53 NE 98 St (3)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date l Job Address 6 3 I(U L. of `tk Oi o Tax Folio
Legal Description Historically Designated: Yes
Owner/Lessee / Tenanljl l e u ( c , C o c� (Y\ \\�j1 Master Permit # I 3 7 7
JJ'' zos 7s 7S38 (5
Owner's Address Phoney - 2,0 - 7 $ — 7 7 G, C (e-%
Contracting Co 11 b Address
Qualifier
State #
Architect/Engineer
Bonding Company
Mortgagor
Permit Type (circle one): (B
WORK DESCRIPTION
Signature of owner and/or Condo President Date
Notary as to Owner and/or Condo President • Date Notary
My Commission
My Commission Expires:
FEES: PERMIT
SS#
Municipal # Competency #
Address
RADON C.C.F.
Address
Address
NOTARY
Electrical
BOND
Ph
Ins. Co.
No
UILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
O CK-1 cbc ' ( d Valk )e)
Square Ft. Estimated Cost (value) f 7-00 f
'( 1
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 perfonned 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 e work stated.
'11/
-1/4 '1
•
ctor or 0 . c- i • g Y Sr
ires: G LA DYS J VELAR
JOTARY PUBL!C STATE OF FLORIDA
COMMISSION NO. CC"i14•O3
MY COMMISSION EXP. M • • 1
to
Contr
tractor or Owner- u d r V- �/ 7- A O
- J v im• b �/ qio
Date
TOTAL DUE d
APPROVED:
Zoning Building
Mechanical Plumbing Structural Engineer
1
";th 'I'yrr.0 t'. II )rIciCt 5 ° Telephone 305-884-5922 • Fitt
Z0 39dd wninoa 179 V88S0£ - 68:oI W0Z/c0i'L
D(DRAWM
We Specialize Aluminum French Door.
DATE: /5/0 /.
f o7 4 . /� -
SENDER:
PLEASE DFLNER THE F9PLLOWING PAGES
TO:
WE ARE TRANSMITTING 8 PAGE(S) INCLUDING
COVER.
MESSAGE: e-Zd
•Pr -ovaA 7 r Pte 4 �7L
t
THANK YOUr_
•
�.��►h�� �i 'clh Tvi `1c•cdlc•v. floc 1a S ioo•2542 ° Telephone 305.884•.192 • rrt 505•&L;•
10 39dd wi oa 1129t7L 8890E X8:91 WOE / iLJ
_c1••JI Jt_IL. VO1 iu' r' , inuvalr•_ca
i;0 39Vd
IMAM MIAMI -DADE COUNTY. FLORID
METRO.DADE FLAGLER BUILDING
PRODUCT CONTROL NOTICE OF ACCEPTANCE
Vinyl Tech/Progressive Glass Technology CONTRACTOR LICENSING SECTION:
(30.) ?75 -2S_; FAX ;305) 37.1-75:3
1070 Technology Drive
Nokomis FL 34275 CONTRACTOR ENFORCEMEN1 SECTIO i
005; 3'75-19t6 FAX (3051375-290x
PRODUCT COSTROL DtvislUN
Approved :02118 /1999
I of 3
bail iv6oa
.L. 1.x..1. .7ti.L
BUILDING CODE COMPLIANCE OFFICE
M=TRO•DALE F iGLl S PurL.DiNG
',43 WES i F - -AC =tiw. cTREEI. SUITE tbO3
F�ll�.5•ll. F:ORIJa ?)LO•Ii';!
(]05i 3 290! FAX 73713) 373.2907
(303) 375.290: FAX (305 )72 -t13)
Your application for Product Approval of
SWD -101 Ouri'wing Aluminum French Door
under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materiels and Type:; o
Construction, and completely described herein, has been recommended for acceptance ny the Mlianli -Dade
County Budding Code Compliance Office (BCCO) under the conditions specifiz. here::!.
