1020 NE 93 St (7)BUILDING
ELECTRICAL
PLUMBING
ROOFING
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
In consideration of the issuance to me
pertaining thereto and in strict conformity with
cepting this permit I assume responsibility for
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N? 5335
Owner of
Building
Signed.
CONTRACTOR OR BUILDER BY
Work to be performed under this Permit
Subc.i-
visi on
Val.ie of �'
Project $ c) !
11 ,
DATF 195 /7
Contractor's
License No.
Amount of
Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with 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 statem pts or specifications and that'he assumes responsibility for work
done by his agents, servants or employees. >`
LY
INSP ECTOR by
of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
all work done by either, myself, my agent, servant or employee.
AUTHORITY
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N9 1203 . ,t
Miami Shores Village, Fla , ,,--- kk,,gi ' • , ' rt "
Owner, Agent or Tenant of Building 74,:'1
.,,,,,.. . I., , ,...„1 .,,.„. 4., •
1.„1,-A \,... 4 - .c, :4! - -,„,.,,,
• . ' n ,...,,,,.
Lot i,.. .. . • ,,',- . /Block
Subdi
'." ision T /Block %v - , t: :.., A 5 . : , , ., , ...-,,...,
‹ 1 E44,...___......,.4....,..1ir,...:
r
' (": ''''''''' i: 4 , 4 t.T"I' - 1 44 t ' '''. 4
Street Address '
/,.. "1.44'..-1.,..: - . 4. , i ▪ L
, * t-,,,-,,_
% 7
Approved use by occupancy ,,. ,:,:-.- -,4 ,:..,
'';' ' - • , --A 'A 7 I .
Remarks.
`---
This Certificate of Occupancy is issued to the above name3
for building at above named location only upon the expres; provision that the applicant will
abide by and comply with all conditions of Ord, naigta Ncs. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordi "(07es Miami Shores Village pertaining to
the erection, construction, alteration or reruodglkot of buildings or structures.
<lis,effi.70(:i.i, rir lip is ,z ,,. 4 ,
,. i , tfi../1... , --k , ,_-,,ii , . ' .1 f * , '■ , ,,,!, l' : ,.:'i; :
DIVISION
OWNER•S NAME
jOE' Chi
PRESEN" ADDRESS
55 L. E. 94th St.
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
I0'0•4 Q.Y93rd Street
LOT BLOCK
#8 1737.5 -7 #3
SUBDIVISION
BELVIDERE Pte.
GENERAL CONTRACTOR
IOE' QI ERNC
AD:)RESS
550 N. E. 94t:ii St.
PHONE NO.
LICENSE NO.
#4038
/� Q
BUILDING PERMIT NO. #10489
12 *n 1� C
DATE -1 .5 5
y
PERMIT FEE $ 17.00
BUILDER'S BOND
N O ' ' Bonds Po E in all
C(� 41 200.
EST. COST $ 12 59 0
ZONE PEQUIREMENTS 25.000 CU. FT.
[[ [[ CC
PLAN CUBE 2- 7. - .17"7 , CU. FT.
T9
Yi�pp
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY �y�/
DATE
12 -15050
X
NEW CONSTRUCTION
TYPE
CBS
STORIES
1
ROOF CONSTRUCTION
Tile
INTERIOR CONSTRUCTION
Ter.F1- Plae.Vialls & Cell.
REPAIRS
DESCR IPTION LL,,,,..'t. //a�
IQ Rzn -Din Rln -Liv Por- Kit -3 Iledroa s -2 Batbsdtt.War.
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
/
CERTIFICATE OF OCCUPANCY NO. /
ISSUED
Sill
BY ! 1,V /.
,-`
TO AA/ fi
BUILDING PERMIT AND INSPECTION REc)RD- IaIAMI SHORES VILLAGE of
1
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
/q - R7" 7)
FEE
TEMPORARY SERVICE
TEMPORARY SERVICE
/Q ./
BEAMS & LINTELS
,- Ad- 4'�
Arrt
/
/- /f - i
S f,
SEWER
/
FRAMING
S
SOLAR HEATER
MOTORS
S
GAS f .�....T�
�jt��
f�_ 2'/
,
lf., Il.
I! 02( Z
3 - 9 -
j
FINAL
V
'._ G ': /:
�>,•, - >,
RE- INSPECT
BY
RE- INSPECT
BY
CLEAN -UP
�'
J.-. G -,sc
-7 -• -j /
qq
GAS 2 1 3-0
CONTRACTOR Q/Yle. /0 1.L .
PHONE
PERMIT NO. JO 6 „7-,R DATE /'' ‘5 , 1
FEE S
NEW BLDG. I ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
TEMPORARY SERVICE
/Q ./
$
SEPTIC TANKe
r 7 0 7
/
/- /f - i
S f,
SEWER
/
,.
S
SOLAR HEATER
MOTORS
S
GAS f .�....T�
(,
1,0 S ? ,Z,-/3-5
q
'
,
lf., Il.
I! 02( Z
3 - 9 -
j
S7 o
INSPECTIONS DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
r
J.-. G -,sc
-7 -• -j /
qq
GAS 2 1 3-0
ROUGHING
H. W. HEATER CONN
SEWER 11
74.
`
SEPTIC TANK `..2Y ...Xi
a"
/4�4
' 7.4.4,a
PI
4 1/V61
SOLAR HEATER
FIXTURES gk,,i,,,`;,_-,u
0" N-ri
Pe
CONTRACTOR Ay ♦ Az., . _ -
•
PHONE
PERMIT NO. f ® . 1 DATE Z 7 - 5/
`
FEE $ /
/
NEW BLDG. I ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
/Q ./
) 2- 4 - 3 --a
S / 0 d
H. W. HEATER CONN.
$
RANGE CONN.
S
MOTORS
S
FIXTURES
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
J.-. G -,sc
-7 -• -j /
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
0" N-ri
Pe
BUILDING INSPECTIONS
LUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVIIGE DATE
BY 7)t.# S - 6)
911. C [.
ADDRESS 1020 N. E. 93rd Street
Let $ e 8c W r e . rk Lot 7, B1o RLCORD GARBAGE TAX
LEGAL Belvidere mark
P AID BY
Y EAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
Joe Cherney
/ dt:
1 .: `
-' ;
6 A J. h 9
/ /.
.wily — w y
/9Ca
4 41 '61''
1 0 2 . 31 . ' ,2
J %
-a - s A
6
ADDRESS 1020 N. E. 93rd Street
Let $ e 8c W r e . rk Lot 7, B1o RLCORD GARBAGE TAX
LEGAL Belvidere mark
C ONTRACTOR
Name
.,..,
�
W A ,' " ,{ L 4 I C co, 4...✓ C- .
License No. 9 5 4 5 000 5
Address l' Ai . 32L1
0 (4-k14.,,k j4itk• F- 3 33 3 Y
Telephone Ct ) s 220 7 Fax() SG . Y 9 y0
Qi iaGfier Name t�� I. 1 /) 1/ / "l0 Dale. ,
PROPERTY OWNER
Name .f► 4
/ V
y ) / i
I
Address
/m „1..o N- E• 935r
f `) 1 ,r' a ites FL •
Home Telephone 3
7c1- 7 ,5
Business Telephone
Repair
75-4'7271
Fax
Demolish
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
A.lteration Interior
Demolish
F:elocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Add'I Detachment
Other
••■
•• •• • • • •• •• •
• • • • • • • • • •
• • • • • ••• • • • •
• • • • • • • • • • •
• • ••• • • • • •••
INSTRUCTIONS - The following steps must be taken to obtain a
Step I.
Complete the attached permit application wlych must be signgl,by tIn oroperty owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more a& .tratC p1cCssipg Df Qolt If roofing work will be done, a roofing application must be submit-
ted along with this permit application' • • • • • • • •
•• • • • • • ••• ••
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
Job Address:
1067-v ALE. 3 sr
City State
II
Folio Number Description of Work (,J h, k SC.- nn /,c
Lot Block (Q 4L'-. LA-9 44eN o -. t 37d cPn tn1 Spo4"
Subdivision PB PG Zoning Linear Feet /0f/6. iL v s mZ Aw� 1.5
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
Address Apt.
Current Use of Property ,7 • F. A.
Proposed Use of Property .5"" F i .
Tenant Information
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Master Permit No.
• • • • Permit No.
• • • • • • • •
• • • • • • • • • • •
• •• • • • •
ermit from the Miami Shores Village:
l'9.'4 sl,2tes FL.
Square Feet Units Floors
�/ m
Value of Work 'loll Bldg Value
Tax Assessed/P.ppraised Value
Flood Zone Base Floor Elev.
F NGINEER
Name
License No.
Address
Telephone
F;rx
PERMIT APPLICATION
Zip
Al i , i, eV% N.'y.
