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BUILDING PERMITSOWNER'S NAME Den D. Jacobs PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 801 N.E. 91st Terrace LOT 14 BLOCK 2 SUBDIVISION Golden Gate Park Addn. GENERAL CONTRACTOR Whitehead & Moore ADDRESS PHONE NO. LICENSE NO. 1417 BUILDING PERMIT NO. DATE 2-22 PERMIT FEE $ 14.00 BUILDER'S BOND NO. 1775 DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE 16,671 CU. FT. EST. COST $ 9,500 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE CBS STORIES 1 ROOF CONSTRUCTION tile INTERIOR CONSTRUCTION terrazzo floors, plaster walls REPAIRS � DESCRIPTION U LU 13C11illt0 2 bdrm.m2 baths - living room - dining room -- kitchen - garage ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RESUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS /- CERTIFICATE OF OCCUPANCY NO. I!J I S ISSUED �"324 BY /- (G%+� -/ I TO j - : }- BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT EY RE- INSPECT BY FOUNDATION DATE FEE TEMPORARY SERVICE - -: f = $ BEAMS & LINTELS ... - � �''� S j ..,. SEWER FRAMING S SOLAR HEATER $ GAS S $ FINAL DATE BY RE- INSPECT BY RE- INSPECT BY CLEAN -UP I f'7' d'< S I. fi V, s LONTRACTOR - ks' , 'i .r y - .4' l PHONE s PERMIT NO. /7/.._, .- - DATE ��' ' / 6. �) ,-� FEE S . ' NEW BLDG. J ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE - -: f = $ SEPTIC TANK 'N ... - � �''� S j ..,. SEWER S SOLAR HEATER $ GAS S $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING I f'7' d'< S I. fi V, s GAS c ' SEWER SEPTIC TANK SOLAR HEATER. FIXTURES - - i CONTRACTOR v �i..r"\s - ;; --. % > PHONE C PERMIT NO. >/ A � " g` I DATE . ` r!- G ',,,,s FEE $ / 3 j NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE - -: f = $ / / r �" H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE I f'7' d'< S I. fi V, s ROUGHING c ' H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL - - i BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY 7 - Z APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY 1, ! ` - 2 e--‘1‘ z . nC to re- occupy the single family residence known as : (address) A) l �41(FlCt , Miami 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, 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 s• rop Applican Print Name �� � 4i F. —)A-zcc2 **************************************_******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: � F . , A cc Z Telephone: (07.5 5 3q. / Buyer Seller Realtor Company Name Application Fee (S50) paid: Cash Check No. Inspected by: Approved, Denied Date 1 Comments: PAGE 1 OF 2 , hereby apply for a certificate Date q(-22_10-2--" CERTIFICATE OF RE- OCCUPANCY On behalf of vliami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for u Sections 901 and 902 of the Miami Shores Land Develo men n and ZorninQ Code an th s ut h o �y residential roperty may be re- occupied by the above applicant for sing a -f odeand that such � purposes. • PAGE 2 OF 2 MIAMI SHO E, FLORID A. B Date of Certification: THIS CER I II 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 RE ONE-FAMILY DWELLING IS USED AND THAT EACH`" "� AG IZ�IE�ED TO BE USED FOR HONE - FAMILY DWELLING p HOWEVER, THIS CERTIFICATE DOES NOTRCON O REPRESENTATION OR W STITUTUTE ANY OF THE DWELLING OR OTHER STRUCTURE CONDITION PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF PREMISES CONDITION, AND INTERESTED PERSONS ARE ADVIS ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE • PREI�IISES IN ORDER TO DETERMWE THE CONDITION, THEREOF. Owner's Name and Address • W • 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. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: rr � � Lot___.. / 7 Block Subdivision ettA CCX-k-v Street and Number where work is to be done State work to be done and purpose of building (by floors) • No Street and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ 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 pennit 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. 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 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 Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector Notary Public, State of Florida My Commission Expires \^^ PLANNING BOARD_ " --V' , 2 -3,..-1---s---DATE /4' Chairman ` T \ \) • MembeN 1 ^'„ Member l Member Member . -` _ 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 Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Date , 19., agiL i i1. ,J1 here 1J R i e II b o p a D 'NOTICE TO Mr. John J. Bergin, Sr. S03 N.E. 91st Terrace Notice is hereby givon, that on this day of February 23, 1955 29 the Miami Shoros Vi1Zage Planning and Zoning Board will conoider an application for a permit to construct a rosidcnce on fifty_ feet of lot frontage deocribed as Lot 14 s Block 2 , Subdivision Golden Gate Park Addition , The villaso records show tho adjoining property to be in your name. Pursuant to the Supreme Curt a v llagb to issue a portrait on a fifty foot lot, severe'' permits have .boon approved . uhcro no additional land io availabio.. Please be governed accordingly. Given this 16th dciy of February .� COPY 1955. JOHN D. HANSLLL BUILDING AND Z0NIEG DIRECTOR IJOTICE Gjvon this 16 h day of TO Halter Heil, 2909 South Jefferson Avenue, St. Louis 1G, £lo. Notice is hereby given, that on the day of Pobruarr 23. tho Miami Shoros Village Planing and Zoning Board uill considor an a^plication for a pea:mit to construct a rosfc.onee on fifty foot of lot frontage doscribod as Lot 14, Block 2, Golden Get Part: Addition. Tiao village records shay the adjoin,ng:property be in your na Pursuant to tho Supremo Court ordoring the villago to issue a permit on a fifty foot .-lot, _ sovoral permits have boon approved ashes a no a .bl.tional laid to av ilablG. Please be governsd accordingly. COPY Fobs .a 19 22. JOiiil D. H &SELL BUILDING AAD ZONING DIRECTOR 2129519 New Building fE• Distance to next nearest building �s Maximum live load to be borne by each floor Building Inspector 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. R ,� pp \ Date No ---1'! R- C . f� , 19� J Owner's Name and Address --- 1\...) OlCO B No Street Registered Arcbitect and/or Engineer C f L Name and address of licensed contractor E HEA-t " ao e Location and legal description of lot to be built on: Street and Number where work is to be done subdivision Z E-N.1 �` R ''IC AD1.(0 • State work to be done and purpose of building (by floors) ? L,,tf, J �� � i_tJ_t Q to c Size of Building Lot Remarks ( Signed) 5® ® and for no other purpose. Remodeling Additio Repairs No. of Stories To be constructed of Kind of foundation RAIN__ _ � oof Coverin e © C� oe Estimated Total cost of improvements $ ,,�� mount of Permit $ Zone cubage required.____. .__.�J�—� Plan Cubage I CcD C91 1 ' I I hereby submit all the pans nd specificati ns for said building. All notices with reference o 1.1e building and its construction n ay be sent to .tcJ W d 2 -, 0. Q V1J l H t b \ s , SD 1 The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations ;is 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 inspp tion 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 v/o�rk to b�, performed fin er this permit, as are licensed by Miami Shores Village. . ,,� �� .,� ;. '.,:; - rye Vi i^ (4 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 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 ha c efully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. ar Permit No . U Q /_ __ Date._:_ 2- 2,„,-. Read, Sworn to and Subscribed before me. Disapproved (Signed Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member .- .___ 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 Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship.