640 NE 98 St (12)MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR UILDVNG PERMIT
Application is hereby made for the approval of the det,iled statemen■ of the plans and specifications herewith submitted for the build-
ing or other structure herein described This .1-t ;r is made in compliance and con•orm,ty w,th the Building Ordinance of Mia, ii
Shores Village, Florida, and all provisions of the Laws cf the State. of FLrid.: all o d•nances of Mi,•iii Shores Village and all rules and
regulations of the Building Divi: i 'n of "lam: Shoff i]lage I; '1 e oot ipl.ed with, whether herein specified or not. A copy of approved
plans and specifications must be key at building durint progress of the work.
Owner's Name and Address
State work to be done and purpose of building (by floors)
Distance to next nearest building_.
(Signed) .___ _.
2
No Street_
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot. Block_.
Street and Number where work is to be done
New Building. _ Remodeling __ ____ _ .. Addition._
To be constructed of __ _ _ Kind of fou _ ...... _ .._
Estimated " :tal cost of improvements $._/ 7_�1 `�—... Amount c` Permit $.
Zone 'ubage required .._. Flan Cubage......
Size of Building Lot
Subdivision
)3uilding Inspector My Com :nission Expires_
PLANNING BOARD DATE
Chairman Member _ Member __ -- Member . -.-
Member _ Member
Council Approved Date Diiapproc ed
Repairs _
Roof Covi'ring
Notary Public State of Florida
and for no other purpose.
No. of Stories
,19
Maximum live load to be borne by each floor
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 budding permit does hereby certify roar he understands and accepts his obligations as an employer
of Inbor under he Florida Workmen's Compensation Act bong S• • t;on ! (36. Coe p'Ied Gem -al Laws of Florida P r.• anc•n, S,11)111, cent.
and h is complied with he prov : thereof, and will require similar colon lance from all contractors or subcontractor:, cinplo rcl by hint
in the work to be perf armed under this permit: and will post or cause to be posted for inspection on the site of the work su :li public not: c
or i:otices as are requird by the Act. The u,,d r•,ignc•d agrees to employ only such :ubcpi r. ctors, on work to be perforn, d .• der this
permit. as are licensed by Miami Shores 's iliage.
Remarks - (S;g =red) _ / ��.dsc�ie��
/t1
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths ..nd take acknowledgments, personally ap-
peared
to me well known,
and who, being by me first d, ly sworn, upon oath deposes and says that he is the ._
of th abov. described istruction t, .: 1, has careially read the foregoing application, and that he did sign the same, and that ,.11 taut,
therein by him stated are tr -ie.
fl F / ,
Permit No ___ C. G .`1 Date_ r' Read, Sworn to and Subscribed before me.
_ - '-?_
Disapproved _ _ ___. - . Date __
Date
NOTE: A charge of $1.00 will be made for snaking corrections cr ::lianges to this application .1ft:-r approval 11,s be, a ebtame•d from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is mi. necessary by improper notice for imps t -.iii or he ;ty
materials and /or workmanship.
DIAGRAM
r
,.
3�
III
IDE
1
��W/�_
T V
';
�'
y_
Barbs Up
Knuckle
Groynd Contour ❑ ' Airline
To ` Level To J
•
•
Remarks:
. _CROWN
STRINGING:
Term Tops Crown
Term Tops Acorn
Line Tops Crown
Line Tops Stand
End Clamps
Tension Bands +�
Tension Bars \e
Brace Bands
Rail Ends
Sleeves
Hinges
Closers Crown
Closers Stand
Drop , Rod Assem
Scroll Clamps
Name Scroll
Plain Scroll
Top Rail
Wire #9 Gauge
Wire #11 Gauge
Tie Wire
Date
Foreman
"CROWN YOUR HOME WITH A CROWN CHAIN LINK FENCE"
283 N. E. 71st STREET • MIAMI, FLORIDA • TELEPHONE 89 -2578
HOLLYWOOD 2 -17 FOI(LAUDER' LE JO
Customer's Nam - - '" H
Address 140---
Near
Salesman
Subdivision
Company Incorporated
Completed _ Cash
Lot Block
HOMESTEAD WEST PALM BEACH
Zone
Date Set Foreman / 11 Gouge Wire
FENCE,
No .
Phone
•
FHA
SETTINGS:
Terminal Posts
Line Posts
Braces
Brace Bands
Rail Ends
GATE SIZES:
(1)
(2)
(3)
(4)
WOOD:
Dubois
Dubois
Cypress Stockade
BAGGING
DATE
Date Strung Foreman 9 Gauge Wire
4 • 41 614 \
/3
mr)