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295 NE 95 StCERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the application has been inspected for the 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 applicant for single- family residential purposes. MIAMI SHORES VILLAGE, FLORIDA 4 / aau:itk, / l Date of Certification: �P / b 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 PARTIES ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMLNE THE CONDITION THEREOF. hereby apply for a certificate to re- occupy the single family residence known as: (address) r - 1- S ,Lfiami Shores, Florida. Legal description: Lot: °A ,Block: a ,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, Florida, 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: Print Name: / -e -� #**********************#f tAt * ** ***** ** #*ft*** **** * * * =:** * ***** ***** For the purposes of conducting the inspection required by Section 902 of the Mani Shores Development and Zoning Code, contact: Contact Name: c T SAD iv-c L( Telephone 1 s'") 0 0 Buyer: Seller: Realtor. )C, Company Name: a L Q � Application Fee (550) Paid: Cash: Check: Number Comments: APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY e5 ;�. Z. Date: ved: /Denied:Date: ADDRESS � 2941. jg;. 95th Street LEGAL 3as �n. ! .! ��.7 �� , . ® RECORD GARBAGE TAX PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER e °' I f ; / .aa /z °v / -`✓ fr- '" /1-R9- Y? /06/f~- /1 /. /9 � o �� /7 -e /- �a �� / - /G - 5 v /y/9 /9s �' d-- is - S . / ^ / -- e2 7-s/ / , , p / `i ADDRESS � 2941. jg;. 95th Street LEGAL 3as �n. ! .! ��.7 �� , . ® RECORD GARBAGE TAX 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 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 Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: Lot 4 62 g ' eco Block Street and Number where work is to be done STATE OF FLORIDA COUNTY OF DADE. } SS. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT \A.vv_ \ AO Building Inspector h1,1 F oL, \Pq ;t C o in v y } Subdivision Date % S i/ /91A 1/.f0od /3 497e/ State work to be done and purpose of building (by floors). state exterior colors (submit samples) Remarks (Signed) C Date f b 19 9 No. 1 Street VI) cLNer Vit. l S Vt- 1 1 7i ..t and for no other purpose. New Building Remodeling Addition Repairs No. of Stories 'lb be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 99 f } " . 0 Amount of Permit S ® 0 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 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 obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has co lied 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 thi mit: and will po t 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 loy ly su s..ccrtractors. on work to be performed under this permit, as are licensed by Miami Shores Village. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally appeared 11613r to.t.,)(9.140hDC‹ 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. �. 91 ' v / Date Read. Sworn to and Subscribed before me. Disapproved (Signed) Notary Public, State of Florida My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved . Date NOTE: A charge of $25.00 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 $25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 4 j •••1!,•• . . /.•• • • 1l.••... lf tf �..�. �• 1i: �•. �. y .. �: li.• �•• �.. li lf �.. �. y ._ , 1{;-• � y ._ , 1f.•' �j;•• if.• �•• � y . , � lr , 1f , �..�..�:]���y�•11.•;4y •.!!• •iJ•�8�•lf. -•�y •- .�f.�•� /.• •.1. .� ..... !Ni'�iW it • ijb�'1'R�IiGQ3' {fGVW�{t(.�3'Wit��T�.17.'Oh7 •Q'' •i7 iiG�W�•iiG�i4 f i .1 YQ JiiC•$' f ii& tGVi'�ilGeW�•il� iWf�VW kt;Sc �'iiL�4�11 I/ '' ' Issued let) 19 .7. Balance due Builder f F 1. 0 B 1 D A ` •5 ` Amount N 501 No. Houses t iami cJhores9'llage BUILDER'S BOND WITNESS MY HAND and Seal at Miami Shores Village, Florida, this WHEN CLEARED AND REPAIRED BY THE VILLAGE r7 Amount of Bond $ � Cost of clearing and repairs done by Village $ tc: 4 KNOW ALL MEN BY THESE PRESENTS, that�I �✓i7 Address � 3:, 1 & tii) in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building 4 or buildings t t e following addresses: j r. ‘‘`")""' 699 iiilll (� /. .r + do hereby deposit with Miami Shores Village, Florida, the sum of � , and I agree with said Village that, when such construction shall i 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, »• s used for the deposit of material or equipment in the construction or repair and that, if 1 do not so clear and repair such premises immediately upon the �� completion of such construction within the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearance and .. .4 repairs out of the aforesaid , and return the remainder to me; and that, if I shall dear and repair said property immediately, as aforesaid, then said shall be returned to me. • day of e (Seal) INSTRUCTIONS TO BUILDER -- -When above mentioned construction is completed and the premises are cleared ahj 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 wer- befsre c encing said construction. Cancelled Village - 417 9rspector, Miami Shores Village. 19 By ....1 r r r r tt rt n rt n r: r= r� r: r: rt +: r +,c : :• `:_ i` '{J .••' :°4�;.'• ` '• •ta .'•: t`° t e `a °kii_ a ` ` i `° as .` .'.:` '•. `° g Tin '. R° ?',`'°, o'• c a'• `°�a'• ` � it rr le ;+r fr••...•�lr• �r• �r•....••fr••...•��i• ii••...•�f�• �lr••...••�i••...••�r• rr• »• ,r• sr• n• n• �r• �i••...: �i••...•lr••...• BUILDI NG 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 __ _ ____ __ � Registered Architect and /or Engineer 7 . / A.,t.,D j Name and address of licensed contractor Location and legal description of lot to be built on: ' / ( n Lot Block - t S division Street and Number where work is to be done a2__ ___ 93 -- State work to be done and purpose of building (by floors) _____ New Building v Remodeling Addition Repairs No. of Stories To be constructed of C-13,3 Kind of foundation _ Roof Covering Estimated Total cost of improvements $_ - / k __' ' � Amount of Permit $ Zone cubage required 1 �-� �' plan Cubage_____ 1 N4 Distance to next nearest building , ) <� Size of Building Lot / " ij % r Maximum live Load to be borne by each floor + r C= 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 .ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, work to b perfor e I under this permit, as are licensed by Miami Shores Village. Remarks (Signed) 7 STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the undersigned authority, jnotary public, duly, authorized to administer oaths and take acknowledgments, personally ap- peared - --G - -- - - -- =- — - 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 sane, and that all facts therein by him sta ed are e. �y 2 Permit No L i . Date r, 0 Read, Sworn to and Subscribed before nie. Disapproved Date .( Signed) Member Chairman Member 1 Z_ /o s Building Inspector MIAMI SHORES VILLAGE PLANNING BOARD Date ( ` / 5 , 19 1 2! g� No Street and for no other p ose. __,__ Notary Public, State of Florida I My Com ion Expires DATE Member Member Member Council Apfroved 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 1 Owner of Building Architect A I i ,� f r f <` Contractor or Builder Legal Lot I 131. Description + r MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 4282 Contractor's License No Work to be performed under this Permit / S i 4 ' ✓ / , Subdi- vision DATE Value of Amt. of 1 / k Project Permit 6 194_t. Address of ,. .�.. +, Building i This permit is grand to the contractor or builder named above to construct the building or to install the equipment or device described in the ap cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance ith y plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be ed 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 dinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications an&that has mes respon- sibility for work done by his agents, servants or employees. 1 j r Signed r • ' By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covere d hereund i in compliance with all ordinance) >fnd regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Mia Village. In accepting this permit I assume responsibility for all work done by either myself, nay agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY