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FENCE PERMITMIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby snne le for the approval of the detailed statement ur use plans and specifications herewith submitted for the build in or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami Shores Village, l'lnrid.t. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and ri•gulations of the Building Dmvisinn 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. Owners Name and Address w 11(A rdt• t'7 of ,Y6 —//7/ _ Date /7- ,19..— .... .. 27a..1. 771 °' � ..... ......__._. No. � ..__. Street_! /M j s r Registe Architect and /or 1~ngineer ................._.._..._..... ..._. ..._._...._.......,.___. ..,.•..,.. . ,..„., r , ,......„,.....•,.,.,, . Name and address of licensed contractor 0 1. /8 (n � 4 01 f /V v.) 7i. /0 %., e 116 / / 9 Location and legal description of lot to be built on: // 3 06 /3 S ,�'Q I. 4' c n sM a i NPR 4 $ ."5 ` t L 13 .......... `t Block. Y ... _.__.._._ Subdivis .� 1 2/10 ,' S r Street and Number when: wort: is to be done. � . - I _ State work to be done and /L` w+ • ti 1„,..) o w .O f' ( .a r1/D purpose of building (by floors) -r7 /1 .- .._. L a •o , •✓ L. , /1/ K ict > .... _.. �t 0 A '£"t A c. e 4 _•P.8.4•• t-'/ • Z s i L' 7 T s S and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of lard cf foundation.. _._.._._ _........ .._......._....____._.._..._.._ Roof Covering Estimated Total cost of improvements $... ».... mount of Permit S..% !. __ _ . _ _ .. ___ Zone cubage required _ _ ._ plan Cubage Distance • to next nearest building 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 umicrsigncd applicant for this building permit does hereby crrtify that he understands and accepts his obligations as an employer of l.ehur under the Honda Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennane•nt Snp mle•ment, an has complied .eith the provision% 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this pcnnit, as are licensed by Miami Shores Village. Remarks (Signed) x Size of Building Lot • STATE OF FLOP,IDA, COUNTY OF DADE. ss. Bcfore 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 therein by him stated are true. Permit No..l!/... _._..... Date k Read, Sworn to and Subscribed before me. Disapproved \. Date..__..._.__ _ ._....._... . \y �l . •tt 1� Notary Public, State of Florida (Signed) ..._ l i Building Inspector My Commission Expires PLANNING BOARD..._.. _.— __._DATE Chairman — Member Sicrr,ber .. .............................._ _--- ...__.. »_...._..._ -- Member __.. - - -.. _...._..._ Member _ ..............._..._._ »._ ..._._..._.— ...._..... _ Member » --- �_ __....._ Council Approved .....Date Disapproves ••_.._ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained lean the 1'l.annir.g hoard. A re.m.pectiun fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anu /or workmanship. r 1.41Pw. A/N lo✓s •rA ay.) 1 N BUILDING & ZONING - ADMINISTRATION PLOT PLAN r• c ' / Sr 3 SS Nt q ST. TERR., AVE.. CT., PL. NO SCALE Legal: Lot No. t Z 4 Blpck No 41 /�. os N 0 n Subdit ision It • / OT Metes & Bounds l ,= CN a •#J L.,', 1 NORTH Akkf't SEC. Tu P. RGE 1Q 8is-1 e. 7 v t.JO•Q Pe" r` Fin/ Ott S A i �4 DATE STORE ADDRESS CITY STATE ZIP CODE STORE PHONE 'CUSTOMER'S NAME /2" f: i3' 1,- 7 ! /....d �` t ' < ? cs ! Y HOME PHONE i , / (.....4 j. f RFFIICE PHONE f 7( r '?. . `7 ADDRESS. r J r CITY STATE ZIP CODE INSTALLATION ADDRESS IF DIFFERENT .. v.. r r } (.{ f ; . „ R,,p.. F J; d ` � : t CITY I P ' f; P STATE ZIP CODE j < e f TYPE FENCE SPECIAL INSTRUCTIONS FENCING DIAGRAM K EY ., ' " - FENCE UNE TO BE ERECTED ,r ,. i . - ' . ; O (GET PERMISSION) TERMINAL POST EXISTING FENCE X BUILDINGS` / 0 WALK GATE 0V 0 **ik* DOUBLE GATE cr y I . _ . • If 0 -^� 6 , A OVERALL LENGTH OVERALL I{ EIGHT , WALK GATE DRIVE GATE 7 CHAIN LINK GAUGE KNUCKLE UP L1 Br tt DIAMETER TOP RAIL DIAMETER TERMINAL POST ire DIAMETER LINE POST LINE POST SPACING / '1 SPECIFICATION A. FENCE TO SLOPE OF B. FENCE TO CONTOUR C. FENCE TO WITH HIGHEST D. FENCE TO WITH LOWEST E. FENCE TO AND SPLIT LINES CLEAR OBSTRUCTIONS LINES STAKED WITH CUSTOMER DISCUSS WITH WHICH POST SWINGS ON GATE SWINGS FOLLOW GROUND FOLLOW OF GROUND ❑ BE LEVEL GRADE ❑ BE LEVEL GRADE ❑ BE LEVEL THE GRADE ❑ OF CUSTOMER GATE ALSO IF IN OR OUT SPECIAL WORK TO BE PERFORMED BY CUSTOMER DIRECTIONS OR ADDITIONAL INSTRUCTIONS INSTALLATION ESTIMATED TO BEGIN WEEK OF INSTALLATION CLERK - Enter below on File and Installer's Copies: NOTE TO CONTRACTOR.: SEND BILL FOR THIS WORK TO: SEARS, ROEBUCK AND CO. 14541 -010 Rev. 5/83 (Address) _- r.uvtATE AND PROPOSAL JtARS, ROEBUCK AND CO. No. SALESCHECK NUMBER STORE NO. I understand that this is only an estimated date and I will be contacted prior to this date to schedule the actual installation date. Contractor's Charge For Delivery (Charge Acct. 116) Contractor's Charge Work Specified Above (Charge Acct. 187) (Contractor) (Address) (Permit No.) (City) (State) (Zip Code) (City) (State) (Zip Code) To Contractor: Signed and delivered this 40: Sa1:2S, ROEBUCCI nxn Co. The installation of ordered by me has been completed satisfactorily. The customer named on the reverse side, \,vishes you to proceed with in.s.:a:latio:: a specific.