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FENCE PERMITMIAMI 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. Owner's Name and Address Registered Architect and /o(jginccr ..... Name and address of licensed contactor /42"C. - / 'eve • Location and 1cgaLdescription of lot to be built on: Lot Block f - Street and Number where work is to be done " /e///4/1/.1/4 — - -- — — - - State w k to New Building one and purpose of building (by fl Subdivision Remodeling Addition Kind of foundation Date — l _ // No 7W fV�` Street_Z t.:1. ,t... 7 , 11 . 11 ,1,,,, t,1tlnt,r•1 and for no other purpose. Repairs No. of Stories .... Roof Covering To be constructed of Estimated Total cost of improvements $ Zone cubage required .Plan Cubage Distance to next nearest building Size of Building Lot Maximum hve 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.. . �1, ei t.�3 4" 4 :- 7 G f e E' • Ti:c uniler.igned applicant for this building permit does hereby certify that he un STATE OF FLORIDA, ss. COUNTY OF DADE. ^mount of Permit S. of Libor under the Florida Workmen s Compensation Act, being Section St.I66, Comp and has complied s.ith the provisions thereof, and will require similar compliance fret in the work to be performed under this permit; and will post or cause to be posted f " or notices as are required by the Act. The undersigned agrees to employ only such s pcnnit, as are licensed by Miami Shores Village. Remarks (Signed). Before me, the undersigned authority, a notary public, duly authorizcd to a peared derstands and accepts his oblig ions a% an employer e;rinanent Supplement, hors employed by him ork such public notice performed under this led General Laws of lorida, all contractors or inspection on the bcontractors, sinister oaths and take acknowledgments, personally ap- 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 Disapproved (Signed) Ciiair:nan Mcu,bcr Member . /S7 sa- 11/c,a/ Read, Sworn to and Subscribed before me. Date D X}'`x • a le., / /,�,, Notary Public, State of Florida Building Inspector � Commission Expires PLANNING BOARD DATE Member Mcmbcr 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 Plannircg 1Bu.ird. A re ui■pection fee of $1.00 will be charged when such re inspection is made necessary by improper notice for inspection at faulty materials and /or workmanship. r " 4 /Pt 1E: A4i f1.1,,;/'1'. .,-1C,•Yoi 1 '; ; TO U r ,!. - T - ,.. 7 i.1 k , /0' i '■4 I 2, 5 :, vv41-k. • '4 • ) //470' I 0.3h 4) . i ,a 5 • 1 „.; PJRcH' s.1.. Lk. 1 1..., (k) /0 4') 8.0' .4 /_• ,y, FL. EL d .9 — Y .tt • - 77P - Y 77 :.+.,P , -; . .1/4 rite — • 2 - TiALSA • A ecia. o 41 • 8 C) • s /t-Y/ 6 , 5 4 3 2 - IP Pro, V1 \ • /0 /i /Z /3 ... . . o /ff op _ 7 e 1 _9 0 a 1-3411Zver i(o, e6497 ) ocr 70,13 76 /0 - 4 L. a //•' , /.1 A// / " , . A 1 /,4 Air 0 • ‘...)/e/...i.ed . A /,. r-,mt .• /15 t 4 5 1 ,t 't q4 L ? t C•• ■•••• ' ‘1.tr/4:'''. 0 'I 1 ? • .0 N.; " %.•U■ tee • (" 1 • 1 • ,„,"; • • • • !••- : :•;"' • 4.1 4 • ;.•i'K't f 27-7 • •.../; .;• ( , • • ••( •■•3 tnWe qn 7 1 P't' ' , ' • l' - .r. .X DONALD W. MciNTOSI-4 ASSOCIATES, INC. 581 N. E. 91ST ST. MIAMI SHOlifS FLA. 33138 //OZ.; /7/ /0 /i /Z /3 J4 o /ff op _ _ ' • .0 0 - ..2c 7 .., J.6' / 7 e 1 _9 0 a 1-3411Zver i(o, e6497 ) ocr 70,13 76 /0 - 4 L. a //•' , /.1 A// / " , . A 1 /,4 Air 0 • ‘...)/e/...i.ed . A /,. r-,mt .• /15 t 4 5 1 ,t 't q4 L ? t C•• ■•••• ' ‘1.tr/4:'''. 0 'I 1 ? • .0 N.; " %.•U■ tee • (" 1 • 1 • ,„,"; • • • • !••- : :•;"' • 4.1 4 • ;.•i'K't f 27-7 • •.../; .;• ( , • • ••( •■•3 tnWe qn 7 1 P't' ' , ' • l' - .r. .X DONALD W. MciNTOSI-4 ASSOCIATES, INC. 581 N. E. 91ST ST. 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