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1099 NE 91 Terr (4)MIAMI SHORES VILLAGE 15� BUILDING DEPARTMENT 305- 795 -2204 Buildi In pection Request l Date ` © � Type Insp'n / A t ( G/ e 1-0-4-Y Permit No. efr,• 0 9 (26(, Name BeLkis Address /0 l 7 At ?/ redo Company P A- C 61-8,V . Phone # Inspection Date Correction Re- Insp'n Fee o o MIAMI SHORES VILLAGE 15� BUILDING DEPARTMENT 305- 795 -2204 B uildi In pection Request // Date ` Type Insp'n l Y'�'� R( v e w4- Permit No. Bid O 9'. l:26(, Name / p L t ( Address /0 J ! /V- ( 7( Company PAC( A— t) Phone # Inspection Date Correction Re- Insp'n Fee Inspection Date Correction Re-Insp'n Fee MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date Type Insp'n lt;4. Permit No. 6f , Name /_) GEtt Address C ? 'VC F( Company Phone # 3o ' ` ° [)o 0 (c)(01 4Pa- MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 PAL' Building Inspection Request Date U Type Insp'n Tim "Dr Permit No.EPOU — I o.� !! ,^, `` C^ Name lne\ Address I© NF c l 4e (✓ Company ea I To f)r LC 1c- Phone # Inspection Date td i l4 Approved ❑ Correction Re- Insp'n Fee ❑ C� < <-/ r APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY to re- occupy the single family residence known as : (address) 1099 NE 91 Terr. Legal Description: Lot: 13 I hereby certify that I understand that the zoning of the property is for single - family residential use and that it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being. used for single- family purposes and that such Certificate does not constitute any representation, warranty or certification as to the condition of the dwelling or other structures on such property. Applicant Print Name Prr(n( E *****************************_***************** * * * * * * * * * * ** * * * * * * * * * * * * * * * * * ** For purposes of conducting. the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: Buyer Application Fee (550) paid: Cash Check No. Inspected bv: F. LUBIEN Comments: Gt 7:J Block N ocA,-1 1 ,j Telephone: 0 S 7S 3 Seller V Realtor . Company Name Approved X PAGE 1 OF , Mami Shores, Florida. , hereby apply for a certificate PB & PG: 9 -141 Date (Cl/ fi c(9 Denied Date 10/14/99 CERTIFICATE OF RE-OCCUPANCY On 'behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in :he above application has bee inspected for proses or :e-occupancy pursuant to Sections 90' and 902 of the Miami Shores Land Development and Zoning Code and tl.at such properry may be re- occupied by the above applicant for singe- farniiy residential purposes. MIAMI SHORES V[LL AG ,E, FLORIDA By: 4 iff Date of Certification: 10/14/99 THIS CER1 lr ICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE -FAY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERl LFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN L`SPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION, THEREOF. q) iJ � MIAMI SHORES VILLAGE, FLA. JOB 7 . C . J c-r .v e: =t- c ADDRESS 1 `r C% AJ • " t . � / / [ 5 - Oe C $ y am INSPECTION l t h� TIME READY REMARKS. , N9 6769 INSPECTOR DATE /97 /7)- z SECTION S CALE G DWG. BY PgS #237 (N(‘-'; 6 /099 .ter f 'll. 3 --- ( za 63 cyzravrmilac 564 N. E 125Th STREET NORTH MIAMI, FLORIDA / 3/4 VA:: 7 ,54_74^ /O g 9i� �= 7� ?/?/ -)(77 / /4/)fl , (76ee/1-144-e-r - DATE SHEET of A.F.E. STATE OF FLORIDA DEPARTMENT OF STATE Division of Archives, History and Records Management DS•HSP3AAA Rev. 3.79 Site No Site Name 830= = Survey Date $505 820= = Address of Site: 1099 NE 91 Terr., Miami Shores, Fla. 33138 905= = Instruction for locating N side of NE 91 Terr. between. NE 10 Ave & N BayshnrP Dr. 813= = Location lArAi- PrnpclrrP 1 13 868= = subdivisio "n name block no. lot no. County Dade 808= = Owner of Site: Name: Poulos, Evangelos r Address: 1099 NE 91 Terr., Miami Shores, Fla. 33138 Type of Ownership private 848= = Recorder: Name & Title: Address: MSHPB Condition of Site: Check One ❑ Excellent ❑ Good Fair ❑ Deteriorated 863= = 863= = 863= = 863 = = ❑ Moved ( NR Classification Category: Threats to Site: none Check One or More ❑ Zoning ( )( ❑ Development( )( ❑ Deterioration( )( ❑ Borrowing ( )( ❑ Other (See Remarks Below): Areas of Significance: FLORIDA MASTER SITE FILE Site Inventory Form FDAHRM 802= = 1009= = S tof ik, Marty Integrity of Site: Check One or More N3 Altered 