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941 NE 91 Terr (14)FEES: PERMIT PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date ir , Jobf A?ldress f V • 1 t 1 Tax Folio 3 t 0© 3 00 S D Legal Description •! T7 C ( ' Y Designated: Descri lion O � ) C > G > � Historic�ll Desi ted: Yes No 1/ Omer/Lessee / Tenant Wl' 1(0)7) -f . j))11 15e Oa ±C- Master Permit # f6wner's Address q q '77; / ) Phone f05 7 59 - 4/0 EC Contracting Co. \ J J) - V' Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one). BUILDING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION or Ito )3c' ;(14- - ' P Square Ft. 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. 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 of owner and/or Condo President Date e of Co ctor or er- Builder Notary as to Owner and/or Condo President Date Notary a to Con tor or er- Builder Date My Commission Expires: My Commission Expire O `P gY Pv6e A NGELA M ' BECKER _ _ �±! COAAA&SDON is UifaER a • 4 < CC786697 4.9 MY COMMISSION EXPIRES OF FAO NOV. 15 s/ t ( ate RADON C.C.F. s 6 (7 NOTARY . S s 0 0 BOND / TOTAL DUE h S.. 4 -Y2 Building Electrical APPROVED: Zoning Mechanical Plumbing Structural Engineer MIAMI SHORES VILLAGE Paint Color Approval and Agree it DATE: II I OWNER'S NAME: PHONE: ADDRESS: om ( NE PI kVA 5h ************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * ADDRESS OF SITE: out k_z q( I CONTRACTOR & LICENSE (if applicabler3CA -E-- COMPANY NAME: PHONE: ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** All Elements on the site must be listed and indicate the color to be painted. Walls Fascia Drip Cap/Drip E Soffit Roof Flower Bins Shutters Awnings Chimney Doors and door jams 4 ■ &s law"' Garage Doors f .A_� Railings Fences Decorative Metal APPROVED: All brick (simulated or regular) Stucco Banding Any other stucco features Accessory Buildings Other 6 0/6( Building Officd Dat OWNER'S AFFID • . IT: 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 sam Signature of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** of WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION 4/23/01 go's.° MIAMI SHORES VILLAGE Paint Color Approval and Agreement DATE: Ma Li 02q, 0.001 OWNER'S NAME: Il e PHONE:606 /108'() ADDRESS: q NE q ( Terrq 'e. S -it's FL 5313 ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ADDRESS OF SITE: Qq / WE q ( Terrace, la !am( S6irr5 CONTRACTOR & LICENSE (if applicable) 'v ,, / 1+ COMPANY NAME: PHONE: *************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * All Elements on the site must be listed and indicate the color to be painted. Walls Z Pa-Fh 5 V D, Fascia Alpine Wl r4e S `4 a -k 1 Drip Cap/Drip Edge 4Ipine W , S14 ,y Soffit Alp ne k/h 1 Roof &pm W h ri Flower Bins M (A Esplanade. Espiancde. S W 2,a31 Shutters Awnings Chimney �cx3o,‘ �h S \fQ 0 Doors and door jams "Jh1-k - Garage Doors 'pV h t -e. Railings NIA Fences NJA Decorative Metal /4 LA All brick (simulated or regular) &ine Why 5 a 1 Stucco Banding NIA Any other stucco features fiat is \Mk iVe Accessory Buildings WA- Other-Try 5 wit F. la -cxx es \J a � 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 sam gna . re of Owner Date Signature of Contractor Date *********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED: - WHEN PAINTING IS FINISHED, CALL FOR FINAL INSPECTION Building O ail Date 4/23/01 CO CO CO N N ei N