FENCE,MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT 7S7
Application is hereby mode for the approval of the detailed stateiiie•nt ur Inc plans and specifications herewith submitted for the build
in¢ 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.
6 a s� Ili.
Owner's Name and Address ....... �.1.�Si y 41 T _ No.. j3./..& Street TN _ M 'S�
Registered Architect and /or Engineer
Name and address of licensed contrlctor
Location and legal des ription of lot to be built on: / / ' �® .f (2 7/, e C
Lo �� 4 TZO Block / Subdivision. ,i .e Dl?.( V L C�T.__tC . vi 1 19-M) Sh a Cam'
A-?/ 11-1--4 /V S� / 'S
Street and 1umb ° wheys work is to be done _ � �.. 7 .... _._.. _.: � ._.___.....___ . SXo R E _�_— ______
State work to be done and purpose of building (by floors)
l �Y S 7 L C-
and for no other purpose.
Ncw Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation �oof
�jqq o°
Estimated Total cost of improvements $ / J..s3 Amount of Permit I..
Zone cubage required ........... __....Plan Cubage
Distance .to next nearest building Size of Building Lot
Maxirnuns 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..
RD/ OAL _. .. Nce a (07 31 A/
The undersigned applicant for this building pennit does hereby certify that he understands and accepts his obligations as an employer
of i.ibur under the Florida \\'orkmen's Compensation Act, being Section 596G, Compiled General Laws of Florida, Permanent Siipplenient,
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 cinder 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 S4ontracto s, on ; •rk to be performed under this
permit. as are licensed by Miami Shores Village.
Remarks..._ (Signed)
Building Inspector
PLANNING BOARD
1
1
Member
Mcmbcr
Member
Disapproved
DATE
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before mc, 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 carefull read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit .
Peit No.. _...� �9 Date (/
Disapproved r . ... ! Date.
(Signed)
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
Chairman
\fcrr,ber
Member
Council Approved Date
NOTE: A charge of 31.00 will be made for making corrections
the 1'I.innir. Board.
A rc•iu•pection fee of 31.00 will be charged when such re inspection is made necessary by Improper notice
materials anti /or workmanship.
or changes to this application nfter approval
y c ktinc4/ crii/
i
I1�
•
to me well known,
Date
has been obtained frmn
for inspection or faulty
•
Date
Legal Description
Owner/Lessee / Tenant ../4 e g #e e) )4 0P 2 Master Permit #
Owner's Address e e /fie c24. Phone
Contracting Co. V l_7 i Q -1,-)Ce Address & t y 7 q
Qualifier i� (OLJ ® /o ,e.ee5 SS# - - PFon° 9,3 �,
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION S C7 c e
Square Ft. / /
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address / 3 / Pie q 7 zi Tax Folio / / 3.2o& 0 /. 2 4/70
o / ( '/ OCC1l C Historically Designated: Yes No
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 certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating cons lion and zoning. Furthermore, I authorize the above -named gorxacter to do the work stated.
Not as to Owner and/or Cond Pres "'ent / ''ate
M Commission Expires: 0- /7 aJ
�, Yaudat 0
* ' Comma
*, 1 t
; a a or des December
FEES:" PERMIT RADON
C.C.F.
Estimated Cost (value) / / ® ®
Not as to Contractor or 0
My Commission Expires:
, •a.� Yaudat
* *My Commission CC703394
Expires December 17.200
NOTARY BOND
TOTAL DUE
APPROVED:
Building ` /0 i, Electrical
Zoning
mical
PI • mg Engineering
e.
1
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Job No. MR 1 3'7 - 87
Propdrty Addreb: 151 ,r na sr
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For:
Date:
S' Of TA •E4:S . 72- CA- 4 QU czP// e/ 4 7 / In Block
�_.'A<yod�r irlq'p�l the Plat thereof recorded In Plat Book_.f at Paige._ 7e::' of the Public Records of Dade CoUnty,Florida
• ` Subject to all restrictions. reservations. leiements and Right-of-Way Record.
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Fence Detail 3/4"