584 NE 102 St (10)Date
Legal Description
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
A d dress ' ' / � z 7 Tax Folio 11 3 a ti o/ 7/ a a 1 /
Owner/Lessee / Tenan
Job
Owner's Address 54' J - /c as 7- A P -?
Contracting Cctrr Ir'
Liam)
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor
Permit Type (circle one • UILD ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIP'TIONy Aft.; . c/ t_' edec //////Z) VA/AX /A)6
FEES: PERMIT
APPROVED:
Mechanical
Square Ft. Estimated Cost (value) ) / 00 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
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I uncle d th
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that
construction and zoning. Furthermore, I authorize the above -named contractor to do
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President
My Commission Expires:
RADON
Zoning Building I R PI/t
Historically Designated: Yes i1 No
Master Permit # S 2 970
of Contra
to Con : ctor
separate
done in com
Date : otary
My Commission Expires:
C.C.F. / E° NOTARY 5-,c) () BOND
TOTAL DUE 5-6
Z)
Address
Address
Phone 305 759 7 c ( h
Electrical
or Owner- Builder
or Owner- Builder
i . • 0 0 3 / 0
IA
(if applicable). I certify that all work
rmits are required for ELECTRICAL
lance with all applicable laws regulating
OFFICIAL NOTARY SEAL
♦PnY PUe� ANG
i E PJt BE
(q- n c0MIAS uON NUMB ER
* • , �j,; Q CC78669
EXPIRES
<1.• CO1MISSION
F OF P\,0 WV, 52O 2
Date
ae
Plumbing Structural Engineer
DATE X /
OWNER'S NAM :`� '/Z :. % / rncsd
ADDRESS:k '5 J1je
* * * * * * * ** * * * * * * * * * * * * * * * * * * ** *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ADDRESS OF SITE: 5 `/ A)t /01, s j IL .T'
CONTRACTOR & LICENSE (if applicable) 00)ikA ✓<
COMPANY NAME: PHONE:
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
All Elements,on the site must be listed and indicate the color to be painted.
Walls V Q 1- i d P G .,
Fascia pi) A
Soffit .� , 1
Roof h
Flower Bins qv) /
Shutters l
Awnings W
Chimney a o - - 6 a
Doors and door jams rJ) A
Garage Doors /J / /4.
Railings h//
Fences pj /
Decorative Metal A )
All brick (simulated or regular) /i l j.
Stucco Banding 1,J / 3
Any other stucco features et) ,) /
Accessory Buildings /y
Other
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate
and that all • rk wi be done in compliance with all applicable laws regulating
constructi • 'land o' ing. I authorize the above -named contractor, if applicable, to
do the oak s : te•. Furthermore , the paint colors will be as per the attached
sam
Sig f ure of Owner ate Signature of Contractor Date
* *:, ******************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPROVED:
MIAMI SHORES VILLAGE
Paint Color Approval and Agreement
Building Official
to
PHONE J5 75 ti — 70
co
C
0
r
O
o.
O provence creme
WHEN PAINTING IS FINISHED,
CALL FOR FINAL INSPECTION
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date / Job Address 5 4 NE ti72 ST2. Tax Folio II -32O( - I 7- IO2(- 2.
Legal Description Lot 2 g( 94 A.w>e"dad 'PIat Mia�►nl SL.. i s 1 Sect.
Master Permit # 63
Phone 75I - CP 11
Owner / Lessee / Tenant Tovn
Owner's Address 554 NE 102 STiz.
Contracting Co. SY OWNE.M. Address
Qualifier Taen LP UMv f 3p-L . SS# Phone - 7 57 I I S
State # Municipal # Competency # Ins.Co.
Architect ngineer - TOM L,AMQetI'(II,Ak— Address 13 C , LAS OLAS bLVP. th ,01 .
Fi7iL LAMpe(ZDALe, FL.
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTIONO i4oustahtiyutWl t Q Re oird Skutie11 Pk G1Lae,,New f. whir ?fl,k «3ttw,
(sec cwt 4.001. a#ackJ ) .
6r■ck over eY ■stiv ca►ticJiztt. s citwaA.t. &Ad cl rivec.rcil (seta eata,c.kii Ikea).
Square Pt. Estimated Cost(value) 50 •�
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 con ion and ning F ermore, I
authorize the above -named contractor to do the work state
Signature of owner and /or Condo President
Date:
Notary as to Owner and /or Condo President
My Commission Expires:
** * * * * * * * *
FEES: PERMIT RADON C.C.F.
APPROVED: Fire
Zoning Buildin
as o - _ _ • , bosice i'tttr
`�,w, . :My Commission Exp. AprA 30, l
�.. `oe, No. CC197545
;y S - 4 /- f 3
Owner- Builder
**
NOTARY TOTAL DUE !
0' Other
Electrical
Mechanical Plumbing Engineering
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Tr:MI .11.11TTITT T • ITTrir —
114.92'
114.92'
0
a
.10
SETBAC
ORIGINAL 1921
•-•
• CONSTRUCTION
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Thomas J. Laubenthal, Inc.
Landscape Architects / Site Planners
1314 East Las Olas Blvd. Fort Lauderdale, FL 33301
Telephone (305) 522 -6648 Fax (305) 462 -4620
NO ADDITIONAL RIf3s
WAFTED. DEtIGN I�
FOR A STEEPLY SLOPED
AWNING PROFILE
SECTION VIEW
r1DNT ELE.Va
• ` D AR H
nTRUT
J
COLOR WE-LECTION
13Y OWNER FROM
MANUFACTURE
CATOLOG OF TOUC.
EDGING TRIM
OFF-WHITE COLOR
SCALE. 1/2" - 1 0
4'-0'
nINGLE DAR
TOP FRAMING
DOUDLE DAR
IN WDE SI DE FRAMING
4 S TD. WALL MOUNTING
FRAMING DETAIL
TO THE BIDDER.:
PLEAtE REVIEW DETAIL AND PREPARE A
WRITTEN PROPO TO THE OWNER.
APPRE. DEIGN COMMENTS AND ANY
QUEnIONn TO COMMENT TO OWNER,
TOM LAUDEFTHAL . INCLUDE CO FOR PERMIT A.t REQUIRED 13Y
THE VILLAGE OF MIAMI V- 1ORE5.. INCLUDE ALL LABOR, INTALLA11ON.
ALE: 1" = 1' -0"