OCCUPANCYN9 1249
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla ,
Owner, Agent or Tenant of Building. -
Lot Block Subdivision
Street Address
Approved use by occupancy
Remarks:
This Certificate of Occupancy is issued to the above named
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 ' s 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
'ILDING
ECTRICAL
UMBING
'OFING
prier of
lding
-hitect
itractor
Builder
gal
Decription
idress of
tilding
Lot
J /
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT
Work to be performed under this Permit
C r
N9 7331
B1
•
Contractors
License No.
L ,
7
DATE. 'j
Subdi-
vision
Value of ?.c . II Amount of 2
Project $ �� Permit $
BY AUTHORITY ABBOT `
19 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 applica-
e herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
=ns, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
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
rmit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
bility for work done by his agents, servants or employees.
Signed- ( ` `" ` +r 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
.ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as
eptinq this permit I assume responsibility for ec11 work done by either, myself, my agent, servant or employee.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
ApplicaLon is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing o: other stru ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores V11ag F orida, and all provisions of the Laws of the State of Florida, all ord nances of Miami Shores Village and all rules and
regulations of the Building Division of Mimi Shores Village sh 11 be con plied with whether her in specified cr not. A cop of approv d
plans and specifications must be kept at building during progress of the work.
Owner s Name and Address ___ _
PS RAW ri9 1? 1 k-
Date_
e_l_flC( 4-AIR
No.. //_ Street__ _ N . _ _
Registered Architect and /or Engineer _
Name and address of licensed contractor _ -'IJ IT O ____. viri7 _ e72., '' /06
Location and legal description of lot to be built on:
Lot Block _ -- ---- _ -__ -- _ -- -- -- -- Subdivision - - - -- -- - -- -- -
Street and Number where work is to be done_ _ t!_ � N E `72.
State work to be done and purpose of building (by floors)._
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 $ O _____. _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
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 perf.p ed under this
permit, as are licensed by Miai. i Shores Village. -- 7 '' 0o 11
Remarks-- -- - --- ( Signed) '. ��
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly zuthorized 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 th all fact
therein by him stated are true.
Permit No. ___ 73 3 0_ _
Disapproved _
( Signed) -
Chairman . _
M e m b e r _ _
Member _ _
Council Approved .
Date_
Date
Read, Sworn to and Subscribed before me.
to me well known,
Notary Public, State of Florida
Building Inspect My Commission Expires ___
PILANNING BOARD DATE
Member
Member _
Member
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- inspect'oli 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.
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