125 NE 98 St (3)MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby epode for the approval of the detailed statement of upe plans and specifications herewith submitted for the build
ine 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 iiuil■iug 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 MRS • S.A.bi .13.f =.L ice- L I A t'/1
Registered Architect and /or lyngincer � � /� ,,,, ,,,..•,,• ,, „,,,, ,,
Name and address of licensed contractorC� tE JC4 Q. L07 l NW 7i- 1 •••• AVIz Mt ( IA 11.4
Location and legal description of lot to be built on: // J,,Wer / 3 .2 1a/
Lot / 2 Block / 7 Subdivision.- .-/.k/l/4 1L Sil "eS -L 44M
Street and Number where work is to be done 1ss:5..61-6 /r � :._ - -__
State work to be done and purpose of building (by floors) _
2- (NI rT . -.. , . Jci 4G.f
- -• —• and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories _
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements s..1.. 1 5 •..a.b Amount of Permit $,..16 140
Zone cubage required plan Cubage
Distance .to next nearest building.. Size of Building Lot
Maximum live Toad 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 un,lcr.it;ncd applicant for this building permit does hereby certify 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, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to bc performed under this permit; and will post or cause to bc posted for inspection on the site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks . • f
(Signed)
STATE OF FLORIDA, — /` 49e,'
COUNTY OF DADE. } ss-
Bcfore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally 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 him stated are true. .
Permit Date q ' i'/9/124 Read, Sworn to and Subscribed before me.
Disapproved ,
(Signed)
Building Inspector
Date.
— No /07 . &E- Street rs[
A(&) r ls f 4J i_ F Uy
Notary Public, State of Florida
My Commission Expires
to me well known,
PLANNING BOARD DATE
Chairman Member
Mcrr,ber Mcmbcr
Member _. ...._...... _ ..._._ ...._....... Member - - - -_ __
Council Approved Date Disapproved Date
NOTE: A c•h.,rge of 31.00 will be node for making corrections or changes to this application after approval has been obtained frown
the I'Lurnir. I:u.trd.
A re rn.pec tiun fee of 31.00 will be charged when such re- inspection is made necessary by Improper notice for inspection oe faulty
materials and /or workmanship.
: ' • . Groton Mn 0101 To Orjr 511 rR(I 50 225.5380
PROPOSAL SUBMITTED TO
Mrs. Sandra Pelham
STREET T
CITY, STATE AND ZIP CODE
Miami Shores, Fla.
ARCHITECT
125 N.E. 98th St.
We hereby submit specifications and estimates for:
Payment to be made as follows.
Date of Acceptancr4
3 I)
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 specifica•
tions involving extra costs will he executed only upon written orders, and will become an
extra charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance
Our workers are fully covered by Workmen's Compensation Insurance.
A rrpptanre of fropooal —The above prices, specification-.
and conditions are satisfactorj and are hereby accepted. You are authorized
tc do the work as specit.ed. Paiiiment will be made as outlined above.
11
CARDINAL FENCE COMPANY
10731 Northwest 7th Avenue
MIAMI, FLORIDA 33168
Dade 757-4181 Broward 523-0116
Mobile #343-7363
DATE OF PLANS
24;
PHONE
Same
756-0031
1013 NAME
JOB LOCATION
Same
•
/3
(
,
Sigrimiire
I
Authorized7ij4._
Signature:
\ fiete: This proposal may be
withdrawn by is If not accepted within
Signa -
Page No.
DATE
•
. .50
of Pages
Aug. 23, 1988
JOB PHONE
ckt.
vc ALL
LJ
e ,
c2-4. A
t irupocus hereby to furnish material and labor --- complete in accordance with above specificiitions , for the stint of
dollars ($
IJ
9
11