This approval shall not be valid after the expiration date stated below. I1CCO reserves th'; rig r to s.curc .cis
product or material at anytime from a jobsite or manufacturer's plant for quality coritrc. tcst)r :l;
If this product or material fails to perform in the approved. manner, BCCO ;nay tetioke, modify. .or s• :sccrr�
the use of such product or material immediately. BCCO reserves the right to revoke this approva, :f : Y
determined BCCO that this product or material fails to meet the requirements of the Sours FiorIda Euiid;ng
Code.
The expense of such testing will be incurred by the manufacturer.
Acceptance No.:99- 0128.01 (Revises No.: 98- 0506.02)
Expires: 11 /22/2001
Raul. Rodriguez J
Chid Product Control Divisi :mi
THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND t. :.E 'r•RAL
CONDITIONS
BUILDING CODE & PRODUCT REVIEW COMMITTEE
This application for Product Approval has been reviewed by the BCCO and approved .y tnC 3u1 :d;'g Code
and Product Review Committee to be used in Dade County, Florida under the conditions se_ forth above.
raicisco T. Quintana, R.A.
Dir ee.tor
P.4iarri -Dane i.our: y
Building
1Ctertet moil addrecc: polloaoler ®buiLELiacodcontine.com ' Hom,pege. bup :;(a,,,w.buildioq <adecnllac.tom
. ; • 1b; ::1G JUL YJ CYJt:i1 iU rU l J I _ -7 17-1- ITV- ' ;wl i ou.3 - .171 0 0
Vlrtvl Tech /Progressive Glass Technolorv ACCEPTANCE No.: 99- 012$.01
APPROVE") FEB 1 g 199
1XPiRES N .,•ornive 2.- .41001 .
NOTICE OF �1CCE PTANC! S PECIJ 1C' CONDIT1O S
1. SCOPE
1.1 This revises and replaces the Notice of Acccptar:c No. 9S-0506.02, wnie cdi
November 22, 1998. It approves an outswing aluminum French door, as descried in. Seci. :'.0 2 r‘
this Notice of Acceptance, designed to comply with the South Florida Building Code (SFBC), 199.
Edition for Miami -Dade County. fcr the locations where the pressure requirements, as determined
by SFBC Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved
drawings.
2. PRODUCT DESCRIPTION
2.1 The Series SWD -1O1 Ousswing Alumiqum French Do. rs- Impact Resistant an its conlpvner,ts
shall be constructed in strict compliance with the folio inn; documents. Dray N 971. `.1
"French Door XX. X" Sheets .1 through 4 of 4. prepare by matrjfaetz . caztd r,_, • 6i9K. wtth
revision C dated 1- 22 -99, signed and sealed by Robert L. 'tar. :ca_r,n; the :,'. ami- L)a%ac
County Product Control approval stamp with the Notice ',f Acceptance r'urrber r.r7oval date cv
the [Miami -Dade County Product Control Division. These dc•coments shall hereinat'.er :+c re_`c rec. t_
as the approved drawings.
3. LIMITATIONS
3.1 This approval applies to single unit application of pair of doors and single door ca',y, as . »-!
approved drawings. Single door unit shall include described ir, the active leaf of itis apar'o•:a':
4. INSTALLATION
4.1 The outswing aluminum French doors and its components shall be instate ct compiiarce
with the approved drawings.
4,2 Hurricane protection system (shutters): the installation et this •
protection system.
5. LABELING
5.1 Each unit shall bear a permanent {abet with the manuf ieturcr's name a. .
following statement: "Miami County Product Control Approved'.
6. BUILDING PERMIT REQUIREMENTS
6.1 Application for building permit shall be accompanied by copies of the following:
C1.1 This Notice or Acceptance
6.1.2 Duplicate copies ofthc approved drawings. as identified in Section 2 of this Notice of
Acceptance, clearly marked to show the components selected for the propo:c; installation.
