301 NE 93 St (2)Workmen's
Compensation— :1C 99-715j56
11/1/52
11 1 �53
STATUTORY
Manufacturer's or 7
Contractor's Liability — I J �J 3- 138832
5/7/53
5/7/52;..
BODILY INJURIES
O n P reon One ccident
$ 2 5, 0 2 5 , 0 0 4
PROPERTY DAMAGE
One Accident Ayprepate
$ 1,000 /$ l0, 0
Contractor's
Protective Liability—
$ /$
$ /$
Automobile
Liability—
$ /$
One Accident
$
CERTIFICATE OF INSURANCE
IOWA NATIONAL MUTUAL INSURANCE COMPANY
To BuildinL Inspector
Homo Office
CEDAR RAPIDS, IOWA
Shores Villa3e
Address I:iiami Shoros, Florida.
THIS IS TO CERTIFY that the IOWA NATIONAL MUTUAL INSURANCE COMPANY has issued the following policies
effective as hereinafter stated:
Name of Insured
Address of Insured
FLOYD 0°LBIlT Dnk cAus Tivis L.3.AUY'.aa.
8255..z1 A... , 2nd.. Amonue,. 1or.t1
Location of operations: 82 55 Y. 2. 2nd Avenue,
and elsewhere in tho Stato of Flor1c. ;.
Kind of Insurance
Policy No.
Effective
Date
Expiration
Date
Limits of Liability
Description of Automobiles or work covered:
Give five (5) days written notice by reYistorod mail ,p.m :__or to dr to of thane
or ca.ncol3. ^,lion to tho Tuilc? r. ^ Inspect r. IIl arii Shoycl Villao. ;:ir._ 1. S ,
:7
.: 1r
Reasonable care has been exercised to make this Certificate curate. In the event of any material change in or cancellation
of said policy, the Iowa National Mutual Insurance Company will `AI7).Yela bla�1/E`.{3IiNfljc :iYa7 ',.M3:3kt0E111;tt€
>k pa)iENCIMIUMA aing =0.'►,,I' 4> €u' •• '`SYatt'OB: 314X3$:1,5 `EX'7 SI; .:) fSIOIC 2
Countersigned this
17.f a. day of JUYIe , 19.
Form U. D. 1240 -2.
(5012)
L MUTUAL INSURANCE COMPANY.
' ti L �/ T
" F C`I' �' /i
1
Authorized Representative.
President.
Lot 17, Block 46, MIAMI SHORES - SECTION N0.1,
according to the Plat thereof, recorded in
Plat Book 10, at page 70, of the Public
Records of Dade County, Florida.
Order #9221
F.B. #171 -51
SKETCH OF SURVEY
April 20, 1953
Scales shown
I HEREBY CERTIFY: That the attached SKETCH OF
SURVEY of the above described property is true
and correct to the best of my knowledge and
belief, as recently surveyed and platted under
my direction.
ir
By- Har 7 . Schy,ebkei. $ident
Regi =tared Lind Sir 'gyOr # 602
State of Florida
-9
NE. -¢ rH A VE.
SCALE / "= /50'
►,cO vTAZI i iC vikig`iti MrMI M , , IMMI'cp s;►ip riMap'I MIMM' •'oak AV
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
This License Expires "sow' ab 195 N° 6969
In consideration of the sum of
i1lilltra"lft Mid
Paid to Miami Shotes Village, Dade County, State of Florida,
Mod cworc,
TRIPLICATE
VILLAGE LICENSE
"'""Dollars $ 25,00
Address 3 LB. 9 81b
is hereby licensed to engage in or operate the business of
elmerobattor onsuelli Mat swaths tram dale et imassee
For the period beginning I9g and ending_Ditainiker44111113
subject to the Provisions of all ordinances.
(SEAL)
Date Issued ' 144. 19"
THIS LICENSE NOT TRANSFERABLE WITHOUT APPROVAL OF THE VILLAGE MANAGER
MIAMI SHORES VILLAGE, FLORIDA
By
VILLAGE MANAGER
` r`•°' n• Wi�. �l°....' �fr`•:°.°•'• i` r••' ir• °.s�?.°.•'•i°.•'•i►ii°.•'•i°•'• '•ir.°°.•'•ir•°°•'• m'•ir,'�`.°,i�r`•°...V•M i
v
STATE OF FLORIDA) SS
COUNTY OF DATE
8.
And Further this Deponent says not:
AFFIDAVIT
of the Village of • Mia ni Shores,
County' ade and State of Florida. being duly sworn, doth depose and say,
that under the provisions of Ordinance No. 185,, dated June 15, 1948, amend.
ing paragraph (d) of Section B -368 of Ordinance No. 9? of he Building Code
of Miami Shores Village, he desires to build a .`oc-C---(--
on Lot /7 Block �� of ,p,u' e �..,/r :c.4"/ Subdivision,
that he is he owner of said property, and will be the owner of said
, that he wi 11 do the work personally, and that
he 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 provisi9R
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 certi-
ficates showing the payment required by the Federal Social
Security Act to the State of Florida or the United States of
America.
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
app&lcation 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.
SUBS BM SW� �
- - BEFORE .ME this
19 , R
OZJN -
da of -
OTARY PUBLIC,
o
dtd by rfin'cr cin '.e n' ® n• • f 1 95 4'
°• of N . y
A.. D•,
•-• •JP
MIAMI SHORES VILLAGE
BUILDIN INSPECTION DEPARTMEN
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of thc det iled staternen of the plans and specifiia, ions herewith submitted for the build-
ing or o h, -ructure her i described This rilicatic is made in compliance and con•o m ty w.th the Building Ordinance of Mia ii
Shores Vi Have, or da, and all pro isions of the Law if the State of Fkrid. all o d nances uf Mi m Shores Village and all iules and
regu a ion. of the Building Div i of lam Sho. iilage 1- 'I ,e -0 ipl.ed with, whether herein specified or not. A copy of approved
plans and specificati n must be ker. at building durin progress of tl.e wcrk.
Buil
_ Date_
g Inspector
Owner' Name and Address__ _
Registered Architect and/or Engineer...
Name nd address of licensed contrac
Location and legal description of lot to be built on:
Lot / 7 Block 4/6 Sukclivision. •
Street and Number where work is to be done 30 Alisse/ ,4
State work to be done and purpose of building (by floors)____/___-e_l/e-r:
and for no other purpose.
New Building_ __ __ .. .. . . Remodeling Addition_ ..„, Repairs. . . . No. of Storie /
. -
To be constructed of_ ew.,..s. . Kind of foundation 4, c.?./'...-4c-- .... Rs
Estimated : -,tal cost of improvements $../ 2 - 0 Amount of. Permit $. Z‘< ----
Zone ubage required ... c....?...
iw_ _
1 0 __Plan Cubage___ ___
Distance to next nearest building_ .. Size of Building Lot
Maximum live load to be borne by each floor
hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
PLANNING BOARD _DATE
Chairman Member
Member Member
Member . Member
Council Approved
Read, Sworn to and Subscribed before me.
Notary Public State of Florida
My Commission Expires.
#_ laa#1#
, 19
The unde signed appli ant for th's budding permit does hereby certify {at he understands and accepts his ..bligations as an employer
of 1 bor under he Florida Workmen's Compensation Act being S—tion 5968 Coi p led Gen al Laws of Florida P r anon S.ippli nent,
and h s compl ed w he prov':ions thereof, and will require smfilar comp lance from all contractors or sub-contractors emplo .ed by him
in the wo k to be p rf med under th s pern it and ill post or cause to be posted for inspection on the site of the work su :h public noti e
or •otices as are requir d by the Act. The u. d. r ign .d agrees to employ only such abcontr. ctors, on work to be perform d der this
permit as are licensed by M am, Shores vil ge.
