FENCEBUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wndc for the approyal of the detailed statement or tree plans and specifications herewith submitted for the build •
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address .... givz ,5
Registered Architect and /or Engineer
km-N) e. l$ .:.3.
Name and address of licensed contractor..
Location and legal description of lot to be built on:
Lot 7 ' / .mil oof g Block 3
Street and Number where work is to be done 4. 2.
State worls.to be done and purpose of building (by floors)
and for no other purpose.
New Building Remodeling Addition Repair: No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 2.0 0. « Amount of Permit d :.. .�
Zone cubage required Plan Cubage
Distance .to next ne.irest building. Size of Building Lot
Mfaxiunum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to.. ••• • •••
The undersigned applicant for this building permit does hereby crrtify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Penn:tnent Supplement,
and has complied with the rovisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hire
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcon • actors, an work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA, i
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perbonally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.. e
Permit No.._.- a �? Date - 1 1 Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Date..
Building Inspector
Citair:nan
Member
Member .. ... �..... ...._..._._ ...._
Council Approved Date
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re- inspe•tion fce of $1.00 will be charged
materials anti /or workmanship.
MIAMI SHORES VILLAGE
Subdivision G' t
e- .L -.._ _ _....._ ,19. &.
No.. .1 ...... Street_.ge
PLANNING BOARD DATE
Notary Public, State of Florida
My Commission Expires _...._
to me well known,
Member
Member
Member ...._ ............... -- .._._..._......__.. ....._
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by Improper notice for inspection or faulty
2 Installer's Copy
OVERALL
HEIGHT
DRIVE
GATE
i2/ I
CHAIN LINK
DIAMETER
TERMINAL POST
DIAMETER
TOP RAIL
LINE POST
SPACING •
BARB
UP
STYLE
OF FENCE
SPECIFICATION
ENCE
GROUND
ITH
DE
WITH
DE
DE
OF
S
DIAGRAM KEY. •
EXTRA INSTRUCTIONS
eiL .e
/ D
j tic � / c ear .
/!/:�.4 5e-e . / 4
w — 7v
Z.-7) / 7 el (Tg 117/
Authorization. I authorize Sears 1) to arrange for a c
a work order for this installation to a contractor, 3) to
signed a certificate that the installation has been comp
Delays in Installation. I agree that Sears is not respon
mental regulations or any causes beyond its control.
Verbal Agreements and Changes in Proposal. 1 unde
LAWN ❑
CHIEFTAIN 'CL ❑
CUSTODIAN CL ❑
CHAMPION CL ❑
WOOD 1_1
OVERALL
LENGTH
WALK
GATE
WIRE
GAUGE
DIAMETER
LINE POST
DIAMETER
GATE FRAME
KNUCKLE
UP
TYPE
OF WOOD
TOP RAIL OF F
TO FOLLOW
TO BE LEVEL W
LOWEST GRA
TO BE LEVEL
HIGHEST GRA
SPLIT THE GRA
LINES CLEAR
OBSTRUCTION
LINES STAKED
WITH CUSTOMER
DISCUSS WITH CUSTOMER
WHICH POST GATE ❑
SWINGS ON, ALSO IF
GATE SWINGS IN OR OUT
FENCE TO BE
ERECTED
TIE•ONS
(GEL PERMISSION)
TERMINAL POST
EX STING FENCE
WALK GATE
DOUBLE GATE
BUILDINGS
_ 14541 l"
X
0
Vo
SEARS, ROEBUCK AND CO. (
_FENCING ESTIMATE and PROPOSAL
Store `(.- 5 ° '4 /,uf
Date
�ti',c.:r.,`<: -4J r":,'";•vt.j,' -' 2
CUSTOMER'S ADDRESS (STREET AND NO.)
Location of property on which fence materials are to be installed:
(CITY)
Estimate and Proposal. Sears offers to furnish the m
on attached Sketches and Specification Sheets for
If this is a Credit Sole or a Payment on Completion so
or the installation cannot be made in accordance with
you.
CONTRACTOR'S
NAME
PFRM IT t Tt^,
CASH PRICE
(STREET AND NO.)
CUSTOMER'S NAME
2 974/
OT TO
•
- .1
•
1
CONTRACTOR'S CHARGE
WORK SPECIFIED ABOVE
I • I {
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4I I� _!_I - 1 11 1 T t
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! .1 I I -1 - 1 i - ; ! 1 , 1 i ,
) 1 I ,_ t' I •
:,li •t
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r �-
I :
NO.
(CITY)
(COUNTY)
DIAGRA
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1 l_ i _ } I I v 1 . _1 _ ._
r 1 —Lt i 1 1 /. 1—
1 t +
166746
19�
'714 - d✓ �s'
PHONE NUMBER
(STATE)
(STATE)
I
NOTE: In above plat, the side of each small square equals
zrl
aerials listed above and arrange for their delivery and installation as shown above and /or
the total cash price shown. This offer must be approved by the Installation Department.
le, it must also be approved by the Credit Sales Department. If this proposal is not approved
the law, the offer will be withdrawn and any payments you have made will be refunded to
Installation and Warranty Information. I understand Sears will not install the materials but will arrange for the installation. Sears is responsible
only for materials and installation furnished and arranged by Sears. Appropriate warranty documents will be given to me by Sears. Any
materials left over after the installation has been completed are Sears property and shall be removed by Sears.
ontractor (licensed where required by law) to make the installation of materials, 2) to issue
inspect the installation and 4) to pay the contractor when the installation is complete if I have
leted to my satisfaction.
sible for delays in delivery or installation if the delay is caused by fire, strikes, war, govern-
rstond there are no verbal agreements. Everything I expect Sears to do has been included,
in writing, in this proposal. Nothing can be changed in this proposal except in writing on a separate proposal form accepted by myself and Sears.
Payment. I will pay Sears the cash price which covers the price of materials and installation as shown.
Responsibility of Buyer. I agree to locate and identify the property line, easements and all underground cables and pipes. I agree that I am solely
responsible for the location of the fence described in this proposal. I will also defend Sears and reimburse them for all costs in connection with
any claims mode by anyone about the location of the fence. I am responsible for any special work described on the back of this proposal.
Unusual Conditions - Additional Charges. I agree that Sears has the right to make additional charges if unusual ground conditions hinder the
installation. Such unusual ground conditions may be rock formations, hidden foundations, tree roots, and other similar obstacles. Any charges
necessary to satisfactorily complete the installation will be based on actual additional labor, equipment and material costs.
END BILL FOR THIS WORK TO SEARS, ROEBUCK AND CO.
BY: SEARS, ROEBUCK AND CO.
By: 5f)
(CITY) (STORE STAMP).
"" ER,
• 1
A• t,l, •
114,0)G?
lineal feet.