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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