1200 NE 102 St (6)//'// APPLICATION
VUCANE X
FOR PERMIT TO FUMIGATE WITH CYANIDE METHYL BROMIDE ACRITET
APPLICATION NO.
gx z/7
1. Location of building to be fumigated 1200 iN 102 Street M4 Amt Show&
2. Name and address of owner of premises Dr, c Keifer
3. Type, size and construction of building CRS .. Main Residence
4. Is entire building to be fumigoieu: Yea
5. If not, state what portion
6. Approximate number of cubic feet of space in building or in portion to be fumigated.
42.000
7. Kind and quantity of fumigant to be used and manner of application and length of fumigation period
Viksne Approx 20 hour%
8. Distance of nearest building and direction from building to be fumigated
over 10 feet
9. In what manner will vents to exterior of building be sealed?
Nylon tent
DATE 6 9 19 [� 7
10. Date whem fumigation will be begun June 17, 1967 Time 11130
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 into the building bearing the following words in letters at least two inches
by one inch in size: "DANGER" — THIS BUILDING UNDER FUMIGATION WITH A DEADLY GAS."
12. It is hereby agreed to make such provisions that all openings into the building may be opened from the outside
after the period of fumigation is over and to take such other precautions as may be necessary to insure that all
of the fumigant is removed from the building before anyone is permitted to enter.
13. It is hereby agreed to notify the County Health Department when the building has been prepared for fumigation.
FIRM NAME: TRULY NOLEN, INC. .
600 N. W. 7th Avenue
Miami 36, Florida BY
control
(Signature o - ertified pes
of this fum r ation job.)
or in char
BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑
ROQ,FIN5& , ❑
Owner of
Building
Architect
Contractor +`
or Builder \—# 4
Legal
Description
Address of
/ agt
Building
Lox
CONTRACTOR or BUILDER
MIAMI SHORES VILLAGE, FLORIDA,,
Date
PERMIT N° 8846
*
Work to be performed under this Permit
i
i 4�•+.�Gfi�'1+✓ rh
BI
0
Contractor's
License No
1 '
Subdi-
vision
Sq Ft
Value of II Amount of =ow
Project $ 11 Permit $ --�
r ._
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with anv
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown o the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. /
C y
f� J
Signed• GK.✓ { d` ze �E` ( INSPECTOR) BY
In consideration of the issuance to me of this per t I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plan ,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, ,.agent, servant or employee.
/
BY AUTHORITY
. 4
BUILDING
ELECTRICAL
PLUMBING
O of ' � x �„ �. <�
Buil d i n g t/�! �.t.
Architect
Contractor
or Builder 74CP244 .
Legal Lot
Description a
MIAMI SHORES VILLAGE, FLORIDA
DATE ` /L /.tom a 1947_
Contractor's
License No.
PERMIT N 5336
Work to be performed under this Perini
Subdi- vision
Value of Q[
Project {PT(� ®
•� .
• a w;
rem.
ns
Address of
Building / ^%.
This p is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are change. witl out authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above as . es th •.pon- ..ility f. a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or • . ings th. tateme or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. /�/�jf
Signed. J / _ / ��"r ,i �" • By
�
x" CTO
In consideration of the issuance to me of this permit I agree to perform the worla-co hereunder in compliance with anc�reattions,
pertaining thereto . nd in stri comity w he plans, drawings, statements or .Bcific. . su itted to the proper authbifillis of Miami Sh6dre age.•
In accepting t1 . ermit I as ∎ e re • . onsrb• • r all work done by either ys e y a g loyee.
1 /tA .d. • A ..
CO RA • OR :UILD0. t' • 'P B
4 \ a,.
Amt. of —. SD
Permit � G
AUTHORITY
JOB:
BUILDING :
ELECTRICAL
PLUMBING
0 /2
Inspector's Report:
• •
•
WORK
DONE BY:
The following is ready for Inspection:
AD: . 4X
•
REQUESTE.,
• •
•
•
. 7,„ 2 :
•
•
•
•
•
•
•
•
: WILL BE READY
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MAYOR
W. MEADE STOCKDELL
COUNCILMEN
FRANK O. PRUITT
JOHN J. LINDSEY
JULIAN B. PRIX
L. C. CHILDRESS
ATCOENEY
GEORGE E. HOLT
VILLAGE MANAGER
C. LAWTON McCALL
i ami J hores 9 llaqe
F L 0 R . I D A
VILLAGE OFFICE MAILING ADDRESS
9533 N. E. SECOND AVENUE P. O. BOX 1057
LITTLE RIVER STATION
PHONE 7-1234 MIAMI, FLA.
Miami, Fla.
Dee. 160 1941.
The terms of this *eminent be as follows :
1. Mr. Ugar Z. Wells agrees to pay fora Special
Multi.- breaker with 4 Single Polo 16 Amp. and two
Double Pole 50 Amp. as soon asit 'nay bo sesiared by
Mr. W113 $, Mr. Hurst or Mr. King.
2. Mr. H. P. Rurst aerie.* to ender pay for and install
Synthetic wire service of a minimum sapaett y of 1220
flaps. as soon as same may be assured by Mr. Wale, Mr.
prat or Mr. Ming. Mr. Hurst to install ab eve mentioned
Multibr•aker free of charge. Mr. Herat agrees to
install necessary sleetrie work, furnishing all
materials to eenneat to Mr. Kings 3 H. P. Motor,
Por*tt included. Mr. Hurst agrees to guarantee for
one year from the date of installation, satiifaatory
service of his work. Said motor to be eonn•oted in
a000rdanao with requirements of the Miami Shores
Z1sotrieal Cells and to be passed by building inspector.
3 . Mr. Xing egress to pay to Mr. BUrat for the above
installation the sum of $ 10.00, to be paid after actor
installed 0 tested, and aftsr being run in a satisfactory
manner for 10 hours or two w•sks • and Inspected.
4
$ 23.00 is the aorreet of the extras already
installed by Mr. Hurst.
Signed •
Sib • _ .
Signed •
Y : ?� 4041 : '
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