518 NE 94 St (2)THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE t
A Penalty is imposed for failure '`i'
to keep this license exhibited at your establishment or place of business',
''
i''' i }'i y'''' ''''fc�T4' 71 '''''''' ''''''''' +i'' t i
S �
•
3
VILLAGE LICENSE
This License Expires No
In consideration of the sum of
Paid to Miami Shores Village, Dade County, State of Florida,
subject to the Provisions of all ordinances.
(SEAL)
Date Issued Jan 30, 1951
TI{IPLICATE
Trantrllgr and 00/100 Dollars $ R5.00
For the period beginning j • 30,1951 and ending Us nOI tlr bases
THIS LICENSE NOT TRANSFERABLE WITHOUT APPROVAL OF THE VILLAGE MANAGER
5145
Address
is hereby licensed to engage in or operate the business of
. ..
e, 4
MIAMI SHORES VI FLORIDA
?Th
B Cl.«..i -.
J D. VILLAGE MANAGER
p
F.
:: `r ir"�°. °'lgr ae..zmi`•° °'i`r`•°. '•i`r ir•°., ° °•'•ii`.°iii`• °.•'i °'•, `•°. •'•re `• °.•'•ir`.D °.'•ii•°. °•.'•i m `• °.•'•i m►•....
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 -
Registered Architect and /or Engineer
Name and address of licensed contractor___
Location and legal description of lot to be built on:
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Building Inspector
r. > f •
Date__ CL t` - 3.1 t 19
No ' Streets_
DATE
',),-`1 rU / Af•!'
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved Date
( Signed)
Lot Number Subdivision
Street and Number where work is to is done_._ 1__ )\;__ _r__X
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building Remodeling Addition Repairs `---..'"
No. of Stories 1
To be constructed of Kind of foundation Roof Covering / 11_q.._ : _____________________
Estimated Total cost of improvements $____ 9_ .6 -r ' _ 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 arld specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned apAicant 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. �• / �, p
Remarks (Signed)__ ._.' r _1��? %._.:rte
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
to me well kno7vn,
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 th sign the same, and that all facts
therein by him stated are true.
Notary Public; State of Florida
My Gommission . Expires
PLANNING BOARD
Chairman Member
Member Member
Member Member
Council Approved Date Disapproved
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval
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.
Date
has been obtained from
OWNER'S NAME
OCRIIT' , F. V. "'- �..._.
PRESENT ADDRESS
1004 R.I. 106th Street
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
518' N.. E. 94th Street
LOT
9 & 10
ADDRESS
518 N: E. 94th
BLOCK
56
Street
Sec.#2
SUBDIVISION
PHONE NO.
LICENSE NO.
Gr' 1. -
GENERAL CONTRACTOR
F. V. KOCIuIT —� ��� Q�
BUILDING PERMIT NO. 10282
DATE 11 -16.50
PERMIT FEE $ .00
BUILDER'S BON O
NO DATE 11 -16.50
ZONE REQUIREMENTS 17,500 CU. FT.
PLAN CUBE 29,J72- C U. FT.
EST. COST $ 1 505 00 . 00
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: PG
DATE [
11 -1
NEW CONSTRUCTION
TYPE
CBS
STORIES
1
I ROOF CONSTRUCTION
Tile
Oak INTERIOR CONSTRUCTION
Oak floors- Plaster Walla
REPAIRS
DESCR IPTION
LiN.Rm. -Din Rm- Sit -3) bdsms -2 bath- porch-
ALTERATION
DESCRIPTION
2 Car Gar -att. with util Zm -Work rm -bath
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. /// �j/�O
1SSUED /f
/
I BYV'O �j -
, ����///LJJJ
TO v ' 4/ ;71Vi7e"41
BUILDING PERMIT AND INSPECTION RECOR45 -MIAMI SHORES VILLAGE
INSbEdION,
DATE
'Y
R E- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
�C'
I ^,(
%1
FEE
TEMPORARY SERVICE
BEAMS & LINTELS
r
��ll
$
SEWER
FRAMING
- it-ri
SOLAR HEATER
$
GAS
$
$
FINAL
�q ° L -t
{ ,.
