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BUILDING / OCCUPANCYOWNER'S NAME T 1 1 np n PRESENT ADDRESS LICENSE NO. PHONE NO. •s+ JOB LOCATION (ST. OR AVE.) 7. 7, ( 33rcl Str •. LOT 6 -5 less 050 BLOCK 2 SUBDIVISION T cyr Lure GENERAL CONTRACTOR ow ?7 .-1171 i f 1 Ep . ADDRESS PHONE NO. LICENSE'.4O. BUILDING PERMIT NO. 221 DATE —0 � — 55 22.00 PERMIT FEE }} BUILDER'S BOND NO. 1p30 DATE ZONE REQUIREMENTS CU. FT. 31 PLAN CUBE 3� �gSL. CU. FT. EST. COST $ 18,000 DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE C13il STORIES 1 ROOF CONSTRUCTION tile - INTERIOR CONSTRUCTION Cement tile r.rd pine T. oo d !l00r REPAIRS DESCR IPTIONplaS Let' ':- 11;1 i!iJ eeil.ug i baths-2 'x'rm.- den -maid 1 s room F? a. room-- c1inin.0 area - living room - kit^ break! _,' r. room -ut11i Ly roo1f1- 6ar &SCRIPTION ALTERATION 1 ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS 7 CERTIFICATE OF OCCUPANCY NO.P � �.� ISSUED D:' '0?(''` t BY AAA TO l' t ^' - - -� BUILDING PERMIT AND INSPECTION RECORD — MIAMI SHORES VILLAGE 5, �i ,, ." I " t ILW INSPECTIORIS .-,, `t - L ( INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION '• 1/ •55 � BEAMS & LINTELS '-.' _f,� - �� r) _ FRAMING i -,r , C� T \_� -_. FINAL //' --i CLEAN -UP PLUMBING rERMITS & INSPECTIONS t CONTRACTOR' / t A- -- , ^.+•"M. . �r PHONE PERMIT NO. ., { DATE J • - � `- FEE $/ ! tl "/ .S NEW BLDG. ALTERATION l l ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK �S SEWER S GAS $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY q ROUGHING ! - O? �� GAS SEWER SEPTIC TANK /- IF..+ SOLAR HEATER FIXTURES - I `"{ .� / / `- yam - ; c, CONTRACTOR AAA* PHONE U I' PERMIT NO. * ' DATE / ` ,- . `. FEE $ ) :2---- - 2 ) 1 NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE L TEMPORARY SERVICE 1 Cam r ., y,, �a PI H. W. HEATER CONN. � $ RANGE CONN. S MOTORS $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE _ ` e _ ROUGHING 1 _' - ti. H. W. HEATER CONN. RANGE CONN. FI *TURES & FINAL / /-I{ SS ELECTRICAL PERMITS & INSPECTIONS APPROVAL. TO POWER CO. FOR SERVICE DATE 1 � - r ! f CONTRACTOR AAA* PHONE U I' PERMIT NO. * ' DATE / ` ,- . `. FEE $ ) :2---- - 2 ) 1 NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE L TEMPORARY SERVICE 1 Cam r ., y,, �a PI H. W. HEATER CONN. � $ RANGE CONN. S MOTORS $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE _ ` e _ ROUGHING 1 _' - ti. H. W. HEATER CONN. RANGE CONN. FI *TURES & FINAL / /-I{ SS ELECTRICAL PERMITS & INSPECTIONS APPROVAL. TO POWER CO. FOR SERVICE DATE 1 � - r ! f ELECTRICAL PERMITS & INSPECTIONS APPROVAL. TO POWER CO. FOR SERVICE DATE 1 � - r ! f • OWNER'S NAME 2p ✓4.J • S [3 62.J4 . PRESENT ADDRESS c / 2. Z C.. N. C • Y3' d )(.. LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 2 1 !� N. C • y R-.01 S' . LOT 6 t 2r 7 S BLOCK Z SUBDIVISION . 6 Lv2c. GENERAL CONTRACTOR O a,J t) C ADDRESS / PHONE NO. LICENSE NO. BUILDING PERMIT NO. G7 /o r/ DATE � 1/-- 4 " PERMIT FEE $ z r BUILDER'S BOND NO. DATE 5G.-ta -..) Pi.F< -N /T /G^0- ZONE REQUIREMENTS CU. FT. TAX v4c.J�c Z S -a � PLAN CUBE CU. FT. A.. EST. COST $ Z-01) DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY G.. Al. /00:442.I4, e--c-- DATE z"- /o -S$ NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS ) n DESCR IPTION SLiL � 7-)/LLN 4v DESCRIPTION ALTERATION 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. / ISSUED BY 1 1/7-y.ir TO • • BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION PERMIT NO. DATE FEE TEMPORARY SERVICE BEAMS & LINTELS SEPTIC TANK $ SEWER FRAMING $ SOLAR HEATER $ GAS $ $ FINAL DATE BY RE- INSPECT BY RE- INSPECT BY CLEAN -UP CONTRACTOR PHONE PERMIT NO. J DATE FEE $ NEW BLDG. 1 ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ SEWER $ SOLAR HEATER $ GAS $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING GAS SEWER SEPTIC TANK SOLAR HEATER FIXTURES CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. ALTERATION 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 ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY 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. Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor Loca�ion and egal description of lot to be built on: Lot_, ® '3 4 P. Block Street and Number where work is to be done 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 $ ........ 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 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontr.. ors, on work to be formed 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 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 0 Subdivision 2 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 Disapproved (Signed) Buil in¢ Inspector Date �■ ® , 19 No Street Q,,,, ,_...,__, „...., .7,, , _._, ra o to me well known, Read, Sworn to and Subscribed before me. 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. Kind of Insurance Policy No. Expiration Date Limits of Liability Bodily Injury Property Damage (a) Automobile Liability $ each person $ each accident $ each accident Manufactures' & (b) Contractors' Public Liability CL 62397 4 -1 -56 $ 100,000. each person $ 300 , 000. each accident $ 5 000 each occident $ 25,000. aggregate c Contractors' Protective () Public Liability CL 62397 4-1-56 $ 100,000. each person $ 300,000. each accident $ 5,000. each accident $ 25,000. a99regate (d) Workmen's Compen- sation U 19166 4 -1 -56 States for which coverage is afforded: Florida (Statutory) (e) (f ) (9) 1. Certificate issued to 2. Address of Principal 5. Policies in Force: Form G -13 -HJ r cam CERTIFICATE OF INSURANCE Miami Shores Building Department Date July 21, 1955 This is to certify that the below described policies of insurance are in force as of the date hereof. 10 CI Icl g�y t t�if ' s l�t�c� be cancelled before the expiration date thereof, the company will ]lbeialrc give ritten ° notice tote principal named below. ompoldtablopmadmmumump (Principal) City Hall, 10050 N. E. Second Ave., Miami Shores, Florida 3. Policy issued to JANIS -MANK CONSTRUCTION CORPORATION AND BERNARD JANIS (Insured) 4. Address of Insured 1680 N. E. 123rd. Street, North Miami, Florida AMERICAN CASUALTY •MPANY OF ' EADI , PENNSYLVANIA By ARV , (Aut entative) STATE OF FLORIDA) SS COUNTY OF DADE ) A F F I D A V I T of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, doth depose and say, that under the provisions of Ordinance No. 185, dated June 15, 1948, amending paragraph (d) of Section B-368 of Ordinance No. 97 of the Building Code of Miami Shores Village, he desires to build a on Lot Block of Subdivision, that he is the owner of said property, and will be the owner of said , that he will do the work personally, and that he will, at such times as are required by the Zoning and Building Director: - 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the work in accordance with the provisions of this Code. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certificates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of.America. 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 9. Not set himself up as a "contractor ". 10. Sign an affidavit before commencing work to the effect that he has read this Article and will do the work personally and observe all of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 11. In order to prevent abuses and subterfuge the right of such owner - builder as herein provided, is limited to but one owner - builder permit each 2 years, and where an owner- builder has once exercized the privilege herein conferred no second application for owner - builder permit shall be granted in less than 2 years, unless the applicant is qualified as a licensed General Contractor under the applicable Ordinances of said Village. And Further this Deponent says not: SUBSCRIBED AND SWORN TO BEFORE ME this day of ' _ ,/ A.D., 195_. NOTAR Notary Public, S• - *e . Flo :.a ". tergt+ My Commissio a .fires Jan. 17, 1950: Bonded by American Fire and Casualty Co. 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. L Date /" 5 — --.5 , 19 t/ Owner's Name and Address...) J ' �''� (Z 3 Ce No '' t- Fa Street Registered Architect and /or Engineer Name and address of licensed contractor_ _fen. -� fi.3 ._ Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) . 1) 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 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 subcontrac` s, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks ( Signed • 'tea..,.. 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 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 a true. Permit No 7 t; 5'. Date l_ -_ '�-( — Sl Read, Sworn to and Subscribed before me. Disapproved Dat ( Signed) - -A -, t _ --1,- ."- - ,,.." _ . _ Building Insp ctor Notary Public, State of Florida My Commission Expires LANNING BOARD DATE Chainnan 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 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. Date 1 4 .._et#�i ,/ , 19' Owner's Name and Address._.. A�� G,,0,�........ No./2)�I Street.l6. ..... 77 A /.,,,rj ° Registered Architect and /or Engineer Name and address of licensed contractor Ofe 'relrr_Ae /./ of Location and lega description of lot to be built on: Lot___ 41 ° . Block Z Subdivision A'�LYd t Street and Number where work is to be done /2-J6 State wor to be done and purpose of building (by floors and for no other purpose. Remodeling. ✓ Addition Repairs clo Roof Covering -kesfed€4/010/ .,ro New Building To be constructed of Estimated Total cost of improvement Zone cubage required Distance to next nearest building....... Maximum live load to be borne by eac I hereby submit all the plans and spec be sent to Kind of foundation The undersigned applicant for thi bui of labor under the Florida Workmen' Co and has complied with the provisions her in the work to be performed under t s p or notices as are required by the Act. he permit, as are licensed by Miami Shares Remarks Date Disapproved Date.___ ( Signed) uil• ing Inspec . r Amount of Permit $ u+0 plan Cubage7.!x>E- ll r-a — Size of Building Lot __._Mt or ications for said building. All notices with reference to the building and its construction may ing permit does hereby certify that he understands and accepts his obligations as an employer pensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, f, and will require similar compliance from all contractors or sub - contractors employed by him mit; and will post or cause to be posted for ins ection on th- of the work such public notice ndersigned agrees to employ only such sub actors, on ;.rk to be performed under this illage. i , � (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 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 t.1 ! 0 1 - tt -T.& Read, Sworn to and Subscribed before me. P ANNING BOARD DATE No. of Stories Notary Public, State of Florida My Commission Expires Chairman Member Member Council Approved Date NOTE: A charge of $1.00 will be made for making 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. Member Member Member Disapproved Date corrections or changes to this application after approval has been obtained from k fiiicf cf i1JJ )t F 94iJ/ STATE OF FLORIDA) SS COUNTY OF DADE ) A F F I D A V I T B E-ke_AAC-D Alto/3 of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, doth depose and say, that under the provisions of Ordinance No. 185, dated June 15, 1948, amending paragraph (d) of Section B-368 of Ordinance No _97 of the Building Code of Miami Shores Village, he d sires po build a Lot w^S�Ga., k'JP Block 2 of L4Attet Subdivision, that he is the owner of said property, and will Abe e owner of said Plt40ovC-9 , that he will do the work personally, and that he will, at such times as are required by the Zoning and Building Director: o 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the work in accordance with the provisions of this Code. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certificates showing the payment required by the Federal Social Security Act to the State of Florida or the United States 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 9. Not set himself up as a "contractor ". 10. Sign an affidavit before commencing work to the effect that he has read this Article and will do the work personally and observe all MIAMI SHORES VILLAGE Owner's Name and Address.. Registered Architect and /or Engineer Name and address of licensed contractor Location and legal escription f tto be built on: LotA " S "`" 'IBT ock Street and Number where work is to be done New Building " Remodeling To be constructed of.._ S Kind Estimated Total cost of improvements $ Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor I hereby submit all the plans and specifications be sent to 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. Date Subdivision State work to be done and purpose of building (by floors) / of foundation g0 0+0 Amount of Permit $ _Plan Cubage Size of Building Lot g i-A.vfJL tvx and