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248 NE 98 St (10)Permit Type (circle one PERMIT APPLICATION FOR MIAMI SHORES VILL/W �� 1. 10050 N. . 2nd Avenue • Miami Shores, Florida 33138 • Phone: 305- 795 -2204 • Fd 40544J4 ID A dd et; 4l8 r.. JUN ' 2 2003 �e /2 �.:� ress' AE 2 ���� Tax Folio Legal Description Historically Designated: Yes ✓ Owner essee/Tenet �¢,v�a, b E• �� �� / wner's Address .2. T O N E • ?et. S+ Contracting Co. Address Qualifier SS# State # Municipal # Competency # Ins. Co. IF THERE IS NO PERMIT PACKAGE ACCESSIBLE ON THE JOB SITE FOR INSPECTORS TO VERIFY, THERE WILL BE NO INSPECTION. RE- INSPECTION FEE IS $50.00 AND MUST BE PAID IN ADVANCE BEFORE CALLING FOR ANOTHER INSPECTION. WORK DESCRIPTION: c y 'e c C ti 5 s (4.1 5 - ZdeLeiLk LUCtit IC - ef.efet ftetrKt / Square Ft. Estimated Cost (value - -- — P AP & " 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 ANY 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). 1 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 all disciplines. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will he done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above named contractor to do the work stated. ELECTRICAL PLUMBING MECHANICAL ROOFING 3 Si ture of owner and/or Condo President Date Signature of Contractor or Owner Builder Date ry Notary as to Own and/or CoYrdo President late Notary as to Contractor or Owner Builder Date My Commission Expires Angela M Becker MY Commission 00150048 FxP�res November 15, 2008 "Ir FEES: PERMIT L am ` RADON C.C.F NOTARY _...C , e } t BOND Pcci to-al 940 Eck. ala1� My Commission Expires APPROVED: / `A6 TIYAL DUE Zoning G‘ Buildi,n Electrical Mechanical Plumbing Structural Engineer Phone Master Permit # 3a s'— Phone APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval 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. Owner's Name and Address ....SegnitZ, 2)48 N.E. 24 St Miami ShoresN Registered Architect and /or Engineer Orkin Ext.Co. Inc. 1960 N.W. 27Ave.Miami Name and address of licensed contactor _ _ ............ Location and legal description of lot to be built on: Lot Block Subdivision _ _ .___....._._...._....� Street and Number where work is to be done 21x8 N.E. 98 St. Miami Shores. State work to be done and purpose of budding (by floors) Ny lon Tent Fumigation Vikane 18 hours Ea - $33 00 and for no other purpose. New Budding Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $. 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 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 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint in 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 Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks. - (Signed). ..._. lt,!! /V i" STATE OF FLORIDA, COUNTY OF DADE. j ss. Bcfore 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 sta are true. / Permit No._ _ 1 Date ft -c---- 5 ,..._ Read, Sworn to and Subscribed before me. Disapproved �/ Date (Signed) � �. °'....�...� 0 Building Inspector MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT. Chairman ,Merhber Member PLANNXNC BOARD _.._......DATE Notary Public, State of Florida My Commission Expires Member Member _._._._....._.._.._ Member ...._ _.._.._. Council Approved Date Disapproved 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 rc- in ■pection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship. Application is hereby made for the approval 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. Owner's Name and Address ._...MOrc_.._ Registered Architect and /or Engineer Name and address of licensed contractor Orldn Exterminating ompally, -. Location and legal description of lot to be built on Lot Block Subdivision Street and Number where work is to be done us _._ N.B.._ State work to be done and purpose of building (by floors). -- _Nylon Ter t- Aunigati- on-- korit©t 36-- to-- ,4,8- •• hours ].- gal.. 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 $ 220.0 Amount of Permit $ -- Zone cubage required -Plan Cubage Distance to next nearest building ___..Q_. t_..__11/4...direet-10I1.Size of Building Lot 23. nu.ft..