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561 NE 95 St• f• /• f f �y •Z .1 •.. J,.•�.y..,t , . - � •i �y •tf.••. _,� f, .•• . � . y .,, tf ,,... . , � -.• tf y . _. •• • p '••tf . .•• �y .,, �f ,,..., ,t . y .. y S ILtiQiV�il rU34�liCV3�tl( V34111CV�4�St GVi��f 7GQTrl�i( GVZ�SIGVW�ifLVl�S1COT4�tIGVTO�tI�Q7�it i1CQTO�iIGIIW�it 11Gti�74�tI�TCnil�i�llCQi�iI�I� _SIG •.Y r-r commencing said construction. ti WHEN CLEARED AND REPAIRED BY THE VILLAGE aiami Aores9 llage T L O A ID A BUILDER'S F3OND KNOW ALL MEN BY THESE PRESENTS, that I, in consideration of the issuance to me by Miami Shores Village, Florida, of a permit (No +' ) to construct or repair a building at or upon the following described property in said Village. Lot �`� �' , Block j / N9 462 Subdivision do hereby deposit with Miami Shores Village, Florida, the sum of Fifty Dollars ($50.00), and I agree with said Village that, when such construction shall have been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me, used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the completion of such construction within the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearance and repairs out of the aforesaid Fifty Dollars, and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then , said Fifty Dollars shall be returned to me. --^• WITNESS MY HAND and Seal at Miami Shores Village, Florida, this day of .. , ; r� t � re - . ,../, > -1 (Seal) f 6. INSTRUCTIONS TO BUILDER—When above mentioned construction is completed and the premises are cleared and repaired take this bond to the Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the above agreement. • VILLAGE BUILDING INSPECTOR'S APPROVAL I hereby certify that the construction contemplated under Building Permit No has been completed and that the builder thereof has caused the surrounding premises to be cleared and repaire• 'p.as •oo• e• • ition as they we* before '..4 . Villa_ Bui .ing In sector, Miami Shores Village. Amount of Bond $ 50.00 yr....r><t APPROVED: •-:•- Cost of clearing and repairs done by Village . . $ _ Balance due Builder $ ..5i vo Sal ecto i Ins B p �• ...s... s ...s... �Vl !t r: 1! 1! J P. rt !! ri 1! r! !4 !! i! r! 1! r tt r J! 1! n r .. 11 irk°•'•ir`.°S°•'•rr`.°. °•'•fr li`.°. °• IMi °.•'•ieeii�°. °.•'• izte-iii°••'•ir•°. °••'•�r�°. °.•'•ir�°. °••'sir• .�.°••'•ir�°. °•''sir:° °,'rim°,•'•i► °.'•il�°..°.•'•!iteir�°. °.•'•ii`•°�°•'•ir a%..... INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION PERMIT NO. DATE FEE TEMPORARY SERVICE $ BEAMS & LINTELS SEPTIC TANK $ $ SEWER FRAM ING $ SOLAR HEATER $ $ GAS S $ $ $ FINAL DATE BY RE- INSPECT BY RE- INSPECT BY CLEAN -UP ROUGHING CONTRACTOR PHONE PERMIT NO. DATE FEE S NEW BLDG. I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ $ SEPTIC TANK $ $ SEWER $ $ SOLAR HEATER $ $ GAS S $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING ROUGHING GAS H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK SOLAR HEATER FIXTURES & FINAL FIXTURES CONTRACTOR PHONE PERMIT NO. DATE FEE S NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES S $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY X,/55 ke/VZ O OWNER'S J ' PRESENT 2 ' // /I•/f LICENSE NO. PHONE NO. JOB (ST. OR AVE.) LOT BLOCK SUBDIVISION GENERAL CONTRACTOR u>iYie. ADDRESS PHONE NO. AS4o41.6 LICENSE NO. v S J`} , � [ BUILDING PERMIT NO. f/ DATE 0,417 PERMIT FEE S �� BUILDER'S BOND NO. ZONE PEOUIREMENTS C U. FT. PLAN CUBE CU. FT. ' DATE AO EST. COST S /D D _� DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND ` ECKED ROOF DATE , NEW CONSTRUCTION STORIES CONSTRUCTION INTERIOR CONSTRUCTION / REPAIRS DESCRIPTION ALTERATION DESCR.PTION � - SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD c HBMITTED TO VILLAGE COUNCIL APPROVED REJECTED REFERRED TO COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE REASONS PAID BY YEAR ANNUAL TAX : PERIOD UD SED AMOUNT PAID DATE PAID RECEIPT NUMBER 1940 1941 1942 1943 1944 1945 l /nv 1946 ��09 /13 /�f1 7 /y- GI t> S io'`/y 57. 