1276 NE 93 St (3)PERMIT APPILI[ CATION FOR MdAMI[ SHORES DRIES VI LILAGE
Date' 13 , Job Address 42 76 iV_ � ,, c 1 3 1r 1 , -Cr Tax Folio
Legal Description Historically Designated: Yes No
Owner/Lessee / Tenant Y - -. 0 I n F'4 Master Permit # ' / I ri l ® c i
Owner's Address /2 76, ,/.e' - 7)' S / ` Phone lo r 75
Contracting Co. ,(0/4 )0 Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (curdle one): 'LWLIIDIING ELIECTRIICAL IFLUM]MNG MECHANICAL ROOFING PAVING FENCE SIGN
WORK IIDESCRYTII0N Rep44( I S % ;l�` � d% Dert
Square Ft. Estimated Cost (value)
WARNING TO OWNER: YOU MUST RECORD A NOTICE 01F COMMENCEMENT AND YOUR IFAIILURE TO DO S0 MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND T t 0 : 'TIN FINANCING,
CONSULT WIITIHI YOUR LENDER OR AN ATTORNEY (BEFORE RECORDING YOUR NOTIICE 07 COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
ture of owner and/o ondo President D
biS34,3/5x,
N� � as to Owner and/or Con t Date Notary as to Contractor or Owner Builder Date
My ommission Expires: My Commission Expires:
=— : � ; S
jOHN WITEELRIGI Tf PERSONS
NOTARY PUBLIC STATE OF FLORIDA
• COMMISSION NO. CC337177
CO `,.4MISSIOT '.P. DEC. 191971
FEES: PERMIT G O . RADON C.C.F. , S NOTARY
APPROVED:
Zoning
Mechanical
Building
Electrical
Signature of Contractor or Owner- Builder Date
TOTAL DUE
Plumbing Engineering
METRODADE
PRODUCT CONTROL NOTICE +SF ACCEPTANCE
Clopay Corporation
312 Walnut St.
Cincinnati,
OH 45202
METROPOLITAN DAD COUNTY. FLORIDA
METRO -DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE
SUITE 1603
METRO - DADE FLAGLER BUILDING
140 WEST FLAGLER STREET
MIAMI, FLORIDA 33130-1563
(305) 375 -2901
' FAX (305) 375 -2908
PRODUCT CONTROL SECTION
(305) 375 -2902
FAX (305) 372 -6339
Your application for Product Approval of:
Model 78, 83, 84A, 91, 93 and 94 - Sectional Doors 9' - 0 wide
under Chapter 8 of the Metropolitan Dade County Code governing the use of Alternate Materials and
Types of Construction, and completely described in the .plans, specifications and calculations as submitted by:
applicant. For listing see section 6 of this Notice of Acceptance.
has been recommended for acceptance by the Building Code Compliance office to be used in Dade
County, Florida under the specific conditions set forth on pages 2 et. seq. and the Standard Conditions
on page,3.
This approval shall be valid for a period of three years. The Office of Code Compliance reserves
the right to secure this product or material at anytime from a jobsite or manufacturer's plant for quality
control testing. If this product or material fails to perform in the approved manner, the Code Compliance
Department may revoke, modify, or suspend the use of such product or material immediately. The Building
Code Compliance Department reserves the right to require retesting of this product or material should any
amendments to the South Florida Building Code be enacted affecting this product or material.
The expense of such testing will be incurred by the manufacturer.
Acceptance No.:95- 0317.01 (supersedes No.: 94- 0614.03)
CONDITIONS
BUILDING CODE COMMITTEE
Expires:07 /25/97 Raul Rodriguez
Product Control Division
Supervisor
THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL
This application for Product Approval has been reviewed by the Metropolitan Dade County Building
Code Compliance Department and approved by the Building Code Committee to be used in Dade
County, Florida under the conditions set forth above.
Approved: 04 /03/95
s anger,
Director
Building Code Compliance Dept
Metropolitan Dade County
C•ldpay Corporatioa ACCEPTANCE No.: 95-0317.01
APR 0 3 1995
EXPIRES . ' JUL 2 5 1997
NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS
1. Description;
This approves overhead doors 9' -0 wide x 8' -0 thru 6' -6" high with 24 gauge steel skin,
coated with G -60 galvanizing, baked on primer and baked on polyester top coat.
2. Use:
3. Jnstallation:
APPROVED
The door shall be constructed and reinforced as detailed in the approved drawing
#101182.
ti
Model Type
78 Flush Panels
91 Smooth Texture
93 or 83 Wood Grain Texture Steel
94 or 84A Wood Grain Texture & Painted Style
This door is approved for a maximum design pressure of +46psf and -48psf and its use is
restricted to this pressure. The door passed the impact and cyclic test, therefore it does
not require protection devices.
