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437 NE 102 St (7)BUILDING ELECTRICAL PLUMBING ROOFING Architect Contractor or Builder Legal Description Address of Building Lot 0 CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of Building Work to be performed under this Permit B1 N9 5309 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 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 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 on 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. Signed INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Value of Project $ DATE 19 Contractor's License No. Subdi- vision BY AUTHORITY Amount of Permit $ ABBOT $• 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. Owner's Name and Address__a4• o__h Date No.- Si? 7 464 0 a. -I . Registered Architect and /or Engineer Name and address of licensed contractor ?./2ux1L /_f( _S I114.E - T _Zile , • 0 ? e "%A . / 7 �A' • Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) New Building Remodeling To be constructed of Kind of foundation (( Roof Covering Estimated Total cost of improvements $ 1- __________Amount of Permit $ 'g' 6'0 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 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 public notice or notices as are 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. L ,, , Remarks ( Signed ) _ 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 are true. Permit No --C V- - Date_ v.5 -2- 6 - io Read, Sworn to and Subscribed before me. Disapproved ( Signed) c—r.A.A` Building Inspe .r Date Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for making corrections the Planning Board. A re- inspection fee of $1.00 will be charged materials and /or workmanship. PLANNING BOARD DATE and for no other purpose. Ad i on Repairs No. of Stories to me well known, Notary Public, State of Florida - - - - - -- ---- -- - - -- My Commission Expires Member Member Member Disapproved Date or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper notice for inspection or faulty APPLICATION NO, 1. 4. Is entire building to be fumigated? 5. If not, state what portion 6. Approximate number of cubic fe fumigated FIRM NAME Terminix Service, Inc. ADDRESS A P P L I C A T I O N FOR PERMIT TO FUMIGATE WITH CYANIDE VIKANE x 3. Type, size and construction of building CBS YES METHYL BROMIDE ACRITET DATE May 25, 1964 437 N.E. 102 St., Miami Shores, Fla_ Location of building to be fumigated G.C. Strickland, Tr. -437 11i_F._ 1 n2 S+, Miami Shor es, Fla . 2. Name and address of owner of premises (Res. & Garage attached) et of space in building or in portion to be 27,000 Cu. Ft. 7. Kind and quantity of fumigant to be used and manner of application and length of fumigation period Vikane - 1 hs _ - hr 5 _ 8. Distance of nearest building and direction from building to be fumigated 15 Ft. 9. In what manner will vents to exterior of building be sealed? Nylon Tent 10. Date when fumigation will be begun , 5/28 TIME 11:30 9 _ j14 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. 2160 N.W. 17 Ave.,Nliami, Fla. 7� � �.� ��� Signatur of Ce tified Pest Control Operator in charge of this fumigation job.