6.1.3 Any other documents required by the 3uildino Official or the South Florida Uui :dine. Code
(SFBC) in order to properly evaluate the installati.n of this systet
� 1.J
Pr. )6u C ntrol E'Ivis ;on
2 o f
n:t will not rvw.itr�
i ; Ca n e
£0 39Gd IMTIVell3Q 7 C C; Ib?9Srr
00 3Sdd
j l T gch Protressive G 1>t� Techn ACCEPTANCE No.: 99- 0128.01
APPROVED
EXPIRES : _November 22, 2001
NOTICE OF ACCEPTANCE: STANDARD CONDITIONS
FEB 1 S 1 999
1. Renewal of this Acceptance (approval) shall be considered after a renewal applictricr. itas ?aen f ,ec and the
original submitted documentation, including test supporting data engineering documents, are o otoer time
eight (8) years.
2. Any and all approved products shall be permanently labeled with the manufacturer's name. city, state. and toe
following statement: "Miami -Dade County Product Control Approved ", or as specifically stared in the
specific conditions ea Acceptance.
3. Renewals of Acceptance will not be considered if;
a) Thcrc has been a change in the South Florida Building Code affecting the evaluation of this product line
the product is not in compliance with the code changes:
b) The product is no longer the samc product (identical) as the one originally approved:
c) If the Acceptance holder has not complied with all the requirements of this acceptance, including Inc
correct installation of the product:
d) The engineer who originally prepared, signed and scaled Vie required do:u-ientat..or, r•: slo:•,.r.:e :>
no longer practicing the engineering profession.
4. Any revision or change in the materials. use, and/or manufacture of the proaitct o: yroccss sn.a:
be cause for termination of this Acceptance, unless prior written app-oval nos been fequested (throu,n ti _
filing of a revision applicatior, with appropriate fee) and granted by this office.
5. Any of the following shall also be grounds for removal of this Acceptance:
n) Unsatisfactory performance of this product or process.
b) Misuse of this Acceptance us on endorsement of any product, for sales. advertising or any other purpose.
6. The Notice of Acceptance number preceded by the words 1iatni -Dade County, Florida, and fol :owed by the
expiration date may be displayed in advertising literature. I f any portion of tnc Notice of Acceptance is
displayed, then it shall be done in its entirety.
7. A copy of this Acceptance os well as approved drawings and ()tiler documents, where it applies. mall c
provided to the user by the manufacturer or its di<tributors and shall be available for inspection at the job site
at all time. The engineer nccd not reseal the copies.
8. Failure to comply with any secrion of this Acceptance shall be cause for termination and remoaa of
Acceptance.
9. This Notice of Acceptance consists of pages I, 2 and this last 3.
Manuel F r P. E., Prod t orurol :.scam) c:
Product Control Division,
END OF THIS ACCEPTANCE
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PROPERTY OWNER
New Construction
Name Len° c_e_
(11
Alteration Exterior
Address 5 3 N . E..
0 kivvi i
9 r sicr-6242A--
&oa,Qs 1 a
Home Telephone 30 c .....
7 S — 7
•33''
Business Telephone -. (. 3— .....,
7 i - *7
7 6 6
Fax
Shell Only
TYPE OF MANAGEMENT ( i )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'I Attachment
Other
Addl Detachment
Other
A PPLI CATION
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submitted
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.
Job Address: qe.Q
Address
Folio Number
Lot Block
Subdivision PB PG
Current Use of Property
Proposed Use of Property
Tenant Information
PERMIT TYPE (/)
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
PERMIT CHANGE ( )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
Apt. City
A lSescription of Work
qlano CC.
State
PCTIVr 11) alfne_
PERMIT APPLICATION
Master Permit No.
Subsidiary Permit No.61 0 <36
Zip
Zoning d60
Zoning Linear Feet
Square Feet Units Floors
of Work t if (300 g a50 Bldg Value
Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
CONTRACTOR
Name
License No.
Address
Telephone Fax
Qualifier Name
Page 2
IMPORTANT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 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 MUS'1 BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND 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, P 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.
ature of
TATE 0
Signature o
Print ame •. Print Name
K ' wom to and subscribed before me th0 0
Si
SEAL:
tary Pub - tate . f Florida
• Y OF I -DADE
■l
STATE OF FLORIDA, COUNTY OF MIAMI -DADE
Signature of Contractor / Qualifier
Swom to and subscribed before me this day of
Signature of Notary Public - State of Florida
SEAL:
PERMIT APPLIC ON
1, rn
Z.r
Personally known - , ter" @R, Produced Identification' Personally known OR, Produced Identification
CFO
Type of Identification Produced: , SS3 0 "5 43 ° 3 (� 6 of Identification Produced:
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPE
Outlet, Appliance
QTY.
