FENCEApr 01 11:34a luis
April 20, 2001
BUILDING AND PERMIT DEPARMENT
Dear Sir or Madam:
POPEYE FENCE IS NO LONGER THE CONTRACTOR FOR
A11PnSm1ah AT I2 fIE q?)S4
PLEASE CANCLE ANY PROCESS OR PERMIT NUMBER FOR THIS JOB
SITE. IF YOU HAVE ANY QUESTIONS PLEASE CONTACT LAZARO
TORRES AT 17055 NW 78 AVE. MIAMI FL 33015 OR CALL 305- 826 -5096.
687 2104
p.1
. r r ,
f`+ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 1"e--3--^191 Job Address a mei q3 3+ Tax Folio
Legal Description Z-OT' 1/)fSS Wes-1 5,' 04.)' Zf Go i S a Historically Designated: Yes No
Alf W
Owner/Lessee / Tenant ( P N .S W t -1 Master Permit # O I 2
Owner's Address ( - 1.3 S N 6 ' 73 S % Phone
Contracting Co. Pop e (--;eie Address f ?o ST N vJ 78 P
e
Qualifier 2O Z 12 E-5 Phone 11 ( — ( — 6q 3 )
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MCHANICAL ROOFING PAVING ENCE SIGN
WORK DESCRIPTION 74- N Rcke-1- / l- y
l f h
9'Pr4--es '7 js'e±
Square Ft. Z 7 \&/r Estimated Cost (value) � O.
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNERS AFFIDAVIT/ certify that all the foregoing information is accurate and that all work '11 be done in compliance with all applicable laws regulating
construction and zo g. F . - re, I auths, the above -named contractor to do the work s ed.
Signatur
Mechanical
Condo President Date
/2 -3-
41/�0
Notary as to Owner and/or Condo President D to
My Commission Expires:
FEES: PERMIT t RADON
Ie.I tacAtfeuS
APPR VED: -
Zoning
/1"
J am.
ANA M. TORRES
My Comm Exp. 6/6/2003
No. CC 843457
11 Personally Known 11 Other ID.
Plumbing
C.C.F.
f C ctor or Owner- uilder
NOTARY 0 BOND
Notary as to Contractor or Owner- Builder ate
My Commission'E
ANA M. TORRES
My Comm Exp. 6/6/2003
No. CC 843457
11 Personally Known 11 Other I.D.
/e3-0
Date
uilding Electrical
Structural Engineer
FAX NO. :
r& I
Jul. 11 1999 05:35PM P2
FROM
eso
FAX NO. :
: r v.0.1u (S eiisiiiiu nsu:aArnUU
llyntDaill2 Srn 11.7111,■tAlrIlL
•
PROPERTY•OF- ..Smith, Alan G., 1235 N.E. 93rd Street, Miami Shores, Florida
This property described as:
Lot 4, less the West 25.00 feet
thereof, and the West 25.00 feet
of Lot .5, Block 1
BAY LURE,
according to the Plat
thereof, as recorded in
Plat Book 44, Page 63
of the Public Records of
Dade County, Florida.
•
Michael,' Brent
. _1•OC•A 770/Y 0141?
J., and
it BOUNDARY suaver
hereby tend" that the survey tepee-
tented hereon mete the minimum
technical standar& let on by the board
a land Sur.eyon in cheery 61GV 6
Florida AtSwiwiarai.e Code pursuant to
Section 47::(C/7. Fla. %ruses. There are no
encroachment,. o.ertacs. easements
abeearine en fiat. ;then than as
%hewn hetet -
L
A. MCC ate MO M1 taa,R.R no.
NOTE:
Jul. 11 1999 05:36PM P3
',ONES AND (;ARC•IA; 1NC.
L.11. >f 209$ •
NI I tVKYOI S- N1AP1'EIt..- t_J,:NI PLANNERS
Page 1 of 2
Z.F. 9.6o' c =notes lowest
habitable . floor elevation. •
Elevations shown refer to N.G.V.D.
1929.
Lowest Adjacent Grade =
B.N. b -Cot ELEV. b 74'
paoe co.
E.ARA_GE ELEVATION
,.R.P. *,(oB'
P .,N‘v r" E..'riN04A * Z994.
