1254 NE 100 St (15)Lot
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 j4 R5 . g • j4 a f
Registered Architect and/or Engineer
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Name and address of licensed contractor 1A71 C'`: q l Qt■,,J3
Location and legal description of lot to be built on: UU
Block
Street and Number where work is to be done
Remarks (Signed I
STATE OF FLORIDA
COUNTY OF DADE.
J ss
MIAMI SHORES VILLAGE 3b / / ��
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
No. I BLS ci Street tV e
Date
Subdivisio1 ` _S4. 1 / d0U Q / #/ 4 1,
/A5 i tiRlo) s J
State work to be done and purpose of building Iby floors). state exterior colors (submit samples)
Ce if ` G L' ti,. 4i 1+9- I1
and for no other purpose.
New .@wilding C/ Remodeling Addition '- Repairs No. of Stories I
To be constructed of 0— /L.... Kind of,fei aLt C_IL Cov ering ), t 1 / c W
Estimated Total cost of improvements S ) .. Amount of Permit $ q 1 2 /94)
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
1 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 only such subcontractors. on work to be performed
under this permit, as are licensed by Miami Shores Village.
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 fore :oing application, and that he did sign the same. and that all facts therein by him stated are true.
/ /
Permit No. �O�D 7 Date � � Read. Sworn to and Subscribed before me.
Disapproved e Date
(Signed}
Building Inspector My Commission Expires
PLANNING BOARD DATE
Notary Public. State of Florida
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved Date
NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship.
0
FENCING ESTIMATE AND PROPOSAL
SEARS, ROEBUCK AND CO.
CONTRACT COPY
DATE
ER'S NAME
UNIT ADDRESS CITY STATE /ZIP CODE
20 70 / 5. Ala. A rrgth L 444 < l 3 - 3/ 4 2S
HOME PHONE
PA 5 ZZ /1 c a c:
/2
1,4
/00 r
LG
CITY
UNIT PHONE
ZIP CODE
STATE
3/38
WORK PHONE
,TOM
TRESS
1,
rALLATION ADDRESS IF DIFFERENT
TYPE FENCE
:HAIN
JNK WOOD ❑
ITEM */DESCRIPTION
OTAL LO.F.
LENGTH
l!' /. G'9
GATES
M •;TYPEIQUAN
FABRIC
'EM er /GAUGE
TOP RAIL
UNE POSTS
TERMINALS
,11111 MF. NOM:,
SC /HIPS
-j PIX;
FENCE
HEIGHT
WIDTH
7
HGT.
4/.
FABRIC
ITEM Ai/TYPE
ITEM #; DIAMETER
i Si
2
2 1/
INSTALLATION ESTIMATED
TO BEGIN WEEK OF
I'HI1 .1.
IMPORTANT: FOR LEGIBLE COPIES. PR OOr s N D SSUURFAC PRESS FIRMLY WITH A BALL POINT PEN.
SPECIAL INSTRUCTIONS
•r/711. pp d i?"
g tS i d1-'R Jv
�(7b Mc•K
/Y7h/u �Alrr
& / c' R9 TR {
SPECIFICATION
THE FOLLOWING POINTS HAVE
BEEN COVERED WITH CUSTOMER:
ASSOCIATE INmALS
(SEE REVERSE SIDE OF THIS ESTIMATE
AND PROPOSAL FOR VISUAL DESCRIP-
TION) FENCE TO:
A.) FOLLOW SLOPE OF GROUND ❑
al FOLLOW CONTOUR OF GROUND ❑
C.) BE LEVEL WITH HIGHEST GRADE ❑
Dl BE LEVEL WITH LOWEST GRADE ❑
E.l BE LEVEL AND SPLIT THE GRADE ❑
UNES CLEAR OF OBSTRUCTIONS ❑
UNES STAKED WITH /BY CUSTOMER ❑
GATE LOCATION /SWING DIRECTION ❑
PERMIT RESPONSIBILITY ❑
CONTACT UTIUTY COMPANY ❑
Responsibility 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
made by anyone about the location of the fence. I am responsible for any special work described in this proposal.
I agree that Sears has the right to make additional charges if unusual ground conditions hinder the installation. Sucr
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.
of f 8 uyer
SPECIAL WORK TO BE
PERFORMED BY CUSTOMER
Unusual Conditions - Additional Charges.
4 25/3, o ,
CASH
11 DC
5 ILIoRK.
Customer can buy
SUOMI rTED t3Y
at this price until: ■DATEI
/_
FENCING
DIAGRAM
KEY:
r—
I ..
CRY
FENCE
UNE
TO BE
ERECTED
l3e^rr(7 p
L.r eLLcT,e i SvRI
Cu .5 sb kA oc.
• Nti}-! a DLL
$-.. -
I
- - -
1 5 ; 1 ° -1T L. -
SALES ASSOCIATE NAME
STATE
TIE -ONS II
PERMISSION)
TERMINAL POST 0
EXISTING FENCE XXXXX
cJ
r
No. ZGe so /e
SALESCHECK.GOMC NUMBER
UNIT NUMBER
BUILDINGS
WALK GATE Cr 0
DOUBLE GATE db
APPROVED BY (MGR
ZIP CODE
T
I understand that this is only an estimated date and I will be
contacted prior to this date to schedule the actual installation date.
1 For information regarding
I your installation call:
I SALES ASSOCIATE:
(ADDITIONAL PROVISIONS OF THIS PROPOSAL ARE STATED ON REVERSE SIDE.)
42
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11
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