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443 NE 94 St (8)Inspection Number: INSP -9843 Inspection Date: 02/15/2006 Inspector: Grande, Claudio Owner: ARTHUR, BARBARA Job Address: 443 94 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Comments Wednesday, February 15, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: RC -2 -06 -356 Permit Type: Residential Construction Inspection Type: Re Occupancy Work Classification: Re- Occupancy Phone Number Parcel Number 1132060140510 Lot: Page 2 of 2 Inspector Comments 1 It) Passed C i f Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -9843 Inspection Date: 02/15/2006 Inspector: Grande, Claudio Owner: ARTHUR, BARBARA Job Address: 443 94 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Comments Wednesday, February 15, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Number: RC -2 -06 -356 Permit Type: Residential Construction Inspection Type: Re Occupancy Work Classification: Re- Occupancy Phone Number Parcel Number 1132060140510 Lot: Page 2 of 2 (Rev. 10/02/03) . Miami Shores Village RE- OCCUPANCY AP-P- IC- ATI-ON Date Contact Name Buyer Property Address City Miami Shores OWNER'S 2 A Applicant Name Building Department I'_ecmiLN I 10re- py S. Phone # ( C Seller Realtor Company Ram 9 - -� State & Fl Loc ID 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 C- /O6_ I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on the property. g information is accurate. Zip 3313.S/ The foregoing instrument was acknowledged before me this (U day of , 20 66 , by produced Sign: Print: " (0 t-t My Commission Expires: Apth, , w ho is personn ally known to me or who has k X54 - 1 f3'3 - 3 7 " as identification and who did take an oath. NOTARY PUBLIC: Building Officials Approval: Re -Occ. $60.00 Notary $5.00 CCF Total 6 5. 'O C /S 10 PAID $0.60 433 ne 94th street call Jerry Cornell at 786 - 525 -3325 Passed Inspector Comments ( ?/60 trk-e_ Xfrzz( (X. C‘,//0 A elcoaLL 4d.o0C20 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Number: INSP -9530 ‘00 Inspection Date: 02/14/2006 Inspector: Grande, Claudio Owner: ARTHUR, BARBARA Job Address: 443 94 Street NE Project: <NONE> Contractor: Building Department Comments Monday, February 13, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Pent* `Number RC -2 -06 -356 Permit Type: Residential Construction Inspection Type: Re Occupancy Work Classification: Re- Occupancy Phone Number Parcel Number 1132060140510 Lot: Page 2 of 2 N? 915 Miami Shores Village, Fla., This Certificate of Occupancy is issued to the above named for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Owner, Agent or Tenant of Building Lot Block Subdivision Street Address Approved use by occupancy Remarks • BUILDING DIVISION { 0 / APPLBCA1"O0 N FOR BUDLO8NO PE MOT Application Ip� h ereb y 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, F orida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the l3uilng 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. Zone cubage required. Remarks Permit No Disapproved (Signed) Chairman Member Member 0 Date. Building Inspector 9AM 8 S O. ES VILLAGE BUILDING INSPECTION DEPARTMENT Owner's Name and Address V° L.P.' Registered Architect and /or Engineer.& Qi7Z . Co - Name and address of licensed contractor 4. � hC 0 (.? (- _CQ R..P. _3149 CV i.(.1 ,... iSLv - Locatip j and legal description of lot to be built on: art Lot__ _ ( -.1. _ Block 2-- Subdivision. //,��LL // _ Street and Number where work Is to be done - ...7-T —__/ Y State work to be done and purpose of building (by floors) __ -- _ &-,V1 Date.—.. ` 7 . ! �..... No 4 43_...__ street.� . 