
authorise the above -named c6}itractor to do the work stated.
Furthermore, I
Signature of Contractor or Owne Builder
otary as to Contractor or r- Builder
My Commis g r ST ATE OF FLORIDA
BONDED THRU GENERAL INS. UND.
• * * * ' * * * * **
FEES: PERMIT c ' 1' , 0 RADON C.C.F. i NOTARY TOTAL DUE 315 Afl
Plumbing Engineering