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OCCUPANCYINSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION 1 ROOF SEPTIC TANK BEAMS & LINTELS $ POOL TUB & TOP OUT FRAMING SOLAR HEATER AIR COND. $ GAS FINAL CLEAN UP SLAB S SLAB SOLAR HEATER SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE BY ROUGHING $ SEPTIC TANK ROUGHING $ SEWER TUB & TOP OUT $ SOLAR HEATER $ GAS $ S S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING $ H. W. HEATER CONN. ROUGHING $ RANGE CONN. TUB & TOP OUT $ MOTORS $ SEWER $ S SEPTIC TANK FIXTURES & FINAL SOLAR HEATER FIXTURES GAS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE TEMP. SERVICE $ H. W. HEATER CONN. ROUGHING $ RANGE CONN. $ MOTORS $ FIXTURES $ S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL IE /'-"9"" --1`) BUILDING INSPECTIONS 27 7 5' CONTRACTOR PERMIT NO. NEW BLDG. CONTRACTOR ,17�A, -.3 7 / C._ PLUMBING PERMITS & INSPECTIONS PHONE FEE $ REPAI RS DATE ALTERATION ADDITION ELECTRICAL PERMITS & INSPECTIONS PERMIT NO. �' ? d I DATE ALTERATION APPROVAL TO POWER CO. FOR SERVICE DATE „eL��c 7 R ADDITION PHONE FEE 2- ` `a BY ' �D ,{/ / OWNER'S NAME P PRESENT ADDRESS `/f L LICENSE NO. P PaIONE NO. • JOB LOCATION ST. OR AVE.) L LOT B BLOCK S SUBDIVISION / GENERAL CONTRACTOR A ADDRESS P PHONE NO. L LICENSE O. BUILDING PERMIT NO. � D rr r PERMIT FEE $ ./0.. oc) N BUILDER'S BOND NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTrRTOR CONSTRUCTION / „ gS a.0 c 'e...< < 7 'JP' - 7 7 z7 ,4 , e't s DESCRIPTION REPAIRS ALTERATION DESCRIPTION ADDITION APPROVED REJECTED REFERRED TO COUNCIL REASONS SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD REMARKS SUBMITTFD TO VILLAGE COUNCIL �// /� �/ 0 CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: G. DATE BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: G. DATE BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N? 960 Plan Cube 707 Tax Value 354 Miami Shores Village, Florida, 7 - - Owner, Agent or Tenant of Building HARRY RAND Lot 17 & E-- 16 Block 23 Subdivision Miami Shores See .#1 Street Address 121 N.E. 92nd St. Approved use by occupancy EXTENTION OF FLORIDA ROOM Remarks This Certificate of Occupancy is issued to the above named OWNER 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 structure BUILDING DIVISION • OWNER'S � NAME ^� Awe /2. ...7 /V 1' I ' r /� Zf /Y • L s , / PRESENT ADDRESS \/^X / / i.� ./" LICENSE NO. PHONE NO. r JOB LOCATION (ST. R AVE.) /Z., /44. E., 5 Z -' SX LOT /7 t c y /G BLOCK 23 SUBDIVISION „4,.,,, ; Spa PI ats/ • GENERAL CONTRACTOR o,J 7 - IS ,j i ,_ J er,e _ ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. .7.5 S DATE 2- /1Y- 1 a PERMIT FEE $ AO BUILDER'S BOND NO. 2 Z ? DATE / �7 - Aloe, 7/ ow( ZONE REQUIREMENTS CU. FT. PLAN CUBE z4 CU. FT. EST. COST $ aS.' d nn-- DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY L' I'd / • i 119-le le- L L„___ DATZ 2-- ,Y 4 - ll NEW CONSTRUCTION TYPE Gr 9$ .,. STORIES ®I, e ROOF CONSTRUCTION 67 / t.• 6T INTERIOR CONSTRUCTION 6•J O o Ap, FeextSrruz- A 7 O REPAIRS DESCRIPTION Oa 7e._01 E 'x / 3r / /V 6. pc.m e.. "2 pC G --1r e-F' EIS 1 .a- S ALTERATION r DESCRIPTION 1 04 A)0 4471 (.,t n) S < •-- / •y- G.£ dsQr 5 TGe / .-1 — ADDITION SUBMITTED TO PLANNING BOARD AP"OVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. " ,-' If ISSUED � BY p, / �,i _ TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS ROOF C) « . W74 q DATE BY FOUNDATION �f !' 3u - SIC x- ^ BEAMS & LINTELS b''l -3� ' 7 POOL TUB & TOP OUT 6 RAMING P -5 Y ---)( AIR COND. FINAL S SEWER CLEAN UP P�' � d / -S 1 4 C4y�, $ -4 - J0 .,,),e,‘ SLAB A SLAB FIXTURES SEPTIC TANK TEMPORARY SERVICE DATE BY RE- RE- INSPECT $ SEPTIC TANK BY ROUGHING $ SEWER FEE TEMPORARY SERVICE $ SOLAR HEATER TUB & TOP OUT e /- [ - $ GAS $ RANGE CONN. S SEWER S MOTORS A INSPECTIONS DATE BY RE- RE- INSPECT BY RE - INSPECT BY ROUGHING �.