RE-OCCUPANCY• OWNER'S NAME
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PRESENT ADDRESS
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LICENSE NO.
SUBDIVISIO
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PHONE NO.
PHONE
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LICENSE NO.
1'7.12
JOB LOCATION (ST. OR AVE.)
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LOT
ADDRESS
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BLOCK
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11. 13.
1E GENERAL CONTRACTOR
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BUILDING PERMIT NO. `
DATE „ /2 /5G
PERMIT FEE S ,.0(,
BUILDER'S BOND
NO. 2005 /2/56
DATE
4 S. 20,000
ZONE' PEOUIREMENTS CU. FT.
2% ., 2r
PLAN CUBE CU. FT.
2,.,000
EST. COST $
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DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY
DATE
V2/E G
NEW CONSTRUCTION
TYPE
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STORIES
1
ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
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`
REPAIRS
DESCRIPTION
1cri zzo Flours, Sad. i1as Lo: ed Cei1inL;s and ,.ails
ALTERATION
DESCRIPTION
Tile Sills end iood :3P,90
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO ���/
I ISSUED 47.0
I BY I
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BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
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INSPECTIONS
--- -
DATE
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BY
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RE- INSPECT
BY
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RE- INSPECT
BY
FOUNDATION
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SPECIAL PERMITS
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PERMIT NO.
DATE
FEE
BEAMS & LINTELS
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$
$
SEPTIC TANK r.J •.`
FRAMING
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FIXTURES
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GAS
FINAL
DATE
BY
$
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RE- INSPECT
BY
CLEAN -UP
$
INSPECTIONS
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DATE
BY
RE- INSPECT
CONTRACTOR CL m c?-rH
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PHONE
PERMIT NO. -.We t
1 DATE f ", ,: /
FEES +I.- 1 ZI
NEW BLDG. ' 1 ALTERATION 1 ADDITION
FEPAIRS
DATE
SPECIAL PERMITS
TEMPORARY SERVICE
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
$
SEPTIC TANK r.J •.`
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Th,,-.
SC.:
SEWER
$
FIXTURES
$
SOLAR HEATER
$
GAS
INSPECTIONS
DATE
BY
$
BY
RE- INSPECT
BY
TEMP. SERVICE
$
INSPECTIONS
_- .t' .
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING _
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RANGE CONN.
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SOLAR HEATER
FIXTURES / /-7
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PERMIT NO. s':::1.? ... DATE � •• ' • -
FEE $ / C S. M .S�
NEW BLDG. 3/ I ALTERATION
I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
-
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
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ROUGHING
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H. W. HEATER CONN.
RANGE CONN.
FIXTURES & FINAL
0 CONTRACTOR
1
PLUMBING PERMITS & INSPECTIO
ELECTRICAL PERMITS & INSPECTIONS
►Aid.' .f• /. - I PHONE
Q APPROVAL TO POWER CO. FOR SERVICE DATE
BY
ALVIN B. KROLL
Building Contractor
4550 ADAMS AVENUE
MIAMI BEACH, FLORIDA
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APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
6- X
hereby app y for a certificate to re- occupy the single family residence known as: (address)
// 3 ,:J 9 sr
Legal description:
Lot: 0/3 ,Block: ,PB&PG: 4 6 .
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 Mani 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.
Inspection: Bv:
Comments:
Applicant: - mil, at �� � > > ate:
/i.
i
*** * * * * * * * * * * * * * * * * * * * * * ** * * * * * * **
For the purposes of conducting the inspection required by Section 902 of the Muni Shores
Development and Zoning Code, co
Contact Name: g6 &WYa/eS el ep hone: g515 7J /S, 113
Buyer: Seller: Company Name. , J'77
Application Fee (S50) Paid: Cash: Checic Number.
Approved:
, Miami Shores, Florida.
Denied: Date:
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 Mami Shores Land Development and Zoning Code and that such property may be
re- occupied by the applicant for single- family residential purposes.
MIAMI SHORES VILLAGE, FLORIDA
By:
Date of Certification
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- FAM1LY.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 PARTIES ARE
ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION
OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION
THEREOF.
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