3 ti n a.� 1 9� � j /Y - ,IL U f a / �` r � ) t ' l a 1 " / C 1948 1949 1950 /0. o d /, // /7/'/t 1/41' 3/ �� ?/- 5 U • . /-/2- /,7 /' ,7// � ! / 7 5-1° /( / K 2— 2 /"f �-F 7 /1 I // ,, er LOCATION V 561 N.E. 95th St. Lots 20 -21, Block 54, lu §>et 7 GARBAGE TAX RECORD 561 N. E. 95th St. by F. G. Flulkner ,11 1. if tel_L. year annual tax /?.S1 - -4 - /41 period used amount paid date paid receipt # /a7 /: -9 ' BUILDING ELECTRICAL PLUMBING .y � — Owner of Building Architect Contractor or Builder Legal Description Address of , 3—.** 6 J J. Building i. CONTRACI'Off OR BUILDER MIAMI SHORES VILLAGE, FLORIDA DATE ,3' PERMIT N? 5206 Work to be performed under this Permit _ ��.•�t.�,.t.L.Q' ,�� li:�, Lot j Value of Project Contractor's License No. r� _444 # Amt. of Permit 194 This permit is granted to the contractor or 16uilder named above to construct the bui 1 • g� to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understan g 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 anged w'thout orization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above as th regulations pertaining to the work covered hereby whether shown on the pla sibility for work done by his agents, servants or employees. rough knowledge of the ordinances and ifications and that he assumes respon- Signed• '��t�'� iii /.!� By OR In consideration of the issuance to me of this permit I agree to perform the`work covered •reunder in compliance with gilgoadinances an d�gaaarq pertaining thereto and in strict conformity with the plans, drawings, statements or specificatio submitted to the proper authotitfes - of Miami Shores Village In accepting this permit Iissumyesponsibi t for all work done by either myself, my agent, servant or employee. AUTHORITY New Building Remodeling STATE OF FLORIDA, COUNTY OF DADE. j ss. 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. w [.� Date Owners Name and Address • _,r � "��`_ - -- . t � No. - -- - 1 Street - - -- Registered Architect and /or Engineer r...- _ I ♦ I I' ✓ 0 Q 9-. . - . ♦ ds � " , C Name and address of licensed contracto Aff Location and legal description of lot to be built Lot AP / 1 / Block - b 'visio __ _d* .5s e ' . . _ - r. � _ 2---- Street and Number where work is to be done 7 :__�.e /_______— State work to be done and purpose of building (by floors) - - ------- - - - - -- To be constructed of Kind of foundatio Estimated Total cost of improvements $i 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 and for no other purpose. Addition Repairs No. of Stories. Roof Covering-------------------------------------- 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 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 wor tq be performed under this permit, as are licensed by Miami Shores Village. ,1'9 t Remarks (Signed)_ E__ __1____•'r L1; — 1 4, 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 tree. Permit No' Date d °_ Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Notary Public, State of Florida Building Inspector My Commission Expires 19 _ _to me well known, PLANNING BOARD DATE Chairman Member MemberMember ------------------------------------------------------ Member Member Council Approved 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. STATE OF FLORIDA, COUNTY OF DADE. appeared 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 building 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 regula- tions 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. Datt_ C T — ASS -- — — — • 194 Owner's Name and Address C• G • ,�E,� GG ' / Y 2 No. _ LL ____ StreeL z z e _ D . e / V 4 4 E . Registered Architect and /or Engineer W. A • /YOG A/( Name and address of licensed contractor Location and legal description