1. -.y4 7; S� New Building.. Remodeling. Addition To be constructed of. Kind of foundation. %��%� (Y�. 4 p Estimated Total cost of improvements $ ,� Amount of Permit $ .Plan Cubage- Repairs Distance to next nearest building Size of Building Lot X00 / .28 Maximum live load to be borne by each floor - - (Signed) and who, being by me first duly sworn, upon oath deposes and says that he is the. of the above described construct", that he has carefully read the foregoing applicati therein by him sated are tzue. , / n, and that he did si PLANNING BO . D DATE Member ... - -._ Member Member ...._ and for no other purpose. 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 empl . ed by him in the work to be performed under this permit; and will post or cause to be posted for i ;. pection on the site of the ork such t ibli • notice or notices as are required by the Act. The undersigned agrees to employ only such su., .ntract•r on work to b fperfo u . ! er this permit, as are licensed by Miami Shores Village. STATE OF FLORIDA, Q COUNTY OF DADE. ss • Before me, the undersigned uthority, a notary public, dul authorize a administer oaths and take acknowledgments, personally ap- ed tiu LIZ L&.4.4 .to me well known, the :: e, and that all fact's t d Subscrib re ° a Notary Public,-State of Florida My 0 ommission Expires...._ ........... - ° 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 $1.00 will be charged when such re- inspection Is made necessary by improper notice for inspection or faulty materials and /or workmanship. A1 - /. 8 4 ,, �_ g' .c.�... '•.te s.' r - - PeAl- • T • _ � • • l !s'f aG. ON y� N 84° —04 z ea, It tt P CT 7 I I3� - - - �;v7 CABLE SCHEDULE SPANSI NO REG, USES COWECTICV.I b'-O 1 I ®BFi..l 20'00 BIAM G'4• 2 2 TO cE SBa Ca. Sd.O• I , 1"1"171 3 2 TO CN4E CAA_ 4d-d 4 3 Tp c4A1e PAIL ROOF ROOF PROJECTION COLUMN SPACING TYPE PURLINS uo CJ4IT (A) Y.3 P-o CALR. 7 2) ar., 6' - S• 0'1 In -o' BIAM G'4• 7'-4 I I , 1"1"171 71 rca 9' "T'' 9 r 6' Jo• (J (. 7 5 6'-o• 0'4' "/id - :1 o' 3.H' Edo' 4 v'E. IU -2' 4'' oo• 4 6't0' —' ---- :SG FLT. AMi ea. .' IMO DOT. M OAf. Y COMAS 26201 0 L. EA. OWE COLUMN SCREW STRAP TO BOTTOM FLANGE ENO OF LAST PURLIN TOP. 2- LABG .101WGN •°020 EN 1. a MAL TIP. COLT 02 0 10 TER WE THRU I BON BN . D/NV EA. PUBLB OA SEE HET. B 'LMD SWAM R DETAIL M TYPE Z ROOF - _ ALL PURLINS .SAME.. IC` SEGTIOI-1 S -S ■.TERNATF PURI INS Cv 12• SECTION S -S FOR COL SPAC• SEE TABLE OCT. M �.2 B _ J 2 •S Co.rr.1 i 1 -a ELEVATION r F 3 TYPE U 7)i�y/+q!��'y� RLINS 6 (i TYPE YP I Ep1 PU RLIN ROOFS "O THRU BOLTS 0111 •' 272E 1/B L EA SIDE W / 3 W' TNRU (BOLTS EA. AGGE. ? UA PAN 12 IIIIF3 t .O9OXI4STRAP® ( SPAN FOR i © PURLINS Sae 40 wood 04.. RNR " ALI K72. I.ITO T"+ ® BOLT. 12 TEA 5US W/NUT 4 12 z O W.•D DETAIL GV) ©CARRY I3EAM .421 �' NIL000ES X2 B . SLEEVE CABLE ALL SIDES EA.CIANER : ,455 CABLE 2 - LAG OR EYE 35;1200" BOLT ye HIS' 2.' LAG ,. IN ESPANSION OR JORDAN THIMBLE ANCHOR • CABLE DETAIL C�4NT PROJECTION 4" CONCRGTE SLAB. RRWP. 0 /6AG.l0 /IO v/WI.1 SI VIEW O 605 RE. PJBLIN TOP d 0011"otA ROOF PRCUGCTION SECTION A -A A tl SIDE VIEW FREE STANDING SCREEN ROOM LALTTILEVTAR 1.75 PURLIN_ ,*2..10 505 • .. W6ADfiD ET6QfOL S JJ CC�� �` I , A ya L TNQU SoLYS 1 -2 - SOS /410 GA. PUGLI'J PFRSPFC HEADER .115 O BEAM SECTION e.-S TBcaa PLARE LER TEE PROEM OF ffii Imam A® 30th. ow OE RIFILOWLED IEOLLI 02 II PART VIE90D7 T$ 111111101 PEOIISSI® 07 THIS O6IO=. THIS STRUCTURE (1A$ BWR DE.1GIID I9 ' ACCORDANCE WITO IRE SOUTH FLORIDA BUILDING CODE JAB THE KETROPOLITAR DADE COUNTT BUILDING t TOEING DEPART RENT DATED JUNE 1977 DESIGN CRITERIA DESIGN LIVE LOAD TEST LOAD BIRD ON SCRffi! N07ES: ALL SCREWS t L4 TO BE AWIWIEI ALLOT 2024 -T filbr IRAHeI 710" SEINELASE ALUMIE oc BIALY. 