258 NE 92 St (7)r /j
6 a
Subdivision No. Street
Owner s
/---0--Lt.121Lr
General
Zone Req.Cu.Ft. eV a pg e
Contractor
Plat Restriction Checked by
To Planning Board
Re- Submitted to P.B. Approved Rejected
Plans & Spec. Chocked by
To Council
Bldg. Permit No. wed Date
Type C/ /2,
New Construction Alterations
Stories
Plumbing Permit No. L�
Septic Tank
Sewer
Misc tl
New Const.
'Electrical Permit No.
Fixtures
Heater
Motors
Misctl
New Construction
Building Inspection
Foundation
Beams & Lintels
Final
Final Clean -Up
Plumbing Inspection D=
R oughing
Fixture:
Sower
Septic Tank
Solar Heater
Final Certificate
Name Ot Add. or Phone
Lic.No. Add. or Phone
Cu. Count . P / (o d By C
1, 6
3 / / 116 .
/ 6 Approved Rejected _
/Alteration
Date
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n
Alteration
D= to
!L"
Approved
etAll
Fee 0 C
,0) 7 0/(4
e eP
/ d
€5 C os t
Roof
Repairs
Repairs
Fee
It
it
rt
tt
Repairs
By Re -insp By Re -Insp By
ik
�Re- -insp
Eleobrical inspection Date By Re-IRsp By Re -Insp By
Roughing
Fixtures
Final
Tempi O.K.
Service O.K. to Power Co.
Cert.Occup.Issued
Rejected
7
617
By Re -Insp By
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
1, v'tOw a\g*uk 72.-ablu
to re- occupy the single family residence known as : (address)
t q2r'
Legal Description:
Lot:
, Miami Shores, Florida.
, hereby apply for a certificate
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.
Applicant Actot,t . Date bc,7,1qqg
•
Jor(O�r� Srvv�.
Print Name
-0/1A P/-4
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact: ;s-Fvov 30S
Contact Name: 6a!bara. (CVO 24/10 n Telephone: 30; S>b b O X d . y
Buyer Seller Realtor ./ . Company Name C 84 VbG ^t
Application Fee ($50) paid: Cash Check No..2'f f 6
Inspected by: F . LUB I EN
Comments:
Approved X Denied Date 12/9/99
?AGE 1 OF 2
CERtI ICATE 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 singie- family residential purposes.
By
THIS CERI"1F 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 CER'I t1CATE 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.
PAG 2 OF 2
MIAMI SHORES VILLAGE, FLORIDA
Date of Certification: 12 / 9 / 99
I
Legal Description:
Lot:
Contact Name:
Inspected by:
Comments:
APPLICATION FOR CERTIFICATE OF RE-OCCUPANCY
(Y,A/t-:z Nko 6,_eLtek,
to re- occupy the single family residence known as : (address)
3,5iR c12
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.
Applicant ✓ OL aet
1.o r1Qir�, �`1 S� rU vC,
Print Name
*********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact: �� 3US
Telephone: 30c S rY'e'( )(a y-
Buyer Seller Realtor V . Company Name C '9- / G 4 bb
Application Fee ($50) paid: Cash
1 jar'bara. C'vos.'man
, Miami Shores, Florida.
Block PB & PG:
Date
Check No. 2' 9' 6
Approved X Denied Date 12/9/99
PAGE I OF 2
, hereby apply for a certificate
c , 7, /wq
op( fv4
CER 111P'ICATE 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 singie - family residential purposes.
MIAMI SHORES VILLAGE, FLORIDA
By:
PAGE 2 OF 2
Date of Certification: 12 / 9 / 99
THIS CER'111."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 CER I ThICATE 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.