33 NE 93 St (5)To Whom It May Concern:
I, David F. Kaiser here state that I will be responsible for
any injury that could happen during the construction of my
Florida room addition at 33 NE 93 St. I will in no way hold the
Village of Miami Shores responsible and I also state that this
note is necessary because of my inability to obtain Workmens'
Compensation Insurance.
The above statement was subscribed
and sworn to before me this lath
day of March, 1973.
MY
NOTARY PUBLIC, STATE of FLORIDA at LARGE
COMMISSION NDED THROUGH FRED W. DI HORST
March 13, 1973
/
Lot
Owner I s
Zone Req.Cu.Ft.
Plat Restriction Checked by
To Planning Board ' 1= Approved Rejected
Re- Submitted to P.B. Approved Rejected
Plans & Spec. Checked by _ ( / ( ,
New Construction
Ten 0 e K.
}
General
Block
,Name Lic.No.
Contractor Lic.No. Add. or Phone
^ervice O.K. to Power Co.
To Council
Approved _ Rejected
Bldg. Permit No. ° "` Date / Fee ` Cost ;
u
Type Stories
Subdivision No* Strew;
Alterations
Eleccrical Inspection e Da y
/4
Fixtures
Final
Roof
Repairs
Cu.Cont. By
Plumbing Permit No.
Septic Tank
Sewer
Mis c +1
New Const.
'Electrical Permit No. 9. ✓ Date )/:/ Fee
Fixtures 11 11
Heater ►+ ++
Motors 11 11
Mi s c + l
New Construction Alteration Repairs
Date
r+
n
11
Fee
n
11
11
Alteration Repairs
Add. or Phone
Cert.Occup.Issued
7
Building Inspection Date By Re-insp By Re-Insp By
Foundation
Beams & Lintels / /,.,.
Final
Final Clean -Up
Plumbing Inspection
Pap:/ Roughing 13 2— Re -insp By Re-Insp By
g g
� ,
Fixtures
Sewer
Septic Tank
Solar Heater
Final Certificate
Re -insp By Ro -Insp By
APPLICAT]ON FOR CERTIFICATE OF RE- OCCUPANCY
H
I X v h
S v L t // 4 / I / , hereby apply •for a certificate
to re- occupy the single family residence known as : (address)
2 2 /1//:"
1 NEa ni Shores, Florida.
Legal Description:
Lot: Block PB & PG:
I hereby certify that I understand that the zoning of the property is for single- fanufy 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 VlIage, certifies only that the
referenced property is being used for single - family purposes and that such Certificate does not
constitute any representation, warranty or certiucation as to the condition of the dwelling or other
structures on such property.
Applicant
/ l 1.
Print Name � / /-P h / / /1/'
* 2 3 ** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
For purposes of conducting the inspection required by Section 902 of the Mlarni Shores Land
Development and Zoning Code, please contact:
Contact Name:4/ :-J gee ,, /
F e� Telephon4 3�s� � Y� J J
Buyer Seller
Application Fee ($S0) paid: Cash _ Check No.
1
0 l
Realtor Company Name .` e_ A • •
PAGE I OF 2
Date / "�(7 u
Denied Date
— 2 2 - 0
i
CER 1 it ICATE OF RE OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has been 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. '
THIS CER i Lk 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 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 INTERES 1EL) PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO Dh thR iNE THE CONDITION,
THEREOF.
PAGE OF
•
MTAM[ SHORES VILLAG FLORIDA -
By:
Date of Certification: /—