858= = ❑ Unaltered 858= = Original Site 858= = ❑ Restored ( ) (Date: )( ) 858 = = ) (Date: )( )858= = Building )( )878= = )( ) 878 = `= )( ) 878 = = )( )878= _ Architecture Recording Date 832= = Original Use Private res id x838 = Present Use private resid.850= = Dates: Beginning + 1925 844 = = Culture /Phase Americar840= = Period 20th Century 845= = ❑ Transportation ❑ Fill( )( ❑ Dredge ( )( 878= = )( 902= = 818= = 916= = )( )878= = )( ) 878 = = )( )878= = 910= = Significance: Structure" is a good example of the Mission style, one of the few examples of that style in Miami Shores. It is located in an area that was developed before the neighborhood became part of Miami Shores. Noteworthy details include the buttress walls of the entry portico and the cast -stone shields on the front (S) facade. 911 == Township Range Section 812= = 53S 42E 5 ARCHITECT 872 = = BUILDER 874= = STYLE AND /OR PERIOD Mission 964 = = PLAN TYPE irregular /irregular 966= = EXTERIOR FABRIC(S) rough textured. stucco 854 = = 856 = = PORCHES none Latitude and Longitude: Contact Print STRUCTURAL SYSTEM(S) concrete block FOUNDATION: concrete block ROOF TYPE: flat; parapet SECONDARY ROOF STRUCTURE(S): CHIMNEY LOCATION: w end, front WINDOW TYPE: alum. awning 942 = = CHIMNEY: CBS, birdhouse, tile cap 882= = ROOF SURFACING: tar & gravel, flat parapet alternating with barrel 882 = = ORNAMENT EXTERIOR: cast masonry tile coping 882 = = NO. OF CHIMNEYS 1 952 = = NO. OF STORIES 2 NO. OF DORMERS none Map Reference (incl. scale & date) Miami Shores Village Plat 1980 It Site Size (Approx. Acreage of Property): LT1 ,n t 11 rC 1U 7 NC S 3 4 5 9 6 � e z _e ST. aJ • Ir � Q i0 /I %L /i /I /1 G N wmi II El Y 4 I7 I, \� ` rERQ K 11111111111111' 11 111= i,!°3r37 LOCATION SKETCH OR MAP N single story wing;flat;t &g UTM Coordinates: nA = SEL'3E Sue. (9 -/49 VILLA E t - tMi7 ` — lone — EEasrng — Norlfi ng 942 = = 942 = = 942 = = 942 = = 942 = = 950 = = 954 = = 809 = = 800 = = 833 =_ = 890 = = 81sca ? NE. fo9q N r q t 1 . Photographic Records Numbers __85N103HG23/85N103HG24 860 = = STATE OF FLORIDA DEPARTMENT OF STATE Dk.sion of Archives, History and Records Management DS•HSP -3E 9 -74 CONTINUATION SHEET Site No. Sito Name 1099 NE 91st Terrace Miami Shores, FL Physical description: Structure is a two -story Mission style residence located in an area that was developed before the neighborhood became part of Miami Shores. The - structure has a two -story W mass and a single -story E mass. Significant features include an entry portico with buttress walls and gable roof with parapet; cast masonry shields on the front (S) facades, and a flat roof with parapet alternating with barrel tile coping. A two -story detached garage in the rear (N) is of similar design and construction. Another single -story wing extends to the rear (N) of the two -story mass. MSHPB USE ONLY No original building plans; City of Miami - destroyed 1 4 •1-1110 II Po C;..11 1•40c1c3 GoP & C,Irb PRCOtQTY Ib 60/9 4■2111121 NE 98 sr .97" sr a MIT N.C. I MEM r, w 6. Ca /C • Ego glior Y/1L 46( 1 "AI 640040 .06 i.c1,044.5 .5z.s ammingio0 93 At titti ST. • • TQALT - 2 . 41111 91111111 inskinin t11111e111111 4111111k11111114 N. E. 97 111111 11111% N. E men EINEENP 0 Aira Mr A m 94 5 32 ( 111111P „ /1111121171rat/-` A '77 1111111111111111 •••• TRACI 1 C N. 0 e • UREISINg ill' /7 Aro- N4P mirk Ig _AR MIN! AMAMI 951 iuu ) „ Araimmt. gma pow ViOggEGI MN or Necoucommorr If 98"' 5 • (. (44-53) .7 i f .5 T. a AMEtale M ONN III P P - 4101 OAF jrg barlio 00" ! j 4 !MN 0 01LO I IS fr *WA* • la 7 L , IOC) TM. ;;,) F1-411;1 N E II 1111111111M • r , OMEN r mum jun • K. WEN= ,• • • ,, / • i RE 102 ST. • .7 NE ; NE 410M .41. 99 Y MIR= REPINIIIIRMINE„ NOM " 1311112311 ipii 1111X1 11111111/1111131111111111Mar 8 3 „ • ,• 0 11 14 I/ ( 7 :0 croo E 101 Kb Sr. N.J. ISEP201101111111111114 1 01■ 17 ( dein I- I • 2 e• ammo 4111” r T IP • 7 • /4. ,.,/ • 976.. 5t. 100 51". 11 MD fitilionon 90 5T ge11/011111111g1 1111110 ‘1. • EEL 11311 glintgangsrang rem 1 NA9 •s 0 Ai? --A • Kt. to 5*. PP IPA 6 •S .4 •6 so •1 •y 4 0 rurr (8.4) TRACT NE 92 44 ra*cr :NNORES CENTER * I i 2 Milli MEM • ;AIL gc9.4 L_ lj I NZ: 3 , 0 .4 '4 W 2.1 ,3 nar-RS5C.TE e. (9- /-11) le 111 .1111 MEM TRECT Mt4Pat r-114141 51100[3 vIll..46e " Mb • A 0 , • 9 4. /q/Jq( YEFJL