Remarks._ (Sig-red) .
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to adremister oaths ,..nd take acknowledgments, personally op-
peared _
to me well known,
and who, being by me first d ly cworn, upon oath cle and says that he is the
of th abov de.... ibed , istruct n t, . h has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stat e.
P
, ) .1 i
Permit No._ ___
Disapproved
(Signed) ____ ___ __ .._ , AI '
40 h
9
4
_ _ _Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application , fter approval h is been obtained from
the Plane ng Board
A re-inspection fee of $1.00 will be charged when such re-inspection is rn e necessary by improper notice fer inspel.t.zin or fa. Ity
materials and/or workmanship.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
DATE Le 195..
❑ PERMIT N? 14868 Contractor's
License No
❑
Work to be performed under this Permit
CONTRACTOR OR BUILDER
Subdi-
vision s ,
1
/* Value of Amt. of ) }
1 1, v s wit Project $ / ( I i I Permit $ ,21
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: ".",11""81t•d '� .', ,�+,. BY rw,
S L. ' ) :1 ..as.
INSPECTOR
In consideration of the issuance to me of this permit I agree to' ¢e Torm 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
__ ---- -
Application is hereby male for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work.'
40 Ei pp O
Owner's Name and Address 't` .-___ - - --- _� _ --.- _ No._�- __v__ -- ...._......_ Street.
Registered Architect and /or Engineer______
Employing Plumber's Name M 11f4 i a n e e/r _ V f ' T c / 1 . � _ No._ 17 6 Street ° ^ � _ -
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)_ ______.._.___..
New Building __ -- _.. Remodeling._.___ __.____ Addition -.-
Size Septic Tank
Feet of Drain Tile
Amount of Permit $_
G
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)_
(Signed) --
30 1 se Atee 3 `Sl__' -
� /l kslA/ IP/ %ZS 1-OC)C •
Date_
Nature of Water Supply: City— Well .---------- •--- _------------------- - - - - -- __ _ -- -Size of Soakage Pit
Notary Public, State of Florida
Repairs ✓ No. of Stories
__Type of Tank___ Capacity Gals
Dist. Feet of Tank or Drain Field from Well
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig: o.: as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Penman t t pplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl• ed 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 . notice or notices as are
required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be pe armed nder this permit, as are
lionised by Miami Shores Village.
aster Plumber.
STATE OF FLORIDA, 1 ss•
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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 hirr, stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by Improper notice for inspection, or faulty
materials and/or worlmaanship.
CLO5ITB
TATS
TUBS
SHOWERS
LAVA
TORIES
SINKS
SLOP
SINKS
LAUNDRY
TUBS
URINALS
CATCH
BASIN
FLOOR
DRAIN
DRINKING
FOUNT' NS
TOTAL
FIXTURES
t
CONTR.
LIST
CHECK
SEPTIC
TANK
SEWER
CONN.
DRAIN
FIELD
SOAKAGE
PIT
GREASE
TRAP
SOLAR
HEATER
DEEP
WELL
SPRKLR.
SYSTEM
SW IM'G
POOL
CONTR.
LIST
CHECK
__ ---- -
Application is hereby male for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 work.'
40 Ei pp O
Owner's Name and Address 't` .-___ - - --- _� _ --.- _ No._�- __v__ -- ...._......_ Street.
Registered Architect and /or Engineer______
Employing Plumber's Name M 11f4 i a n e e/r _ V f ' T c / 1 . � _ No._ 17 6 Street ° ^ � _ -
Location and Legal Description Lot Block
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)_ ______.._.___..
