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15 NE 95 StBUILDING PERMIT 77/ • Owner of Building .... . Architect. Contractor or Builder No. FE DEPTn HEIGHT STORIES This permit is hereby issued to ____>F I- MIAMI SHORES VILLAGE OFFI E OF BUILDING INSPECTOR Miami Shores Village, Florida, Imo- - , I93 �Q. U T / 4d. e PROPOSED LOCATION p ON TAX RO;. t - TYPE OF CONSTRUCTION DESCRIPTION OF BUILDING Frame. Tile Concrete, Stuci?E RPaidence, Apts., Stores, Hotel xt BUILDING TO EH USED FOR a . To Air SUBDIVISION ROOF 1 COST OF BUILDING N° 31 Pausal' Fin the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the ex- press condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florid! and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked st time upon the violation of any provisions of said laws, ordinances or rule: and regtgations up any change in the plans and speci authorized by the building inspector, s - — - �— BUILDING INSPECTOR !.......m. 4 In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me subm itted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules and regulatio the building department of Miami Shor Village. �•- Dated „t, - ? S , 19. " j�"�` Ne4i4 rty—(9, A (SEAL) APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of tin_ plans and specifications herewith submitted for the build- ing 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 , 19 Owner's Name and Address No. Street Registered Architect and/or Engineer Name and address of licensed contractor 2 7; Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices wit a reference to the building and its construction may , , C be sent to 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 with 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 the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. • Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. J 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 true. Permit No._ Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re-inspection is made n2cessary by improper notice for inspection or faulty materials and/or workmanship. J ■ -�- I, ,74:4y /47/) to re- occupy the single family residence known as : (address) Legal Description: Lot: Contact Name: APPLICATION FOR CERTIFICATE OF RE OCCUPANCY Buyer Seller , Miami Shores, Florida. Block PB & PG: , hereby apply for a certificate 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 i�d /�� "t Date 3V 70I Print Name � /c1/ * * * * * * * * * * * * * * * * * * * * * * * ** ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Realtor Application Fee ($50) paid: Cash Check No. .5 � PAGE 1 OF 2 Telephone: 36 /o'./S Company Name Z W Inspected by: Charles Esher Approved x Denied 11 Date 3 -6 -01 Comments: ,)O6,( 4 r /hr ?yob, Cif- ' k'%/ t 6 7� epr d p( 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. By: 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 - 6 - 01 PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID / , -,P-- / c,2 RECEIPT NUMBER f 71/ .76.Z/ 2 ‘/‘ 41437 CC Whiti #' I, ,/. __. ,L1: ' 0 ./ s 1940 : "? 7/ ce ) 1 , 1942 - / i0,0 / ) . ''`'" _/ Ir-...4.4.61 , - ' (I - e , ,,,• t ‘-• ' -7()_LICI-__ I I 1943 /o.od a - S Z /-7.2- 2 /-12,-. ' l' d _— ■r Al / ■ .. - 1944 _ , R A L.. ti . c4 e it , t , -t 1945 J t. PIO " a /, L ..... . .. ,_ ... w.... 4....• 1946 0 # 1947 7--7_ _1 J2-9--,_.7 2-I-Vf /- - /1// I( a 1948 , , 'ct /2' 3/ 1 Xioci / 2— 1, • ,,, 1949 II /ea - 3/- Ii /3/If 1 1950 /.2' ,e1 5 . LOCATION 15 11. . 95th 6treet L.„ , GARBAGE TAX RECORD 15 N. E. 95th St. by E. A. Weschler, year artuai tax 'k — period used amount paid , date paid receipt / v3 . a� d -- APPLICATION Application is hereby made for the approval of the plans and specifications herewith submitted for the building or other sturcture herein described. This application is made in com- pliance and conformation with the Building Ordinance of the 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 Department of Miami Shores Village, shall be complied with, whether specified or not. OWNER ARCHITECT My Commission expires Chairman Member Member Secretary Building Inspector CONTRACTOR STATE OF FLORIDA) COUNTY OF DADE ) Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgment, personally appeared to me well known and who, being by me first duly sworn, upon oathdeposes and says that he is the builder of the above described construction, that he has read the foregoing application, and that he did sign the same, and that facts stated by him are true. Road, Sworn and Subscribed before me, BUILDING PERMIT RECORD MIAMI SHORES VILLAGE FLORIDA LOT BLK SUBDIVISION STREET# N , ,,: 4 s�'`,. - i NEW ADDITION � REPAIRS NUMBER OF STORIES i ROOF (excluding Archtitect 's foe, landscaping & garage)$ �('r`' Building to be used for - j (1 i,i { (2' and no other use. I hereby submit 411 the plans and specifications for said building. Permit No./ Issued to Electrical Permit No. Signed Notary Public(Signed) /- Cubic Feet Cubic feet required in this Block PLANNING BOARD NJ J' Y �� -0+ DATE Plumbing Purmit No. Date MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDIING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 ' 7 4_: Owner's Name and Address._. -= . -- :.. ° -- _U - �: - -- B ._ - f No Street Registered Architect and /or Engineer Name and address of licensed contractor ej - ' Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done _ State work to be done and purpose of building (by floors)__f. =�__. and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ < .__ Amount of Permit $ ,' Zone cubage required plan Cubage Distance to next nearest building _ -_ Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building permit does hereby certify that he r.nderstands 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 with 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 the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 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 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 true. t" ' 8 Z �* , Permit No <1 > Date_ _ _Q ` u -. Read, Sworn to and Subscribed before me. ■ Disapproved Date. _ii /�� ��1� Notary Public, State of Florida ( Signed) ( (- Building Inspector/ My Commission Expires ,19 'f "? to me well known, PL PIING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. . . . 4 2 ft ' ,c2-29) MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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. Owner's Name and Address_ 7"";/.7 ..rte" Registered Architect and /or Engineer Street and Number where work is to be done (Signed) - .- - -_. STATE OF FLORIDA, COUNTY OF DADE. ss. Name and address of licensed contractor.._ Location and legal description of lot to be built on: Lot Block Subdivision State work-to be done. and purpose of building by floors) / , -, ,-, < .--“ -- - and for no other purpose. New Building Remodeling '' Addition Repairs No. of Stories To be constructed of Kind o foundation Roof Covering Estimated Total cost of improvements $ Kind) Amount of Permit $ 2 - 4 - Zone cubage required _Plan Cubage Distance to next nearest building Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to._ 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 with 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 the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. ' ' Remarks (Signed) / / ,ice.:' Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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 true. / Permit No ?‘/ Date --.. / Read, Sworn to and Subscribed before me. Disapproved _ Date ng Inspector No ` Street - -, -.- �- Date , 19 to me well known, Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chainnan Member Member Member Member ...... Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for nuking corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made 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 regula- tions 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_ — L) E L , 9 l — — ' — . 1 9 4! - Owner's Name and Address e ' \ L f e . t" } t_ E k^- No.____ - -_ StreetI _ � -5— 7 Registered Architect and /or Engineer Name and address of licensed contractor 1 2_14 1 A [ :.a iL Location and legal description of lot to be built on: i - _ Block 5 Subdivision ' ' 1 r ` r * c_ Street and Number where work is to be done___ —___� 1 �' — 1_ _ — _ — ___ -' T State work to be done and purpose of building (by floors) .i- t. '" D \ 165: n 1 L r (4 A. M 1/Y A L L S • - -__ —__and for no other purpose. Distance to next nearest building •-------------- New Building_ Remodeling_ _ Addition_______ _________ Repairs No. of Stories__ _ — To be constructed of_ —_'= —__ Kind of foundation__________: `_L- Roof Covering_ — Estimated Total cost of improvements d �' __________________________Amount of Permit $ -— Zone cubage required— Plan Cubage Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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 with 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 ciuse to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcongactotg, cox work to be performed under this permit, as are licensed by Miami Shores Village. y L , l1 Remarks (Signed) `..- ikz,f,A)� STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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$. Permit No Date ' Read, Sworn to and Subscribed before me. Disapproved ______________ Date (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved— _ Date Disapproved Notary Public, State of Florida Lam' to me well known, Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made ncesary by improper notice for inspection or faulty materials and/or workmanship. No. DEPTH HEIGHT STREET FCONS�CTION PART of LOT LOT BLOCS SUBDIVISION 1 >j. t ' `l > 6 ______ ___ s 5-44-a.