The door shall meet the burglary security requirements of Section 3603.2 (c) 2 (aa) of the
South Florida Building Code.
The door operating mechanism (not included in this approval) shall be certified by
Underwriter Laboratories or other recognized agency.
The door shall be installed as shown on drawing 4101182 or other methods approved by
the professional of record for the structure. Wood in contact with concrete or
cement shall be treated with an approved preservative as set forth in paragraph 2913.2(a)1
or shall be a durable specie as defined in subparagraph 2913.2 (a) 6 (aa) of the South
Florida Building Code. Installation of 2" x 6" wood jam requires a' / x 3 tapcon at
12" o/c for a 9' -0 wide door with a minimum embedment of 1 into the concrete or
reinforced block.
-2-
Candido Font, P.E.
Plans Examiner
Product Control Division
Clopay Coirpoiratiou ACCEPTANCE No.: 95- 0317.01
APR 0 3 1995
'JUL 2 5 1997
NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS
4. Conditions of Use,
Application for building permit shall be accompanied by duplicate prints of the approved
drawings #101182 Sheets 1 & 2 bearing the approval stamp, Notice of Acceptance
number and date by the Dade County Product Control Section along with computations
prepared by a qualified Florida registered engineer or architect verifying the adequacy of
the installation of the door at each site. The shop drawings shall bear the signature of the
architect or engineer with the following statement:
"The supporting structure has been designed for the forces shown on the approved
manufacturer's drawings."
Application for building permit for replacement doors shall be accompained by duplicate
prints of the approved drawing #101182 Sheets 1 & 2 bearing the approval stamp, Notice
of Acceptance number and date by the Dade County Product Control Section. Also the
Building Official must be satisfied that the proposed installation meets the use of the
Section 2 above.
5. Jdentificatiom,
All approved products shall be permanently labeled with the manufacturer's name, city,
state and the following statement: "Dade County Product Control Approved."
6. Evidence Submitted:
Test Report Date Dra Reference Test Signature .
Heti 94-47 04/15/94 #101182 A. Viquar, P.E.
Heti 94 -04 03/02/94 #101182 A. Viquar, P.E.
Calculations pate Signature
A. Farooq Corp. 05/05/94 A. Farooq, P.E.
auv_ing,
Clopay B.P. Co.
Number Last Revision
#101182(1&2) 05/94
-2a-
APPROVED
EXPIRES
Signature
M.W. Westerfield, P.E.
andido Font, P.E.
Plans Examiner
Product Control Division
METRO-DADE METROPOLITAN DADE COUNTY, FLORIDA
METRO -DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE DEPARTMENT
SUITE 1603
METRO -DADE FLAGLER BUILDING
140 WEST FLAGLER STREET
MIAMI. FLORIDA 33130 -1563
(305) 375 -2901
FAX (305) 375-2908
NOTICE OF ACCEPTANCE: STANDARD CONDITIONS
1. Extension of Acceptance may be considered after a new application has been filed and
the supporting data, test report no older than ten (10) years, have been re- evaluated.
All reports of re- testing shall bear the seal, signature and date o>n engineer registered in
the State of Florida.
Any revision or change in the materials, use, or manufacture of the product or process
shall automatically be cause for termination, unless prior approval is granted for
revisions or change.
3. Any unsatisfactory performance of this product or process or a change in Code provisions
shall be grounds for re- evaluation.
4. This acceptance shall not be used as an endorsement of any product for sales or
advertising purposes.
5. The Notice of Acceptance number preceded by the words Dade County, Florida, and
followed by the expiration date may be displayed in advertising literature. If any portion
of the Notice of Acceptance is displayed, then it shall be done in its entirety.
6. A copy of this approval as well as approved drawings and other documents, where it
applies, shall be provided to the applicant by the manufacturer of his distributors and
shall be available for inspection at the job site at all time. The prints need not be
re- sealed by the engineer.
7. Failure to comply with Standard Conditions shall be cause for termination of Approval.
Raul RodriLlucz
Product Control Supervisor
IP'ERMIIIF AP
1LICAT'II
Is
Signature of owner and /or Condo President Si
Date: D
Notary as to Owner and /or Condo President
My Commission Expires:
FEES: PERMIT 1 RADON C.C.F.
APPROVED: Fire
Zoning Buildin
N 1 ' SHO ES VIIILILA(GIE
Date / - 7-r Job Address /c I So { . ! 3 Tax Folio- 320S 0 2-7 -(3 13°
Legal Description.. Ps l 62 iv T // QLo c-f c Z Lu - e
Owner / Lessee / Tenant - St, ee L e
Owner's Address /27/ fZ/_
Master Permit # 01 --3c)
Phone 3o-r - 7.T 7 - 7 7 9
hft) 3
Contracting Co. ' l^■1' — cr '$ I Address 1, I'Q--
Qualifier SS# - - Phone
State # Municipal # Competency # Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
WORK DESCRIPTION Ocefr.4 -e- T-' t (AJA' ° 2t 4 e-- �v /T.TUb
Square Ft. Estimated Cost(value) 1) - /
WARNING TO OWNER: YOU MUST A NOTICE. OF COMMENCEMENT AND YOUR FAILURE TO DO
SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I
authorize the above -named contractor to do the work stated.