(Mier address: J59 Attatar Avenue. ("oral Gables. Florida 3)134
0051 o46-7909 19C4) 521-664.1
FMELt) OATS SCALE DWN RV DRWC. NO
GB /o✓ %b� / " - Fla' 1 122451
C (MAXIMUM
,LLW-LU
TYPICAL FIXED FENCE PANELS
FIN. GRADE
SCALE: I /2 " =1' -0'
2'X2' STEEL. HORIZONTAL
RAIL, TOP 1 BOTT.
1'Xq'X3 /IC' STEEL POST.
(TYPICAL)
I "XI" STEEL PICKETS °
5' -O" O.C. W /SPEARS °
TOP. (TYP.)
r
r
O
=CAL SECTION
P05T5
15.0X30. CONC. FOOTING
,Z-- 13000 P.S.I. ii:N.) SLOPE
TOP A .Y FPO i T U3E.
A u
TYPICAL POST . 4 X 4X3 /lo'
STEEL TUB_.
( SPACi\;, AT F;XED PANELS
C-O. O.C. MAX. ND AT • LL
r.
CORNET :5).
5CAL =. 3/- °= 1._o..
FROM :
1
/ /
- FRY. NO.
11)-
Ju I . 11 1999- OR: 35PM P2
FROM':
•
•
I
- t- cAT /O/Y
This property described as:
Lot 4, less the West 25.00 feet
thereof, and the West 25.00 feet
of Lot 5, Block 1
BAY LURE,
according to the Plat
thereof, as recorded in
Plat took 44, Page 63
of the Public Records of
Dade County, Florida.
•
:vr v,e.lo I Si 07 1 4 1 • ,r:Marne, t
■no ntr. 4/ a104.' t. aAoclwil,4: o►
trip k Milt Ite[o sut% CS uR•
I
Michael„' Brent
•
•
FAX NO. : Jul. 11 1999 O5: 3,PM P3
MAR
J., and
A BOUNDARY suavtY
e hereby certify I•r the hartmty racer
*need he,eon meets the alinement
wooled uendasd. set Fenn by the owed
of Land 5u..era . .n chapter 61C17.4
geed.. Adwwiuradoe code pummel. id
SechOh W. flea %Vows. There w no
cmcroadmacn0. Peelepa. easem.nn
Samar:al an thy l(J(. other than as
Ute..e hetei
P, G . PATrL 5/5a
ti ,woranneVow w.t.nce ma
NCT :
FIELD DATE
GBIo� lct�
,' u
.R.P. = 5443'
P2ge 1 or 2
L.F. ELEV. = 9.co' M,notes lowest
habitable floor elevation.
Elevations shower refer to N.C.ti.D.
1929.
Lowest Adjacent grade = 6-
B.M. T ' -Co . ELEV. 5,74'
O4OE co.
GARAGE ELATION =
PROPERTY.OF'... Smith, Alan G., 1235 N.E. •93rd Street, Miami Shores, Florida
I.ANNS :S AND ( ;ARC'IA; INC.
L 11. b 209t$ •
tiI RVEYORS- NIAPNF RS -LAND PLANNERS
P,NEyT' 5.. - 49`
Office Aileen: J59 Alcuar Avenue. (urul (:able,. tlundi 311)
(!051 oe.6 -79U9 t9 4) 523.•Sbd3
SCALE
- r
DRAWN IiY
1
DRWC. NO
A•o. 122451
•
' 1L L
LLW-W-LLL
G' -0" (MAXIMUM)
FIN. GRADE
TYPICAL FIXED FENCE PANELS
SCALE: 1/2' =1' -0
2'X2' STEEL. HORIZONTAL
RAIL. TOP ( BOTT.
1'X9'X3 /IG' STEEL POST.
(TYPICAL)
I "XI" STEEL PICKETS °
5' -0' O.C. W /SPEARS
TOP. (TYP.)
& D
r
0
•
1
TYPICAL SECTION a POSTS
0 It
TYPICAL P057.4 X4X3 /lo'
STEEL TUBE.
(5P^CIN.3 AT FAXED PANELS
C-0 0.C. t1,;X. AND AT ALL
CORNERS).
15 -0X30' CONC. FOOTING
,./----- (3000 ?.5.i. i :N.) SLOPE
i0P AL:-.1' FROI TU3E.
SCALE: 3/C=1-0-
•
CRITIQUE SHEET
rq- 41u S'l
JOB ADDRESS � / v 73
APPLICANT
PHONE t#
APPUCATION #
SHEET , OF •
MISCELLANEOUS --
DATE
ZaNIN ,
COMMENTS
PERMIT NO.
