746 NE 94 St (10)Our Product is "ZERVICc" Phone 688 - 9621
DON'S COOLING DEC.
Air Conditioning • Refrigeration
Ice Making Equipment
13333 N.W. 7th Avenue
DON WOLFORD Miami, Florida
0
Permit ......... Date
d Disapprove_. R.... Date
(Signed)
Building Inspector
SHORES VILLAGE
a INSPECTION DEPARTMENT
N FOR BUILDING PERMIT
detailed state,,,�•nt ur isle plans and specifications herewith submitted for the build
m Is made in compliance and conformity with the Building Ordinance of Islrarnt
of the State of Florida, all ordinances of Miami Shores Village and all rules and
'Map shall be complied with, whether herein specified or not. A copy of approved
tg progress of the work.
`l / 192E(2,
..•n
Ocr's Name and Address F� ^ W. (.5 No.
. .L.. Street._.... �
/4 Sf
. ._ .`. __.
Registered Architect and/or Engineer / ..., .� ••.,,.•,,,,,,,.,, »,...,.<
Name and address of licensed contractor A..Yh.S.... / z ¶ ! !ll.c:.� ...._
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 flocs) oe 906 v_� . £' ... �'..7S.r.. S. Gam. ...._f t.I' C � ..s a 1 /.4 J
d'. c s3..4�ad 0 R. /.r_1 S 7 C aG?.. .. ,G�1�:Y�1... /. !?� 2 a I3.. p..L:?G?.
rp
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories _
To be constructed of Kind of foundation oo Covering
Estimate Total cost of improvements $ • E••�* U " Amount of Permt i r
Zone cubage required .Plan Cubage
Distance .to next nearest building. Size of Building Lot
Maximum live Toad 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 umlersigr,cd applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of iahur under the Florida \1'orkrnen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied ssith 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 su -t public notice
or noticcs as arc required by the Act. The undersigned agrees to employ only such sub�gntr aJttors n to be pe fo ea 4 er this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
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. ame,
of the above described construction, that he has carefully read the foregoing application, and that he did sign the s and that all facts
therein by him /
m d;e e.
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commiuion Expires _
to me well known,
PLANNING BOARD DATE
Chairman Mcmbcr
Mcrr.ber Member
Member .. .. _.__.._.._..._..___ _ ...._ Member
Council Approved Date Disapproved Date
NOTE: A c•h.rrge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the PL.nnir.g 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 anti /or workmanship.