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1040 NE 93 StI, Applicant Print Name APPLICATION FOR CERTIFICATE OF RE OCCUPANCY CAROLEE MCINTIRE, Realtor , hereby apply for a certificate to re- occupy the single family residence known as : (address) 1040 NE 93 St , Miami Shores, Florida. Legal Description: Lot: W12.5 ft Lot 5 Block 3 V PB & PG: 16-71 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 suc 're perty. 2 Carolee McIntire Date 7-15 Dv *********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: Buyer Brad Conard Application Fee (550) paid: Cash Inspected by: F. LUBIEN Comments: Seller X Realtor Company Name Approved Check No. PAGE 1 OF 2 X Telephone: 756 -9916 Denied Date 8/17/00 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. THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY M[AIYII 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. PAGE 2 OF 2 MIAMI SHORES VILLAGE, FLORIDA By: Date of Certification: 8/17/00 I, Contact Name: Comments: APPLICATION FOR CERTIFICATE OF RE OCCUPANCY CAROLEE MCINTIRE, Realtor , hereby apply for a certificate to re- occupy the single family residence known as : (address) 1040 NE 93 St , Miami Shores, Florida. Legal Description: Lot: W12.5 ft Lot 5 Block 3 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 suc ore perty. Applicant 1 ' l i ZzA__ Carolee McIntire PB & PG: 16 -71 Date r'" /5 0 Print Name *********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Buyer Seller Brad Conard Application Fee (550) paid: Cash Check No. Inspected by: F. LUBIEN Realtor Company Name PAGE 1 OF 2 Telephone: 756 Approved X Denied Date 8/17/00 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 SHORES VILLAGE, FLORIDA 4 By: Date of Certification: 8/17/00' THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MJAMII 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. PAGE 2 OF 2 #11•1111.111111111c -# MIAMI SHiJRES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT '■111 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 Miarni 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 • \" Location and legal description of lot to be built on: Lot ••, l % =,A 'i e �a - -< 31ock `r Subdivision Street and Number where work is to be done °a ' �'�� State work to be done and purpose of building (by floors) ° .z Date - . • Owner's Name and Address _ ` No Name and address of licensed contractor ° _ -_ .u_ ___;._ Street___di :c and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of -IL. Kind ,of foundation � ' ° �� • Roo C yering 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 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 m 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 Miarni Shores Village. Remarks 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 of the above describe therein by him state Permit No Disapproved _ (Signed) first duly sworn, upon oath deposes and says that he is the nstruction, that he,,has. carefully read the foregoing application, and that he did sign the same, and that all facts Date ' 1 p__ , Ifead, Sworn to and Subscribed bo'ore me. to Building Inspector ( Signed) _ -- PLANNING BOARD DATE Chairman Member Member Council Approved Date Notary Public, State of Florida My Commission Expires Member Member Member 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building_ Architect Contracto or Builder Legal Descriptic Address Building This permit is granted to the contractor or builder nand above to constr*t th herefor in strict compliance with all ordinances pertaining thereto and with th nde drawings, statements or specifications that time if the work is not done in compliance granted is the understanding that the c pertaining to the work covered hereby done by his agents, servants or employ In consideration of the issuance to me of this permit I agree to perform th pertaining thereto and in strict conformity with the plans, drawings, statements or In accepting this permit I assume responsibility for all work done by either, myse CQITRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA ; DATE_ PERMIT N° 10490 Work to be Oerformed under this Permit may have been submitted to and app with such ordinances -ox if thew actor or Milder n$ned bove ass s v* oa- 1ast �irawi • N •c ava Srgnit :41 sr ' 195_0 Contractor's License No ved chan I ' building or to install the equipment or device described in the'application tanding that the work will be performed in compliance with any plans, the proper municipal authorities. This Permit may be revoked at any out orization. A further condition upon which this permit is a thorough knowledge of the ordinances nd regulations 41.414Wag :.o,' 'bility for work OR work covered hereunder in compliinc= • ith all ordina ces and regulations ecifications submitted to the proper authorities of ami Shores Village. , my agent, servant or employee. BY AUT 'RITY 1 ..-,9 (- 1 ' ' • C Cflf' 0 IL*/ r •�IR 7 ffff. ii '''''^' 1 3" . ' w ` . .. ' i ., 5 . . Lot • k _� '. i '8 )12.s tir/ Subdi- vision ' +° {�, •. , f $ r , , "+R"" � ' • ` •, `'... �. ,40, a Value of r oject I <a: $ 1 ..",, •n Amt. of 1 Permit $ f J . '"'�' "" ..