1986 CHAIN LINK FENCEOwner's Name and Address . RY U LLTO ..__ _ No.....,[ : _. Street E 1sT.._
Registered Architect and /or Engineer
N
Name and address of licensed contractor....( IN..4.4_...1 e.N..,C .• i
Location and legal description of lot to be built on:
Lot 7 Block Subdivision 14 4th ,' K...i WS /Ns S..A9 /I/^ PR S/ P4-5
Street and Number where work is to be
State work to be done and purpose of building (by floors) ...._....._
.4?
and for no other purpose.
New Building Remodeling Add tion Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering _
Estimate Total cost of improvements $ .. -.�` 7J Q ° Amount of Permit 3.. ..d®
Application is hereby made for the approval of the detailed statcu,ent ut ore 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 tltc Laws of the Stale 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.
Remarks
STATE OF FLORIDA,
COUNTY OF DADE. ss
Disapproved
(Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date
(Signed)
NOTE: A charge of $1.00 will be made for making corrections or chn
the Plannir.;; Hoard.
A re fee of 31.00 will be charged when such re- inspection i
materials and /or workmanship.
PLANNING BOARD DATE
Chair:nun Member
Member Member
Member .. ... ___._._......_..._._ ...._....... Member
Council Approved Date Disapproved
tt!t. ... TIT ltttt9tt!tttt•!• ! !tt
Zone cubage required ......... 0 .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 for said building. All notices with reference to the building and its construction may
be sent to.
The umlcrsigr,cd applicant for this building perinit does hereby certify that he understands and accepts his obligations as an employer
of Libor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied .cith 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 r:mploy only such bcontractors on , i ork to be performed under this
pennit, as are licensed by Miami Shores Village.
•
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 :lays 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 aret
)(05°,5)-k-- . t� /0.14 a a
Permit No.._..0_" Date dJ Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector My Commission Expires
Date
nges to this application after approval has hem obtained from
s made necessary by improper notice for inspection or faulty
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SKETCH OF SURVEY
SCALE: I" = 20'
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Pipe
[T ESE LAN Al:�: APPROVED FOR ISSUANCE OF A BUILDING PER'• lT
C] WITH NO C] WITH VARIANCE(S) LISTED IN "REMARKS"
NO (li!;` ,' 1)lV1 A ''F S F;;') . 1 HE MIAMI SHORES BUILDING AND ZONING
URDI ?!A,..;:; :S WILL ";E UNLESS SPECIFICALLY LISTED 3ELC. "!.
AL! OI!" ; AI'Pl_'f'1B! E SLAT: AND COUNTY LAWS MUST BE COMPLIED
WITH BY ALL PA:;.1 S.
FIRE DEPARTM'L 1'
PUBLIC WORKS
POLICE DEPART;•;'
UUILUINC DIRECTOR
PLANNING & ZU; :I;!G CO..:
VILLAGE COUNCIL
PRELIMINARY:
REMARKS:
Aut"ori7ed Stniture
APPROVAL
COMPLIANCE WTiI THE SOUTH FLORIDA BUILDING CODE AS ADOPTED
BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER &
SUB COt TRACTU;;3 .• ". K '0 `.CE OF AL!. Rlltf_D-
ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HEREIN.
FINAL:
D.te