301 NE 102 St (11)APPLICATION FOR BUILDING PERMIT
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
Registered Architect and /or Engineer
Name and address of licensed contractor 4/6
t3z o 3 So 7 0
Lot /3 / T Block 3 7 Subdivision '7 p / ' S ' D 'ES L ,f/ftfi
Street and Number where work is to be done 3 » ( 'v' F • co)_ SY
State work to - be done and purpose of building (by floors), state exterior colors (submit samples) 9 T f
Location and legal description of lot to be built on:
STATE OF FLORIDA
COUNTY OF DADE.
}SS.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
.lasE7 /r4•v ;
Date
Addition
Date / 1 62 19
/
No. 7 Street ' g v45
O(/
Repairs
and for no other purpose.
No. of Stories
New Building Remodeling
To be constructed of Kind of foundation of Covering
Estimated Total cost of improvements S v� / Amount of Permit S
Zone cubage required Plan Cubage
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 employ only such subcontractors. on work to be performed
under this permit. as are licensed by Miami Shores Village. I I
(Signed
Remarks (/ "�-� &7
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 for going pplication, and that he did sign the same. and that all facts therein by him stated are true.
Permit No. 07g 7 / f. Date Read. Sworn to and Subscribed before me.
Disapproved
(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
PHONE: (305) 625
We propose, subject to acceptance by J. ACOSTA to furnish and install a fence in accordance with quantities and sizes listed below. Before
erection is begun, purchaser is to establish property line stakes and grade stakes and to remove all obstructions that may interfere with erection.
NAME
ADDRESS
• 1 ArnLta
• FAST SERVICE
5002 NW. 189 TERR .
MIAMI, FLORIDA
P R O P O S A L
CITY PHONE
LEGAL DESCRIPT.
OVERALL
HEIGHT
4e
'RIVE
GATE
CHAIN LINK
DIAMETER
TERMINAL P.
DIAMETER
TOP RAIL
/3
LIME POST
SPACING
BARB
UP
OVERALL
LENGTH
WALK
GATE
WIRE
GAUGE
/ /
DIAMETER
LINE P T
D IAMETER
GATE FRAME
KNUCKLE
UP
ACCEPTED: J. A C OST A
This Contract is subject to covenants and conditions on the reverse side hereof, and is not binding upon J. ACOSTA,
.until accepted and approved by an officer of J. ACOSTA .
TOTAL CASH PRICE��
El FOLLOW GROUND E LEVEL
(See explanation of terms on reverse side)
PURCHASER:
By
By