134 NE 100 St (12)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 Robert Ahrendt No 13 4 Street N.E. 10 0th St.
Registered Architect and +or Engineer
Name and address of licensed contractor Cox Insurance Repair Service, 390 W. 22nd St., Hialeah, Fl.
33010
Location and legal description of lot to be built on: FOLIO #11-3206-013-2150 /
Lot 10+E1/2 11 Block- 1 / Subdivision
134 N.E. 100th Street, Miami Shores, F1. 33138
State work to be done and purpose of building Iby floors). state ex i. colors $ mit sam.lesl Replace 1 Base Cabinet &
Street and Number where work is to be done
Remica Balance of Cabinet.
and for no other purpose
Repairs X No. of Stories
New Building Remodeling
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Addition
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements S 2,000.00
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 plans and specifications for said building. All notices with reference to the building and its construction may be sent to
Cox Insurance Repair Service, 390 W. 22nd St., Hialeah, Fl.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligators 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 agre .•, employ o ly such subcontra_.rs. on work to be performed
under this permit. as are licensed by Miami Shores Village.
Remarks (Signed)
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
Carl J. Cooper
to me well known.
and who. being by me first duly sworn. upon oath deposes and says that he is the Contractor
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.
j fc
Permit No.
Disapproved a Date
(Signed)
Building Inspector
Date
Amount of Permit S
Read. Sworn to and Subscribed before me.
My Commission Expires
Date March 6, 19 91
X99/ u/
Notar, *t OF FLORIDA
MY COMMISSIONN EXP JULY 19,1983
BONDED THR GENE2AL —
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 he chareed when such re- inspection is made necessary by improper notice for inspection or faulty materials and or workmanship.
HOME OFFICE
390 WEST 22nd STREET
HIALEAH, FLORIDA 33010
March 6, 1991
Dear Sir:
Carl Coop
CJC /iv
My commission expires:
NOTARY PUBLIC STATE OF FLORIDA
MY COMMISSION EXP JULY 19,1993
BONDED TAU GENERAL INS. UND.
COX INSURANCE REPAIR SERVICE, INC.
GENERAL CONTRACTORS- STATEWIDE
LICENSED AND INSURED
City Of Miami Shores Bldg. Dept.
10050 N.E. 2nd Avenue
Miami Shores, F1.
Re: Robert Ahrendt
134 N.E. 100th Street
Miami Shores, F1. 33138
We intend to do the following work at the above captioned
address:
1. Replace 1 base cabinet.
2. Remica balance of cabinet.
Estimated Cost:
Respectfully,
SWORN TO and subscribed be ore me at Miami, Dade County, Florida
on this `1f day of
, 19
$2,000.00
NOTARY PUBLICL
DADE 887 -0315
FT. LAUDERDALE 522 -3966
BOCA 942 -3304