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43 NW 91 St (11)OWNER'S NAME . PRESEI;$' ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) ,., .. 1 LOT „ .. 1_ t. � . . o� 2, , BLOCK ofS 179 SUBDIVISION of S .3 - is ,, ,, 3 .; c_. GENERAL CONTRACTOR .,,' ! _. :,1:. _;:Ce.: .Section „ 1 ADDRESS PHONE NO. LICENSE NO. 1025 jc l:t BUILDING PERMIT NO. 5-2 . -E ; DATE 19.00 PERMIT FEES BUILDER'S BOND 1984 ATE ..G D NO. D ZONE REQUIREMENTS 15 CU. FT. L 1 779 PLAN CUBE CU. FT. 1i.: 300 EST. COST $ DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY DATE 8 -5G NEW CONSTRUCTION TYPE aJ STORIES 1 ROOF CONSTRUCTION `T_t1e INTERIOR CONSTRUCTION 3 r. . G at s REPAIRS DESCR IPTION L_ardiyoor'. Floors, .00:: :.s. , ,. o::::: ALTERATION DESCRIPTION L taster ..p.' -s .'.3.17_ ._. `,s, 2:11e ,!_1. 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 , TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION SPECIAL PERMITS - DATE FEE TEMPORARY SERVICE $ BEAMS & LINTELS L - L - �L <- ... 4 ' "r,:j 2 7 S$�' SEWER FRAMING K. -- C L �a e.. 4 `- 4V - -; - FIXTURES $ GAS $ $ 6.1 CAA. wile � 4 ?DI f-- z.O -.1� FINAL INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT CLEAN -UP ROUGHING 4 - /_ SZ, t,J,Q4 '-'- 4(3v — 6 z - ' ltif?, CONTRACTOR V©Nc $ {'C v ? II e.J - PHONE PERMIT NO. 3 7 6 % l DATE Ie / - aC, FEE $ NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ J SEPTIC TANK - k • pc 0 4,4a/ , .� 4 - v y sr� - 6-' 3 S$�' SEWER $ MOTORS $ SOLAR HEATER $ FIXTURES $ GAS $ $ 6.1 CAA. wile � 4 ?DI f-- z.O -.1� $ I- OO INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING 4 - /_ SZ, t,J,Q4 '-'- 4(3v — 6 z - ' ltif?, t GAS a I a 7 � H. W. HEATER CONN SEWER RANGE CONN. SEPTIC TANK (. - z 2 - 472., li'R ' `F v`� S SOLAR HEATER FIXTURES & FINAL FIXTURES CONTRACTOR J ,J • 0.; 9 tZc -fi2 , C - PHONE PERMIT NO. ` ' 7 DATE C' 2 2 - 4 { FEE $ 1 4 /,, 0 NEW BLDG. Y- I ALTERATION 1 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 -- ?t,-.)Z �A a I a 7 � H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL • • BUIL� INSPECTIONS 4L �3 r y�GS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY ti PLEASE PRINT DATE: `Z � TIME: NAME OF PERSON REQUESTING FILE: PHONE #: YOUR ADDRESS: ADDRESS OF FILE REQUESTED: NJW ck (S INFORMATION REQUESTED: I understand that all documents in this file are property of Miami Shores Village and that NO documents may be removed from this file. You may get 4 complementary copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not including any blue prints. If blue prints are order please be aware that we are not responsible for the quality of the printed documents. Acknowledged by: FILE RETURNED TO: INITIAL Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 • Fax; (305)756 -8972 CERTIFICATE OF RE-OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has bee 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. PAGE 2 OF 2 Date of Chou: 4 THIS CEK11HCATE 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 SOT .FT.Y TO THE REQUIREMENT THAT EACH ONE- FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CER1'MrICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THECONDITION 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 ' " HE PREMISES IN ORDER TO DETERMINE CONDITION, THEREOF. C Z S -e yr o ne) to re- occupy the single family residence known as : (address) s 1"r. , 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, 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. Jai A(c/r?,'6 Applicant Print Name * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact u, i / AVei r e-t Telephone : .33r 7/7 86/ 33 »5 -s 3 Al ct Contact Name: Buyer Seller V Realtor Company Name Application Fee ($50) paid: Cash Check No. Inspected by. F. LUBIEN I E N � �' Approved X Denied Date 4/28/99 Comments: APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY * ** ************************** * *** * *** * * * * * * * * * * * * * * * * * * * * * ** PAGE 1 0F 2 , hereby apply for a certificate