•4-- -: .I4-'. FRONT DEPTH HEIGHT STORIES FCONS�CTION BUILDING TO BE USED POB ROOF COST OF BUILDING PERMIT Ban j TYPE Frame. Tile Concrete. Stucco Residence. Apts., 'tores, Hotel ' w BUILDING PERMIT .PROPOSED LOCATION R ^ . d v MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR Miami ors Village, lorida, � .2 - A 4- , 1937 . Owner of Building C ' 4 r� Architect Contractor or Builder r ► DESCRIPTION OF BUILDING tk•+L. -' To- This permit is hereby issued to the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the ex- press condition that all facts stated in the application are true and that the construction complies strictly with the plans and specifications submitted, and in accordance and compliance with the building laws of the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and regulations of the building department of Miami Shores Village. This permit may be revoked at any time upon the violation of any provisions of said laws, ordinances or rules andjg gulatons, of upon any change in the plans d 8cations •authorized by the building inspector. U. DIAO I- sPnoTOS In consideration of the issuance to me of this building permit I hereby agree to do the proposed construction in strict conformity with the application and plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all building laws of the State of Florida, all the building ordinances and zoning laws of Miami Shores Village and all rules ancj.regulations of the building department of Miami Shores Village. � Dated /;* /?" , 19 . 37 MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing 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 , 19 Owner's Name and Address No Street Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required _Plan Cubage Distance to next nearest building. Size of Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to The undersigned applicant for this building pennit 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 with 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 the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. f 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 true. Permit No Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida (Signed) Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of Building ,., • MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N° 2918 Architect Contractor or Builder Legal Lot Bl.. Subdi- } j D ption vision Building f f f Y -P Died ?J ' 61 . 7 7 - This Permit is graMated to the contractor or builder named above to construct the Wl. or to install the application herefor in ict compliance with all ordinances pertaining thew* and th the thlt the with any plans, drawi " , statements or specifications that may have been a ittedtto and. be revoked at any - the work is not done incompliance with such sue. upon which dds the ordinances hl granted pe is the u t contorted' dus eby w that he assatnes ity r work to by work ser ius or f' `- MIAMI SHORES VILLAGE Owner's Name and Address Registered Architect and /or Engineer Name and address of licensed contractor BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made 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 regula- tions 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. ro e Location and legal description of lot to be built on: Lot 1 4. " Block— Subdivision � i` .d 4__ ' 1 Ail. Street and Number where work is to be done - 5 —tai E '%) 5 m State work to be done and purpose of building (by floors) C 4 � 4 —L It t4 V f�� 1 _and for no other purpose. New Building______ — —____ Remodeling_ Addition Repairs No. of Stories_ To be constructed Kind of foundation_____________:___ _>L Roof Covering_ Estimated Total cost of improvements $ '- '.. Amount of Permit $ Zone cubage required—___— Plan Cubage Distance to next nearest building Size of ,Building Lot Maximum live load to be borne by each floor I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to 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 with 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 the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this - r permit, as are licensed by Miami Shores Village. Remarks Disapproved (Signed) Dace-- A-c- 19 4 ! ^+� E 1..k 14,. No. Stmt 11{ E. Date (Signed) STATE OF FLORIDA, u. 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 him stated, are tine. r Permit No Date Read, Sworn to and Subscribed before me. Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved_ Date Disapproved Notary Public, State of Florida - -Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY L ,)dime ( Eveir0 C�I� to re- occupy the single family residence !mown as : (address) (A- kz_■∎-k S , Miami Shores, Florida. Legal Description: Lot: Block PB & PG: I hereby certify that I understand that the zoning of the property is for single - family, fes.idential 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 SIIZires 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 11! ' O Print Name Jc,rrne L(( /e(OC(L **************************************k******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miarni Shores Land Development and Zoning Code, please contact: Contact Name: ,J c Leil-e roc L- Buyer _ . :Seller Application Fee (S50) paid: Cash Realtor X Company Nance Inspected by: Approved Comments: Check No. J '2-2_ • PAGE 1 OF 2 _, hereby apply for a certificate Date 9130/ Telephone: 305 - 5 Co 00 Denied Date - 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 purp Sections 901 and 902 of the Miami Shores Land Development n and Zoning Code l and that such property may be re- occupied by the above applicant for single- famnjy residential purposes. PAGE 2 OF 2 MIAMI SHORES VLLL , FLORIDA By: Date of Certification: THIS CERII 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 INTERESTED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DE I E RMENE THE CONDITION, THEREOF.