445 NE 93 St (3)N° 777
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla
Owner, Agent or Tenant of Building
Lot Block_ - Subdivision
Street Address , f:
Approved use by occupancy
Remarks •
This Certificate of Occupancy is issued to the above name
for building at above named location only upon the express provision that the
abide by and comply with all conditions of Ordinakices Nos. 92, 93, 94 and 97,
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village
the erection, construction, alteration or remodeling of buildinfs or' structures.
applicant will
known as the
pertaining to
BUILDING DIVISION
s / PAID BY
l .��i �'• 11�7�1�.9
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
Carl H. Sipe (o)
/909
# /�• 0o
is -3/- 5/9
#a? DD
/A /9- Sly
/3375
/S ter'
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/957
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062 5a
ADDRESS 445 N. E. 93rd St.
LEGALLOtS 16- 17,Blk.51, MSS #
L't2 RECORD' GARBAGE TAX
BUILDING
ELECTRICAL
PLUMBING
MIAMI 'HIRES VILLAGE, FLORIDA
PERMIT N? 8187
Work to be performed under this
Owner of / _
Building d" ��� - - -\. `� 1
Architect 7 =- --�' , /-_..-P,- ---
C ontractor y�(1.6----4,,---c-,....,-C*--,
or Builder ?�. `- e"----,-,----
DAT
Contractor's
icense No.
Permi r
r L a
Legal Lot / BL
Description , s c ri -- ..- ,, -:�
Address of Value of /1 °
dr Building
�;� Amt. t �`
�— i ° -% Project ° Permit Tj
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described i
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in complian
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may
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 upoi
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ord
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in /- the statements or specifications and that he assu:
sibility for work done by his agents, servants or employees. ��� J y
Signed
By f
Subdi-
vision
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
pertaining thereto and strict conformity with the plans, drawings, statements or specifications submitted to the proper authorftn of Miami Sap
In accepting tt11is permit I •assume responsibility for all work done by either myself, my agent, servant or employee.
"(Y(
CONTRACTOR OR BUILDER BY AUTHORITY
OWNER'S NAME ..
CLLUSS :J, =Am 2.
PRESENT ADDRESS
4 N. W. 95th Street
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
445 N. E. 93rd Street
LOT
16 & 17
BLOCK
51
SUBDIVISION
M. S. Sect. ,,2
GENERAL CONTRACTOR
Dean R. Claussen
ADDRESS
46 N. W. 95th Street
PHONE NO.
78- 1144
LICENSE NO.
2234 LL .
p pay
BUILDING PERMIT NO. 8187
p [�
DATE 8/90/49
C
PERMIT FEE $ 15.00
p 86 /p BUILDER•S BOND A
NO. 4 DATE 8` 70/49
ZONE REQUIREMENTS 20 CU. FT.
PLAN CUBE 20 7594 CU. FT.
EST. COST $ 10,297.00
DRAWINGS, SPECIFICATIONS.
Lvt
RESTRICTIONS AND CUBE CHECKED BY: �
DATE
8 /3 0 /49
X
NEW CONSTRUCTION
TYPE
CBS
STORIES
1
ROOF CONSTRUCTION
Tile
INTERIOR CONSTRUCTION
Oak Floors - Plaster Valls
REPAIRS
DESCRIPTION
LiV Rm -Din Rm -Kit- Glazed Prch -2 Bed Rms -2 Baths - 1 car attached oara1
..
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. Y ( �}r}( .y
ISSUED 11/7/47 Q
BY
/
TO Dean R C1aussAn_ hA y ,,, . n-
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
• 7,71 0 •
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
�- - - , j
a=
TEMPORARY SERVICE
9/1/49
$ 1.00
$
BEAMS & LINTELS
$
$
SEWER
S
FRAMING
�� 9 yy /15/49
p
J� am� � ••
7Csy
$
S
GAS
$
II
,
i
$
$
INSPECTIONS
FINAL
11/7/49
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
CLEAN -UP
ROUGHING
GAS
CONTRACTOR Nu Why P umhing Co.
PHONE
DATE 9 15/4
PERMIT NO. So fi 9
FEE $ 10 00
NEW BLDG= ALTERATION ( ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
9/1/49
$ 1.00
$
SEPTIC TANK
$
$
SEWER
S
$
SOLAR HEATER
a
$
S
GAS
$
$
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
:7:1
70
ROUGHING
GAS
H. W. HEATER CONN
RANGE CONN.