of lot to be built on: Lot O -- Z / Block Subdivision /' %_ " IL Street and Number where work is to be done 6-6 / £ _ -21TtLj ss State work to be done and purpose of building (by floors) C2/1(_& )' _--- •-- --- - - -� _ �_ — _ -- -- _ ------ --- - - - - -_ _ _ — _ -- - _and for no other purpose. New Building_____t _5___ —__ Remodeling__ - Addition_______ —_ Repairs No. of Stories___ L______ constructed To be 5_ ( founda tion _ G o /YC�E TL R f Coveri g_ Estimated Totalost of improvements Kind d of .44-. _______. — Amount of Permit $ , i " Zone cubage required_ / 7 .570 - U - _Plan Cubage _.1 / / Distance to next nearest building Z S Size of Building Lot _M___ /0 O X /13 - -- 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 C: GU .S • �.� G4 an/ Zz • G /STS .°/ 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 are required by the Act. The undersigned agrees to employ only such subcontraftors, onwprk to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Before me, the :indersi - ;ed authority, a notary p. ;lic,duly authJ% zed to administer oaths and take acknowledgments, personally to me well known. and who, being by me first duly sworn, upon oath deposes and says that be is the a 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. i, t r / Permit No Date / Disapproved Date (Signed) 5 r ._ j Notary Public, State of Florida 9' Building Inspector � y Com ission Expires Q"`'� / r ti DATE 1 Chairman Member Member Council Approved__ 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. PLANNING BOARD Member Member Member Date Disapproved yG scc 2 —Date worn to and Subscribed be •re me. Lot Bock ; Subdivision Noe Street ( J V nerts Name Lic.No. General Contractor Lic.No. Zone Req.Cu.Ft. / 7 .( Cu.Cont. Plat Restriction Checked by To Planning Board / d / 7 Vv Approved L- Rejected Re- Submitted to P.B. Approved Rejected Plans & Spec. Checked by To Council Bldg. Permit No. Type / % New Construction Plumbing Permit No. Septic Tank Sewer Misc r1 New Const. electrical Permit No. Fixtures Heater Motors Miscrl New Construction Building Inspection Date . ,By Re-insp By Re -Insp By Foundation ' 1 Beams & Lintels / / ` %Y /��,1 Final ( / Final Clean -+Up Plumbing Inspection Roughing Fixtures, Sewer Septic Tank Solar Heater Final Certificate s" l. Electrical Inspection Rcugning Fixtures Final emp_O.K. service O.K. to Power Co. f Date `��/ Stories _ Alterations Alteration Alteration D to By 4 '71 i / 2 Date n n n Re Approved Rejected Fee f e ' rF Cost / C ( 12 ins p Roof Repairs Date Fee rr 11 rr rr rr rr n Repairs Repairs Fee rr n rr Add. or Phone Cort.Occup.Issued Add. or Phone By C l 77 By Re -Insp By By Re -insp By Re -Insp By MIAMI SHORES VILLAbE\ BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and speci cations herewith submitted for the build - ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Nfiaml Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of ,lvliaml Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herellnn specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Disapproved (Signed) ..._ Building oN C. MCLeo Owner's Name and Address Registered Architect and /or Engineer C. Date t G e C1 New Building Remodeling To be constructed of C (. - S Kind of foundation Estimated Total cost of improvements $ ...::� therein y s e are No _t 5_(4 cY �� 7 ..._.__.w.... 119. c .._. _ f _ No Date......_..: Name and address of licensed contractor C (A) t\) Location and legal description of lot to be built on: // Lot 02 0 4 2 - ( Block y 4 Subdivision 4 ' / <� v e S Z- Street and Number where work is to be done *c19 /14 9 S / o /� p .b� CA o C �✓ State worto be done and purpose of building (by floors) and for no other purpose. Addition ✓ Repairs' No. of Stories C Roof Covering �/ ` '.. Y 5rWr/ -e/ Amount of Permit $,. Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot Maxirnum 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 pennit 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 ins' ion on the site of the work s h public notice or notices as are required by the Act. The undersigned agrees to employ only such ssubcontr ctors,pn -woe_ to • pe , ormed yrtdyt this permit, as are licensed by Miami Shores Village. f' C. Remarks (Sign 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 th b him to d e true Read, Sworn to and Subscribed before me. ate. nspector PLANy 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 hoard. 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. Notary Public, State of Florida y Commission Expires NC BOARD DATE to me well known, 7 / 5 TY - r,8.5 *. itES, I li 5;1 71' FL. EL. = a.14 fq /5.30' (1.) ZO• 100 —7 6 atifoLt ,c/PE 58- 73 / - • _ - - _ • — e,.. :Os 75 ivre r 12' tett 25 G -0?` Ada, kvAzdc ,-amoze isr Naar 4 ETA/ NOTE: ILL ELEVrTIONS SHOWN IN FEET REFER ;tr.) U. SC &GS PAEAN SEA LEYE1. DAIWA A/ J lljj 0,1(1. 25940 4 P/ 1 r I tu 7 - I ‘ /0 C1.1710N 4.2 /1= (,K —r - r ••••• f ' 37 According to K /0 at book Page _of the Public Records of Dade County, Flag SURVEYOR'S CERTIFICATION: We herety certify that the attached "Sketch of Sur. vey" of the above described propert is true and cor -,• to the best of knob. 1 A edge and belief cently su our direction. DONALD W. • OSH & kociATr.s, 1NC f U1 Sf-vi Of Flirtd: Reg. Surveyor NOT VALID UNLESS SALEM DONALD W. McINTOSH ASSOCIATES, INC. 581 N. E. 91ST ST. MIAMI SHORES FLA. 33138 v / v ' A711,_! M/ M//1441 Y/LLAL;E, JGDE ;.,1:Z/A/7 76-j , II IC ation hernia dra i t s — amity AIvll. Ht3 be performed ender Subdi- vision Value of Pro'ec named above to construct the b ull • rng iher o and with the understan Sten to and approved .by the vh: ar if the plans are budder ., { ed above as o Signed!' • uv perform the %yolk covered scents or specificati * . Sh er myself, my agent, sere o install the equipment or device dlscribed in that the work will be performed in compliance r t er municipal authorit es. This Permit may b • •. A further u knowledge the •,,_ 4,1114D1 ELE R L tUMBING vner of - hiding `tact ES VILLAGE, FLORIDA DATE 5206 Per Contri#eter's License No. BUILDING ELECTRICAL PLUMBING Owner of Building �► Lot In consideration of tions pertaining therms Village. In accepting Architect Contractor or Builder Legal Description Address of Building This t is irants4 application s trip'' with any plans, deavd be revoked at any bale if die upon which this permit is the ordinances and that he aouma responsibility MIAMI SHORES VILLAGE, FLORIDA DATE Contractor's License N PERMIT N9 3936 performed under this Permit X% I , Subdi- vision Value of Project Pi II Amt. of Permit 1944_ or :uilder_named above to construct the building or to install the equipment or device described in e ordinances pertaining thereto and with the understandings that the work will be perfotmed in compliance ions that may have been submitted to and approved by the proper municipal authgeltisis. This Pernik may den in compliance with such ordinances or if the plans are changed without anthoehation. A further condition understanding that the contactor or builder named above assumes the responsibility for athorough knowlsdgee of t#r the work covered herebj whether shown on the plans or drawings or in the statements Or apeciicaticns and by his agents, servants r employees. Signed y: f B I$SPBCC e of this permit I agree to perform the work covered h in compliance with all min a ncet Itsad sty with the plans, drawings, statements or specifications submitted to the proper aathoulmiaof Itaalld e responsibility for all work done by either myself, my agent, servant or employee. BY 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. MIAMI SHORES VILLAGE g Inspector Date Owner's Name and Address._._ . - -Z 'i i � (!.( _ ' . No.