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT'
SECTION
ZONING
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
STRUCTURAL
.c revtce wIa riot- be hee rvi-tokt 1 Ot.eS
PUBLIC WORKS
BUILDING OFFICIAL
1. Subject to compllancv with art Federal. State.
County. VUtage rotes utd regulations. Village assume
no responstbility.for accuracy of /or results from
these plans.
6 Cogs ucirom, Work- - J r tv e- 2.
2. Thls copy of plans must be available on
building site or no Inspection will be conducted.
eAl vtlei
BY
r 4/k
!PLC i-1
rte r wdow
lot 0c,k 1 k1 d c) W a4e,s
INITIALS
6 1-0 al(e7 /r4 y ovex
DATE
- 4g 7
MIAMI SHORES VILLAGE
Owner's Name and Address..
Registered Architect and /or Engineer
a,,,,A/
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Sub 5liv�
Street and Number where work is to be done .4( .51 Y..4 —.... 6T
Date
BUILDING INSPECTION DEPARTMENT
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 complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at Juilding during progress of the work.
,..?‘
Street.N / -�:
Notary Public, State of Florida
9 T H
-• -
State work to be do �nd rpose of ilding (b fl rs
9 y
' d ' lI1/ A/4 1 Y ie,6 ../e C4'
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of ou ,d. ion Roof Covering
Estimated Total cost of improvements = `
42 p ' .. 1.... :7 Amount of Permit $
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 a lle plans 9Lr
and specifications for saj !#
d buil 'n All /✓P �
notice' with rre fe ce to the building and its construction may
be sent to
(-,4 .../ ✓ f !
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, Permanent Sup`�leuient,
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 fo nspection on the site of the work such ubl c, notice
or notices as are required by the Act. The undersigned agrees to employ only such i contractors, on York to erformeLi.4 <ier this
permit, as are licensed by Miami Shores Village. , f �r�y � /
Remarks (Signed)/ 70/ t /4k• �.Sl. � 1a
STATE OF FLORIDA,
COUNTY OF DADE. ss
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
therein by him stated are true.
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member 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 Planning 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 and /or workmanship.
410 :4L4E/ M M
75
9°
M E. coop sr
Apr 01 11:34a luis
April 20, 2001
BUILDING AND PERMIT DEPARMENT
Dear Sir or Madam:
POPEYE FENCE IS NO LONGER THE CONTRACTOR FOR
A11PnSm1ah AT I2 fIE q?)S4
PLEASE CANCLE ANY PROCESS OR PERMIT NUMBER FOR THIS JOB
SITE. IF YOU HAVE ANY QUESTIONS PLEASE CONTACT LAZARO
TORRES AT 17055 NW 78 AVE. MIAMI FL 33015 OR CALL 305- 826 -5096.
687 2104
p.1
. r r ,
f`+ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 1"e--3--^191 Job Address a mei q3 3+ Tax Folio
Legal Description Z-OT' 1/)fSS Wes-1 5,' 04.)' Zf Go i S a Historically Designated: Yes No
Alf W
Owner/Lessee / Tenant ( P N .S W t -1 Master Permit # O I 2
Owner's Address ( - 1.3 S N 6 ' 73 S % Phone
Contracting Co. Pop e (--;eie Address f ?o ST N vJ 78 P
e
Qualifier 2O Z 12 E-5 Phone 11 ( — ( — 6q 3 )
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MCHANICAL ROOFING PAVING ENCE SIGN
WORK DESCRIPTION 74- N Rcke-1- / l- y
l f h
9'Pr4--es '7 js'e±
Square Ft. Z 7 \&/r Estimated Cost (value) � O.
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER
OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNERS AFFIDAVIT/ certify that all the foregoing information is accurate and that all work '11 be done in compliance with all applicable laws regulating
construction and zo g. F . - re, I auths, the above -named contractor to do the work s ed.
Signatur
Mechanical
Condo President Date
/2 -3-
41/�0
Notary as to Owner and/or Condo President D to
My Commission Expires:
FEES: PERMIT t RADON
Ie.I tacAtfeuS
APPR VED: -
Zoning
/1"
J am.
