PAVINGSignature ()Limn= and/or Co
Job Address x / 0 '7 Y
Pate
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant (Z.O S C / V //��//�� 1 I \ Z 0
Owner's Address
Contracting Co Address
Qualifier >° r Q r SS# Phone
State # Municipal # Competency #
Architect/Engineer Address
Bonding Company
Mortgagor Address
WORK DESCRIPTION)(
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Notary as to Owner and/or ondo P nt
My ConnussKolinItEMOTARY S
CIADYS) VILLAR
NOTARY PUBLIC STA1Fs OF FLORIDA
COMMISSION NO. CC 714103
MY COMMISSION FXP. MAR. 1,2002
FEES: PERMIT L D I RADON
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
resident Date
aa.- - S —p
fit) )-= 1 / Sf Tax Folio
Date
C.C.F.
Address
Master Permit #
Phone) ( 3c)$ 7 S C/ . L
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFNN PAVING FENCE SIGN
'Val 15 ei is if / a/L,PAA)
Square Ft Estimated Cost (value) J 0v
a..•N:: Contr . elm
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• 'as to Co ,act• "Mr:
y Commission Ex if
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Ins. Co.
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30 22-
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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 wor stated.
es:
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uilder
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101100/4 L.410
u lde�� atoe -
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A 60
NOTARY Sr� BOND 300
Date
TOTAL DUE 3 1 S-
APPROVED:
Zoning Buildin � Electrical
Mechanical Plumbing Engineering
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PROPOSAL SUBMITTED TO:
LOCATION OF WORK:
NAME OF CONTACT: RcSe t\f ton/r)
STREET: i O "IS lV _ % 5-1-
.l -
PHONE: 305 .— 4 15 L— L i Z
CITY: *tam 'Shares
DATE: IL 1
STATE: p.-101-1 do
CITY: likr; 11 t ShoreSSTATE: pi
Phone: (305) 694 -8064
Fix: (305) 653 -2267
PROPOSAL
Simii�tlh Ipaiviiingp I�nlc.
MIAMI, FLORIDA
NO JOB TO BIG OR TO SMALL
DESCRIPTION OF WORK
Beeper: 838 -9712
Page No
of Pages
We hereby submit specifications and estimates for: Dr ` t e. fin! o y a[ � o l�-l. ve w y v dri .h Q ih- - i
0 o�� c rQSS inn (1 04 s�� ('CheS,
P lace. crush lime r (t tr) ca -,
D � o � c
r
Td( will a � � c4 id 4-ari
3
Pcve v h Q Flo ri i)( c -4 Q.sp k g, H- Ma kIn9 14-
0 drv-e vo
o
We ereby pr pose to furnish labor a d materials mplete in a ordance with the abo e specifications, for the sum
of: 5C1ac " -€ dollars ($ j o no, � ) with
payment to be made as follows: 6 be C SC v SS
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard
practices. Any alteration or deviation from above specifications.involving extra costs, will be executed only upon written
orders, and will become an extra charge over anda above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. This proposal subject to acceptance within days and is void thereafter
at the option of the undersigned.
Owner /Authorized Signature
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are hereby accepted. You are authorized to do the work as
specified. Payment will be made as outlined above.
ACCEPT ED: Signature
Date Signature