365 NE 99 St (9)MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby uinde for the approval of the detailed statement ur 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 Miaml
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miaml 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 bc kept at building during progress of the work.
_ _. p 2A ....... , i&
Owner's Name and Address riff 1 ?4 L .... C -.Q1 L.� t r _ No.. 6..6...... �Str eet_!�l (- 1 L±
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on: // ,32- ® 6 / 3 5S �-O [�
Lot . 9 E .e1. Q :4'.... I31ock A IL? Subdivision... !.l /r}./ 11CJL. .. , 1 .t.a ....
Street and Number were work is to be done 3..6 Cie e 96 d ..._.. __
State work to be done and purpose of building (by floors)
Permit No
Disapproved
(Signed)
- re rte
New Building 4.-- Remodeling
.rr no c
To be constructed of ... /J Kind of Ton ion
Estimated Total cost of improvements $ t/, -4!. Amount of Permit S.
Se
Zone cubage required plan Cubage
Miami Remarks (Signed) G ,
Date
Date
uilding Inspector
11 Jic
�..._ ✓ . :_. 111.1 :gym •
_..__ and for no other purpose.
Addition Repairs.. f No. of Stories
.�. E Covering /e8 1 011,-.) 1 011,-.) L
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,
anti has complied ssith the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to bc 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 arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
penny
t , as are licensed b y Min i m►
Shores Village.
STATE OF FLORIDA,
COUNTY OF DADE. i 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 e true.
z
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
L90
to me well known,
PLANNING 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 hoard.
A re- 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.
•
A. FENCE TO FOLLOW
SLOPE OF GROUND' ❑
B. FENCE TO FOLLOW
CONTOUR Of GROUND l..J
C. FENCE TO BE LEVEL
WITH HIGHEST GRADE Q
D. WITH 10TO BE LEVEL LJ
WTH 1NES
E. FENCE TO BE LEVEL
AND SPLIT THE GRADE ❑
UNES CLEAR OF
OBSTRUCTIONS fr
LINES STAKED f" 1
WITH CUSTOMER k,
DISCUSS WITH C OAAER
WHIC T GA
GATE SWW $ T
R ALIT
DIRECTIONS.OIL AUDI
3Fit.
t • .
•
TYPE FENCE
CHAIN LINK
SPECIFICATION
- ,-IS /Y )- •
thiorPAPRI ,QoRE IF DIFFERENT
K • •
FENCING
DIAGRAM
......... ••
••
.......... •.
. . . . . . . • 't '• . •
. . . . . • . . .
CITY
77 �a)a)
/ )L
CITY
KEY:
FENCE
UNE
TO BE
ERECTED
.............. •
•• • ••• •
A •
• • • .
�! /:7 1)
. ••
•
• v .
• • . • . . .. • • •
STORE E NO S
#TTTE ZIP CODE 'STORE PHONE
HOME PHONE OFFICE PHONR
STATE
I. `` A) s•01.4
o
DOUBLE GATE
• • • • • • • •
• • • • • • • •
• • • • • • . •
. . . . . . . • . • • . . • . . • • • • • • • • • • • • • • .
SPECIAL WORK TO BE : .. • " • • ... : • •
.. .. .. . .. . •
PERFORMED BY CUSTOMER
- e s• • • • • . • • • • . • . . • • • • • • • • . • • • • • • • • • • . . • • . • • • • . • • ' r
. • • • . • . • • • • • . . • . . • . • • • .�' R • • •
: : ; ; , . •
• _ •' • .... • ••. •.e••
INSTALLATION ESTIMATED -
TO BEGU{ WEEK OF
NSTAU4Typ CLERK - Enter below on File and Installer's Copies:
I Contractor's O•ap• -
For Delivery
(Charge Aca. 1lq
I Contractor's Charge
)Work Sp.cifi.c{ Above I
(Chervil Acct. 187)
NOTE TO CONTRACTOR: SEND BILL FOR THIS WORK TO:
SEARS, ROEBUCK A ND N CO. i a' i.;
.--- -w «.-. .',r: _ • ! FENCING gSTIMAT A ND PROPOSAL • •
? Y' SEARS, • ROEBUCK AND CO.
(Address)
ISta+.il --
r
SAIESCHECI(. NUMB
STATE ZIP CODE .
17'e ..4 4 • •
nE-oNS ° • 1 -Sc..
(G Er IERMIpioN)
TERMINAL POST
EXISTING FENCE
4• n ie_ •
. ..
�• : :0,.. •••••••.• ••
•• •••
•
••.
••.
•••
.1.106.1•,•t,••.•.• ••
•
� ••••. ::
•.•t.
. . • • • . • •
••.•.•.•
• •.... • .
• • •
• • . • • . • •
• • • • • • • •
•
.
.. .. . • . •••••••..
.•...:... .. .•....... ,• .........
.. •• .. ..
. • • . .. • • • • • • • • • .
••I
IUIVAL II » 1 •••461 ma . • • • .
W ,v. .. w °. • • • .. ..
• . • • • •
t
•I understonfilhat this is oniY an estimated date find I will be
Sop acted prior to this date to schedule the actual installation dgte.
• V.. Vi'i -� �%�Il: iv �`' ':GT
(Permit .tio.l-
c i
S r-
tc =� /,e
•
/
•
F
O
•