1 ROW TO BE ALLOT 7007 -876 TO I 23R1.O 16 • 7, .CONCRETE TO LOP 2$00 PSI STROVE AT 2t x. L. REINFORCING WEE TO BE DEFOBICED WEE WITH A TTEB2iSS IL6 MESS OP - 20 L11. ALL BEARS, ID G6 cavil' BEAU CART BEAR MIR S6 cavil' BEAN EAR EI EITNUSIONS TO BE ALL AID OTHER =TEUSIOAB EDT INDICATED SHALL BE 606I-TS 7. THIS STRUCTURE RE WA BE 7i$ Oi MORE OPEII. S. THIS CORSOL?IE0 EIEIIIERB IB HOT ._ RESFONSEALE FOR ART APBLICATIOB OF TRL3 PLAT CAWS IT IS IIDITIG OALLT SIGHED AND SEALBD IT HII. N. IS SEAL O TICE RISIBINWEIBLETT OT TEE FIRM BOLD= TO TE2E7T UMW( 0 231370!6 BRIIDW6 TO =TAW NEW SOPEBWPOEap LOADS. o w : .a 40P�t44lLi I A APPROVAL EXPIRES JULY 10 DADE COUNTY ACCEPTANCE NO P 72 - 151.6 B -7 SCREEN ROOM • NAT IONAL SCREEN CORPORATION WOW raw WCR, FLA. I) y If • 30 %P 60 %P 13 PS? WEW 5-lo SWIM 1277 DEN1S BETZHOID a ASSOC$ COMBATING ENGINWO 118 1114 34L bawd i — _ - ► - uinrl R_00F _ v C 1S_Kf L icy )cI i 1 C . • � ! -�' 4 �_ `- .�. T � \ _. 1 J ..4. -r'_ 1 • -1-"-T. .. , 1 V ti t ' t r I -- .7 t. t - T'f_ i i • ✓ • r 1 I i I ! - --�- - -may, �yy.. t •- 4; ' 1 -L-- -- _ -- -- '� -- - • �. ,_ ____ - _ - -. [. ._ / _ . .- ._w_� -y- � ' , - I V f I 1 t t ' I ' Vii. .qi •_' ` �,. _ r r �.:_.L1_1 - i t t 1 , .- i t- ;�-= -t ' j ! , f .��- `1 -' � - ' � } f� \ ` - ! _ -- i - ��' .. 1 • I ' I , 1 j . ' , t } I ♦ t ? L ! -4L i _ li� q I �. ,� 1 • - 1 ' t 1 • 1 1 1 • I '. . -_,�' .� r_ �' 1 r. I i -r-r ; I f r , - - °11∎1 r ° ni gnii� momm ' , , �.-- -� t • • - - - �� • -- - - _ •,. , ■ --- -•p- , I -_. _;_-__ . 5 p __ r ii I r--' -- ! I rr� t +.. --a LI D TI EiNU1P _ -_ : . -i - - r� � ; 1-= -` �_ a .. !I $i I II jI I I i1i i IR IPI r: i r 1 A o i j rr'r r rPi r���!� . - �- � ' __ _ - ._.,_ ' ' ,•. • I T r 'MOOR t - - - 'i' _ -� I - - ii I 1 IiI NIi fl h iIO i Jt , i f - _ -- r---1, F . -s_ a , F - i ' - - •. - - 1 I - f .� 1 . I 1 diIIiitIR*L _ I I } 4 - ' ( ^ - - _ - �.. . - -+ _T -• - ' ' T - h - - ' {-! ; - , 2 1 - L f'___ ' ' !T f - . -- -. -T r i - - + i i _ ` f'-- , . - _ �- I • • 1 1 ?- _._ _ _ _ _ _- -. _.r__ _ ... , - i - ___._.. _ _ -- 1 - - - }- ti .r_ , - -I _ __ - - 1 - . , ■ + - j - , --- -- I i T • •=-+-7 • ir•rr I 1 I - r �_ ; 1 i T 1 i I r - -. - -- - ; �i [ - t - _i_ - r--`-- -r- _ ;--r; - - - ' r AriN ► . it t - _7 --_ _ -� ___I `? �` - _ Y - _ -_ or , , __H___ ! +. - --+- _t F • ∎• - � - , _,--- - �- 1 W, - • - - -� T - ____•._r t CABLE SCHEDULE SEMI) 40 NO BEQ CLONES COAAIECTIOAI i0 CAAR. 1 1 0 BEAM 20'-0 2 2 TO (fT co-. 3d -0' 3 2 TO GNAIC CAIL • 4d-d 4'6' 4 3T0 C*AH1: 12A1L ROOF ROOF PROJECTION CO LUMN SPACING TYPE 1 Do CAIJT (t) i0 CAAR. N/ BWI () BEAM re..X rui 1 754• 6' - 5' G -O' 4'6' 7-G .. 9'- 7' 4:- O' _ ■ - 5 0.0' 4.'‘.., -40. ; 171 1 i - .. I , 0 5 6' o' 6.0' 6i_6' Iu -2' 4 6'-o do &'.o 910 yA1. HT FO'- ? ----?-4 '^ '4 ww -A WU ALT. Si GEO_ . v ca. ORE. gar.., f TB SCREW STRAP 10 BOTTOM FLANGE END OF LAST PURLIM TYR 21211E L G. roof 2 - LCS JORDAN x '1020 IA L. GE MEAL 2• COLUMN VOLT CR •M) TEN SNE THRU 0 BOX BM. D/tri1T EA. PROLES CR SEE CR. M ND ®DEAN L L RY 1 / B L S I D E V4' THRU BO LTS . DETAIL M z- / 4 LAG ea IA. ANGLE O PAN l4' TYPE j ROOF �� ALL PURLINS SAME.0 12" SECTION S -S ALTERNATF PURI INS P19' SECTION S -S ELEVATION IHI13 .O90XS4STRAP ®( SPAN FOR t ® PURLIM6 Sda'® IWH' J 12' IAITo woo° at yg o0 • eoEM.00 J Ayc1.o7. I co-+Fnera ® If.