FENCEAPPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement u, toe 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 13uilcli„ g 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 . . J..a..ixLtA No.... .4.5.3......_...
Registered Architect and /or Engineer =,:,: __.•••��.•:=��+,n =... =•:- :_..
Name and address of licensed contractor... T^ I�. a. a. 1. 3A1S... F�Ili~.. .GQ..,.,....�x1G..........�5).Q . �L. I^ I.. _...7_�.k1...,SXS~Gl~...N1.�1, F
Location and legal description of lot to be built on:
Loc Eof 18 all 19 i333c( 50 Subdivision Miami Shores Section No.2 10/37
Street and Number where work is to be done 453 Lt E ,, 9 2 rxd - .S eg ..._.._.,... _...,__ ...._.__
State work to be done and purpose of building (by floors) Installation of approximately 200' of
chain lime rence
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ e Amount of Permit $.
Zone cubage required Plan Cubage
Distance .to next nearest building.. Size of Buildipg_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 lo 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 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. ����// ����ff,,� c s '
Remarks __._.__ (Signed )( ..fie 1 4 //: ,
STATE OF FLORIDA,
COUNTY OF DADE. ( ss
Beforre er the undersigned authority, anottaryy public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared II, ..IL... - L-.10 . 4 Q _
to me well Liam,
and who, being by me first duly sworn, upon oath deposes and says that he is the.... C ,,,Q... S■ fa..i.... .
of the above described construction, that he has carefully read the foregoing application, and that he di sign the same, and that all facts
therein by him stat d e tru
Permit No.._ O - Date t f' 1 i R orn to aid ubscribed fore m
Disapproved 1 .,,.... .4 d ate
otary Publ c State of lorida
(Signed)
Building Inspector
No8cyv Yrltc Stato of kvi ld'a sat f::;r,
PLANNING BOARD DATE efy Co:irni..xlen Ezpirsa February 21 1E
Chainnan Member
Member Member
Member .. .. Member ...._
Council Approved Date Disapproved
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained fmtn
the I'lannir,:4 Ilu.erd.
A re- in.pec•tion 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.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
My Commission Expires l
fiantbri thrm
Date
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THESE PLANS ARE APPROVED FOR
ISSUANCE OF A BUILDING PERMIT
VARIANCE(S) LISTED IN "REMARKS"
MAW SF,r +RES BUILDING AND ZONING
UNLESS SPECIFICALLY LISTED BELOW.
AND COUNTY LAWS MUST BE COMPLIED
Authorii& C'nnmture Date
■ WITH NO VARIANCES 0 WITH
NO OTHER DEVIAT;O':S FROM T::E
ORDINANCES WILL BE PE;:!.1ITTEO
ALL OTHER APP! ICABLE" STATE
WITH BY ALL PARTIES.
ARE DEPARTMENT
PUBLIC WORKS
POLICE DEPARTMENT
DIRECTOR
1 ∎ V.
i BUILDING
PLANNING & ZONING ;iOARD
VILLAGE COUNCIL
APPROVAL
PRELIMINARY: FINAL:
REMARKS:
COMPLIANCE WITH THE SOUTH FLORIDA Bi1ILDI :G :,.,;()DE AS ADOPTED
BY MIAMI SHORES VILLAGE IS REQU ',RED. TYE ARCHITECT, BUILDER &
SUB CONTRACTORS AFE "''' _ : `" '' • :" 0' " ` "s OF '='' n'.tlI D-
ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.