__A Registered Architect and /or Engineer....._ .. . Name and address of licensed contractor ':./ i49 . Location and legal description of lot to be, ylt on: 'fi , , S Lot / Block Q C � Subdivision i "" "`— "v' ' ' c- t.._ '� Street and Number where work is to be done 1 'f 6 ,.. (7 / 'S ST• . State work to be done and purpose of building (by floors) ( ),„„i-(' =, ,r 7 . 11 - 01.0.42.4_.._. _...ta- .�°.ss.td_ i.; �a . t.' .a�.J_.e Qair s cd ��s j 7s-C/ (1 and for no other purpose. New Building Remodeling. Addition Repairs V No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ a Amount of Permit $ Zone cubage required Flan 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, Pennanent 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, fi. work to, be performed under this permit, as are licensed by Miami Shores Village. ' Remarks (Signed) ' ` '� 1 q .R 7"-7147 _ ( .r WC" Street 19 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 (Signed) Notary Public, State of Florida 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. W J 37 PAVED qt-LEY sET UG TYPrc tL. TR Elk r.I 61? ADC. • 2.4" o Request Tel. Co. Set Poles Yes❑ NotZt Tel. Attachment Per Request Tel. Co. Transfer Yes° No, _ POLE LINE FEET POLE LINE FT. ON TRANSM. POLES 1- W BURIED 800V h. SUBMARINE OTHER 600V KV 15KV 15KV 15KV TRENCH FT. DUCT BANK FT. Map Posting Req'd. Yes ❑ Nog Posted by KV KV KV 15 1. FPL To •TREN01, 8&}CKFjI ANA RCP /iR f5' ALLEY 2 . Cusro,Wn To Tie r-r & KKi LL go , oN Pi oPPP.ty 3. FPS. To llama_ 7 R►Stee L AJ .soorrf sibE Pat- ' ^+. A A w 4 PE 60o TPX To Be USE Easement Req'd. Yes 154 No ❑ Survey /Stokes Req'd. Yes ❑ Novi Tree Work Req'd. Yes El No ❑ Permission Req'd. Yes Ri No Q rc :I City s}+�:�f 4 County Rd. County Air State Rd. FAA FDC RR Xing Dr. Dist. - Tronsm. NEUTRAL CABLE FEET Scale: 045 n' f 1- 1- Engineer F 4 a DRAWN BY Rural Location Sec: A/T $ 1 L aH 1 5' 2. 44 g A /0 27 7.6 Kv "I 2T_N f� CALL 5'43 r AIR LOc47'a'I OA (.46 cop&/a 1 a tnrs 6gDre Co4stcvc.7 POST E N WORK PROMPTLY AND RETURN AUT . OfUZED BY FLOkIDA POWER & LIGHT COMPANY RWO //184 9-No. h" 1 . /' ER No. a' DATE FORM :5001 REV. 4/72 PE — G aNVERT eX►'sT oN ro Q ' sUc. S I N E 9. 6 INDICATE NORTH 5 Date 5'- 7 - t�- /0 Dwg. No. CHt.CKEO BY TWP. • s 3 S, R. 4 2- St. Lt. Map No. IPri. Map No. C- O7 o 85o LOC'N CODE FORM 14.1 REV. 10 /G5 TERMITE{' a FUMIGATION PROFESSIONAL QUALITY FUMIGATION AND TERMITE WORK 7471 N.W. 8 STREET, MIAMI, FL. 33126 / P.O. BOX 441687, MIAMI, FL. 331441587 / TEL. 282 - 3301 FUMIGATION NOTIFICATION TERMITE & FUMIGATION, Div., INC. 7471 N.W. 8 STREET MIAMI, FL 33126 262- 3301 -- -DADE (FUMIGATOR- WHOLESALER) F100/1 p.(, ig81 • ALE /5.3 N: than n teatk a3160 (CONTRACTOR - RETAILER) 5b/ Ng cl 5 v -- Litahr- OWNER'S NAME & ADDRESS: LICOOOCI LOCATION OF STRUCTURE: TYPE OF STRUCTURE:CBS)( FRAME OTHER RESIDENCE )6 APTS OTHER APPROXIMATE CUBIC FEET: L57 aon NAME & APPROXIMATE QUANTITY OF FUMIGANT:VIKAN4WWTHER lbs DATE & APPROXIMATE TIME OF RELEASE OF FUMIGANT: 44 7 f')( APPROXIMATE LENGTH OF FUMIGATION PERIOD:, , CERTIFIED OPERATOR IN CHARGE: BOB LOZAN:O TELEPHONES: 262 -3301 (day) DADE COUNTY 264 -5754 (night) DADE COUNTY Fumigation shall be performed at all times in strict adherence to the Fumigant's registered label and Florida State Division of Health Regulations, Chapter 1701 -2 of the Florida Administrative Code. TERMITE & FUMIGATION, DIV., INC.' shall hold itself primarily liable to the Florida State Department of Health and Rehabilitative Services for the full performance of all fumigation work performed on the above described premises, and shall hold itself primarily liable for the full performance of all of the terms and conditions of the retail Florida Statutes and Chapter 1OD -55, Florida Admini- strative Code. SEAL FUMIGATION: cc: County Health Department: Fire Department: TENT FUMIGATION: ) V150