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FENCEPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date .� 2) Job Address 62 S HE 97J/ • Tax Folio Legal Description ,, // Historically Designated: Yes No Owner/Lessee / Tenant///9/e/e b 0 (J/1J / Master Permit # Owner's Address Aq_ /!/ . , 7.7 Sl r Phone 75 7 "rP 7 7 P Contracting Co. ©G(J�,e—/�� Address Qualifier SS# Phone State # Municipal # Competency # Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVIN FENC ; SIGN WORK DESCRIPTION )eE /-/3 /V ( Cdl(WO WoL4 p v c-:c, #- 0 © icr 57 (c/4t Square Ft. Estimated Cost (value) / ` r_D f r7 J 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 perfonned 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 construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT 5G/ RADON APPROVED: Zoning Building C.C.F. 0 NOTARY '- D BOND Electrical Mechanical Plumbing Structural Engineer 0 TOTAL DUE S i9 t . PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date i/17 /92 Job Address /a 5 `(/4E:, 9 S7 Tax olio iI 3 -6's' 09 A/W' f Legal Description k/v / £ Owner / Lessee / Tenant/RA/ Master Permit # 3345T Owner's Address /).- S SA)I 5 ,S% Phone �5 -��� Contracting Co. Address Qualifier It/ /0 State # Fz . 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 ! i I? //9 f e/(/c E (9,,f4/i 4E4 / // ',/C / Square Ft. Estimated Cost(value) , v G ui , co 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 d•ne in compliance with all applicable laws regulating construction and zoning. Furthermore, I au orize the ab� -name contractor to do the work stated. �• ► "• ems• ME CHURCH , : ... .N• • iblic,Statsof•Flonds • ;^ ; 000mmWWWNAWYX we Na OC19736 me of Not.:` v Nb.tc y as to Owner and t)"oavnegdcdvNl' Liar r1t ,' t My Commission Expires:Type and number o t.D prodyetl: j 2 DID take an oath, or ** * * * Ill N1 taken oath. * * * * * * * * * ** FEES: PERMIT ,5 APPROVED: Zoning SW. Phone RADON C.C.F. 1.00 Fire uildin Mechanical Plumbing 7S2 77 Signature of Contractor or Owner- Builder Date: Notary as to Contractor or Owner- Builder My Commission Expires: NOTARY 5700 TOTAL DUEL .ODD �y Other 1'1 Electrical Engineering .7 ROW Of TILE TYPICAL SECTION HRU POOL r i "re 1404I-4% Ek`' s4 pyv - Oumtr HARRIS' 1- BY HARRIS VACUUM . BY HARRIS MAT IC CL. EANINt D LOT 14 - • 1 . SUBDIVISION PLAT •BOOK 4-3 RECORDS OF Da r ‘: ROTE! This Inctu - a ALL ELECTRICAL I FLOOR PLAN ARE EXISTING ELECTRIC!' • NO SERVICE 1MCRE I INCLUDED IN 1MIr UNLESS OTHERWISE NO GROUNDING. E Y P, t o NAIL A.L.L. ' 4 s i pE s - -To 4 8 or, TARED a1.4.. ... 4 .. 5. IDE5 Bor, 2 `•- 0" SELocJ .SPECIFICATIONS: - WOOD FENCE TO BE' A..MAX. O 0' - •ALL :MEMBERS TO P.T WOOD .SOUTHERN - W 000 POST TO : BE' AT NOT MORE . THAN ' - O '± APA - THREE R OW � S -.OF 2 . X 4 RALS.:SHOULD BE . PROVIDED:•. BOARDS 'TO BE r x 6' X 6`;•0' DOG EAN D/C WOOD. - ALL NAILS TO BE GALVANIZED TYPE - NOT INCLUDED AS A STANDARD' FINISH, FE/41C CAN S T P E D AS ALTERNATE, t:: MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the appro\'al 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. I. Date 14A Owner's a s Name and Address....... �!42'.�!� : �� n .p����i'�j� ............... No...L.�•,.Jr._�% Registered ArEhit @At and /Br Engineer Name and address of licensed corittottor ..... Ate211472d. Location and legal description of lot to be built on: Lot. /..3 9 '�(/.i P1.. /. Block Street and Num r where work is to be done 2 ?, .... State work to be done and purpose of building (by floors)..._.._�..,� and for no other purpose. Disapproved _._______.___ Date__ _....__._._.. (Signed) Building Inspector Subdivision... a 'LW :::n:::::u:.:.:::zdsua::axxssxs : rrnssa•••• ^•n:: f ...... .w. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $..4.Jh13.,42,0 Amount of Permit j.. _Lae) 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 for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building penni:t does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contra . s or sub-contract • 's employed by him in the work to be performed under this permit; and will post or cause -to be posted for inspectio. • the site of the w-.rk such public notice or notices as are required by the Act. The undersigned agrees to employ only such su • rs , work to • : performed under this permit, as axe licensed by Miami Shores Village. Remarks .:_.._...... _.._ _._. ( Signed) STATE OF FLORIDA, I COUNTY OF DADE. ss ' Before me, the 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. 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 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD _._ DATE Chairman Member Member ..._ Member ..._.._..._...— _--- _..__---- ..._._......_.... Member Member ...._...._ Council Approved ._ Date Disapproved Date NOTE: A charge of $L00 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.