— BUILDING ELECTRICAL PLUMBING Owner of Building_ Architect Contracto or Builder Legal Descriptic Address Building This permit is granted to the contractor or builder nand above to constr*t th herefor in strict compliance with all ordinances pertaining thereto and with th nde drawings, statements or specifications that time if the work is not done in compliance granted is the understanding that the c pertaining to the work covered hereby done by his agents, servants or employ In consideration of the issuance to me of this permit I agree to perform th pertaining thereto and in strict conformity with the plans, drawings, statements or In accepting this permit I assume responsibility for all work done by either, myse CQITRACTOR OR BUILDER MIAMI SHORES VILLAGE, FLORIDA ; DATE_ PERMIT N° 10490 Work to be Oerformed under this Permit may have been submitted to and app with such ordinances -ox if thew actor or Milder n$ned bove ass s v* oa- 1ast �irawi • N •c ava Srgnit :41 sr ' 195_0 Contractor's License No ved chan I ' building or to install the equipment or device described in the'application tanding that the work will be performed in compliance with any plans, the proper municipal authorities. This Permit may be revoked at any out orization. A further condition upon which this permit is a thorough knowledge of the ordinances nd regulations 41.414Wag :.o,' 'bility for work OR work covered hereunder in compliinc= • ith all ordina ces and regulations ecifications submitted to the proper authorities of ami Shores Village. , my agent, servant or employee. BY AUT 'RITY 1 APPLICATION FOR BUILDING PERMIT Application is hereby made for the approyal 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. Date ,19 Owns s Name and Address]) r a __H_. I...._ J orgenson - No _.. Street 1040 NE 93 St. Registered Architect and /or E n g i n e e r Name and address of licensed contractor An d r e W S Roofing & I mp r o v. CO , 4 3 0 0 E. 11 Ave . s H i a. Location and legal description of lot to be built on: Lot__ __________ Block _ Subdivision Street and Number where work is to be done__. 0 4 0 . N.. E . 9 3 L d. ___S t State work to be done and purpose of building (by floors) Replace bad wood from west side of chimney. Apply (1) 30 lb. felt. Apply 1/2" insulation--3 plys of 15 lb. felt gravel. and for no other purpose. New Building Remodeling __.. Addition Repairs X No. of Stories To be constructed of Kind of foundation Roof Covering. gravel Estimated Total cost of improvements $ 400 ° 0 0 Amount of Permit $ 5.00 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 foi said building. All notices with reference to the building and its construction may be sent to___._ An- dr- ewi} - -- Roofing I_mprovement_ CA_> The undersigned applicant for this building permit doc hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen s Compensation Act. being Section 5968, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar complia 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 ste for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ onl such subcon actors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aLknowledgments, 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. �9 Permit No.._ Date. _ �2 - 7�...____ Read, Sworn to and Subscribed before me. Disapproved ____ _ ( Signed) Chaa:nnan _ Member _.__________ Member . Council Approved NOTE: A charge of $1.00 will be made for the Planning Board. A re- inspection fee of 51.00 will be charged materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT (Signe f f Notary Public, State of Florida B ilding nspector My Commission Expires PLANNING BOARD__ ... DATE Member Member _ Member . - -- - -- ._Date Disapproved .._..__ to me well known, Date making corrections or changes to this application after approval has been obtained from when such re- inspection is made necessary by improper n otice for inspection or faulty 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. e2�� ■ " ��'� V t c� \ Date � ,:s - b y � 1 " — , 19 Owner's Name and Address.. `bN % . _` Y■ .,`' ∎ No. a t.:.)____ . Street - Registered Architect and /or Engineer....... ':. ,r, ' ? v Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision • Street and Number where work is to be done ���_ " A �_. State work to be done and purpose of building (by floors) To be constructed of Kind of foundation Estimated Total cost of improvements $ Zone cubage required C VA • and for no other purpose. New Building Remodeling Addition... ) Repairs , No. of Stories c — mount of Permit $ Roof Covering 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, Pennanent SuPpleinent, 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. j 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 Date Read, Sworn to and Subscribed before me. Disapproved Date (Signed) Building Inspector 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. to me well known, Notary Public, State of Florida r i� - g 43, z q0 C7 fi MIAMI S H ORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 4,5 7d Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work. STATE OF FLORIDA, } COUNTY OF DADE. 88. i ii Owner's Name and Address Aiy a No....