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373 NE 101 St (5)STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby snack for the approval of the detailed statement ur tree 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. Date...... g1= ,/ _ .._.__ _..... _... ,19 Owner's Namc and Address . . l . V.O.1.'t'7l1e , Q . ........ .. Nodaie/ .—. Streetjl VY_ Registered Architect and /or Engineer . ... .1 .6t /.!n? / ox .,..rnc.t .,....,,,• ,r,,,,,,,,,,, Name and address of licensed contractor.... /JItt/.. .s Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done �' 1 — State work to be done and purpose of building (by floors)......— '_ ✓ .177 y 7. .. .__..._ ...._ . - _..._........ 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 $ l3Q>7' ( Amount of Permit S. 1 • v"D Zone cubage required _._.._...plan Cubage Distance to next nearest building Size of Building Lot llaxiunum 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 \‘'orkrnen's Compensation Act, being Section 5966, Compiled General I,aws of Florida, Permanent Sup dement, 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 t e site oldie work such public notice or notices as are required by the Act. The undersigned agrees to employ only such bcontra s, work to be performed under this pennit, as are licensed by Miami Shores Village. Remarks._._ (Signe 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.._..-. a if - 20 Date L — J 5 _ . ' - o.. -_._ Read, Sworn to and Subscribed before me. Disapproved _ Date. ._........_ — Notary Public, State of Florida (Signed) Building Inspector My Commission Expires . ._ — . — _ PLANNING BOARD DATE Chairman Member — M e nber 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 fce of $1.00 will be charged when such re - inspection is made necessary by Improper notice for inspection or faulty materials anti /or workmanship. Owner's Name and Address N. Nordone Permit No Disapproved (Signed) �L. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 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. Date October 30 1962 , is No. 373 Street RA'. 101st St. Registered Architect and /or Engineer_. Name and address of licensed contractor Orkin. _Exte zna.I?iiting Co.-, Inc. 1960 N. W. 27th Aga9 Miami Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done .Same State work to be done and purpose of building (by floors) Nylon Tent Fumigation Vikane 18 to 24 hours 33# 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 $ 280.00 Amount of Permit $ Zone cubage required Plan Cubage 33 Distance to next nearest building 20 Ft West 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 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 ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontra rs, on wjrk to be performe under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Date- o� 3e.- C. 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 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. Read, Sworn to and Subscribed before me. Notary Public, State of Florida Buildi' ' nspecto My Commission Expires PLANNING BOARD DATE Chainnan 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. Application No-. 9. APPLICATION FOR PERMIT TO UMIGATE 5 'ITH VIKANE 1 METHYL BROMIDE ACRITET 1. Location of building to be fun eted 373 N. E. 101st Strcet. Miami Shores 2. Name and address of owner of prenisos N. Nordons Sams 3. Type, size and construction of building 1 story, G B S lea 4. Is entire building to be fumigated? 5. If not, what portion? 6. A pproxinate numWuk cubic feet of space in building or in portion to be fumigated, , 7. Kind and quantity of fumigant to be used and manner of application and length of fumigation period TllmnA 3R to 2L hours 8. Distance of ne t buildin and ctio20 f Ft. N b s us x lding to be fumigated In what nanner will vents to exterior of building to be sealed Nylon Tent Fumigation 10. Date when fumigation will begin MEN.5ov. 1, 1962 Tine 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 each entrance to the building bearing the following words in letters at least two inches by one inch in size: "DANGER, THIS BUILDING UNDE€? FUMIG WITH A DEADLY OS". 12. It is hereby agreed to Hake such provisions that all openings into the building nay be opened fron the outside after the period of fumigation is over and to take such other precautions as nay be necessary to insure that all of the fumigant is removed from the building before anyone is pernitted to enter. 13. It is hereby agreed to notify the County Health Department when the building has been prepared for fumigation. FIRM NAME ORKIN EXTERMINATING COMPANY, INC. ADDRESS 1960 N.W. 27 Avenue, Miani, Florida Date__ —°°t• 29 1962 3rn Signature of Certified Pest Control Operator in charge of this fumigation Job. 4 This License Expires 83"°11325 n ss PB'rtffit C MPIS+IRO ffi 1. s, 09116 0*.. Address • is hereby licensed to engage in or operate the business of Foi:4-i'pcilod beginning xumr7 1 5+ I and ending » its fres Date • subject to the Provisions of all ordinances. •a -.(SEA .: • Date Issued � CIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE 'A is imposed for failure to keep this license exhibited at your establishment or place of business VILLAGE LICENSE In consideratiot of the sum of '1wS nirar rE i 110 /IO0 Paid to Miami Shores Village, Dade County, State of Florida, X35. TRIPLICATE onus sun= N° 5119 Dollars $ 25 . x ' MIAMI SHORES VILLAGE, FLORIDA g � �a-rt../ VILLAGE MANAGER THIS LICENSE NOT TRANSFERABLE WITHOUT APPROVAL OF THE VILLAGE MANAGER to ) F . ....► rAmmite r.,. ".,.�ii�.,`o . ,.. j ' i .. • `° °,,. mimg •'r mi t .. iiit 'r it °%• r%%'o STATE OF FLORIDA) SS COUNTY OF DADS ) 19 51 . A F F I D A V I T 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. ' 3. Pay the required fees. 4. Execute the work in accordance with the provisions of this Code. And Further this Deponent says not SUBSCRIBED AND SUORN TO BEFOR2, biE this yttt, day of JAmiAry Notary Public, State of Florida ®i lards My commision expiren Mw. •1953, Bonded by Mss. Bonding & Insuranco Co. Peter CA mri nano of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, doth depose and say, that under the provisions of Ordinance No. 185, dated June 15, 1948, amend- ing paragraph (d) of Section B -368 of Ordinance No. 97 of the Building Code of Miami Shores Village, he desires to build a Rm. an_ F 1/2.21 7 22 - 1Q - 1/2 ial Lot 23 Block 38 of Ili am% Srinres3 Subdivision, that he is the owner of said property, and will be the owner of said tine , that he will do the work personally, and that he will, at such times as are required by the Zoning and Building Director:- 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certi- ficates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 9. got set himself up as a "contractor ". 10. Sign an affidavit before commencing work to the effect that he has read this Article and will do the work personally and observe all of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. A. D•, 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Villale for any part or portion of the work. 11. In order to prevent abuses and subterfuge the right of such owner- builder as herein provided, is limited to but one owner- builder permit each 2 years, and where an owner - builder has once exercised the privilege herein conferred no second application for owner- builder permit shall be granted in less than 2 years, unless the applicant is qualified as a licensed General Contractor under the applicable Ordinances of said Village.