260 NE 102 St (8)/t 3 (3 ie•O ° /
MIAMI SHORES VIL LAG ' L/ �
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement or the plans and specifications herewith submitted for the build •
ing 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 i3uil. ling 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 prggress of the work.
Date... -142. July 18 _._ _._..._.__........ 83
Owner's Name and Address Paul Simas a..�_.... ._ No. — .._.. Street N : E. 102 Street
Registered Architect and /or Engineer , «. ...••• .... .............•. •
Fame and address of licensed contractor Williams Fence Co. r Inc 2300 N.W. 79th.,, Street „ „ • . _.,_ „__
Location and legal description of lot to be built on:
Lot 6 & 7 Block 14 Subdivision Sect. 1 pb : 10 pg. _70
Street and Number where work is to be done 160 N.E. 102nd Street
Stato work to be done and purpose of building (by floors) install 162' of 4' Chaff 1>,11;11C fglace
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 $ 865. 0 0 Amount of Permit $. .___
Zone cubage required plan Cubage
Distance .to next newest building.. Size of Building Lot _ ............. ---
Maximum live load 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 Wi1 1iams Fenc . e... CO.,,..r.Inc 2.3.0Q... N .. ..W.. 79.th...Str.e.et Miami.,.. ..F1...331.4.7
The u applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of Labor under the Florida \\'orkmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
anti 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 be performed under this
pennit, as are licensed by Miami Shores Village. //,�J� t . a •
Remarks (Signed )!N ._.L. '� ze. -
STATE OF FLORIDA,
COUNTY OF DADE. j ss'
Before me, the undersigned authority, a notaty public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared Willie H. Williams
— to me well known,
and who. being by me first duly sworn, upon oath deposes and says that he is the. President
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..
Permit No.._. ! _ 7 7 Date E .�..fC.. /83..._._._ Rea Sworn to and Su before me.
Disapproved
Notary Public, State of Flo
(Signed) s "•n2tsry F'u�lie, 52oto 09 Rorfitia at•
Building Inspector My Commission Expires. m i� T �', f
Bane Vat t tsttcrd Bones Agency
PLANNING BOARD DATE
Chairman Member
Member Member
Member .. ... ..._ Member ...._
Council Approved Date Disapproved Date
NOTE: A c•h.rrgc of $1.00 will be made for making corrections or changes to this application after approval has been obtained fmm
the Plannir.g Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty
materials anti /or workmanship.
CASH SALE PRICE
PERMIT FEE
TOTAL SALES PRICE
DOWN PAYMENT
BALANCE
AMT. DUE ON INST.
BALANCE
TERMS:
REMARKS:
Salesman
Job Diagram Description
NOTE: No contract is valid unless signed by in officer of the Company Location of fence
will be the responsibility of the Customer as per diagram which is part of this contract. Any
responsibility for any underground lines shall be the Customer's unless speeifimIly located
prior to installltion. TM buyer hereby agrees that the title to the goods herein described
shall not pas to the buyer until 111 payments that we pan of this contract ere made. And
further, tM buyer also hereby gives his permission.tor access to. end on his property for the
purpose of repossenton Of any of the above described goods that have not been completely
paid for es the terms of this contract nu for. Any deposit wdl be forfeited if the contract
is cancelled at cunonser's option union agreed to by both parties, seller and buyer. Any
Special preparations of materials end labor will be paid for by the buyer On cenceltation of
contract.
NOTICE TO BUYER
A. DO NOT SIGN THIS BEFORE YOU READ IT OR IF IT CONTAINS ANY BLANK SPACES.
S . YOU ARE ENTITLED TO AN EXACT COPY OF THE PAPER YOU SIGN.
C. YOU HAVE THE RIGHT TO PAY IN ADVANCE THE FULL AMOUNT DUE AND UNDER CERTAIN CONDITIONS
TO OBTAIN A PARTIAL REFUND OF THE TIME PRICE DIFFERENTIAL.
B UYERS ACKNOWLEDGE RECEIPT OF AN EXACT COPY OF THIS CONTRACT WHICH HAS BEEN SIGNED BY BOTH
THE BUYERS AND THE SELLER.
ONieer Title
(Buyer's Signature)
leuye►'s Signature)
Special Instructions
(L.S.I
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SPECIFICATIONS
Height
Gauge
Type
No. Term
Term Size
Line Size
Rail Size
No. W.'Gates
No. D.D. Gates
Barb Top
Smooth Top
Airline
Ground Line
Stair Step
Level Top
•
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WILLIAMS
FENCE COMPANY
2300 N.W.79th STREET - MIAMI, FLORIDA 33147
PHONE: 691 -1001
�etttil ' Cnantrutt
(CONDITIONAL SALES CONTRACT)
PURCHASER DATE
IN•ME)
ADDRESS CUSTOMER PN.
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INST. ADDRESS LEGAL DESCRIPTION
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