1241 NE 91 Terr (4)V
/
" I 5 ,;(4 .29 I " /) 3/
/ •
C 154
35
z 1/11:ar
S s
J
BUILDING ❑
ELECTRICAL ❑ PERMIT
PLUMBING Di N • o
9161
ROOFING Cl
Owner of
Building
Architect
Contractor
or Builder_
Legal Lot
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
BI.
Work to be performed under this Permit 4
Subdi-
vision
Sq. Ft
Value of
Project $
DATR r 195
Contractor's
License No. f " •/
■
Amt. of .
Permit $ C+
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 application
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 responsibility 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 accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
7
•
APPLICATION FOR CERTIFICATE OF RE-OCCUPANCY
I, J A rv■ e e s i o .J t 5.Q it g -
hereby apply for a certificate to re-occupy the single family residence ]mown as: (address)
l q 1 y / iU L. 91 I et C , Mann Shores, Florida.
Legal description:
Lot: ,Block ,PB&PG:
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, Florida, 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 Date: 7 7a3/5?5'
Print Name: e S M . ot?,S o •.�
For the purposes of conducting the inspection required by Secion 902 of the Miami Shores
Development and Zoning Code, contact
3041
At; , 7S Ames X CAR..• e,) ?z's7 :.,Telephone: ? s S - 4'i 8 8
Conta
Buyer er.TReahor. Company Name:
Application Fee MO) Paid: Cash: Check Number. g,
Inspection: By
• Comments:
proved: lf Denied: Date: 24
•
•
•
CERTIFICATE OF RE- OCCUPANCY
On behalf of Nfiami Shores Village, Florida, the undersigned certifies that the property described
in the application has been inspected for the purposes of re- occupancy pursuant to Sections 901
and 902 of the Muni Shores Land Development and Zoning Code and that such property may be
re- occupied by the applicant for single - family residential purposes.
THIS CER11F ICATE VERIFIES THAT lilt 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 PERTALNING SOLELY TO 111.E REQUIREMENT THAT EACH
ONE - FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR
A ONE -FAMILY DWELLINNG PURPOSE ONLY; HOWEVER, THIS
CERTIFICATE 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 PARTIES ARE
ADVISED AND ENCOURAGED TO MAKE 'THEIR OWN INSPECTION
OF THE PREMISES IN ORDER TO DETERMINE 1 Hi: CONDITION
THEREOF.