for no other purpose. Addition Repairs o. of St ries ...........L wst/v— Roof vering for said building. All notices with reference to the building and its construction may 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 Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors . sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspe . on on site • the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcon /ctors, • to be performed under this permit, as are licensed by Miami Shores Village. x 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 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 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. to me well known, Notary Public, State of Florida My Commission Expires 0 1/ 3 147 zel • WI 7z c22- 763 6 1 cL 1 / . 5 5 41 4 243 1 2 3 3 1 'C r V o4 /z 4 fiTC 7S " 45 " )( /0470 3 7."tife?" 506r I to 4-8 ‘ \rv, V dtr-tJt-L_ ■ n s c 1 4 1 7Ac6 3cX THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE A PENALTY IS IMPOSED FOR FAILURE TO KEEP THIS LICENSE EXHIBITED AT YOUR ESTABLISHMENT OR PLACE OF BUSINESS Village THIS LICENSE EXPIRES Irnbrt ,pry 4 2.956 In consideration of the sum of Paid to Miami Shores Village, Dade County, State of Florida, 14)6 N.t. 932d Street R, fin1 License 19 N? 713 ollars ($ '$.O is hereby licensed to engage in or operate the business of �1dw�► allow sax menthe tr Rata ',f 1e3u' I& Date Issued At .at a, 1955 MIAMI SHORES VILLAGE, FLORIDA By THIS LICENSE NOT TRANSFERABLE WITHOUT THE APPROVAL OF THE VILLAGE MANAGER. MSV 1004 BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building VI ❑ PERMIT N° 6710 Architect Contractor or Builder e Legal Lot Description `" Bl Address of Building CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA DATE ' Work to be performed under this Permit Value of Project $ Signed BY INSPECTOR Contractor's License No. 195 Subdi- vision Amount of S. Permit $ 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 application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at 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 permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. In consideration of the issuance to me of this permit I agree to perform the work covered hereundeVin compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to/the proper authorities of Miami Shores Village. In ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or eloyee. BY AUTHORITY 6 I , APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY hereby apply for a certificate to re- occupy the single family residence known as: (address) /' 6 / e; 9 c./747 ;"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, 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. Applicant: /y Date: y 9 7 Print Name: ZG / , 95 /V• ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For the purposes of conducting the inspection required by Section 902 of the Miami Shores Development and Zoning Code, contact: Contact Name: & es At Telephone: 7- .56 Buyer:_ Seller: /Realtor._ Company Name: Application Fee ($50) Paid: Cash: Check: /Number: lv 7/ . Inspection: By: Comments: Approved: Denied: Date: CERTIFICATE OF RE- OCCUPANCY On behalf of Miami 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 Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the applicant for single - family residential purposes. MIAMI SHO VII ,T 4GE, 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 - 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 PARTIES ARE ADVISED AND ENCOURAGED TO MART THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION THEREOF. to re- occupy the single family residence known as : (address) l z 3 Cc, ti E, 3 of S - f- . Legal Description: Lot: I hereby certify that I understand that the zoning of the ro e and that it is unlawful for more than one family to reside therein is I also u de standthatdential use Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that to 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 j ( ■ <v� L Date \ Print Name q ' Nl e - ( ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *, ,#****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shore Development and Zoning Code, please contact: s Land Contact Name: cc- e e Telephone: S Buyer _ Realtor ✓ Company Name ; C+ Application Fee ($50) paid: Cash