355 NE 93 St, hereby apply for a certificate .
to re- occupy the single family residence known as : (address)
Legal Description:
Lot:
APPLICATION FOR CERTIFICATE OF RE OCCUPANCY
Block
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 1 t 7 ` ( A - T ) Date
Print Name C—Pe--
** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Contact Name: A- 7 --.427, e-64 L Telephone: 7SP S
Buyer
Comments:
Seller
Realtor
Miami Shores, Florida.
PB & PG:
Application Fee ($50) paid: Cash Check No. 1193
Company Name
Inspected by: Tom conwav Approved x Denied Date 3 / 7 / 01
PAGE 1 OF 2
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.
i
CERTIFICATE OF RE- OCCUPANCY
THIS CERTIFICATE 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 INTERESTED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DETERMINE THE CONDITION,
THEREOF.
PAGE 2 OF 2
MIAMI SHORES VILLAGE, FLORIDA
Date of Certification: 3 / 7 / 01
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby mode for the approval of the detailed state,,,enc ur tine plans and specifications herewith submitted for the build
inc 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..._........ — .._ -...3� -- _.... 19.
Owners Name and Address�S U4 LAS L S :�.S. ._ No. . _.._ . Str& 9- eet i ` S fr
Registered Architect and /or Engineer. NIR
Name and address of licensed contractor T a !u S cj/ PI ! DT ' � ^ is"."
Location and legal description of lot to be built on: 1/ .��6 /3 SS0 q
Lot ' Block Subdivision. 1'• M AI I � - 's: EG / h illb
Street and Nurnber where work is to be done....3SZ ,i, G" 3.3 Sr' —
State work to be done and purpose of building (by floors) W 1 , 6 N E ZC/ S7 - IN4 75 . 12R.i V V1i `.
Ik J b / S liXiAnztLK FF Ol i..riekk RL AIL/ Ay ro
TO Q tI E NIE T 1 t e 61 ftm l f (Aid< riff (sk Z064,..... . and for no other
purpose.
New Building Remodeling
To be constructed of Kind of foundation.
Estimated Total cost of improvements $
Zone cubage required .Plan Cubage
Distance .to next nearest building Size of Building Lot 5 ® f .. .... ...... ............ ---
Maximum live load to be borne by each floor
I hereby submit all the p ans and specifications for said building. All notices with reference to the building and its construction may
be sent to.. j .U. U. 6 SfV1 Vs 3s:°... .q 1....141/1A4/ 3.3/3F
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 kith 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 t s of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ ogly ubcontr 4Eltor k to be performed under this
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed)
Permit No.
Disapproved
(Signed)
Chairman
Member
Member ..
Council Approved
NOTE: A charge of $1.00 will be made for
the 1'Lrnnir,;; Board.
A re inspection fee of 31.00 will be charged
materials and /or worktnanship.
Date
Date
Building Inspector
PLANNING BOARD
Addition ' — Repairi No. of Stories
Q(v. Roof Coverfn
Amount of Permit S.
Read, Sworn to and Subscribed before me.
DATE
Member ..
Member —
Member
Date Disapproved
making corrections or changes to this application after approval
when such re- inspection is made necessary by improper notice
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 tru
Notary Public, State of Florida
My Commission Expires
Date
has been obtained from
for inspection or faulty
•
6usr;41,,itee
:t
E .mot.
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it
A t E
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35.5 " N ,, . 4 ( AI . % ` �� : -~
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" wan
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F en - N` . �. Zac?
FIRE DEPART7t-1ENT
PU31.IC WORI(S
POLICE D'P ART'. EfIT
BUILDING DIRE.: O R
PLANi91i;G & ZU;■ING
VJLLACE COUNCI'.
gr
THESE PLANS ARE APPROVED FOR ISSUANCE OF A BUILDING PERMIT
❑ WITH PJO VARIANCES ❑ WITH VARIANCE(S) LISTED IN "REMARKS"
NO OTHER DEV!r.T10^!S FRCib! TIIE MIA■ SHORES BUILDING AND
ORDINANCES WILL DE PERMITTED, UN'.ESS SPECIFICALLY LISTED 3ELG`!"