“ 411111111 ' BOLT e 120R TEN . SAS Wf1UT 1 12 — 1 02X.040 4.1L TS FO• TYPE D (fIW PURLINS 6 r© TYPE I ((((p���1111 PURLIN ROOFS f A 3-(I! TARN BOLTS 001 I - 3 Etwx. DETAIL ©CARRY BEAM C NT 2 '9 Go.1r. -4 10 SMS MA PURUM To.' d OWTYOA SECTION A - COALS ALL SIDES EA. CLARER ���' NICOPPESS 2 X21 /4'9. \sLEE" 2 - LAG OR EYE BOLT;'' rd 0 "' LAG ,_ IN EXPANSION OR JORD ANCHOR CABLE DETAIL PROJECTION SIDE VIEW :55 (ABLE 135 =1200' THIMBLE ROOD PRO40CTI04 4 COI..CRETE SLAB' 00."10 wife", 10/10 ww* G4ITILBTRR D '10 Sus 2 4 • • S,DE VIEW FREE STANDING SCREEN ROOM ;x '.O Sus WELDED B Z -,/,a % O NE eaT A Iy8 XU 3 1 X410 MA.. R12LIAJ PFRSPFCTIVF 6 OK HEADER BEAM SECTION B TIQRL PL18 Am 19[ mama LW ISIS ENGINEER AIRS SNAIL NOT R NERIODUCED SNUGLY OR IN PART WITEYT TO MITI® PELdISSION 07 THIS MUM. THIS 5TNUCrUE6 I!A6 Jur 013IGRD II ACCORDANCE WITI THE SOON FLORIDA BDILOINC CODE }R TEE 1RTHOPOLITAN DADE COUNTY BUILDING 6 ZONING DEPART.,.... KENT DATED JUNE 1971 DESIGN CRITERIA DESIGN CITE LOAD TEST LOAD WIND ON SCREEN 30 PS 60 PS? 17 P51 ALL SCREWS 1 TO HI AIJJIENIII lLLOI Z02A -rl IIIC11@ BTL �.I OW TO R ALLOT • 3003-X16 A }D/9 -X16 3. . CONCRETE TOO LOP 2500 PSI STREET. AT 2A 0D4E73. A. REINFORCING SI¢L TO R IEEORIOA RARE WITH A TTEE/H3S ILE STRESS CO 20 X51. 5. ALL REARS. NAINS CAR RE AIS T AR LE 6901 CARRY BEAN BI11)09ION9 70 R 6963-T6 6. AU. COLUMNS AT D 80 3 -IOf3 EDT INDICATED / SHALL 676 C y MIS NE OPE TURK /MALL - 796 01 D3 NONE OPEN. E. COBB ATI NOT UESF IS LPL E FOR MUSS ITIIIIC CA ATION Dr ER IS LYLS PLAT AND S R 51 APIL IT IS R I TALLY SIGD Ilm SElL6D NT HIP. N)A. 9. IT =ALL IE 7O 17131019331=1TE OF TO PRET KIDDIE TO MAINE AMU= OR ESIETIG MILD= TO =TA= EYE SVP01313LPOIED LOAM. APPROVAL EXPIRES JULY 10,1975 DADE COUNTY ACCEPTANCE NO. *72- 191.6 15-7 oe SCREEN ROOM DENIS BETZHOL.D a AS CONw6TI NG ENGINEpG MEN i Owner's Name and Address . ... Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built n: Street and Number where work is to be done.` MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statcm ut sae plans and specifications herewith submitted for the build • iric.or other structure hircin described This application is made in compliance and, conformity.. with_ the .Buildingg.Ordinance, of Miami $Mires �'illagc; l Maid :c, and ill provisions'of the Laws, of the State of "Florida all ordinances :of .Miami Shores/Village and All: rules and regulations of the iuilding Division•of Miami Shore's Village shall be complied_ with, whether•heiein specified or not. A cup'y of 'approved plans and specifications must be kept at building during progress of the work. O D ' GC) �2 - 3 /Z Q p �_ � 2 Lot.... 1r-4-11 Block , Su ivision /,1. / °1.._ ..._.. _ a._ ' State work o be done and purpose of buildi g (by floors) 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 $ 6 0 0 Amount of Permit S. .<. 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 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 t . tion on the site of the work such public notice or notices as arc required by the Act. The undersigned agrees to employ only . subeontr cto ! . work to be performed under this permit, as are licensed by Miami Shores Village. Remarks.... (Signe STATE OF FLORIDA, COUNTY OF DADE. ' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to use 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 state e tru Permit No v Dite. Read, Sworn to and Subscribed before me. Disapproved ........ _....�.4 (Date (Signed) Building Inspector Notary Public, State of Florida My Commission Expires _.... ..._. _.