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23992peared Disapproved «« (Signed) . »_. Chairman • Building Inspector MiAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made.for the approval of the detailed statement or ine 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 sot. A copy of approved plans and specifications must be kept at building during ptiggress of the work. L .. Date.._..»._..»...... PLANNING BOARD..»_._...... ..........--DATE Date ..._............? j .1;9. * Owner's Name and Address .) ., .. � Z Z daleAtr No.- .-6-2-.4—. Streetli.E-26..sa....R.. Registered Architect and /or Engineer..•.. ..... , 0 . J ....-.-.-----..... f «•»nsK.•••••..,• . K„,.. :«..t.„.. .......... Name and address of licensed contractor 4 ?... ..... A».....L Z. " /t4. / G.a. " »»....�...,. 000'0 - 0 000.. .. »............ �.. Location and legal description of lot to be built on: L ot.. .... Block. Subdivision............ »0»000_ ».- .....•........- _..... Street and Number where work is to be done..6Q.o�,..... ' - =� . State work to be done and purpose of building (by floors).. /a.» ......5'... • and for no other purpose. New Building Remodeling... Addition ... Repairs No, of To be constructed of Kind of foundation:..»»«. . - Roof Covering... .... .. ..... . ... ..... ....... Estimated Total cost of improvements $..... % Z r.L1.t7 ........ «__.....Amount of Permit s�.. �. ... ..... ..... 00«00 ....*...... «. Zone cubage required .. _ ....._...Plan Cubage ...,...«_. Distance .to next nearest building »0000 _...._....Size of Building Lot. ............ «0»000... « »._.._ Mfaximum 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 5988, Compiled General Laws of Florida, Permanent Supplement, and has complied with the previsions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint ip 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 Art. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ».. Notary Public, State of Fiorlda My Commission Expires.. �.Pisc.ev STATE OF FLORIDA, COUNTY OF DADE. Before me, me, the undersigned authority. a notary public, duly authorized to administer oaths and take acknowledgments. personally ap- ......«... ......0046.. •••••••••• .. ».. ••••••• _ ..«. ». • • 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. --&1(11.1 1 ( 1�. _ Date t1 I � - - Read, Sworn to and Subscribed before me. _00»00. .........». Member Member .... ». »....... ».. ».... 0000... . «.. ....................»_ Member Me mber 0000. ...�...»«» 0000. «...._..._. « Member Council Approved .. .., _... » Date Disapproved 00_0 0.. «... _» » ........ ..Date NOTE: A charge of $1.00 will be Horde for making corrections or changes to this application after approval has been obtained from the PI. nnirr„ llo.trd. A re inspection fee of $1.00 will be charged when such re inspection. is made necessary by improper notice for inspection or faulty materials and/or workmanship. - 0000. "Miami's Largest Selection of Quality ip Fencing & Materials" DATE ` CZ? /a'/ ' GAUGE / 1 COLOR GAL V LINE POSTS 1 x 4 1 8 CONCRETE Ye PLOT Pt.AN ',IKE COX. OR ASP. RV 5. ° 'RMIT YAs ▪ • EN ON TOP .;.EP D N MUM MI RAIL COMPLETE PRICE V47g C.O.D. CALL CUSTOM GIVE DATE OF INSTAI.LAT ION CHECK TO SE MATERIAL ISO CALL CUSTOM IF OLD FENCE CALL CUSTOM IF BUSHES AR TRIMMED. OTHER • Auoril na WORK ORDER ▪ USTOMER•S i NAME JOB SITE ADDRESS G j r) rZ TI /�� E 96 s ° ADDRESS T A B (Q / V ZIP � 4I . CI 71+ _" 1 r/ tr eTC ZIP PHWWWVVVE STATE NO, OF FEET HEIGHT' AMOUNTS AND DESCRIPTIONS MESH TERMINALS TOP RAIL 13/ • DRIVE GATES N o • TR I -S E T HAUL WAY TRIM B;ISHES UNDER OUND CALL CLSTOMER ROLL BOTTOIM RAIL CORE OryHAMMER ER TO AND THAT ELIVERED. ER TO SEE IS DOWN. a ER TO SEE E TRIMMER X DOWN PAYMENT 58 BALANCE DIRECTION 12 7k /4cJ' CASH PLEA$E PAY. FOR.EMANQ. BANK PLAN 0 A eha axlsTl NCj CNAr)v LINK Pei Purchaser 10731 NW 7th Ave. Miami, Florida 33168 Dade 757-4181 Broward 922 -4455 ZIP CODE • PHONE tit �1t fiZesEN') PLAY GRauN9 AREA r• v ExisTi P3G Gril(}.iLJ L1Nk FEisC E, service rge of 1-1/2% per month (18% per year) will be assessed on balances past due in accordance with ,the terms of sale. • We, the undersigned,being respectively the'purchaaser, do hereby certify that Cardinal Fence Co. has performed fencing installation per contract and/or as per changes on the back of this work order. THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT • WITH NO VARIANCES • WITH VARIANCE(S) LISTED IN "REMARKS" NO OTHER DEVIATIONS FROM THE MIAMI SHORES BUILDING AND ZONING ORDINANCES WILL BE PERMITTED. UNLESS SPECIFICALLY LISTED BELOW. ALL OTHER APPLICABLE STATE AND COUNTY LAWS MUST BE COMPLIED ' WITH BY ALL PARTIES. Authori Signature Date FIRE DEPARTMENT PUBLIC WORKS POLICE DEPARTMENT BUILDING DIRECTOR 1 - 1 PLANNING & ZONING i. , ' . V `" 1i Xift VILLAGE COUNCIL - APPROVAL PRELIMINARY: FINAL: REMARKS: COMPLIANCE WITH THE SOUTH FLORIDA BUILDING CODE AS ADOPTED BY MIAMI SHORES VILLAGE IS REQUIRED. THE ARCHITECT, BUILDER SUB CONTRACTM; A: r " : — .. , "r K:O': rnr :F OF ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED & Alt BUILD. MEIN.