ALL OTHER APPLICABLE STATE AND COUNTY LAWS MUST BE COMPLIED
WITH BY ALL PARTIES.
PRELIMINARY:
REMARKS:
APPROVAL
Authori7el Signature DF to
FINAL:
COP,9PLIi', :CE WITH i� i i
�. pi I , T THE SOUTH F.. ^',I;1.: "o� I.Di �G �D'< AS �10;' ;_C
3Y MIAI., .C. \'I IS n
SUB CO' :TR: (T . F'. ._ ,F T:iE A? ^I,l�E ^f 6 !!
ING REGULATIONS WHETHER OR NOT SPECIFICALLY INDICATED HE :,EINL
OWNER'S NAME
c1(B - b. GOYNF Q
PRESENT ADDRESS
R81 N.E. IOd_ ST.
LICENSE NO.
PHONE NO.
JOB LOCATION OR AVE.)
355 W=.E. 9V d- T. ST
LOT
24
BLOCK
4(c
SUBDIVISION
1..A% et*N . S Lbe SCc.}. -& 1
GENERAL CONTRACTOR
WELLS ON ST. Co.
ADDRESS
19520 1•1. W. , - 3 IN
PHONE NO.
LICENSE NO.
855
1
BUILDING PERMIT NO. 1 2 O°1
A (o(
DATE 2 S -
PERMIT FEE $ ko 0
BUILDER'S BOND
NO. DATE
ZONE i REQUIREMENTS l0000 CU. FT.
PLAN CUBE Z SS 8 • SC CU. FT.
EST. COST $ 17 000
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: W • Z.. . IVOC c
DATE
2- 8-
NEW CONSTRUCTION '
TYPE
Cg %
STORIES
Ori Ct.
ROOF CONSTRUCTION INTERIOR CONSTRUCTION
T i G 1 3 'S 4, roo.,. - z 34
REPAIRS
�7
.e.S
C C. I
DESCRIPTION /
. Te *6z.zo toO - S Ql0.S lP_tciL �.� �A(..f 4
Dt!SCR I PTI ON
P% ...1 1, i
&
ALTERATION
ADDITION
SUBMITTED TO PLANNING BOARD
ATIPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
I
SUBMITTED TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. / ? I ISSUED
BY e -3)'78
TO D ...). LCJ F] QTR a L
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION 1
BY
ROOF
SEPTIC TANK 0- 904 0E
,Co7 «- -r-.
BEAMS & LINTELS
c �
s r
POOL
MOTORS
TUB & TOP OUT
FRAM'NG I
SOLAR HEATER
AIR COND.
5
FINAL
SEWER
CLEAN UP
$
SLAB
5
SEPTIC TANK
SLAB
SOLAR HEATER
FIXTURES & FINAL
SPECIALS PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
RE - INSPECT
BY
$ /
SEPTIC TANK 0- 904 0E
,Co7 «- -r-.
-No?
c �
s r
SEWER
MOTORS
TUB & TOP OUT
$
SOLAR HEATER
5
GAS
SEWER
5
$
5
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE - INSPECT
BY
ROUGH ING
5
RANGE CONN.
ROUGHING
$
MOTORS
TUB & TOP OUT
$
FIXTURES
$
SEWER
5
SEPTIC TANK
SOLAR HEATER
FIXTURES & FINAL
FIXTURES
GAS
.1 SPECIAL PERMITS PERMIT NO.
DATE
FEE
TEMPORARY SERVICE kq 4. . / 39
U.- ( (vc I $
H. W. HEATER CONN.
TEMP. SERVICE
5
RANGE CONN.
ROUGHING
$
MOTORS
$
FIXTURES
$
5
INSPECTIONS
DATE
BY
RE- INSPECTI BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
CONTRACTOR � /1-' ..
PERMIT NO. `24 1 DATE ..r1?-•Colo
1 ADDITION
It NEW BLDG.
19
Z
1-
a
Z
BUILDING INSPECTIONS 0C- /4,�t -AN
CONTRACTOR
PERMIT NO.
NEW BLDG.
PLUMBING PERMITS & INSPECTIONS
DATE
I ALTERATION
ELECTRICAL PERMITS & INSPECTIONS
ALTERATION
I ADDITION .