___hQnae 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 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 5966, Compiled General Laws of Florida, Permanent Supplement, 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 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 Act. The undersigned agrees to employ only such subcorftractors, o work to be performed under this Remarks (Signed) permit, as are licensed by Miami Shores Village. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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 are true. ( 4 . . t., c4 Date —C Permit No Disapproved Dat1_. (Signed) . ---- - c-___,-.4.- .�. .: r> Buiing In - +r Date April 7 1.-- 1 9 61 , 19 No. 248. street 9 th..St..,Miami Shores 14 L N W_..._27.th.A.ve..,Niami Florida LL' to me well known, Read, Sworn to and Subscribed before me. t L -C Notary Public, State of Florida My Commission Expires NING BOARD DATE Chairman Member Member Member Member . Member Council Approved Date Disapproved 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. FOR PERMIT TO FUMIGATE JITH VIKANE METHYL BROMIDE.. ACRITET X Application No. A P P L I C A T I O N 1. Location of building to be fumigated 248 P.E. 9 J } �' , rea► dal 2. Name and address of owner of premises More Segnity 3. Typo, size and construction of building 1 Story C' ? Reside !t. Is entire building to be fumigated? 5. If not, what portion? . FIRM NAME...ORKIN EXTERMINATING CO., INC. ADDRESS 1960 N. W. 27th Avenue, Miami, .Florida DATE AFri1 6 , 1961 Yes t 6. Approximate number of cubic feet of space in building or in portion to be fumigated 23 ► 00 cl,.ft 7. Kind and quanity of fumigant to be used and _manner of application and length of fumigation period Acritet 36 to 48 hours 31 ia1. 8. Distance of nearest building and direction from building to be fumigated "14 ft. r4aat 9. In what manner will vents to exterior of building to be sealed? Nylon i cent Fumigation 10. Date when fumigation will be begun AP11.14 1961 Time /,1 11. It is hereby agreed to station a guard on the premises to be fumigated during the fumigation period and to post suitable placards at entrance to the bearing the following words in letters at least two inches by one inch in size: "DANGER, THIS BUILDING UNDER. - .`....- FLTMPATTON Ii ITH A DEADLY GAS". -- 12. It is hereby agreed to make such provisions that all openings into the building maybe opened from the outside after the period of fumigation is over and to take such other precautions as maybe necessary to insure that all of the fumigant is removed from the building before anyone is permitted to enter.' 13. It is hereby agreed to notify the County Health Department when the building has been prepared for fumigation. /e Signature of Certified Vest Control Operator in charge of this fumigation job. A P P L I C A T I O N FOR PERMIT TO FUMIGATE WITH VIKANE METHYL BROMIDE.. ACRITET X Application No. DATE APri1 5 , 1 1. Location of building to be fumigated 21. reE. 9 hh t., ;'iZi ° b , FIlla 2. Name and address of owner of premises Moro °,ogn t3 "p Same 3. Typo, size and construction of building 4. Is entire building to be fumigated? 5. If not, what portion? 6. Approximate number of cubic feet of space in building or in portion to be 01- a.ft 7. Kind and quanity of fumigant to be used and .manner of application and _ length of fumigation period Aori+.a' 36_ to L8 lours 11 nol• 1. "fozy C` fe ideMe Yee 8. Distance of nearest building and direction from building to be fumigated 11. ft. ` est 9. In what manner will vents to exterior of building to be sealed? Nylon ont Fund.gotion 10. Date when fumigation will be begun APrilAs1914 Time /Q. 11. It is hereby agreed to station a guard on the premises to be fumigated during the fumigation period and to post suitable placards at ` entrance to bbe building bearing the following words in letters at least two inches by one inch in size: "DANGER, THIS BUILDING UNDER. - - -- -'. F0TCr.ATTON WITH A DEADLY GAS ". -- 12. It is hereby agreed to make such provisions that all openings into the building may be opened from the outside after the period of fumigation is over and to take such other precautions as may be necessary to insure that all of the fumigant is removed from the building before anyone is permitted to enter. 13. It is hereby agreed to notify the County Health Department when the building has been prepared for fumigation. • FIRM NAPE ...ORKIN ErTr .NINATING CO., INC. ADDRESS 1960 N. W. 27th Avenue, Miami, .Florida Signature of Certified st Control Operator in charge of his fumigation job.