ANA M. TORRES
My Comm Exp. 6/6/2003
No. CC 843457
11 Personally Known 11 Other ID.
Plumbing
C.C.F.
f C ctor or Owner- uilder
NOTARY 0 BOND
Notary as to Contractor or Owner- Builder ate
My Commission'E
ANA M. TORRES
My Comm Exp. 6/6/2003
No. CC 843457
11 Personally Known 11 Other I.D.
/e3-0
Date
uilding Electrical
Structural Engineer
FAX NO. :
r& I
Jul. 11 1999 05:35PM P2
FROM
eso
FAX NO. :
: r v.0.1u (S eiisiiiiu nsu:aArnUU
llyntDaill2 Srn 11.7111,■tAlrIlL
•
PROPERTY•OF- ..Smith, Alan G., 1235 N.E. 93rd Street, Miami Shores, Florida
This property described as:
Lot 4, less the West 25.00 feet
thereof, and the West 25.00 feet
of Lot .5, Block 1
BAY LURE,
according to the Plat
thereof, as recorded in
Plat Book 44, Page 63
of the Public Records of
Dade County, Florida.
•
Michael,' Brent
. _1•OC•A 770/Y 0141?
J., and
it BOUNDARY suaver
hereby tend" that the survey tepee-
tented hereon mete the minimum
technical standar& let on by the board
a land Sur.eyon in cheery 61GV 6
Florida AtSwiwiarai.e Code pursuant to
Section 47::(C/7. Fla. %ruses. There are no
encroachment,. o.ertacs. easements
abeearine en fiat. ;then than as
%hewn hetet -
L
A. MCC ate MO M1 taa,R.R no.
NOTE:
Jul. 11 1999 05:36PM P3
',ONES AND (;ARC•IA; 1NC.
L.11. >f 209$ •
NI I tVKYOI S- N1AP1'EIt..- t_J,:NI PLANNERS
Page 1 of 2
Z.F. 9.6o' c =notes lowest
habitable . floor elevation. •
Elevations shown refer to N.G.V.D.
1929.
Lowest Adjacent Grade =
B.N. b -Cot ELEV. b 74'
paoe co.
E.ARA_GE ELEVATION
,.R.P. *,(oB'
P .,N‘v r" E..'riN04A * Z994.
(Mier address: J59 Attatar Avenue. ("oral Gables. Florida 3)134
0051 o46-7909 19C4) 521-664.1
FMELt) OATS SCALE DWN RV DRWC. NO
GB /o✓ %b� / " - Fla' 1 122451
C (MAXIMUM
,LLW-LU
TYPICAL FIXED FENCE PANELS
FIN. GRADE
SCALE: I /2 " =1' -0'
2'X2' STEEL. HORIZONTAL
RAIL, TOP 1 BOTT.
1'Xq'X3 /IC' STEEL POST.
(TYPICAL)
I "XI" STEEL PICKETS °
5' -O" O.C. W /SPEARS °
TOP. (TYP.)
r
r
O
=CAL SECTION
P05T5
15.0X30. CONC. FOOTING
,Z-- 13000 P.S.I. ii:N.) SLOPE
TOP A .Y FPO i T U3E.
A u
TYPICAL POST . 4 X 4X3 /lo'
STEEL TUB_.
( SPACi\;, AT F;XED PANELS
C-O. O.C. MAX. ND AT • LL
r.
CORNET :5).
5CAL =. 3/- °= 1._o..
FROM :
1
/ /
- FRY. NO.
11)-
Ju I . 11 1999- OR: 35PM P2
FROM':
•
•
I
- t- cAT /O/Y
This property described as:
Lot 4, less the West 25.00 feet
thereof, and the West 25.00 feet
of Lot 5, Block 1
BAY LURE,
according to the Plat
thereof, as recorded in
Plat took 44, Page 63
of the Public Records of
Dade County, Florida.
•
:vr v,e.lo I Si 07 1 4 1 • ,r:Marne, t
■no ntr. 4/ a104.' t. aAoclwil,4: o►
trip k Milt Ite[o sut% CS uR•
I
Michael„' Brent
•
•
FAX NO. : Jul. 11 1999 O5: 3,PM P3
MAR
J., and
A BOUNDARY suavtY
e hereby certify I•r the hartmty racer
*need he,eon meets the alinement
wooled uendasd. set Fenn by the owed
of Land 5u..era . .n chapter 61C17.4
geed.. Adwwiuradoe code pummel. id
SechOh W. flea %Vows. There w no
cmcroadmacn0. Peelepa. easem.nn
Samar:al an thy l(J(. other than as
Ute..e hetei
P, G . PATrL 5/5a
ti ,woranneVow w.t.nce ma
NCT :
FIELD DATE
GBIo� lct�
,' u
.R.P. = 5443'
P2ge 1 or 2
L.F. ELEV. = 9.co' M,notes lowest
habitable floor elevation.