New Building __ -- _.. Remodeling._.___ __.____ Addition -.-
Size Septic Tank
Feet of Drain Tile
Amount of Permit $_
G
My Commission Expires
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
(Signed)_
(Signed) --
30 1 se Atee 3 `Sl__' -
� /l kslA/ IP/ %ZS 1-OC)C •
Date_
Nature of Water Supply: City— Well .---------- •--- _------------------- - - - - -- __ _ -- -Size of Soakage Pit
Notary Public, State of Florida
Repairs ✓ No. of Stories
__Type of Tank___ Capacity Gals
Dist. Feet of Tank or Drain Field from Well
The undersigned applicant for this building permit does hereby certify that he understands and accepts his oblig: o.: as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Penman t t pplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors empl• ed 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 . notice or notices as are
required by tlie Act. The undersigned agrees to employ only such sub- contractors, on work to be pe armed nder this permit, as are
lionised by Miami Shores Village.
aster Plumber.
STATE OF FLORIDA, 1 ss•
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared
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 hirr, stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•neoessary by Improper notice for inspection, or faulty
materials and/or worlmaanship.
BUILDIN INSPECTION DEPARTMEN
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the deLiled statemem of the plans and specifications herewith submitted for the build-
ing or o h, :ructure her 1 described This i is made in compliance and con-o'm ty w•th the Building Ordinance of Mia ii
Shores Vi11ave, or da, and all pro isions of the Laws t f the State c•f F krid. all o d nances of Mi ni Shores Village- and all rules and
regu a ion. of the Building Div . i of •am Shoh illage h '1 e , o. ipl.ed with, whether herein specified or not. A copy of approved
plans ,md specificati .m must be ket at building durin , progress of tl.e wcrk.
Owner' Name and Address __. ,fV�_2_/
Registered Architect and /or Engineer.__ rT
0.
Name nd address of licensed contractor.
MIAMI SHORES VILLAGE
Date
Location and legal description of lot to be built on: ; " V
Lot. Block.__ ____ Subdivision
Street and Number where work is to be done. s.F_P 1 /1 �` pc3 --the
State work to be done and purpose of building (by floors)
PLANNING BOARD _DATE
Chairman _ _. Member
Member ____ __ _ _ ______ _ Member .
Memb Member _ --
ncil Approved _Date Disapproved _.
/J•�? __ , 19
No < ° /___ -_ -- Street_. /1/- A 9cJ Jr
and for no other purpose.
New Building Remodeling__ ____ _ __. Addition ____ ___ _____ __ _ Repairs.. . _ No. of Stories
To be constructed of. _ Kind of foundation _. . Roof Coy 'ring._ . ./_ / .0 G
Estimated ;tal cost of improvements $__ ,,,, ' o _ ° ° Amount c ` Permit $__ . __ - 7 __ O e'
Zone ^ubage required_ ___ _ _Plan Cubage
Distance to next nearest building_ _ _ _ ___Size of Building Lot
Maximum live Load to be borne by each floor_
hereby submit all the plans and specirications for said building. All notices with reference to the budding and its construction may
be sent to
The unde signed appli ant for th 's budding permit does hereby certify t!iat he understands and accepts his .. bligations as an employer
of 1. bor under he Florida Workmen's Compensation Act being S. -tion 5966 Coi p led Gen al Laws of Florida P r anon S•ipplc rent,
and h s compl ed w :th he prov•cons thereof, and will require smmilar comp lance from all contractors or sub-contractors emplo .ed -by him
in the wo k to be p rf med under th s pern it and ill post or cause to be posted for inspection on the site of the work su :h public noti e
or •otices as are requir d by the Act. The u. d. r rgn. d agrees to employ only such abcontr- ctors, on work to be perform d der this
permit as are licensed by M am, Shores S il!: ge.
Remarks - (Signed) - --
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to adn::nister oaths ,.nd take acknowledgments, personally ap-
peared
and who, being by me first d. ly sworn, upon oath deposes and says that he is the
of th abov de,L ibed • ,struction t . h has careially read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are tr re.
Permit No 149
Disapproved - _ D t
(Signed) '
Buil g Inspector My Commission Expires_ ____ ______ ___ _ _________
Date /____ v�o Read, Sworn to and Subscribed before me.