-;ri. materia.ls spec:fied on the reverse side and/or oil attac'n.ec: s: o spa:if:cation sheet. ...3y his c:de: you agree to protect and indemr.ify said custorne: ::;:nd Sears, leebut.k end Cc., L:: demcinds on account of iniury o ,e.ersons or prope; occurring eurgi a a result of scie responsible for payment of ci contributions and taxes due under end re of Feef.-;.fe.: z:•.nt....Stute Social SecUrity and !ncorne !aws with respect to any parol;s ;:;erfermance 'rile ,vo7:t specif:ed. These provisions do not in any wcy a menel. or modify any cg ree men: that Yoe may Roebuck and Co. On completion of the iob, you cgree ?o 'e sig,nct!,:re -on the. ::ette: e Satis- faction below, and execute the Waiver of 'Lien, submitting 'oath to Sears, :Icebuck ne C., a:ong witTr. n'nliVL ©L S,,I7iX (vo tL s]ema tcm7EnciyaR) To Whom it May Concern: !, the - ,;ndersigned Contractor, having; beer: ernp!eyen: !ay t:-.e c...;storner whcze appears or the 7VO:'SC; side, do hereby certIfy re to on the ravorsc. CC.c been cor.-.7i:ated to tine customer's . oonsideration receipt c!oilar and otner E coe and va. coiisideratiort,.' :t:knowlec:ge 7.1J11,, anal here:oy waive and re:inau!sh al', !iens e]nd !ions the uriders!gned, now have or may hereafter `.-.ave for ;•:* the undersisned, certify that . 0 the work performed and :-.7(s‘:.e.'.:a:s fernishee, other pary cr parties epos the order o". the una:ersicznee, :;ear: the uneow.signee, agree to cause he prompt :e:ec:se any : be filed against the premises referred to © the :CVSTS0 C.t any su-`..:.007: :mechanic or rna'erie c;ippfier claiming tc; right o : 'len t:Irough woV to this contract.. •! furthe: agree to hok.! harmiess CUS- appears an the- ;ever se. side and/or Sears, ncebe'cF.: one Co., from ;: against aff: and expenses arising from or by reason o'Y suc'n :ien of rA;: liens. . c:cry of:e: 19 Signature of Contrucfor ©Lc' (7© 2•.2ME) D' V CC; A TO CUSVOLVM: DO NOT SIGN THIS STATEMENT UN71 THE INSTALA710N :S SATISFACTOrliLY Date Customer's Signature APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of 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 Building Division of Miami Shores Village shall be complie with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date Owner's Name and Address ‘1 it C ''-1..- .. a. ) t : 2 Registered Architect and /or Engineer Name and address of licensed contractor Location and leg description of lot to be built on: Lot_- a 3 ! - 2 _ Block. ` 1 P Subdivision. Street and Number where work is to be done 3 J1�!. S State work to be done and purpose of building (by floors). ..__.a cg New Building Remodeling Addition To be constructed of Kind it f dation_. -_ -. _Amount of Permit $ __._.._plan Cubage _._Size of Building Lot Estimated Total cost of improvements $ Zone cubage required_ Distance to next nearest building,_. 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 5966, Compiled General Laws of Florida, Pennanent 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 subcontractor on o be performed under this permit, as are licensed by Miami Shores Village. Remarks -_ _ -- -- - — - ._.._ ._.. _ - - -- — (Signed) STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared ____ 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 _ therein by him stated are true. Permit No. Disapproved (Signed) ._. Date _.. Date..-______ ...... ___ _ _ _.__ Read, Sworn to and Subscribed before me. Building Inspector Chairman Member ...____..._ Member Council Approved MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT s._._ AL5 1. C SC { ,1 •7 -- , / D e Sg 1 3 S� r LsL e 4,0 t, Notary Public, State of Florida My Commission Expires PLANNING BOARD _.._- DATE Member Member ._._ Member .Date Disapproved Vtce NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice materials and /or workmanship. .19 / Street___ ! Jr or changes to this application after approval _and for no other purpose. Repairs No. of Stories ,Roof Covering to me well known, Date has been obtained from for inspection or faulty r;60At u 6' 9