1229 NE 97 St (6). Atl
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.'
•
August. 19. _......_..._....19 »
• Owners Name and Address... .. .....». No. 1.229 ...
Registered Architect and /or Engineer. . .. „.. »... »•
Name and address of licensed contractor.. .... t h..�lve.nut
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)„ .Bumi.ga.t.i. .
STATE OF FLORIDA,
COUNTY OF DADE. j SS.
peared '
Disapproved
(Signed)
BUILDING INSPECTION DEPARTMENT
Building ;fgkpector
MIAMI SHORES VILLAGE
New Building Remodeling...__ .. - Addition
To be constructed of Kind of foundation
Estimated Total cost of improvements $..._ 2.90.___ _ Amount of Permit $. .... - . DO
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 fou said building. All notices with reference to the building and its 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 Sec :ion 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 hint
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) -__ . .-
i i
Before me, .:ic undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
_ r — - __ ._ _ . _ _._ 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. -8 _ .. Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires .
PLANNING BOARD.. _ . . __. . . — DATE
_. ....�.... Member ». ._... .._..
.r .. ! -... — _ ._ :: — Member ._._.....: .___. -
Member ....._.._._... -
and for no other purpose.
Repairs ............. ............. No. of Stories
Roof Covering....... • .....
Chairman ._..
Member
Member ....... .... -- ..._......:.
Council Approved._._. . Disapproved
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 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. •
Date
MIAMI SHORES
F U M I G A T I O N N O T I F I C A T I O N
Date of fumigation _�Il��� Approx. time
Location of structure
Owner's Name and Address
Type of Structure
129 tif.7?. 97 Street
Mr. Abadie
Approx. No. cubic ft. 36.000
Name of Fumigant Vikane
CBS - Main Residence
Length of fumigation.period AEprox 20 hourn
Distance to nearest buildingpv, ,r 10 feet
Certified (or Special ID.) Flmigator in Charge:
Name:Wesley AArCnitrhAnn
Telephone: 377 -1411
0- County Health Dept.
Nylon tent
Firm Name: TRULY NOLEN INC.
600 N. W. 7 Avenue
Miami, Florida 33136
Day Night
9:OOam
751 -1212
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 RELEASE OF THE
FUMIGANT BY:
X0- Fire Dept. 0- Other