Notary Public State of Florida
.to me well known,
Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application eft -r approval h is been obtained from
the Plan- ng Board
A re--inspection fee of $1.00 will be charged when such re- inspection is ms:le necessary by improper notice for inspei•t'm- or fa ity
materials and /or workmanship.
• OWNER'S NAME
Floyd Colbert
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
•
JOB LOCATION ('ST. OR AVE.)
301 N. E. 93rd St.
LOT
17
BLOCK SUBDIVISION
46 M. S. Sec. #1
GENERAL CONTRACTOR
Darner
ADDRESS
PHONE NO.
LICENSE NO.
11}868
BUILDING PERMIT NO.
6 •17 ■53
DATE
PERMIT FEES 22
BUILDER'S BOND
'r -
NO.I' =!�" " DATE
ZONE REQUIREMENTS CU. FT.
PLAN CUBE 30.707 CU. FT.
EST. COSTS 18,000
DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY
DATE
Y
X
NEW CONSTRUCTION
TYPE
CBS
STORIES
1
ROOF CONSTRUCTION I INTERIOR CONSTRUCTION
Tile i Clear Oak Floors, Plaster Walls
REPAIRS
DESCRIPTION& ceiling
Kitchen, Living Room, Fla. Roar, Garage, 3 bedrooms, 21 baths
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE CdrUNCIL
REMARKS
•
CERTIFICATE OF OCCUPANCY NO.; ^ (CP77.�
ISSUED i 1 d °11 ei
pp
BY � " - '
1
TO I is, l /� b
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
/7- ^,
FEE
TEMPORARY SERVICE
TEMPORARY SERVICE
S
$
BEAMS & LINTELS
/ / / /// I '14
,, ✓`C
'�
S /7 e //,
SEWER
RANGE CONN.
FRAMING
''''"j�
MOTORS
$
GAS
FIXTURES
Ib° o�;-V)
0e
d e s
OI
INSPECTIONS
FINAL
CLEAN -UP �=�� . J��-
.. - \
4 o ' j ; E
1 �`� 'd
BY
ROUGHING
CONTRACTOR (,-,. , j \ `�-' -
PHONE
PERMIT NO. / q `i4 - :-) DATE i
'
FEE S /A c
NEW BLDG. I 1 ALTERATION 1 ADDITION
REPAIRS 1 )e7
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
TEMPORARY SERVICE
S
$
SEPTIC TANKS /
,_ /
S /7 e //,
SEWER
RANGE CONN.
$
SOLAR HEATER
MOTORS
$
GAS
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
TEMP. SERVICE
76' 1
.
^ CTB _ Y
) R � E 1 - /
l' l C ` e`�"��
_'
GAS
ROUGHING
'5'�7' `
SEWER
H. W. HEATER CONN
'
SEPTIC TANK
RANGE CONN.
SOLAR HEATER
FIXTURES
/O° I - S 2
r
CONTRACTOR , /
PHONE
,
g 4
PERMIT NO. • O 53 1 DATE /, ' ,- % '° , `N
//
FEE $ / ` �
REPAIRS
NEW BLDG. !
ALTERATION
ADDITION
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
// /' i /( 2/
�:
$ / %f,
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
BY
INSP
RE- INSPECT
BY
TEMP. SERVICE
76' 1
.
^ CTB _ Y
) R � E 1 - /
l' l C ` e`�"��
_'
ROUGHING
'5'�7' `
H. W. HEATER CONN
'
RANGE CONN.
FIXTURES & FINAL
i ; 1 , ,
PLUMBING PE ITS & INSPECTIONS
•-*', BUILDING INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE ti✓ °
N9 1845
Street Address
Approved use by occupancy
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla , 1
Owner, Agent or Tenant of Building A S?'
Lot 1 Block Li ` Subdivision
pi 1 1.F ' to
Remarks.
This Certificate of Occupancy is issued to the above named aL
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 o remodeling of buildings or structures.
0 Ia �
/ 3 5 4
i � BUILDING DIVISION
D