151 NE 93 St (10)BUILDING
ELECTRICAL
PLUMBING
ROOFING
f c: r i 4
MIAMI SHORES VILLAGE, FLORIDA
❑ DATE J 19.
o PERMIT N9 7399 Contractor's
License No.
❑ Work to be performed under this Permit_
Owner of / .,
Building =_ , z , 4_.
Architect
Contractor
or Builder ;
Legal Lot
Description _ II Bl.
Address of r t
Building + ` t 1 (
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described I . t1•m nnnlica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. %
• 1 ,/
Signed. t '• INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
CONTRACTOR OR BUILDER
1
Subdi-
vision
of , I I Amount of
Project $ 1 Permit $
BY AUTHORITY
All SOT 44
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 building during progress of the work.
Owner's Name and Address____ • G I G L. R.E
Registered Architect and /or Engineer
Name and address of licensed contractor N � __ ' �� _ 4___ gw
Location and legal description of lot to be built on:
Lot 23 E 1 Block a•�
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Street and Number where work is to be done st . ..,L 5 . 3 " S ?•
State work to be done and purpose of building (by floors)
ChS4 v9 tit /etc ft htle 4`1
and for no other purpose.
Remodeling Addition Repairs No. of Stories
Kind of foundation Roof Covering
Amount of Permit $_ C,145 Itne6
New Building
'LA) be constructed of
Estimated Total cost of improvements $ L co 5
Zone cubage required_ __Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
II hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to_ _ s � "4'•+hb ( IVC.C'03 �lyC�. 71 - -- .6+J. 2 L " AN' . M 1 F� H'1 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 5986, 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 ublic notice
or notices as are required by the Act. The undersigned agrees to employ only such s actors, on work forme under this
permit, as are licensed by Miami Shores Village.
Remarks---_ (Signed)
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-
peased
- - - - -- 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 tree. (� /
7 ZZ / �` Date Y ` ( I
Permit No
Disapproved ' bate
(Signed) L)
Building Inspector
Chairman
Member
Member
Date AP(1L. I
No Street
Subdivision M_ L14 +!'1t
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
, 19__ti0
415 __4V • L J . 0.-G" /acs
My Commission Expires
PLANNIpl BOARD DATE
Member
Member
Member
Disapproved
Council Approved .__ . Date 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 ;.,,lice for inspection or faulty
materials and /or workmanship.
-0 1 s =
f� LLCYwi
l
alone
)5I
Id
MIAMI SHORES VILLAGE
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 building during progress of the work.
Owner's Name and Address Ad 14 IL r ' • C 4( . 7 _ No 1(1
Registered Architect and /or Engineer
Name and address of licensed contractor_rc 2' ror t 1 n c A
Location and legal description of lot to be built on: 0 N. LA- ' r
Lot_ Block Subdivision
Street and Number where work is to be done / fl / I • - 7
State work to be done and urpose of building (by floors)__
A
__________!_ and for no other purpose.
New Building Remodeling Addition _ Repairs No. of Stories
To be constructed of Kind of foundation Roof CCovering
Estimated Total cost of improvements $ 3 Amount of Permit $ s�
Zone cubage required_ —_filar 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 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar co:npliance 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 subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks-___ ( Signed) 4 4.-+ 4 Ca-
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
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
3-7- Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Date 3 ` 4
Notary Public, State of Florida
ANNING BOARD DATE
19
Street Al ' C • 93 $f
to me well known,
4
Building Inspe. I
a or My Commission Expires
P
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 n Aire for inspection or faulty
materials and /or workmanship.
r
A P P L I C A T I O N
FOR PERMIT TO FUMIGATE WITH CYANIDE METHYL BROMIDE ACRITET
VIKANE
APPLICATION NO. DATE 3 - -
1. Location of building to be fumigated 1.A N. E. 93 Street, Maui Shores
2. Name and address of owner of premises 'lary D. Cowart - 151 N. 11. 93 Streot
3. Type, size and construction of building
4. Is entire building to be fumigated?
If not, state what portion
1 Story CDS - R=esidence & Garage
Yes
6. Approximate number of cubic feet of space in building or in portion to be
fumigated A4,496 Cu. pt.
7. Kind and quantity of migant to b - used and manner of application and length of
fumigation period s- 24 hour — /Q2
8. Distance of nearest building and direction from building to be fumigated
r 1 Rant rest
9. In what manner will vents to exterior of building be sealed?
nylon tent
10. Date when fumigation will be begun j -7 -66 TIME 11,
0
11. It is hereby agreed to station a guard on the premises to be fumigated during the
fumigation period and to post suitable placa=rds at each entrance into the building
bearing the following words in letters at least two inches by one inch in size:
"DANGER - THIS BUILDING UNDER FUMIGATION WITH A DEADLY GAS ".
12. It is hereby agreed to make such provisions that all openings into the building may
be opened from the outside after the period of fumigation is over and to take such
other precautions as may be necessary to insure that all of the fumigant is removed
from the building before anyone is permitted to enter.
13. It is hereby agreed to notify the County Health Department when the building has
been pre ared for fumigation.
t er: ini Service, Inc.
FIRM NAME G /h /a DrUCC- Terfinix. Col: /
c ' -2.67 ,
. ; c� 4_
ADDRESS 2163 N. 17 r,venvr? ;'IS ���
Signature of Certified Pest Control
Operator in charge of this fumigation job.