�/ 'f 7-a 74 ^-A/ FEE TEMPORARY SERVICE ROUGHING Q c/ ,,,�/ 7 - Y— TUB & TOP OUT e /- [ - 0-1.f'wu. $ RANGE CONN. RANGE CONN. SEWER S MOTORS S FIXTURES SEPTIC TANK S FIXTURES & FINAL J/•/) -.1 i S SOLAR HEATER FIXTURES OX a5 ' - � �p d"/ � , GAS CONTRACTOR £,) //,',q.,,,,� fZu 47 re S _ PHONE . PERMIT NO. 7 057 I DATE 9 _V. U / FEE $ p Z� NEW BLDG. 1 ALTERATION 1 ADDITION X REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ROUGHING Q c/ ,,,�/ 7 - Y— S H. W. HEATER CONN. $ RANGE CONN. RANGE CONN. S MOTORS S FIXTURES S FIXTURES & FINAL J/•/) -.1 i S INSPECTIONS DATE BY RE - INSPECTI BY RE- INSPECTI BY TEMP. SERVICE —Q----1-1 ROUGHING Q c/ ,,,�/ 7 - Y— H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL J/•/) -.1 i ,...}1 az4a e-04 Ci T< "INSPECTIONS ��// PLUMBING PERMITS & INSPECTIONS CONTRACTOR /4 -4 ltd 1 4,,0c,-- a., PHONE e/ '/ CG,' 1 DATE - lib- FEE $ v • "� 1 ALTERATION 1 ADDITION REPAIRS PERMIT NO. NEW BLDG. SPECIALS PERMITS PERMIT NO. APPROVAL TO POWER CO. FOR SERVICE DATE DATE ELECTRICAL PERMITS & INSPECTIONS BY FEE MIAMI SHORES VILLAGE, FLA. JOB Q� - N 8447 S- ADDRESS t'L‘ - ` • 91 L . ) INSPECTION r� F� p A d I T t O •'�/ TIME READY "^- - - REMARKS: INSPECTOR DATE PAID BY j[ -,' -2;1//' . /-J � YEAR �� ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID 717VVO RECEIPT NUMBER l ck ,� 40 /0- S21-9:- .../(e/ / _/...7-4-"i or • (i' I � t ��'+ '_r - 40! ti 0 79 0 41 /Q _... / -,2 -�j /'T f . .ice 1942 ® /C /� - KI 3 0 if ^� I ! !� , /.J_.A Le y/_, ,, !/ • (/ ��yC - 1 ,r J/ i i' .. , 4 1943 / ® �� `/ V// 1944 /a 0 /2 2kX 5 ( i 1945 /® . 1 -1/- v s (0 142o C)Z / - 1946 / 0' 6-40 i : 0 6 / - I [ 4‘, /1,-)-3-44 �/ //'/3 Y , l - 70R9r5 1 0-C .Q Az( , ' 1947 1 y 1948 /a7 Oa f2-3f / 0� /.2.0o 1 /2 „ 1949 ,/ 42 f/ /�- j/- a /d- w ff / - 3 - � o / ? /a-7 /36 / /. r, 1950 „ LOCATION X 121 N. E. 92nd Street /74 ' �-v 'Y3 d , '/S GARBAGE TAX RECORD 121 N: . P 92;?d Bt. �� By Year C]tia± a Heistand ParA Annual Tax Period Used Amount Paid Date Paid ReceiptJ /0%-5 �3�f/ /e- c /Aa0!4 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 \ID Buildin Ir}spection Request f� Date n Type Insp'n V CC )2_05 a . cw( y� I2f )'L C2SI Permit No. Name Address Company Phone # Inspection Date 4 Approved Re- Insp'n Fee 14 3 1' iIN Op-C. /2( e 020 �jo S , � 2 � G( l.7 -ems l /7e of- (Rev. 04/24/03) Building Officials Approval: Miami Shores Village Building Department Certificate of Re- Occupancy Permit No.3S7a Date The following residence is issued a Certificate of Re- Occupancy Address 12 -1 NL 1 L City Miami Shores State Florida Zip 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 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. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 RE- OCCUPANCY APPLICATION Date Contact Name 6i4.1Q QP_.G fft Signature produced Sign: Print: ev 10/02/03) Building Department My Commission Expires: Y PUBLIC: Miami Shores Village nn >♦ � -x irex , 2 2 .3 0 (1 1 954 7 � rtan t�c' � F ?� �� , j 7 Fer-mit,No. Loc ID 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 Phone # 30 5 . 3 Z - p 3 Buyer d 3t4N og{ ryk8eller Realtor Company Name Property Address 10i AI , City Miami Shores State Fl Zip 3 1 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 the property. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate. Applicant Name 40 IrtIV 0.4fepJ The foregoing instrument was acknowledged before me this ` day of'�I by j C C , �''rho is personally known to me or who has as identification and who did take an oath. Building Officials Approval: ,20 , • Re -Occ. $60.00 Notary $5.00.h CCF $0.60 Total 2S t C) (Rev. 10/02/03) RE- OCCUPANCY n ��,� UVw '7 _,, , .�c..w APPLICATION Permit No. eoc5 in 0 8 2n Loc ID Date � zz� G Contact Name J 64N ag-61eft Phone # 30 5 ' 33 Z • 0 3 Buyer jetiN oggIMe11er Realtor Company Name Property Address 121 AI "Z. Z City Miami Shores State F1 Zip 33/ 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 the property. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate. Q HA/ 0 r -6 � Applicant Name Signature The foregoing instrument was acknowledged before me this day of kfi by , On v TRho is personally known to me or who has produced as identification and who did take an oath. Y PUBLIC: Print: My Commission Expires: Building Officials Approval: Miami Shores Village Building Department 1 e/ xpir S.ion 9S 8q 1,1 „no t 1 3_ in " 2007 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 , , Re -Occ. $60.00 Notary $5.00 CCF $0.60 .!- Total