290 NE 98 St (8)r l�
G
ao
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 111 k 1 eliorte5 e sa y CVI 0 QC µ
Registered Architect and/or Engineer
Name and address of licensed contractor 2,4 It Di 0 4 (
Location and legal description of lot to be built on:
Lot / �'O Block .3 /
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Street and Number where work is to be done
State work to be done and purpose of building (by floors), state ext erior olors (submit samples)
and for no other purpose.
New Building Remodeling Addition
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements S
Zone cubage required Plan Cubage
cc Q. I Z 3 r 1`/W 7 ?r/ �vc A4/4r, A41
Subdivision 7/1 A l 1 / / t 10 ee /3 6 J
Repairs No of Stories
Amount of Permit S ;-9‘
Date ff Lr- 19 gP
No. Street
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all 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 certify that he understands and accepts his obligatons 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 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 such subcontractors. on work to be performed
Remark s (Signed) ,
under this permit, as are licensed by Miami Shores Village.
STATE OF FLORIDA
COUNTY OF DADE. } ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared
to me well known.
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.
Read, Sworn to and Subscribed before me.
Permit No.
Disapproved ` l \ V r Date
\ra
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of 525.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re- inspection fee of 525.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.
Notary Public, State of Florida
�, `
��4IUZI
FENCE
FLORIDA
Broward
#343
Page No. of Pag
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CARDINAL
10731 Northwest
MIAMI,
Dade 757 -4181
Mobile
COMPANY
7th Avenue
33168
523-0116
-7363
�,/
PROPOSAL SIJBMITZED TO _ t
424.14...L.,' V
/� /
Vet (.e b i . au Or. 0 -41
PHONE
DATE
STREET
� 1 7e0 /Si c `O qD zL Si
JOB NAME
CITY, STATE AND ZIP CODE
I Y ) � -
JOB LOCATION
ARCHITECT
DATE OF PLANS
JOB PHONE
We ereby submit speeifications
) `.
e til t for
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t
<' l f t'�<
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N &M ..
iilii rupose hereby to furnish material and labor — complete in accordance with above specifications, for the sum of:
dollars ($ )
•
Payment to be made as follows:
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 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 beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.
Authorized
Signature
i
Note: This proposal may
withdrawn by us if not accepted within
be
days
Asuptiagrg at r prise —The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above.
Date of Acceptance
Signature
Signature