Page 2
IMPORTANT NOTICES
DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YO1,1Rb4,IDAtE4 PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited tti: Monday threh Fridly f?om 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT Fl FF&I.3 DJ��.AG115.D4BA1S • •
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EVUIPMUIT VtI-It Ill ;AW6 MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk. • • • • • • • • • •
•• ••• • • • • • ••
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, 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, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATE OF FLORIDA, COUNTY 0 IAMI -DADE
Signatu e of Owne `
Print t2 l e- y PI it (�' d /
Sworn to and subscribed before me this oC b day of 4 74 "fr
2n�Y .
SEAL:
Signature of Notary Public - State ofokorida
,Iy Mark A. Ryan
= u aG � _Commissitm # DD13S9 3
Expires Sep. 7 2006
'v ?F Bonded Thru
0% Atlantic Bonding Co., Inc.
Personally known OR, Produced Identification
Type of Identification Produced:
• • • •• • • • .T - fit
• • • • • • • • • •
• • • •.. • • •
• • • • • • • • •
•.•• • •••.... •
A , COIN TY OF MIAMI -DADE
Signature of Contractor / Qualifier ,
E ctgw4eL. C v ' i
Print Name q
Sworn to and subscribed before me this day of Tad u
Personally known
Signature of Notary Public - State of Florida
PERMIT APPLICATION
SEAL:
/SIN Mark
A. Ryan
? ' : o Sep,
4 F,n, ``� AtiaatlBcBaaoOddeedd rya
OR, Produced Identifica ion'
Type of Identification Produced:
Page 4
OFFICE USE ONLY
❑ OWNER - BUILDER FORM
(Attach)
❑ FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.)
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
• •• •
❑ IMPACT FEE
(New Construction)
SECTION
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
BY
DATE
iffiwars
• •• •. • • • •. .•
• • • • • • • • • •
• • • •• • • •
• • • • • • • •
• • • • • • • • • • • •
•
CHECKLIST
❑ OTHER
(Specify & Attach)
PERMIT FEES
$ / f (/ (sq.ft. = x/' 000
x ¢.60)
$ (¢.005 /sq.f :.)
$ (¢.01 /sq.ft.
ISSUING OFFICIAL
CON
•
•
PERMIT APPLICATION
❑ PROOF OF OWNERSHIP "' ❑' CONDO ASSOCIATION APPROVAL
(Attach) (Attach)
.• ••• •• • • • •• •
• ❑ HRS / DERMitPPRO;JPc1.; : ; :4 B.PR APPROVAL (Restaurants)
(Septic / Seut,I), •.. • . • . ; • • •
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ } D . h ,t9
REVIEWED AND PREPARED BY: DATE:
I'I'ION OF APPROVAL
Revised July 2001
10050 N.E. 2ND AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX 1 305) 756 -8972 • http : / /www.miamishoresvillage.com
ELECTRICAL
TYPE:
Minimum Fee
QTY.
TYI'E
Dryer • • •
Q I'Y.
IVPE
0 let, Appliance
Q'I'1'.
'I'VI'1:
Service Repair
Q'I
A/C Central 1 -3 Ton
Cooling Tower
• • • •
Fan
• • •
Outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
Fire Pump
Ventilation, Cost
Outlet, Switch
Air Handler, Tons
Signs
Ductwork, Cost of
A/C Central 8 -15 Ton
Piping, Flammable Liquid
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
Bath Fan - Vented, #
Parking Lot Lights
Fireplaces, Number of
Spas/Hot Tubs
Pressure Vessel
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
N'IECHANICAL
'1.YI'E
Minimum Fee
QTY
TYPE
Condensate Drain
QTY.
TYPI
Generator
QTY TYPE
Refrigeration, Tons
Q.I.V.
A/C Central, Tons
Bath Tub
Cooling Tower
Drinking Fountain
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Pool Piping
Air Handler, Tons
Sprinkler Repair
Ductwork, Cost of
Cap - Fixture
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Gas - Appliance
Bath Fan - Vented, #
Pump, Domestic
Fireplaces, Number of
Supply, AC Well
Pressure Vessel
Cap - Sewer
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYI'E
Miscellaneous Fixture
QTY.
'I•VI'E
Soakage Pit
QTY.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
• • • •
•
• • • ••• • • •
• • • • • • • •
• •••• ••••
• •
• •
•••
• •. •
•. •
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of Wo>3c Deing p :rfprjned and quantity(ies) in the space provided below.