SEWER
SEPTIC TANK
/7
10
FIXTURES & FINAL
11 /7 /hyHJll Al
SOLAR HEATER.
f.
FIXTURES
11/7/49
/.„ I.
CONTRACTOR Je 'I 4
PHONE
FEE $ 10.65
PERMIT NO. 8277 DATE /27/49
NEW BLDG. X 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
'TEMPORARY SERVICE
8189
9/1/49
$ 1.00
.H. W. HEATER CONN.
$
RANGE CONN.
S
'MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
$1)1/49
9/28/49
:7:1
70
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
11 /7 /hyHJll Al
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR S VICE DATE 11/7/49
BY nil
4111 tleiMI � IMTMI �i +Uc ra> iie iiTazv c aii +r a�` 1g i DTOAIc t
I li i if '' ...,, .
= Issu
A® 19
No. Houses c7„
ALL MEN BY THESE PRESE TS, t t I,
Address 4 77.74).
aiami cShores96llage
r L O R ID A
BUILDER'S BOND
in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or
buildipgs at the following add sse
do hereby deposit with Miami Shores Village, Florida, the sumo i9' , and I agree with said Village that, when such construction shall have
been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me,
used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the P_
completion of such constructiog within the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearance and
repairs ut of' the aforesai 7l , and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then
sai ' " 3 shall be returned to me. _O
day of
WITNESS MY HAND and Seal at Miami Shores Village, Florida, this
N° 864
tf)
r
• '�� o° /� , ( Seal) IN
INSTRUCTIONS TO BUILDER —When above mentioned construction is completed and the premises are cleared and repaired take this bond to the ,
Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the above agreement._
VILLAGE BUILDING INSPECTOR'S APPROVAL
I hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof has caused
the surrounding premises to be cleared and repaired in as good condition as they were before commencing said construction.
WHEN CLEARED AND REPAIRED BY THE VILLAGE
Amount of Bond $ -
' Cost of clearing and repairs done by Village $
Balance due Builder $
Village Building Inspector, Mianti Village
Cancelled 19 By
1 ,
i
C t4i
- 1 4 7)
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Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2004 -188
Printed: 2/13/2004
Applicant: MATTHEW SCROGGINS
Owner: SCROGGINS MATTHEW
JOB ADDRESS: 445 NE 93 ST
Contractor
Local Phone:
Parcel # 1132060140390
Building Permit
Contractor's Address:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 16 & 17 BLK 51 OR 19424 -3257 12
Fees: Description Amount
FEE2004 -1565 Building Fee $125.00
FEE2004 -1566 Training and Education Fee $0.40
FEE2004 -1567 CCF $1.20
FEE2004 -1568 Notary Fee $5.00
FEE2004 -1570 Technology Fee $3.13
FEE2004 -1571 Scanning Fee $3.00
Total Fees: $137.73
Total Fees $a 37.73
Total Receipts: $0.00
3 1,23
0 -C_
Permit Status: APPROVED Permit Expiration: 8/9/2004 Construction Value: $1,800.00
Work: PROPOSED DECK AREA
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 accepting this permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
ifti';A,1446 945 tiE fig
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT 60
305- 795 -2204
Building Inspection Request
Date
Type Insp'n C 06 \ DC ct •
Permit No. V `-t -1 (
Name 5E I I 1 r\S -
Address Li q3 5 ` �
Compan
Inspection Date
Approved
Correction
Re- Insp'n Fee
Phone #
`_.
1411°4440/aid
MIAMI SHORES AGE
BUILDING DEPARTMENT � �
305- 795 -2204 \v
Building Inspection Request
Date
Type I ns p' n l l (( �� . �/ 1 �l ] D € c t
Permit No. (1 1
Name 50 _()CFI 1r -
f 1 �
(� C
Address t-J l■
C„mpanybk
Phone #
Inspection Date 3)
Approved 1 y
Correction ❑
Re- Insp'n Fee ❑
Type Insp'n
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date, 2-1 n�-)
Name
Address
Approved
Correction
Re- Insp'n Fee
,(di De
Permit No. be 2bo
Company O net _
Phone #
Inspection Date a,
0
MIAMI SHORES - VILLAGE c._
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Name Wit
Date
Type Insp'n VXrdd(a►
��.
