FUMIGATIOND
PERMIT APPL.ICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date 1- 3-1992 Job Address 1002 N. E.98 St . Miami Shore's
3
Legal Description
Owner / Lessee / Tenant
Owner's Address
Active Pest Control
Contracting Co.
Qualifier Tnm T.nCtPttpr
State# Fla _
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMING MECHANICAL PAVING FENCE S
WORK DESCRIPTION
Square Ft. 48,000 Cubic Ft Estimated Cost 1024.00
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE
DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF
Application is hereby made to obtain * permit to do work and installation as indicated above,
on the attached addendum (if applicable). I certify that all work will be performed to meet
standards of all laws regulating construction in this jurisdiction. I understand that separ .
permits are required for ELECTRICAL, PLUMING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all w4
will be done in compliance with all applicable lava regulating construction and zoni:
Further I authorize the above -named contractor to do the work stated.
/
Signature of Owner and/
Notary as to
My Commission Expires:
* * *
Mr. Bappert
Same As Above
Tent Fumigation
,jTOTARY PUBLIC STATE Off' PIAPIDA
MY COf44IssION E. JULY 17,3.995
JI ,BO THRU GSIrEll sl, Ms. UM. ,
er and /or Condo President
PERMIT FEE: APPROVED: Fire
Zoning Building
Mechanical Plumbing Engineering
Tax Folio
e i Master Permit. #
Phone 754 -6097
645 N.W. 128 St. North Miami 3316E
Address
SS# - - Phone6 Al - R 99
Competency # Ins. Co.
71/4 '
Condo President Signature of Contractor or Owner- Bt:ilder
Dat = hOTF�� 5L a:C ST rw (r k'
�' C ;J'SSIG;'7 E . ;.Y t7, Zg9,y
M1
Notary as to / ontractor or Owner- Builder
My Commissi". Expires:
* * * * * * *
Other
Electrical
*
*
LCIIITTON OF ET:ZOTTTRE
TTE . 0? STE.UCTUTT,
Dept,
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- GRK 7 '7 r 2T C(..7 TAITY, J.
0 1960 1;T.T 27 kvenue
1 - lard F1. 33125
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a S EWE D ADDRESS •
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APT ROXIIIIIT: 1717.; CF Cr macr.,17 3.
LaIGHT OF 1 PERICD PRCX.F..:;.T.L) • 18-2h Hours
DISTAIICE TO NEA.R.:_.ST STRUC" 2.0 C 10 FT. UNDER 10 FT.
CE:17 FUEIGATION. 01
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R.3CI3T.ERED LAIVI FL/... STATE •1301:1RD CF FILTH RTJLP.TIcrrs.
APPLICATION FOR BUILDING PERMIT
Application is hereby wade for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other strvcturc 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.--..--.... October 17 , _ 1979 . ,19..`_
Owners Name and Address - .0...... appert -... _._.._ _ ....._.._ ... No..._�. �Q2. Street _ •....�$ _S treot
Fcgistered Architect and /or Engineer .......Ork2n...E..xterntinat1ng - 00 a ,...
Name and address of licensed contrpctor......
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)...__
Nylon T nt Fumigation
V .kax .... 18- 24{,....hrs. 56,.00.0 and 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 $ A,mour.t of Permit S4.
Zone cubage required _Plan Cubage
Size of Building Lot
Distance to next nearest building
Maximum live load to be borne by each floor
I hereby submit all the puns 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 Iabur under the Florida \Vorkmen'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 insp= tion on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such su • • tractors, on work to be performed under 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.
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 Carreltrue. �/Q
Peanut No._ —(1Y -` LL Date tO).�. _ � _ .1._1..._....._._ Rend, Sworn to and Subscribed before me.
Disapproved ► S Date
(Signed)
Member
Council Approved
'MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
utlding nspector
Date
Notary Public, State of Florida
My Commission Expires _.
PLANNING BOARD DATE
Chairman Member
Member Member
Member
Disapproved
NOTE: A charge of $1.00 will be made for making corrertions or changes to this application after approval
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice
materials anti /or workmanship.
to me well known,
Date
has heal obtained from
for inspection or faulty