••• ••. • - -
RECEIVED AND REVIEWED BY: DATE:
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 1 /30/2003
Applicant: J LANE
Owner: MIDDLETON
JOB ADDRESS: 1020 NE 93
Contractor WATERTITE GUTTER CO INC
Local Phone: 954- 563 -2207
Parcel # 1132050150140
o,.
.n. v a_..._.
awau.7.
This Permit is granted to th
ordinances pertaining thereto
and approved by the proper n
authorization. A further condi
ordinances and regulations p(
by his agents, servants : em
Signed:
In consideration of the issu
with the plans, drawings, star
myself, my agent ,servants o
Signed: ��
Ct796
Building Permit
Permit Number: BP2003 -164
MIDDLETON
J LANE
ST
Contractor's Address: 211 NE 32 CT
Legal Description: 5 53 42 BELVIDERE PARK PB 16 -71 LOT 8 & W37.5FT LOT 7 BLK 3 LOT SIZE
Fees: Description Amount
FEE2003 -633 Building Permit Application Fee $60.00
FEE2003 -634 CCF ; $0.60
$60.60
Total Fees:
Total Fees: $60.60
Total Receipts: $0.00
Permit Expiration: 7/29/2003 Construction Value:
Work: 6 " WHITE SEAMLESS ALUMINUM GUTTER WITH 2 3 X 4 DOWNSPOTS
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which m
$400.00
Page 1 of 1
OS 13b20220b000 :IL 2 , 2 00tF9O:s .Ilf 0.II
LLZOOI£9011H HOV
ratrqf 1 El Od
�� °evatuvio
YCCCC ld )ItiVd ONV1>IVo
10 GNU '3'N l lZ
'03 11311110 31111y31VM
_ � `. y , . 11 "" a 7 Zg t 17 -ir PT Ts.
Home Office
211 N.E. 32nd Court
Ft. Lauderdale, FL 33334
NAME:
STREET:
CITY:
STATE:
Downspout
PROPOSAL SUBMITTED TO:
GU
• •
Establishes 198
••
•
•
•� • r & 7" Seamless Aluminum Gutters y.v Y\ r
• • • CC # 84 -3663 MMX f •
• .
••• • • •
•• • • •
• ORO SA C �'j -� S' Li� P S.
..
- 2_7_103
•••
• • • • ••
it CR— - 2 L) rLd
f"1� lrl
We hereby submit specifications and estimates for:
r--J[IL
[EN coo
P -tONE:
C TY:
'INSTALLER
JOB NAME:
STREET:
Broward: (954) 563 -2207
Dade: (305) 654 -1140
Palm Bch.: (561) 241 -6737
Fax: (954) 563 -9940
DATE:
IV/)r'/c4- � /L4 � > �. Toii
/ (D / It L, 3
(� l 1 Si c STATE:
COMPL ETED
) 7D
PD 1 SB
We hereby propose to furnish labor and materials — complete in accordance with the above specifications, for he sum of:
dollars ( $
with payment to be as follows:
Two year guarantee on Labor, Twenty years on Material.
All material is guaranteed to be as specified. All work to be completed in a Horkmanlike manner according to standard practices. Any alteration or
deviation from the above specification involving extra costs, will be executed only upon written orders, and will become an extra charge over and above
the estimate. All agreements contingent upon strikes, accidents or delays beyoid our controt'T is proposal subject to acceptance within days
and is void thereafter at the option of the undersigned. ,. ) - . .- lti
Authorized Signatur` / L r.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are hereby accepted. You ere authorized to do the work as specified. Payment will be made as
outlined above. Si ;nature
ACCEPTED:
Date Si ;nature
FAX NO./NAME
DURATION
PAGE(S)
RESULT
MODE
°°° • ° 1„2:06 ° ° ° ° ° 05�94�0�9G
°° • • ° °° �0:��:n
° ° ° • ° °° • °°° 00. • °�°
��
STANDARD
°° °°° ~° • • • °°
YL[3Y/i3 RF9PDi
TRANSMISSION VERIFICATION REPORT
°°° • • • °°° •
° = °° • • • °° •
• • • • • • �
• • • TIME : 01/22y3003 12:07
• • • • • • • •
°°°° °°°~°°° •
•
•
•
°
------------'--'- ----- —
-- - -
•
|
|
TRAN9:i[SOH \'7RIF.'.CATION ag'W[
T}NE : Vi1/22/?�0� 12:57