Permit No. eP2U®u" 1 - 1
Address 1 -KLS (' E Q3
Company Ma )YQ t1
Phone #
Inspection Date
Approved
Correction
Re- Insp'n Fee ❑
Miami Shores Village
n
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): (Build
Owner's Name (Fee Simple Titleholder) --k1 1 4 - �� --bCt- kLf Phone # 3 D
Owner's Address Lk NE v12 C �T
City i U1tP 1 S' 'f S, State — Zip ?53t -�
Phone #
Tenant/Lessee Name ew �z
Job Address (where the work is being done) AS IJ'- cl S'T .
City Miami Shores Village County Miami -Dade Zip 3-3 (3&
Is Building Historically Designated YES NO
Contractor's Company Name Csu.) l.--'S2- Phone #
Contractor's Address
City State Zip
Qualifier
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit t \ O
Type of Work: lZfAddition ❑Alteration
Describe Work:
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Electrical Plumbing Mechanical Roofing
❑New
Permit No. ? ?2C04- — 1=cK
Master Permit No.
Square Footage Of Work: f ae
❑ Repair/Replace ❑ Demolition
S C3. 00 3 I(ICA * * * * * * * * * * * * * * * * * * * * * * ** ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ iO.00 Permit Fee $ 1 � CCF $ l 2 0 cotcC
V
Notary $ Training/Education Fee $ i �'` , , Technology Fee $ to / 3
Scanning $
Enforcement $
Total Fee Now Due $ 3 1 4
(Continued on opposite side)
Radon $ r` Zoning � Bond $
Structural Plan Review. $ SC) . CCU
Bonding Company's Name (if applicable)
w
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will .t +e approved and a reinspection fee will be charged.
Signature
Owner or Agent
The fore oing instrument was acknowledged before me this I
day of 200 , by 1CGka (,()
who is personally known to me or who has produced 'r5TUl _
ti As identification and who did take an oath.
NOTARY
Sign:
Print:
Chc 12/15/03
VID
My Commission Expires:
APPLICATION APPROVED BY:
My Commission Expires:
-7
•
Plans Examiner
Engineer
Zoning
Signature
Contractor
The foregoing instnunent was acknowledged before me this
day of ,20�by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. Certificate of Competency No.
****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 4,"*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
FEB 13 2004
Owner
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
DISCLOSURE STATEMENT
OWNER BUILDER DISCLOSURE STATEMENT
I \-ktfs.=771-IE),�J Scf =L —xt.1 being the legal property owner, for the property
Located at: 1...6- R3 S , Pk-K< S - Nr=3 i , 3 3 ► 3
Legally described as -
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the
State of Florida, F.S. 489.103(7),And I have read and understand the following disclosure
Statement, which entitles me td aVork as my own contractor, I further understand that I as the owner
must appear in person to complete all applications.
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor
even though you do not have a license. You must supervise the construction yourself. You may build or
improve a one - family or two-family residence or a farm out - building. You may also build or improve a
commercial building at a cost of $25,000.00 or less. The building must be for your own use and occupancy. It
may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the
construction is completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure
that people employed by you have licenses required by state law and by county or municipal licensing
ordinances. Any person working on your building vho Is not licensed must work under your supervision
and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
Proof of ownership provided ( ) initial of reviewing clerk. The foregoing instrument
Was acknowledged before me this `1 day of1b , 20 04
By
Produced
who is personally known to me or who has
as identification and who did take an oath.
pitta 1° gab
• �'. Commission
_. = Expires: Jul 13, 2
Bonded Thru
Atlantic Bonding Co., Inc.
Legal Description:
Lot: 16 & 17
Applican
Buyer
APPLICATION FOR CERTIFICATE OF RE OCCUPANCY
Matthew E . Scroggins I , hereby apply 1 Y for a certificate
to re- occupy the single family residence known as : (address)
A/445 N.E. 93rd Street
Block 51
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.
Print Nam Wayne E . Taylor
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Contact Name:k Wayne E . Taylor
Seller XX Realtor Company Name
Application Fee ($50) paid: Cash Check No. g/5
Comments:
PAGE 1 OF 2
, Miami Shores, Florida.
PB & PG: 10 - 37
Date 12/8/00
305 - 573 -9988 Work
Telephone05- 613 -9498 Cell
jU5 - IS9 -9309 Home
Inspected by: F. LUBI ` / pproved X Denied Date 12/12/00
,CERTIFICATE 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 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 S
By.
Date of
RE
VILLA . . FLORIDA
rtification: 12/12/00