___ PLANNING BOARD DATE Cicair:nan 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 notice for inspection or faulty materials and /or workmanship. BROWARD 792 -2009 DAOE' 945 -2052 ►PALM BEACH 734 -4889 JOB i1 DATE OF FUMIGATION )/j / 9 �" �/ 2 APPROX. TIME LOCATION OF STRUCTURE -- J,,�� _-;- OWNER'S NAME & ADDRESS TYPE OF STRUCTURE: C.B.S. -FRAME NAME OF FUMIGANT VIKANE GAS APPROX. NO. CUBIC FT. FUMIGATION NOTIFICATION LENGTH OF FUMIGATION PERIOD 24 HOURS DISTANCE TO NEAREST BUILDING CERTIFIED (OR SPECIAL I.D.) FUMIGATOR IN CHARGE: NAME BRUCE EDWARDS COUNTY HEALTH DEPT. FIRM NAME: SOUTHERN FUMIGATORS, INC. 3950 S.W. 6 ST. FORT LAUDERDALE, FL 33312 TELEPHONE RES. `- BUS. DAY NIGHT APTS. 58 FUMIGATION SHALL BE PERFORMED IN STRICT ADHERENCE TO THE FUMIGANT'S REGISTERED LABEL AND FLORIDA STATE BOARD OF HEALTH RULES 1701 -2: NOTIFICATION TO BE RECEIVED NOT LATER THAN THE DAY PRIOR TO THE RELEASE OF THE FUMIGANT BY: FIRE DEPT. OTHER Date V9V Job Address % Y J » e 9 7 , Legal Description Owner's Address PERMIT APPLICATION FOR .MIAMI SHORES VILLAGE Lessee / Tenant l Oh AI J- / i►S i'- A2-4 e-,u Contracting Co. A1liVeS Roo 'L// Qualifier Jac/P/i-D /dzdy -e.e46s . Phone . S State # � Municipal # Competency #/5/7 Ins.Co. lva/- dos/A✓eS;Sfl.ays Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one WORK DESCRIPTION Square Pt. 22 0 Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH OUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be do in compliance with all applicable laws regulating constrgcticland zoning. Furthermore, I auth. - ze , e above med c ntractor to do the work stated. 4L ii Signatu Date: C7a -fern _. _ t. 8 1 itfanan :� My Commission Expires 8116/97 � Gassier, #CC 309066 tary as to Owner and /or Condo President My Commission Expires: APPROVED: Zoning Mechanical Plumbin SS# ** * * * * * * * * * FEES: PERMIT RADON C.C.F. Fire Signatu Date: Tax Folio Notary as My Commi s s Master Permit # 34 Phone C:5f'Q 9 9 Address 3153, 1 / /iay Grean 0✓i' ✓C, :(BUILDING) ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN ctor or Owner- Builder cO I Omibtsffilli der a n gp §4RBARA ANN FUGAZZI COMMISSION NUMBER a CC360191 "'T ' ' P DAY COMMISSION EXP. OF ` 1�NA 9,1 ** TOTAL DUE Other Electrical Engineering_ Date P (2-247 5/ Job Address 1V4/.:3 % V - % Tax Folio Legal Description h &75 J,��',> - $ Z Owner / Lessee / Tenant i D /I, 4) / R7 Owner's Address 6/V3 AkE Contracting Co. ,Ect-in 6 P C ' .Z 4' . Qualifier RO 3/ Q7 / Phone 9,/ 9'5,./8 State # Muni 0J46994/ Competency # sE`' Ins.Co. L42/7 /A/ - 2 7 - S Architect /Engineer Bonding Company Mortgagor Permit Type(circle „) WORK DESCRIPTION k.Cm JOgPi. 46 gel LAti /LT �GU Square Ft. `Y) S& t-7 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I be don- in compliance author ze th ,•ove- V Sign Dat PERMIT APPLICATION FOR MIAMI SHORES VILLAGE one): 6RCAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN certify that all the foregoing information is accurate and that all work will wi • all applicable laws regulating construction and zoning. Furthermore, I ractor to do the work stated. owner an. or Cond sident (2 Notary as to Owner and /or Condo President My Commission Expires :,OTAFY PUBLIC STA.:: OF r.'t7RIIv o -o7td • MY .r3 ** * APPROVED: * S v,3 s) /Pisvj t/ m /g,/ - Vol .S4'2 Master Permit # 67�3 Phone . (9 5/ Address .3 / /'Y7 /I,,C Si t Ate elI. Address Address Address Estimated Cost(value)' 5 21 . - Signature o Date: Fire Zoning Buildin Mechanical Plumbing or Owner- Builder Notary as to Contractor or Owner- Builder My Commission * * FEES: PERMIT " RADON C.C.F. may 6 NOTARY TOTAL DUE 1""" Ex1 052RY PUBLIC, STATE OF FLORIDA. MY COMMISSION NDOD HR ] NOTARY PU3 UND 2 Other Electrical Engineering � � n f' A raeciEtMirartc&IMMIMMWIWCAIMMMMIWOZZA=Mfal'eXircoUfMr o$ r*** ** Issu • Amount_ r Address No. Houses KNOW ALL MEN BY THESE PRESENTS, that I, / 4 ) e: in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or r buil. ' s at the following ad e sses: do4iereby deposit with Miami hores Village, Florida, the sum of . ∎ , , ■ �- , 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 