Not
My
of Contractor or Owner - Builder
�- 7S'
ontract r or Owner-Builder
ARiMSAJ4
My Coann Exp, 12/01/98
Bonded By Service Inc
®• CC423963 * *
NOTARY TOTAL DUE A
Other
Electrical
Mechanical Plumbing Engineering
SCALE:
DATE: "Z;:Pf
1,
APP VED B
r,
y n rk
9 '
tt, Cc t-u• •
/ o.
I
'2
1
ji le,
1?e? f; --y
(-i
F ILA
. i F,2 ;./
DRAWN BY TS
REVISED
DRAWING NUMBER
OWNER•S NAME
R„ L. CROSBY
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
1276 No E. 93rd Street
LOT
11
BLOCK
N2
SUBDIVISION
Baylure
GENERAL CONTRACTOR
LEO J. FISIS
ADDRESS
1235 No E. 88th Street
PHONE NO.
LICENSE NO.
y', ry
BUILDING PERMIT NO. 1141 /
DATE 5 °21
4-5
PERMIT FEES 18
BUILDER'S BOND C
NO. DATE 5 °2 °51
ZONE REQU IREMENTS 22,000 CU. FT.
PLAN CUBE 22 CU. FT.
EST. COST $ 140000
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:
DATE
5 °1 ®51
NEW CONSTRUCTION
TYPE
CBS
STORIES
1
ROOF CONSTRUCTION
Tile 84 Gravel
Tile
INTERIOR CONSTRUCTION
Terrazzo floors °plaeovalls &
REPAIRS
y9 Kit- DESCR IPTION 1,,,
LiIT Rm -Din 1%1- Kit° Sad, Por o 2 Bedr� °2 Baths Att6Csar
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
- REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
\ REMARKS
n
CERTIFICATE OF OCCUPANCY NO. // (� � �
/� J
ISSUED/0 ( q ('t'�[
!�,
BY r ( /�'/
TO 1A-- -
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
c.
INSPEerIONS '
"
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
BEAMS & LINTELS
,17. 1 • 6 -1
7 �
if*- 3
$ �i
3 "*,2 4-11
? 4
FRAMING
�rljsl
L
$
FIXTURES
$
i`
t aY, ` t u'
CNQ• c. -(.St
e.
$
INSPECTIONS
S
FINAL
-
I+j�t
RE- INSPECT
BY
ROUGHING '`7„5 1
j 4
CLEAN -UP
}
+!
•
GAS
ROUGHING
ROUGHING
-s1
CONTRACTOR ,/�,,...., C �� \
PHONE
/
PERMIT NO. / J 4 u DATE 4... v / 6 J 1
FEE S 7 • �
i y
NEW BLDG. ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
SEPTIC TANK
//77g
7 r
$ �i
SEWER
$
MOTORS
$
SOLAR HEATER
$
FIXTURES
$
GAS
$
$
$
INSPECTIONS
S
INSPECTIONS DATE
BY RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING '`7„5 1
j 4
y RE -I INS
SP PECT
1 V ` _
_
GAS
ROUGHING
ROUGHING
-s1
•1 /�"A'�`r'�
SEWER
H. W. HEATER CONN
SEPTIC TANK Z'
�1
7 41 7`r/
ie � yam/" -
SOLAR HEATER
FIXTURES
jr}- I ..,,
I
CONTRACTOR
PHONE �—
FEE $ , '✓
REPAIRS
PERMIT NO. / // 33 I DATE 4 — 9 L_/
NEW BLDG. ALTERATION
ADDITION
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
BY
BY
RE- INSPECT
BY
�
6.--L13-1
y RE -I INS
SP PECT
1 V ` _
_
ROUGHING
ROUGHING
-s1
•1 /�"A'�`r'�
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
/O ' /,12.. 11r
PLUMBING PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
IV s� -7dvSI -
ELECTRICAL PERMITS & INSPECTIONS
A P P L I C A T I 0N
FOR PERMIT TO FUMIGATE WITH CYANIDE METHYL BROMIDE ACRITET
AFrLIC'ITION NO. DATE �� � 2001958
1 Location of building to be fumigated 1276 `` 76 a143 93 stmotp 1110 . 3Pla,
2. Name and address of owner of premises �' ' ` ze woo
3, Type, size and construction of building
4, Is entire building to be fumigated? Yes
5. If not, state what portion
6. Approximate number of cubic feet �o
of space in building or in portion to be
fumigated ! J p
7. Kind and quantity of fumigant to be used and manner of application and length
of fumigation period . evjt^t
.3 hours
8. Distance of nearest building and direction from building to be fumigated
20 ft0 east and 'crest
9. In what manner will vents to exterior of building be sealed?
10. Date when fumigation will be begun pluyv 23.58
Time�'�
11. It is hereby agreed to station a guard on the premises to be fumigated during
the fumigation period and to post suitable placards at each entrance into the
building bearing the following words in letters at least two inches by one
inch in size: "DANGER - THIS BUILDING UNDER FUMIGATION WITH A DEADLY GAS ".
