561 NE 101 St (6)Al 6 T/7L/ /<
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
5 - 61,x , �. )91
Date % Gj' d / Job Address �K_/ h /- S/ er/t2I Tax Folio // " - 6/7 -//30
Legal Description ho Jk aZ O /3(aCK 9 `f "/`I iiiii i Historically Designated: Yes No /
5NO/Z0 S 5 a-C 7104' it " PL../.T Bost l 5 Pab e /Y
Owner/Lessee / Tenant 5 - 6 / A/� /O / -57 Master Permit # 4113 / 3 y
S / /I/c /O / S /-
Owner's Address
Contracting Co. 6'1 Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
APPROVED:
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President Date
My Commission Expires:
FEES: PERMIT b � RADON
Zoning Building
•hanical Plumbing
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
1 1
WORK DESCRIPTION �/ 5-4,C c 0
Square Ft. G / / C . 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.
OWNERS 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.
C.C.F. � j 0 NOTARY S OD BOND /
TOTAL DUE S'. t /
Phone 30 5 - 7 6 7 -6y/ f
% -Alit te"
'ar
Si . e of Contractor or Owner- Builder
� - / S...S' - L ? () � o
Not ' as to IPrntractor
y Commission Expires.
Electrical
• !' OFFICIAL NOTARY SEAL
• d
_ lr , ANGELA M BECKER
1t r ' COWNSOON NUMBER
• ' Q CC786697
OF ` � (1\ O My COMMISSION EXPIRES
F NOV. '
ate
Structural Engineer
• MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
DATE: /1 /
OWNER'S N f;E 'V PHONE: 30 S - 7S`7 —Ck
ADDRESS: 6 / A/E" /o / 5
********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: S& / Ne /'o / sr
CONTRACTOR & LICENSE (if applicable) A /1—
COMPANY NAME: PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements on the site must be listed and indicate the color to be painted.
Walls r,
Fascia r> o
Soffit
Roof A o
Flower Bins :,-e r�
Shutters r) o
Awnings r>
Chimney e e
Doors and dooiiams /ft__
Garage Doors r� d
Railings 1-h
Fences h
Decorative Metal
All brick (simulated or regular)
Stucco Banding
Any other stucco features p,
Accessory Buildings p1 a
Other n
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
sananles.
/ // /Vfl
Signature of Owner Date Signatu Contractor Date
*********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED:
Building
11
Wh <' woo q'
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
ALLYN BERG
PLANNING AND ZONING
DIRECTOR
Ms. Martha Kern
561 N.E. 101 Street
Miami Shores, Fl. 33138
Re: Expired paint permit
Dear Ms. Kern:
Sincerely,
Al Berg
ri// jami horeJ Uttar
10050 N.E. SECOND AVE.
MIAMI SHORES, FLORIDA 33138 -2382
Telephone: (305) 795 -2207
July
: 2 052 8972
I am writing with regard to the expired paint permit on your house. Because
the permit is expired and the house has not been completed (permit issued
1/11/01), a new permit is required. The approved color appears much lighter
than the present color of your house.
Please apply to Village Hall for a new permit and paint the house completely
and the approved color.
195-Job PERMIT APPLI A // TION �' FOR MIAMI SHORES VILLAGE
Date / Address 5 / /v/ ` Tax Folio
Legal D;. 'pti. Historically Designated: Yes No
Owner/Lessee / Tenant A05
N 6 74 #A/bE Master Permit # 3 7q6_3
Owner's Address ,5-- / /Ve / sr Phone
Contracting Co. i 'aiil A 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
41 pi/ A/4 4 / a J e4.4 Ve 8 .04(D .04(D
WORK DESCRIPTION
Square Ft. Estimated Cost (value) / / 0 0
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 regul : ' • . construction and zoning. F i ' ermore, I authorize the above -named contractor to do the work stated.
• �.. � 7 `A.i
Signature of owner and/or Con. o President Date
Notary as to owner and/ President
My Commission Expires:
FEES: PERMIT ✓ /. RADON
D to /
of Contrac
.,.
NOTARY SEAL
y CQi3 1 A�NDRA M MONTIEL
0
a�U Q COMMISSION NUMBER
01261
7f`�oF f`OO MY AUG. COMMISSION 7 1998 P.
Electrical
or Owner - Builder Da te
D
C.C.F. / NOTARY J TOTAL DUE —`
APPROVED:
Zoning Building
Mechanical Plumbing Engineering