Elevations shower refer to N.C.ti.D.
1929.
Lowest Adjacent grade = 6-
B.M. T ' -Co . ELEV. 5,74'
O4OE co.
GARAGE ELATION =
PROPERTY.OF'... Smith, Alan G., 1235 N.E. •93rd Street, Miami Shores, Florida
I.ANNS :S AND ( ;ARC'IA; INC.
L 11. b 209t$ •
tiI RVEYORS- NIAPNF RS -LAND PLANNERS
P,NEyT' 5.. - 49`
Office Aileen: J59 Alcuar Avenue. (urul (:able,. tlundi 311)
(!051 oe.6 -79U9 t9 4) 523.•Sbd3
SCALE
- r
DRAWN IiY
1
DRWC. NO
A•o. 122451
•
' 1L L
LLW-W-LLL
G' -0" (MAXIMUM)
FIN. GRADE
TYPICAL FIXED FENCE PANELS
SCALE: 1/2' =1' -0
2'X2' STEEL. HORIZONTAL
RAIL. TOP ( BOTT.
1'X9'X3 /IG' STEEL POST.
(TYPICAL)
I "XI" STEEL PICKETS °
5' -0' O.C. W /SPEARS
TOP. (TYP.)
& D
r
0
•
1
TYPICAL SECTION a POSTS
0 It
TYPICAL P057.4 X4X3 /lo'
STEEL TUBE.
(5P^CIN.3 AT FAXED PANELS
C-0 0.C. t1,;X. AND AT ALL
CORNERS).
15 -0X30' CONC. FOOTING
,./----- (3000 ?.5.i. i :N.) SLOPE
i0P AL:-.1' FROI TU3E.
SCALE: 3/C=1-0-
•
CRITIQUE SHEET
rq- 41u S'l
JOB ADDRESS � / v 73
APPLICANT
PHONE t#
APPUCATION #
SHEET , OF •
MISCELLANEOUS --
DATE
ZaNIN ,
COMMENTS
PERMIT NO.
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT'
SECTION
ZONING
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
STRUCTURAL
.c revtce wIa riot- be hee rvi-tokt 1 Ot.eS
PUBLIC WORKS
BUILDING OFFICIAL
1. Subject to compllancv with art Federal. State.
County. VUtage rotes utd regulations. Village assume
no responstbility.for accuracy of /or results from
these plans.
6 Cogs ucirom, Work- - J r tv e- 2.
2. Thls copy of plans must be available on
building site or no Inspection will be conducted.
eAl vtlei
BY
r 4/k
!PLC i-1
rte r wdow
lot 0c,k 1 k1 d c) W a4e,s
INITIALS
6 1-0 al(e7 /r4 y ovex
DATE
- 4g 7
MIAMI SHORES VILLAGE
Owner's Name and Address..
Registered Architect and /or Engineer
a,,,,A/
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Sub 5liv�
Street and Number where work is to be done .4( .51 Y..4 —.... 6T
Date
BUILDING INSPECTION DEPARTMENT
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 complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at Juilding during progress of the work.
,..?‘
Street.N / -�:
Notary Public, State of Florida
9 T H
-• -
State work to be do �nd rpose of ilding (b fl rs
9 y
' d ' lI1/ A/4 1 Y ie,6 ../e C4'
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of ou ,d. ion Roof Covering
Estimated Total cost of improvements = `
42 p ' .. 1.... :7 Amount of Permit $
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 a lle plans 9Lr
and specifications for saj !#
d buil 'n All /✓P �
notice' with rre fe ce to the building and its construction may
be sent to
(-,4 .../ ✓ f !
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, Permanent Sup`�leuient,
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 fo nspection on the site of the work such ubl c, notice
or notices as are required by the Act. The undersigned agrees to employ only such i contractors, on York to erformeLi.4 <ier this
permit, as are licensed by Miami Shores Village. , f �r�y � /
Remarks (Signed)/ 70/ t /4k• �.Sl. � 1a
STATE OF FLORIDA,
COUNTY OF DADE. ss
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
therein by him stated are true.
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member 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 Planning 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 and /or workmanship.
410 :4L4E/ M M
75
9°
M E. coop sr