Comments: Block APPLICATION FOR CERTIFICATE OF RE OCCUPANCY t2_ {er C hereby apply a 1 for a certificate Seiler PAGE 1 OF 2 Miami Shores, Florida. PB & PG: Check No. Z_ Approved Denied Date 7 CER11kICATE 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 property may be re- occupied by the above applicant for single- family residential purposes. �ch B PAGE 2 OF 2 S VU,LAGE, ORIDA � J � to of Certification: /2» 7 r0 / THIS CER 1 l -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 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 DETERMWE THE CONDITION, THEREOF. to re- occupy the single family residence known as (address) . Legal Description: Lot: I hereby certify that I understand that the zoning of the ro e and that it is unlawful for more than one family to reside therein for t I also u derstand that use Certificate of Re= Occupancy that may be issued by Miami Shores Village, certifies t referenced property is being used for single - family purposes and that such Certificate that the does not structures on property. on of the dwelling constitute any representation, warranty or certification as to the conditi or other Applicant Print Name ****************************,*********.w** * * * * * * * * * *s * * * * * * * * * * * * * * * * * * * ** * ** For purposes of conducting the inspection required by Section 902 Zoning y of the Miami Shores Land Development and ,Code, please contact: c /S -2.` 2 d Contact Name: Buyer Inspected by: Comments: APPLICATION FOR CERTIFICATE OF RE OCCUPANCY BIock S t , Miami Shores, Florida. Seller Application Fee ($50) paid Cash Telephone: S? _ .3 4 Realtor Company Name Check No. I Oa (, - Approved Denied PAGE 1 OF 2 PB & PG: hereby apply for a certificate Di,' Date 3 � ``' 7'"-Z_ 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. CER it !GATE OF RE- OCCUPANCY PAGE 2 OF 2 Date of Certification: THIS CER I U ICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY IvIIA1MI SHORES VILLAGE AND HAS BEEN DETERMENED 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 PREM[SES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PERSONS ARE ADI JSED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREM[SES IN ORDER TO DETERMWE THE CONDITION, THEREOF. 30 5- `33 ° A 146 /O spector S Passed Comments ��>��!� OX % _ =_� � sr- - - Failed ,.....% L Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. __ _ ' - _ , � '� � S�s 1♦ � ��ir"��/ until Inspection Date: 05/22/2006 Inspector: Grande, Claudio Owner: MECHANIC, STEPHEN Job Address: 1236 93 Street NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: Building Department Comments Friday, May 19, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: 'Inspection Number: INSP -17805 Y24LNI RC- 5-06 -' 315 Permit Type: Residential Construction Inspection Type: Re Occupancy Work Classification: Re- Occupancy Phone Number Parcel Number 1132050270180 Lot: Page 1 of 2 er 10ro2lo3l 05111 / 104 aaa !lib RE-OCCUPANCY APPLITATION Date 517 0 — NIO=ARY PUBLIC: Miami snores village Building Department RECEIVED MAY 1 9 2006 p_y3Inc31 Cmntnct Name 454t M ‘LL..a -nt c, rte v Buyer Seller ✓ Realtor Name 3 4. NIS 111 I , City Property Address 7 Sbot — _Stec. ?ip 33 13 I bereby oertiiS► that l understand that the zoning of the property is fix singheamily residential use and that it is un1awfial for more than one ihmily to reside therein. I also understand that any Certificate of RC* Ooaipancy that may be Wood by hfiami Shores Wage cues only that the refirenced property is being used for single4mily proposes and that such Certificate does not ooaetidde any representation, warmly of certification u to the condition of the dwelling or other atru ur s on the property. OWNER'S A FIDAVIT: I certify that an the ibregoing inlbrnntrtion ti accurate. Applicant N c., a Cr y i d. Argir The foregoing inert was acknowledged before me this day of by, - who i$ personally known to Here err who has as identification and who did take as oath. �C Pax: 5- Penult Iire ID 2 " • e �• CAN G .or.., yfn L � (, aMisSION OD 220 tr 290 SSign: C }{ /' � , . 3f, 200 prat: _,.. N /f p f. l [ � �r Ro \ Bonaed ins. *t Notary iZe s T►Ijr Commission Expires: Hurdling Officials Approval: 10050 9L>s2ad krauts mans lea Had 33132 TA (305) 7954204 • 20 nr. moor Rci Occ. $60.00 Notary ss.00 CCF $0.60 Total al.GO