� ® Y'� < S ` �- Registered Architect and /or Engineer Employing Electrician's Name / ,, �^ f " s �- 9 N o / � / G/(// .. treet..... /r s Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No ..� Q tr -9 - Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts is 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 subcontractors 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. (Signed) a Repairs No. of Stories Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- ;nspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE MATER STRIP HEATER TOTAL CONTR. LIST C: �/-- Ll � - / '' . _, K e ■ Gx_ CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 141 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK fi MIAMI S H ORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 4,5 7d Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work. STATE OF FLORIDA, } COUNTY OF DADE. 88. i ii Owner's Name and Address Aiy a No....� ® Y'� < S ` �- Registered Architect and /or Engineer Employing Electrician's Name / ,, �^ f " s �- 9 N o / � / G/(// .. treet..... /r s Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed—No ..� Q tr -9 - Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts is 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 subcontractors 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. (Signed) a Repairs No. of Stories Master Electrician. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- ;nspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Date 11 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. ,19 Owner's Name and Address. _..lin_... bit. _.. OK enson No 1040 Street N• 71, 93 ✓°C. fit• Registered Architect and /or Engineer Name and address of licensed contractor Gl f f'e n Indus t r1 e s e Inc • PC Box 7451 Co? al. Gables Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 1040 N,1 93rd tea Miami Shore s st Fla. State work to be done and purpose of building (by floors) ROOF Yew Addition at Rear of Hour 0 l /30- and 2/15# asphalt felts and gravel, Galore Gravel Stop and , and for no other purpose. New Building Remodeling. Addition sA Repairs No. of Stories Ono To be constructed of Kind of foundation Roof Covering_. ... '-aTiQ.!L Estimated Total cost of improvements $.__. 9 41.00 Amount of Permit $ 5 00 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 �? ¢ __ d g'���� .131 w. �'� B_ox- 74_51 aDx'_a1 (aai21e9, 1 , 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 5968, 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 su be ed under this permit, as are licensed by Miami Shores Village. 1U _ Remarks (Signed) J. V. F`ll em ng Troas 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) Notary Public, State of Florida Building Inspector 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. 06/27/2001 10:26 PHILLIPS EISINGER - 13057568972 1, APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY E L E N A M O N K , hereby apply fora certificate to re- occupy the single family residence known as : (address) 01-0 tl . r, 91" S•iY-ee4. . Legal Description: Lot: 5, 6 Block PB & PG: 1 6 -� 1 I hereby certify that 1 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 -. • repr: sentation, erdfication as to the condition of the dwelling or other structur - $ 'r su j prope Applican Contact Nal:he: L Lt MoN1tA PAGE I OF 2 Miami Shores, Florida. Date j Pririt Name lti --• f c� For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Telephone: 3°T-151- Zt3 Buyer ✓ Seller Realtor Company Name, Application Fee (S50) paid: Cash _ Check No. 11,53g S Inspected by: _ Approved Denied Date.., Comments: COn+ac+ E I en G 0S71S NO.903 P002 c iT 39tld zL68992..90£:Xtid IA S3OHS I Uzi IW :GI CO :VT TO, 9Z'90 v0S' °N 31I 24689SLS02 06/27/2001 10:26 PHILLIPS EISINGER 4 13057568972 CER z i1-ICA7E OF RE- OCCUPANCY On behalf of Miami i Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for purposes ofre- occupancy pursuant to Sections 901 and 902 of the Nfiami Shores Land Development and Zoning Ccde and chat such property may be re- occupied by the above applicant for single - family reside.al purposes. By: PAGE 2 OF 2 MIAMI II SHORES Y2 E. FLORIDA Date of Certification: THIS CER 1 Lk LCAiE VERIE ES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILAGE AND HAS BEEN DETERMI`FED TO PRESENTLY COMPLY WITH T I-E SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE -FAMILY DWELLING IS USED AND I ENDED TO BE USED FOR A ONE- FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERI 1kiCATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER STRUCTURES ON T_rE PREAVESES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF TH PREMISES IN ORDER TO Dt i 1✓RM3NE THE CONDITION, THEREOF. NO.903 P003 /Z 35 2L.689GL9OE:Xd — '39dTIA S3IOHS IWCIW :QI £0:17I TO, S3/90 v09 311d