365 NE 93 St (5)BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
T.
e. .
Lot
sr ' 4 . '-
Signed•
PERMIT N° 9865
A i kttr S tt' /
11 Amount of G
II Permit $
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
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 whethe shown on the' Many drawings or in the statements or specifications and that be assumes respon
sibility for work done by his agents, servants Apr ttployee
t t
In consideration of the issuance to me of this permit I agree
pertaining thereto and in strict conformity with the plans, drawings,
In accepting this permit I assume responsibility for all work done
CONTRACTOR or BUILDER
MIAMI SHORES VILLAGE, FLORIDA,j_
Date_ 19__
t Work to be performed under this Permit .�
i
0 a t7 te,
Subdi-
vision
Sq Ft.
Value of
Project
e Y0
License No.
Contractor's
BY AUTHORITY
4
(INSPECTOR) BY
t. pekform the work covered hereunder in compliance with all ordinances and regulations
atements or specifications submitted to the proper authorities of Miami Shores Village.
Other, n yeelf, agent, servant or employee.
•
Street and Number where work is to be done
peared _._____ _
Disapproved
( Signed)
Cp.
Chairman _
Member
Member _
Council Approved .
Date
Building Insp or
46
ANNING BOARD.
.Date
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
State work to be done and purpose of building (by floors)__ Install 114' a_t___4 high C/L fence
eNS:Tk:
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires_
DATE
Member
Member
Member
Disapproved .__....
6 93 - W
Application is hereby made for the approyal 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.
Date Februar 14 68
,
Owner's Name and Address__. -- - _ Isabelle Medley _ No 365.... ___ Street__. ..__E_. 93rd Street
Registered Architect and /or Engineer...
Name and address of licensed contractor_. .._ . Fence. Maatera,___Inc... P.0.___ Q7f.___176,.. _ item .., Florida 33135
Location and legal description of lot to built on:
it 25 & W 22.56' ligckI.6c 20
Subdivision. Amended Plat of Miami Shores Section 1
365 N. E. 93rd Street
and for no other purpose.
New Building Remodeling._ ___ Addition fence ._ .. Repairs__ No. of Stories
•
To be constructed of Kind of foundation.__. Roof Covering._
Estimated Total cost of improvements $ 240.00 Amount of Permit $ 6.60
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 foi said building. All notices with reference to the building and its construction may
be sent to - _Fenee_Masters, Inc. _. _ P.O. $ox - 176, Miami, Florida 33135
The undersigned applicant for this building permit doc 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 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 subcontractors, on work to be performed 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 op-
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 arefully read tI)e foregoing application, and that he did sign the same, and that all facts
therein by him s are inter-' Permit No._
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.
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