749 NE 95 StA P P L I C A T I O N
FOR PERMIT TO FUMIGATE WITH CYANIDE METHYL BROMIDE ACRITET
VIKANE X
APPLICATION NO. DATE February 25, 1964
1. Location of building to be fumigated
�i749 N.E. 95 St., Miami Shores, Fla.
2. Name and address of owner of premises Sue Erdman % National Realty- 116
3. Type, size and construction of building CBS
4. Is entire building to be fumigated?
5. If not, state what portion
6. Approximate number of cubic feet of space in building or in portion to be
fumigated 22.5$4 Cu. Ft.
7. Kind and quantity of fumigant to be used and manner of application and length of
fumigation period Vikane - lbs. hrs.
8. Distance of nearest building and direction from building to be fumigated
8 Ft.
9. In what manner will vents to exterior of building be sealed?
Nylon Tent
10. Date when fumigation will be begun 2/28/1964
YES
TIME 10:30 A .M.
11. It is hereby agreed to station a guard on the premises to be fumigated during the
fumigation period and to post suitable placards at each entrance into the building
bearing the following words in letters at least two inches by one inch in size:
"DANGER - THIS BUILDING UNDER FUMIGATION WITH A DEADLY GAS ".
12.. It is hereby agreed to make such provisions that all openings into the building may
be opened from the outside after the period of fumigation is over and to take such
other precautions as may be necessary to insure that all of the fumigant is removed
from the building before anyone is permitted to enter.
13. It is hereby agreed to notify the County Health Department when the building has
been prepared for fumigation.
FIRM NAME Terminix Service, Inc.
2160 N.W. 17 Ave.,Miami,Fla.
ADDRESS
Signature of Certified Pest Control
Operator in charge of this fumigation job.
Permit No
Disapproved
(Signed)
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.
Date , 19
Owner's Name and Address ___S_S.I _ ILAt_ ! _on e.±, No.__ Street__C. E. __
Registered Architect and /or Engineer
Name and address of licensed contractor T ■' • ■v-, 1 r' e._Y
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
0- - -3 ../12 _. --
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 $ 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 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. —727, pp GL fit- /i
Remarks ( Signed) 7L
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
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.
Date
Date a ,d " 6 Ci
e.Y t/ i C. C ! 1 1 n c . -- – � /!o O N ■n/. / 7
Read, Sworn to and Subscribed before me.
CGc/
to me well known,
Notary Public, State of Florida
Building Ins . ctor 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Mea-\ L6vLC0 ta.l f e ,A
-7/-tg N
as2;ites
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K(.0,Va r
757- kg 7,1-1
PROPERTY WAS OBSERVED ON 5/23/83. NOTTr.Fs
T PURCHASED THE PROPERTY AND WAS TN THE
RE SENT AND MORE PROMTSES WERE MADE RY THE.
OWNER SIGNED A STATEMENT THAT VTOT.ATTONs
NT TIME. THE STRUCTURES ARE TTNPATNTF.n ANn
5/23/83, 6/7/83, 1/22/85,
riolatiorr2 /8/85, 1/29/85, 7/14/R4 copy
-ess :
dress
10050 N. F. 2nd AVE
MTAMT _SHORES FT._ 13118
10050 N. E. 2nd AVE
MTAMT SHORES, FT, 13138
are true to the best of my knowledge..
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