PHONE
FEE S
REPAIRS
PHONE
FEE $ '- fr T —
REPAIRS
act
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
ITEMS SUB CONTRACTORS & SUPPLIERS
ME t ADDRES
1. Architectural Fee lans
2. As•halt walks drives. etc.
3. Cabinets - Bath Vanit J IMF.- irh i y`e
4. Cabinets - Kitchen
5. Cabinets - Medicine
6. Cabinets - Unit Closet
7. Cleaning a/.1- 60 ett- -i/at • /4 -
8. Clearin: Site •, y ,,
-
9. Concrete - Foundation, Slabs Beams W _/ ; MMEM111111
10. Concrete - Walks, drives, etc. i, ,, *
11. Contractors Fee
12. Electric Fixtures
13. Electric Hirin: i Iv
14. Equipment Rental
15. Excavation
16. Fill for Slab ) L i -CQ,LJ . •
17. Floors - kitchen /, ., 6,
18. Floors - Terrazzo •, O, q
19. Gara:e Doors :J. .. `� � �
20. Glass. Sli.din: Doors ` � , „ Arg ) /
21. Hardware - Finish 4. / '
■
22. Hardware - Rou:h si ,i
23. Heating 4.11 • G WWI! % l 'n' �r
24. Insurance - Liabilit .com.. -bond
25. Labor - Payroll
' . ' • :_ , Apr__,______d.
--
�/7M_:.._ _? y�,�
26. Labor - Contract
27. Labor - Contract
28. Landsca.in. Fill. Gradin• L47. ':i . IIV • ,u;_
-
29. Lath Plaster Stucco 1; _ �_ ., � ��
30. Lumber (All EW s /,l
31. Masonr Labor L, � �!, -M A
32. Masonry Materials, Block
33. Millwork �i
34. Miscellaneous
35. Ornamental Iron Work i
B-,/l
36. Oven & Plate - Built -in : �' , �_
37. Overhead
38. Painting ,
39. Permits. Tem.orar Power
40, Piling Foundation
41. Plumbing Complete
,,
�Z�g'+�/� yi/�oC�
42. Pool - Swi.mmin
ter
�
/
-
44. Roof -• Pretfab�,jor�{
45. Screen Enclosures
46. Septic Tank or Sewera:e
'I �.r-f �� ' a
47. Shower or Tub Enclosures
W ,j /
48. Steel - Reinforcing & strl.
<
49. Su ervision
50. Surve s
51. Tile & Marble
14 .e2,4h e. .ems' • _
52. Water - Public
53. Water - Well & Pump
54. Windows - Glazing & Screens
55. Window Frames - Concrete
MIAMI SHORES VILLAGE
APPLICATION FOR FINAL INSPECTION
Prior to a final inspects .n this application must kse filled out; if sub contractors have
failed to take out permits the general contractor shall be responsible for the permit and
fee. A final inspection must be made prior to the release to Florida Power and Light Co,
and the issueance of a ,ertificate of occupancy.
OWNER ,
LOT al./
BUILDER
SIGNED
CONTR25R
BLOCK 4.1 /O
JOB ADDRESS 3.17r - 93
SUB.
0
DAY LABOR CONTRACT.i/ DATE x 19 6
TOTAL
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Applicat on is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing o. other stru ture he ein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores V•liag-, F onda, and all pr3visions of the Laws of the State of Florida, all ordnances of Miami Shores Village and r.11 riles and
regulations of the Building Division of Miam Shores Village sh 11 be con plied with whether her in specified cr not. A t op of approv d
plans and specifications must be kept at budding during progress of the work.
Owner s Name and Address ___ 1 et" )7fi. Y
Registered Architect and , or Engineer __ 4 1. MA N'.frC
Name and address of licensed contractor _ eafteca_Z
Location '-nd legal description of t to be built on:
LotL Block 44 Subdivision //1 19- 7 r 4 - 5 - C T7cil 4W 4.04 E
Street and Number where work is to be done_ ■3_4 g_f q 3Lr. _ _____ _ ?etc, P7c)
State work to be done and purpose of building (by floors)._ TY
and for no other purpose.
New Building _ _ Remodeling . _ _ _ Addity _ _ Repairs__ _ . No. of St9ries .