TYPE
Service Repair
QTY.
A/C Central 1 -3 Ton
Fan
Outlet, Wall
Service, Temporary
A/C Central 4 -7 Ton
Fire Pump
Outlet, Switch
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
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
MECHANICAL
TYPE
Minimum Fee
QTY.
TYPE
Condensate Drain
QTY.
i'V•E
Generator
QTY.
'fVPE
Refrigeration, Tons
QTY.
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. Tons
Dryer Vents, Number of
Paint Booth
Ventilation, Cost
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Supply, AC Well
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Temporary Toilet
PLUNIBING
TYPE
A/C Condensate
Q'IY.
'I'VPE
Drains, Roof
QTY.
TVPI?
Miscellaneous Fixture
Qin'.
TYPE:
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 work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
Page 4
OFFICE USE ONLY
CHECKLIST
❑ 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
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
$6
$ t V / (sq.ft. = x/1000
x0.60)
$ (¢.005 /sq.ft.)
$ (¢.01 /sq.ft.)
o
REVIEWED AND PREPARED BY:
SECTION
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
BY
DATE
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
PERMIT FEES
TOTAL $ i 0
ISSUING OFFICIAL
DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2"'° AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
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LENORE C. SMITH
53 NE 98TH ST. PH. 305- 756 -7338.
MIAMI SHORES, FL 33138
Pay to the order of
n
c ti ba
CITIBANK, F.S.B. 95
20t SOUTH BISCAYNE BOULEVARD, SUITE 3100
MIAMI, FL 33131 THE CITIBANK PRIVATE BANK
Memo
63465595 2099
2660
31053 X 01
Date , J C
011\►V ■ Lae._$ 6s
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I:2660E16551o: 3 L0536090 10 2099
Dollars rsarIs
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 5;3/2002
Applicant: LENORE
Owner: SMITH
JOB ADDRESS: 53
Contractor
Local Phone:
Parcel # 1132060131140
Signed:
NE 98
Building Permit
Permit Number: BP2002 -864
SMITH
LENORE
ST
Contractor's Address:
Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AMD PB 10 - 70 LOT 18 & W1/2 OF LOT 19
Fees: Description Amount
FEE2002 -2506 Building Permit Application Fee $60.00
FEE2002 -2507 CCF $0.60
FEE2002 -2508 Notary Fee $5.00
Total Fees: $65.60
Total Fees: $65.60
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 10/29/2002 Construction Value: $250.00
Work: REPAIR TO GARAGE DOOR
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 must be paid in advance before calling for another inspection.
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 at ordinances
pertaining thereto and with the understanding that the work witi 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 funher condition upon
which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough kpowledge of the ordinances and regulations pertaining to the work
covered hereby whetner shown on the pians or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees.
(Contractor or Builder) BY
BY
Page 1 of 1
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations perfarnina thereto and in strict conformity with the
plans. drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibtity for at work done by either myseif, my agent,
servants or employes.
The Sunshine State
UCENSE NIASSER
S530- 523-54 -867 -0
LENORE COCHRAN SMITH
53 N.E. NTH STREET
MIAMI SHORES, FL 331382334
BIRTH DATE SEX MGT. REST. ENDORSE.
10-0744 F SOS
DUPLICATE
11-01 -00
SAFE DRIVER
X820011010106
Operation of a motor vabide car>stituas consent to any sabrietytest required by law.
Lenore Smith
53 N.E. 98th Street
(305) 789 -7766 (W)
(305) 756 -7338 (H)
Proposed Repair of Bottom of Garage Door:
Door is rotten on bottom (please see attached photos).
Bottom of door is a 2" x 4" piece of wood. We would remove the 2 x 4,
affix a new one with long screws, attach a metal kick plate to the bottom
of the door, and repaint the door the same white.