OCCUPANCYOWNER'S NAME
p,4� 1. . CLA�ssEN
PRESENT ADDRESS
loos 1.1.e. it- S-
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
100E 6...). ef 42. Sf
LOT
Z- “ + - (t - Of 01 es
BLOCK
. 3
SUBDIVISION
I - Se L.✓E. - 0ErL` .ael-w.-.
GENERAL CONTRACTOR
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ADDRESS
t cm o F! • • ?Ai? ) r f
PHONE NO.
LICENSE NO.
Sd Z 4____
BUILDING PERMIT NO. Z Z . 8 Z
I DATE 3-1 4- (.'L-
PERMIT FEE $ `7 Z +�
BUILDER'S BOND
NO. 2S4 8 DATE 3 ' /ff' - "L L
ZONE R• REQUIREMENTS 24, p.c. CU. FT.
PLAN CUBE Ira 37 CU. FT.
EST. COST $ 2- b. ••• I1
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: e'.. W. M ii ... `
I DATE:
NEW CONSTRUCTION
TYPE
C...%
3S
STORIES
o�. .
ROOF CONSTRUCTION
i/ /e
INTERIOR CONSTRUCTION
I a a et . Z 6€ A
REPAIRS
DESCRIPTION '
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/'G 44 4, -. Cato 14 lis�Y n
/
ALTERATION DESCRIPTION
1
ADDITION 6 c 1 4›c: 1 1....s ( d... • +r•a;. -
SUBMITTED TO PLANNING BOARD
[ APPROVED
/wee 4
REJECTED
%Screen
REFERRED TO COUNCIL
;i•e_ (,.I Chu.
REASONS I�
t ,/ 4 ✓a�.�,i Pee..4
RE- SUBMITTED TO PLANNING BOARD
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&Le , 76, 7s,
SUBMITTFD TO VILLAGE COUNCIL
REMARKS .
"L' 711 •0‘ ad') /t4177 . r4..
CERTIFICATE OF OCCUPANCY NO. 13 4 � I ISSUED7 rO Z
1
BY ul
TO ✓ 1` S .0 mil/
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTIONS
DATE BY
INSPECTIONS
DATE
BY
FOUNDATION
BY
ROOF
BEAMS & LINTELS
SEPTIC TANK N'• f4
POOL
/ (`
SC,., 4 .
�C
4
FRAMING
$ a 'I•! if
$
SEWER
AIR COND.
FINAL
CLEAN UP
$
SLAB
SEPTIC TANK
I
$
SLAB
SOLAR HEATER
FIXTURES & FINAL
S
SPECIALS PERMITS
DATE
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
BY
ROUGHING
$
SEPTIC TANK N'• f4
D. d.
/ (`
SC,., 4 .
�C
4
L Cam
I
$ a 'I•! if
$
SEWER
H. W. HEATER CONN
SOLAR HEATER
RANGE CONN.
$
GAS
SEPTIC TANK
I
$
SOLAR HEATER
FIXTURES & FINAL
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
ROUGHING
TUB & TOP OUT
H. W. HEATER CONN
SEWER
RANGE CONN.
SEPTIC TANK
SOLAR HEATER
FIXTURES & FINAL
FIXTURES
GAS
ELECTRICAL PERMITS & INSPECTIONS
CONTRACTOR R C . CZeGlen G •
PHONE
/ .
PERMIT NO. "2. 63 1 DATE 4' 24 -6.
FEE S ' Z S.
S
NEW BLDG. `i 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
S
FIXTURES
S
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT BY
TFMP SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
N
BUILDING INSPECTIONS 2847
PLUMBING PERMITS & INSPECTIONS
CONTRACTOR 40''' E1 = 1� ✓vim 6 d ∎ rt. c
PERMIT NO. ' (T 1 DATE 3-4 --
NEW BLDG. 1 ALTERATION I ADDITION
APPROVAL TO POWER CO. FOR SERVICE DATE
PHONE
FEE $ �
REPAIRS
BY
. • 1
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1347
Owner, Agent or Tenant of Building y C ^:: v 1 t? 3 S en
7 t
Lot Block 12 3 Subdivision el VPd era_. 2rvk
Street Address 1005 ' ?.Ii :;t,
Approved use by occupancy
Remarks , 2 C$ C 2
yio
0121; - 26,
- 13
Miami Shores Village, Florida, 7/17./6
3 is fed ro0.D. - .urtii
This Certificate of Occupancy is issued to the above named 07.11 cr
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
BUILDING DIVISION
I ,
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
M ao6 (voc, , hereby apply for a certificate
to re- occupy the single family residence known as : (address)
, 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 such property.
Applicant
Print Name
***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Datqe/2. /Q
********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Contact Name: t
Buyer Seller Realtor ,x Company Name J //d U— &
Application Fee ($50) paid: Cash
Inspected by: F . LUB I EN
Comments:
Check No. S77
Approved X Denied Date 8/2/00
PAGE 1 OF 2
Telephone: 7s - 3 / 3 / A s-/
'CERTIFICATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has been inspected for purposes of re- occupancy pursuant to
Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such
property may be re- occupied by the above applicant for single - family residential purposes.
MIAMI S ORES VILLAGE, FLORIDA
By:
PAGE 2 OF 2
Date of Certification: 8/2/00
THIS CERTIFICATE 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 - FAMILY DWELLING IS USED AND INTENDED TO BE
USED FOR A ONE - FAMILY DWELLING 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 PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DETERMINE THE CONDITION,
THEREOF.