constru tin 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 goresai ` a , and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then 4 said) - shall be returned to me. A // WITNESS MY HAND and Seal at Miami Shores Village, Florida, this , , day of c )- Miami Jhores llage P L O R 1 D A BUILDER'S BOND N? 979 6 Kam• VILLAGE BUILDING INSPECTOR'S APPROVAL tr.Ze I hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof has caused the surrounding premises to be cleared and repaired in as good condition as they were before commencing said construction. WHEN CLEARED AND REPAIRED BY THE VILLAGE (Seal) 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. Amount of Bond $ —� Cost of clearing and repairs done by Village $ a Village Building Inspector, Miami Shor�gs Village 370 -- - Balance due Builder $ Cancelled / 19 By ° 'n` °'n` 1 °, 71 ,,1 01 `° n`v,�o'n cte `°�a' ittei�����t l ; vr a� �►v, i� !�.�v�a a MPO il mkI � Izf.M. ...•�lr• m :re >s`r• t r .•,r lr �- rr •r�t••....� �r•....fir•.....•lr 1r• rir ••...•••r�•.....••r�••...••� rr ir•.....�,r••...•.�t•. V >, Fi 9J� MIAMI SHORES VILLAGE, FLORIDA BUILDING l ELECTRICAL I I PERMIT N? 9146 PLUMBING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building CONTRACTOR OR BUILDER Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE Contractor's License No Amt. of 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 ap_ilication herefor in strict compliance with al' 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 responsibility or work done by his agents, servants or employees. Signed • BY 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY STATE OF FLORIDA) SS COUNTY OF DADE ) A F F I D A V I T • J. E. & Fannie Weller of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, doth depose and say, that under the provisions of Ordinance No. 185, dated June 15, 1948, amend- ing paragraph (d) of Section B -368 of Ordinance No. 97 of the Building Code of Miami Shores Village, he desires to build a single family residence on Lot 18-19 Block 5 of Miami Shores Seat. ft2 Subdivision that he is the owner of said property, and will be the owner of said residence , that he will do the work personally, and that he will, at such times as are required by the Zoning and Building Director: - 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the 'work in accordance with the provisions of this Code. 5 Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation. Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certi- ficates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 9. &It set himself up as a "contractor ". 10. Sign an affidavit before commencing work to the effect that he has read this Article and will do the work personally and observe all of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 11. In order to prevent abuses and subterfuge the right of such owner- builder as herein provided, is limited to but one owner- builder permit each 2 years, and where an owner- builder has once exercised the privilege herein conferred no second application for owner- builder permit shall be granted in lese than 2 years, unless the applicant is qualified as a licensee General Contractor under the applicable Ordinances of said Village. And Further this Deponent says not: OWNER SUBSCRIBED AND Sti1ORi't TO BE OR:: 1' is day of A. D., 19 . NOTARY PUBLIC CO C • U 10- c () 4, 3 1 ff - I Lo -- 1 0 , ) °S o ho o Q CO , ae ct 4-114 Name and address of licensed contractor Location and legal description of lot to be built on: Lot �` " '" Block J ' STATE OF FLORIDA, COUNTY OF DADE. ss. osi 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 -_ ! ,,____ __y_ Registered Architect and /or ngineer__ () ,Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling____ Addition Repairs No. of To be constructed of 4 �' ` Kind of foundation r f. , ' / Roo � f � Covering t�/�'" Estimated Total cost of improvements $__1__ ,, 1 0 o Amount of Permit $ f 8 Zone cubage required e) (e) _Plan Cubage Distance to next nearest buildin1 Maximum live load to be borne by each floor i'l I hereby submit all the plans and specifications or 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 work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) __ • N Vii✓ / Stree Size of Building Lot Date / 6 �` C f_ 19 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, who, beii<ig by ne first duly sworn, upon oath deposes and says that he is the of the above descri ed construction, that he has efully read the foregoing application, and that he did sign the same, and that all facts therein by hips stat are true. flit Date-- >X " Date l l f Permit No.- . Disapproved ___..:__ -- q !. .,) �, 1, r - - -- s - Bu Inspector (Signed) ___, j 7 -4 57) Read, Sworn to and Subscribed before me. PLANNING I3OARD DATE Notary Public, State of Florida My Commission Expires 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 notice for inspection or faulty materials and /or workmanship. l� .o�s�i. 6-26-50 PAID BY �i V1 YEAR ANNUAL TAX PERIOD USED AMOUNT � PAID DATE PAID RECEIPT NUMBER J. . t+ E. Wfl M1 ®r(o) / YO //? /2 -5/ "5O C AO 7- /O O 0. ( f ,{ /fr/ / / / 2 •J/ -5/ M `'° / -g-5( / 5 ° ? ' /9 /, �-` d�� a-- g =e' � /V'•Ca' OR 13e2- 9:.: 2� � �_ , 4 ,. / ADDRESS 443 N. E. 94th St. LEGALLot 18- 19,B1k,52Q MSS #2 RECORD GARBAGE TAX OWNER', NAME WELLER, J. E. & gar PRESENT ADDRESS 278 N. E. 101st Street _ICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 443 N. E. 94th Street • LOT 18 -19 BLOCK 52 _SUBDIVISION Miami Shores Sect. #2 . GENERAL CONTRACTOR Owner- Builder ADDRESS 278 N. E. 101st Street . PHONE NO. LICENSE NO. 3738 0 -B Q BUILDING PERMIT NO. 9146 C DATE 3/31/50 p PERMIT FEE S 18.00 BUILDER'S BOND C NO. 979 DATE 3/33/50 9` ZONE REQUIREMENTS 20,000 CU. FT. PLAN CUBE 2 1,395 CU. FT. EST. COST $ 149 000.00 DH J DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY DB DATE 3/3 X NEW CONSTRUCTION NEW TYPE STORIES 1 ROOF CONSTRUCTION Tile INTERIOR CONSTRUCTION Oak Floors - Plaster Walls REPAIRS DESCR IPTION Liv Rm - Liv -Din Porch - Kit - 2 Bed Rms - 2 Baths - 1 car att. getA ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. 915 ISSUED 6/26/5o ��yp BY JDH TO J.E.We11Ar. Idlq TT1', 01.41, a.. BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILL A�GE�� • INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 4/5/50 JDH TEMPORARY SERVICE $ BEAMS & LINTELS 4/20/50 S SEWER FRAMING 5 /10 /50 rnJDH JDH $ GAS S $ INSPECTIONS FINAL 6/26/50 JDH BY RE- INSPECT BY ROUGHING CLEAN -UP JDH Y DH GAS !CONTRACTOR Reynolds Bros. Plumbing Co. PHONE PERMIT NO. 9161 I DATE 4 5/50 FEE $ 10.50 NEW BLDG. X I ALTERATION ( ADDITION REPAIRS V SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK S SEWER S SOLAR HEATER $ GAS S $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING �/� 4 /12/ JDH Y DH GAS 6/22/5n TDH SEWER SEPTIC TANK SOLAR HEATER FIXTURES 6/26/50 JDH CONTRACTOR FFeer son 1 trio Inc. PHONE PERMIT NO. 93 w DATE FEES 11.10 rig/50 NEW BLDG. X I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ NI .'.TORS $ FIXTURES $ $ INSPECTIONS BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE / / /��'DATEE /7 /, o / 0/ / ROUGHING 1 50 JD H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL 6/26/50 JDH BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTION ELECTRICAL PERMITS & INSPECTIONS APPROVAL. TO POWER CO. FOR SERVICE DATE 6/27/50 BY JDH T.H14 MUST BE DISPLAYED IN A CONSPICUOUS PLACE A Penalty is for failure to keep this license exhibited at your establishment or itis of siness • .. ''''' 6 This License Expires ) „ In consideration of the sum of t3 Dollars $ 74 too Address "1 . 17 ttt ,'• r.; Paid to Miami Shores Village, Dade County, State of Florida, is hereby licensed to engage in or operate the business of______Shmer Fo- the period beginning_ and ending 1".) ace4 Fubject to the Provisions of all ordinances. (SEAL) TRI PLICATE VILLAGE LICENSE T)ate Issued 4 By VILLAGE MANAGER THIS LICENSE NOT TRANSFERABLE WITHOUT APPROVAL OF THE VILLAGE MANAGER No. _;/3 MIAMI SHORES VILLAGE, FLORIDA ;TA'iMPPAV'g.VPV'Yreire.igVWAVMMMfifkNiF'erecttrr.aitartaitgC... 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. Own:s's Name and Address__. RegfLered Architect and /or Engineer Name and address of licensed contractor_ Location and legal description of lot to be built Lot_. Block Street and Number where work is to be done and who, being by me of the above described therein by him tated Permit No Disapproved _ (Signed) 7 Chairman Member Member . Council Approved Mom ^,. I SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date Building Inspect ------------------------ --- - -- - -- 19 6.7 No V 3 _._ street _..l1�!. Date /(-- 6. - _ 6 '7..- NNING BOARD__ Subdivision Date________! - r 6 A,/ i State work to be done and purpose of building (by floors). and for no other purpose. New Building Remodeling __._. ____ Addition Repairs -� No. of tones ems... To be constructed of Kind of foundation___ Roof Covering__.' _._ ._.. 5 O Estimated Total cost of improvements $ 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._. 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___- _ _._ ____ The undersigned applicant for this building permit dot 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) ray �i � STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, .n: undersigned authority, a notary public, duly authorized to administer oaths and take adkaowledgments, personally ap- peared to me well known, first duly sworn, upon oath deposes and says that he is the construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts e true. Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires_. DATE Member Member Member . _ _ . . 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. Disapproved (Signed) MIAMI SH II RES VOLLASE r Chairman \fcrr,bcr :Member BUILDING INSPECTION DEPARTMENT APPLICATICIN F E illLDDING PE Application is hereby utnde 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. Date PLAN _ No Street _ _ Building nspector Member Member Member Dote. NC BOARD DATE Ml D T Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contrictor Location and legal description of lot to be built on: Lot 1.8..1:.1 f Block 502., Subdivision fi / �e%� Street and Number where work is to be done 4 s3 Z._ .. State work to be done and purpose of building (by floors) 71e..44. cYt L - i - 71,7,.11. ....,,,., _..__ and for no other purpose. New Building Remodeling Addition Repairs x No. of Stories To be constructed of Kind of foundation Roof Covering 0 Estimated Total cost of improvements $ 00 Amount of Permit $. Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot \iaxitnum 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 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) (?�) —. .. 7777- -- STATE OF FLORIDA, COUNTY OF DADE. j 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 '7 – 2 _._ Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires 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.