456 NE 102 St (15)6 -4- 67
9° MIAMI SHORES VILLAGE
l/ 3 46 /? osZo l
APPLICATION FOR BUILDING PERMIT
Application is hereby mode for the approval of the detailed statement in 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 a nd 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 wofk.
e '' - "ate - I �
— 2, r �... _ ...___..._... ,19.. - - -
Owner's Name and Address ..... I.J...S .. �.` 3 gee "J.,- .. ...... No...45 _ . Street_.11 2, -t .J�'�
Registered Architect and /or Engineer ...Mk /It':�/ 4 • to rtN 3 . S�T.:,,,C ...•_.,,,. ,•,.n}i!lrr, ;,..?fli„ - ..
Name and address of licensed contractor C 4" -w O(Q0:5 II $10 5 •LJ • ,.L?.0 - S 4"C C4" r
t4 "" d, I ;;
Lot Block Subdivision.. _ . -- ..—._ _.....
Street and Number where work is to be done . S 4L i. C. _. .�'_
STATE OF FLORIDA,
COUNTY OF DADE. ss.
BUILDING INSPECTION DEPARTMENT
Location and legal description of lot to be built on:
Disapproved Date
(Signed)
Building Inspector
State work to be done and urpose of building (by firs) 1 ‘ p '• Loa R. 1 1� S4iQ .• • w /�1/catiL.
g t fLae fw l+k S4.i 010 !!? .t +.
• and for no other purpose.
New Building /� Remodeling Addition Repairs No. of Stories
To be constructed of A1...4.w, Kind of foundation 1 ass Roof Covering
Estimated Total cost of improvements $ / g.31e., O C. Amount of Permit Si.
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 the 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 obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 59G6, Compiled General Laws of Flor• ., Permanen > >leurent,
and has complied with the provisions thereof, and will require similar compliance from contractors or su • ntractor�r r' . yed by him
.w
in the ork to be performed under this permit; and will post or cause to be posted •r ' 1 pection • the of the •f . t public noti
or noticcs as are required by the Act. The undersigned agrees to employ only suc s • • ntractor o ork to the under
permit, as are licensed by Miami Shores Village.
Remarks... (Signe• .. f —.... /♦
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
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 foregoing application, and that he did sign the same, and that all facts
thcrcin by him stated are true..
Permit No.._.__ ......... Date Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires _...._..._.. —._—
PLANNING BOARD DATE
Cirair:nan Member
\Ierr,ber Member
Member .. ... _.....--- .._._..._._ ...._....... Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the I'Lrnnir,;; Board.
A rc•inNpeetion Ice of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
got.
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I
itt
E. C. NO.
UNLESS OTHERWISE SPECIFIED
1. REMOVE •URRS & SHARP CORNERS .01SMAX.
TOLERANCES
2. FRACTIONAL. DIMENSIONS + OR — .020
3. DECIMAL DIMEN•ION■ + OR — .010
4. ANGULAR + OR — ONE DEGREE
LET.
DESCRIPTION
BY
OI LOIN
AMAX ALUMINUM :gooucTs INC.
A SUtSIOIAIIT Of AMERICAN METAL CLIMAX. INC
DATE
SCALE
PART NAME
DRAWN
CHKD.
APPROV.
DATE
PART
NUMBER
MATERIAL
SPECIFICATION
AND
STOCK SIZE
1 34 o
REV.
FINISH
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•
•
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eo
111
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c r. tErn 1080 is W 70th STREET
FORT LAUDERDALE • FLORIDA 33309 •
odEling inc. 305/971 -9462
,�RefOSM >UB I ED TO.----7? \ n /`�(�
I I 1- Y •o / '
PHONE /�
7 .56 Via/ 3/
DATE ��]
/ '
STREE�,
1 7 5 6 /\1 /0Z
JOB
CITY, ANA. N ZIP CODE
H I fl 1 oftS 3 3(3,s
JOB LOCATION
'
We hereby submit specifications and estimates for:
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P "• ravage hereby to furnish material and labor — complete
in accordance with above specifications, for the s m of:
Or TY ( ' •ol lars ($ -3�/.` 5 �-� )
, - A OUc v - 1uri t t) i
Payment to be made as follows: N
''.7 ( . � ` �t -� �oc.'N -Dfj N i iit ? ` — � c�. • 4��:3
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifiea-
tions involving extra costs will be executed only upon written orders, and will become an
extra charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.
CONDITION OF SALE: In the event Cross Eastern Remodeling. Inc. has to retain an attorney to
enforce collection of any or all sums due, the customer agrees to pay all collection costs and
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Sgnature •
Sgna
i u r e
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Note: This propos. may
withdrawn by us if not within
/ Y accepted p
be
days.
Y s.
,-
reasonable attorney fees
Arrrptanrr 1[ts f rnpuia1 -The above prices, specifications
and conditions are satisfactory and are re'y accepted. You are authorized
to do the work as specified. Payment wil be ade as outlined above.
Date of Acceptance' ! 6 kJ 3
Proposal
1: Do not sign this home improvement contract in blank
2. You are entitled to a copy of the contract at the time you
sign. Keep it to protect your legal rights.
Signature
Signature ' —
Page No.
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of
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