To be constructed of 4 5 Kind of foundation _ Roo;: Covering _____
op
Estimated Total cost of improvements $ 0 • r- _Amo i7t c Permit $ 40
, 0 coo
Zone cubage required_ _ _Plan Cubage 1--
Distance to next nearest building_ _. _ __ _Size of Building Lot____ ."S 4
Maximum live load to be , ,trrie by each floor__ _ . _ _ _ _ _ _ _ _ _ _ _ _ _
I hereby submit all the plans - -_..d sDec:fications ro: sad builflling. All notices with rererence to the building and its con:tr...
be sent to _ e 0) 2V 1 C-40' • Le 6 0 ch4 /44 7_7-C Zc' 17 /40_ d ,11 g.
The undersigned applicant for this building permit does hereby certify that h' understands a -cl accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Cencrzl Laws of Florida, Permanent Suppl?.nent,
and has complied with the p thereof, and will require similar compliance from all contractors or sub-contractors :_rrployed b him
m the work to bo rformtd u der this permit; and will post or cause to be posted for inspe tion on the site of the work such public notice
or notices as are required by the Act. The undersigned agree. to ploy only such subco act on 1 k 'o b p ed under th's
permit, • r are licensed by Miai. So e- Village.
Remarks_ _. (Signo ) _
STATE 37 it
COUNTY OF DADE. ss.
Before me, he undersigned authority, a notary publi., duly
peared _
and who, being by m: fist duly swo'r upon oath &poses and says that he is the ._
of he above described const_u tion that ■ie has carefully read the oregoing • - - cat.on, and that he
therein b him sated are true.
Per it No. _ _ 7 7_ Date. .
Disapp ed
(Signed)
Chairman _
Member
Member _ _
Co,. :11 Approved
Date
Build1,4 Inspec_o
MIAMI SHORES VILLAGE
Date_ 19 6 6
.1 street? e. I oe 1
uthorized to administer oath r and take acknowledgments, persoially ap-
_
_ to me well known,
Read, Sworn to and Subscribed before me.
Notary Public, Et. te of Florida
My Commiss'on Expires __
P ANNING BOARD DATE
Member
Member
M _ber
_ Da.e D sapp. oved
e 6'
41
did sign the same, and that all facts
•
- - - ----
_ Date
NOTE: A charge of $1 00 will be made for making corrections or changes to this appl cation after approval has been obtained from
the Planning Board
A fec of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.
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SKETCH OF SURVEY
t
( Lot 24, Block 46, AN AMENDED PLAT OF
i MIAMI SHORES SECTION NO. 1, according
to the Plat thereof, as recorded in
. Q Plat Book 10 at Page 70 of the Public
h % Records of Dade County, Florida.
0 Order # 72909 Date: April 2,1965
' F.B. # 1345 -54 Scales Shown:
'k
1
. /
99 • porkw
Al E. 93 r (61:
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 recent-
ly surveyed and platted under my direction.
SCa %T1 BKE- S;:IISKIN ° tt ASSOC•IATES,:� INc
: y. /) .O 1 • _
.4
4 • A' . e e(. Y i •Pr'e.b.
Registered Land Surv 4 411S
State of Florida , I'
R E V I S I O N S
Order No.
Date 1 Field Book
1 Signature
Reg.Land Surveyor# State
Reg. Lane[ surveyor* date or Fla.
Reg.Lana Surveyor# Mate or rla.
Reg.Land Surveyor# State of Fla.
ti•
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Architect
Contractor
or Builder
Legal
Description
/-
Owner of ,,-:,
Building - 4
MIAMI SHORES VILLAGE, FLORIDA
!fir ' 19 GCS:
PERMIT N9 4.. , ^' .,-�►
License No. ' Z
i 1 1 f .
rt r
Lot
B
Work to be performed under this Permit
Address of , ,� g ! Value of Amount of �/
Building �' '* t~ ° Project $ �I 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
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 as
cepting this permit I assume responsibility for ell work done by .either, myself, my agent, servant or employee.
r t
r .. tom` i •... tr -
CONTRACTOR OR BUILDER f BY
Subdi-
vision 41 :
t i
AUTHORITY .• A01107