FENCEStreet and Number where work is to be done
Remarks
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Disapproved Dat
b'f•
(Signed)
Chairman
Member
Member
Council Approved
Building Inspecto
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade for the approyal 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.
Date / 6 1Y , 197
OWnnes Name and Address. LeiVZ l(RE ER No /t32 Street..., qc »5
Registered Architect and/or Engineer.
Name and address of licensed contractor. FEt'et. Al4S TE/ 4/C. Po.304* /74RiviRsibe S1Q /
Location and legal description of lot to be built on:
Lot_. /i Block .J Subdivision Teht Sao REs
State work to be done and purpose of building (by floors)__ 111 t 're
APAD 4( AteW 4 Hi( 7 e/m/A/ F
New Building .. Remodeling Addition
To be constructed of Kind of foundation
Estimated Total cost of improvements $..../.49.Y#
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 foi said building. All notices with reference to the building and its construction may
besent to.. .
The undersigned applicant for this building permit do c 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, Permanent Sup )1einent,
and has complied with the provisions thereof and will require similar com 11 employe by him
such pu ic notice
erformed nder this
sub - co
in the work to be performed under this permit; and will post or cause to be posted for inspect• site o
or notices as are required by the Act. The undersigned agrees to employ only such subcontra wor
pennit, as are licensed by Miami Shores Village.
Before me, ;Ile undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the. .....
and that he did sign the same, and that all facts
of the above described construction, that he has carefully read the foregoing application,
therein by him stated are true.
Permit No c" 3 Date 3 Read, Sworn to
,94/ E 4 s A ao re.
NING BOARD
Date
/7 i OExis r/4/6
(Signed) .
My Commission Expires.
and Subscribed before me.
Notary Public, State of Florida
DATE
Member
Member
Member
Disapproved
6// Cd/AbSt
and for no other purpose.
Repairs.. No of Stories .
Roof Covering
Amount of Permit $
-
33 /3:1'7
Date
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-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.
•
t C
7101 N. W. 69TH AVE.
MIAMI, FLORIDA
TU 5 -1446
�OP1 .SITE; LENZ F, KRE6E - -iR
/223 M.E. sT.
.26'9
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6 --�
i
# 1223
/7'3"
. E.. q `i ST.
Legal:
Lot 11
Blk. 1
Earlton Shores
K
ametica6 .2iiui1 9,4e gertce —9nnce 4883
COMPLETE ERECTION SERVICE -ALL TYPES AND HEIGHTS OF CHAIN LINK FENCE
RESIDENTIAL • INDUSTRIAL • CEMETERIES • SCHOOLS • INSTITUTIONS • PARKS • P • GOLF LINKS
MAILING ADDRESS:
P. O. BOX 176
MIAMI, FLORIDA 33135