12. It is hereby agreed to make such provisions that all openings into the buildin
may be opened from the outside after the period of fumigation is over and to
take such other precautions as may be necessary to insure that all of the
fumigant is removed from the building before anyone is permitted to enter.
13. It is hereby agreed to notify the County Health Department when the building
has been prepared for fumigation.
FIRM NAME 0:012.1n, Lixteminatthg Corryany5, i
_2,
0t 'cet iit a' . r i 3�/ ( '✓ /� .
ADDRESS 509 � d� � � �
Signature of Certified Pest C4n -
Operator in charge of this fumigatio
ail O A MI O S` o HIES V O LL LA D E
BUILDING INSPECTION DEPARTMENT
AFPLO ATD N F F UALDDND PEQMOT
0
0
Owner's Name and Address . `° . 1
Registered Architect and /or Engineer ....
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision
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 J/,.. 7 " G 19..•
No Street
Street and Number where work is to be done Y . ft' �� Ott /1._?. r '! � , f f "/ - <
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 . ........... ..
tae
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 hint
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 performed under this
permit, as are licensed by Miami Shores Village.
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
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 Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
Building Inspector 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.
MIAMI SH - ILLAGE
BUILDING INSP •EPARTMENT
APPLICATION FOR - HIDING 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 Ordinanc of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and al rules an
regulations of the Building Division of Miami Shores Village shall be complied witli, whether herein specified or not. A copy of ppr
plans and specifications must be kept at building during progress of the work." ` -
�' Date____ , 19 S
Owner's Name and Address___ /r 4 • __ipa5 k Y No Street
/ el r r-e g'1P ir_'_o_ kij 7 (t (c'_ e %,',
A-7.Sl';) J2. ?_ --/ ' - 6" / i
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
,( /5; • /6_1 /- Lot Block Subdivision t
a
Statetwork Number
be done and work
purpose ofbuldin (by floor / S' r �-
r
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of /) Kind of foundation fi� � 11r-
Estimated Total cost of improvements $ / ''7,
Zone cubage 4
Distance to next nearest building
Maximum live load to be borne by each floor
Roof Covering
Amount of Permit $_ ___1
Plan Cubage
_Size of Building Lot___ / .'
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 4c o o Zi — z – ,_ ,
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 Workrnen'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 performed under this
permit, as are licensed by Miami Shores Village. ,
i
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
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 ire t
Permit No.___ /l___ _ _;� ____�t Date_ ` �� Read,, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Notary Public, State of Florida
Building Inspector 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.
N9 1265
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 as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
d RES o�
CTION r
RI
BUILDING DIVISION
BUILDING
ELECTRICAL
PLUMBING
ROOFING ❑
Owner of
Building < A '
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
❑ PERMIT N? 11417
1 1
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Work to be performed under this Permit
Subdi-
vision
DATE
Value of !/
Project $
Contractor's
License No
Amt. of
Permit $/,
195
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 th„ understanding #hat the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and ap owed; 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 ae; changed without authorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes \ a responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings orin the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
Signed • BY
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
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, agent, servant or employee.
AUTHORITY
BUILDING
ELECTRICAL
PLUMBING
ROOFING
PERMIT N? 10528
Owner of
Building
Architect
Contractor
or Builder - ,
CONTRACTOR or BUILDER
Legal Lot
Description 1 Bl
Address of
Building
MIAMI SHORES VILLAGE, FLORIDA
Work to be performed under this Permit
Date 19_
Contractor's
License No.
Subdi-
vision
Sq Ft
Value of I I Amount of
Project $ 11 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 applica-
tion 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 respon-
sibility for work done by his agents, servants or employees.
Signed (INSPECTOR) BY
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
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY
MIAMI 51-10
BUILDING O
ELECTRICAL ❑ FERMI
M
PLUING ❑
ROOFING ❑
Owner of
Building
Architect
contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
BI.
E VILLAGE.
N® 7710
Subdi-
vision
Sq. Ft
Value of
Project $
FLORIDA
DATE 195
Contractor's
License No
Work to be performed under this Permit
Amt. of
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.
Signed: BY
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
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY