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1411 NE 101 St (11)DATE: NAME OF PERSON REQUESTING FILE: PHONE #: o' 1b YOUR ADDRESS: k LD C ADDRESS OF FILE REQUESTED: 1 kq- "Of- k-D ST INFORMATION REQUESTED: S� aagCA I understand that all documents in this file are property of Miami Shores Village and that NO documents may be removed from this file. You may get 4 complementary copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not including any blue prints. If blue prints are order please be aware that we are not responsible for the quality of the printed documents. Acknowledged by: FILE RETURNED TO: INITIAL Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 - Fax; (305)756 -8972 PLEASE PRINT TIME: S Owners Name and Address ... Abagnale Disapproved I Date.. (Signed) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby uindc 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. Building Inspector .......... Sept. 12 78 .., No,....., Street._.11.E._101 Street Registered Architect and /or Engineer Orkin Exterminating.i1C0!„ •,,,, ,..- - ....... tt Name and address of licensed contractor 1960._.N...2.7- -• Avenue . ......_....._ Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done __. $ante ...�_._..�_ State work to be done and purpose of building (by floors) _ ...__..._ Nylon Tent Fumigation / V ika ne 18 -24 hr s.: 38,000 c u. f t . and for no New _Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit S. / 4 rd© 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 pennit 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 arc 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. /J /r Remarks (Signed)... to me well known, other purpose. 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 true. ee Permit No..___ Deb5 Date I t � Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairinan 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 nfter approval has been obtained from the Planning Board. A re inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspectinn or faulty materials and /or workinanship. - E".27. COITY, INC 0 :196r. 1..T.1 27 LVEZ11 3 :laid F10 33125 F �GAIC 1.47:\ T ION OF STRUCTURE S NA.1/!E AND AD MESS_A„,4b,argdala,_,___,_ OF STRUCTURE na t92,7_,CMS 7,R OF CUB IC FEET (ARPROXIITS-1.TE 011.t■MELIJIVIMIOMAN■ •PPR.0X1rATE MAP TI TY OF Frii`"Tr- SULFU rTUOFTPE • "Om meameavxma, a.m....we...maw aum.....rm. arramoue TE 7j.) A ROXMITE 'PDC OF LLSE C2 Mil :I 9t42ns Lefi 01" FUla TTON 1EFICD (A 18-24 HOU7S TITXT� TO NEARES T S TRUC TURE 10 10 FT UNDER 10 FT TI.ED FUNIGA TION OPERA TOR X OR .1?LCIA.L FurTGIITION )::11:FICATION a DER Th ciLdic-Es, : Y KING 7 ,altn Lept 'Jett Office,, TELEPHOI\E.: DAY : 633 -.3/421 • , 1 ;LC = - ' 2 .7: STR.ICT /11 TO THE ;.• T alif,RD OF T.,..LTH REGULATIC ■10.11•Noilleau• •■• • 7...4.11••■••10