d�
RE- INSPECT
BY
RE- INSPECT
BY
CLEAN -UP
J- 7 �U
�ti4' .)-
( ONTRACTOR 4
PHONE
PERMIT NO./ G k 3 Q DATE ' 1° 5 Q
FEE $ f , � m
NEW BLDG. I ALTERATION
ADDITION
REPAIRS
• SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
SEPTIC TANK
$
SEWER
S
SOLAR HEATER
$
GAS
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
J- 7 �U
�ti4' .)-
GAS
i -Y
:'
SEWER
SEPTIC TANK
(-3 /'.r/
/n'
I!• /(
SOLAR HEATER
FIXTURES & FINAL
FIXTURES
C
- I-q° ')-+ I
j�
P C
CONTRACTOR • („'
PHONE
� DATE e - J/
PERMIT NO./../ tie
FEE $ ��
NEW BLDG. � ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
p ATE
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
jj//((
jA1tO I,.
�ti4' .)-
ROUGHING li
i -Y
:'
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
/�
/ q_ -? 073
➢`4Zu 'IILifiNi fN XECTIO
UMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS ..& INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE /` 57
BY Ff'F1
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 fierein
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, whirler
herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. AA
3 -m8 4
Date 19 7
Owner's Name and Address Clifford B. & Wansley H. Walters N0. 518 N.E. Street 94th
Registered Architect and /or Engineer K. Pfeiffer
Name and address of licensed contractor Certified Gunite Co. ,Inc . , dba Custom Pools 12165 S. Dixie Highway
Miami r 33156
Location and legal description of lot to be built on: // I ,L96 /y
Lot
9 + 10
Block 56
Subdivision Miami Shores Section #2, P.B. 10, Pg. 37
Street and Number where work is to be done 518 N.E. 94th Street Miami Shores, Fl. 33138
State work to be done and purpose of building (by floors), state exterior colors (submit samples) POOL
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation t Roof Covering
Estimated Total cost of improvements s 13, 500 Amount of Permits ) 1� $S'!J
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
Mr. John Pieklo, Certified Gunite Co., Inc., 12165 S. Dixie Highway, Miami Fl. 33156
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 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 y;.contractors. 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 appeared
John Pieklo
to me•well, known,
and who, being by me first duly sworn. upon oath deposes and says that he is theSeC ' y /Treas . - Construction Manager
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 /: ore me. G/f 3 7 /.8 /_. - _
Disapproved if •. � $TATf „Of 6LQNIIl�
otaro tb £ 0 da JUNE 7,199
(Signed)
Building Inspector My Commission Expires BONDED MO GENERAL INS. UND.
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved pate 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.
Location and Legal Description Lot
Size Septic Tank__
Feet of Drain Tile
Nature of Water Supply: City—Well.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No 9 t6 Application is hereby awde 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 ordinaooa 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 plows and specifications must be kept at
building during progress of work.
Owner's Name and Address B. & Wansley H. Walter No 518 N.E. 94th
Registered Architect and /or Engineer K . Pfeiffer -_- -
Employing Plumber's Name Certified Gunite Co., Inc. Na 12165 s S. Dixie Hiclhwax
9 + 10
Modr 56
Street and Number where work is to be performed — No 518 N.E. Street.. 94th
Pool
State work to be performed and purpose of building (By Roan)__. —_
New Building . Remodeling__ — Addition.. _ _ _..... Repairs No. of Stories ...... ...........
Type of Tank.___
nisi. Feet of Tank or Drain Field from Well.
Size of Soakage Pit
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, • notary public, duly authorized to
John Pieklo
(si _3 �. �—? �f ?! ` __
Subdivision. Miami Shores
Capacity
Plumbing Inspector.
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 5988, Compiled General Laws of Florida Permanent Supplement, and hay com-
plied with the provisions thereof, and will require similar eompllance from all 000tractors or sub- contractors employed by him in the wort- to he
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 arr
required by the Act. The undersigned agrees to employ only such sub-contractors, ow to be performed) order this permit, as are
w�.
lionised by Miami Shores Village.
er oaths and take adnsowledgments, personally appeared
. f
Master Plumber.
'y/Treas.-Construction
he did sign the sawn, and that all facts
Manager
to me well known, and who, being by me first duly sworn, upon oath deposes and nys that
of the above described construction, that he Ness lead the foregoing /1
therein by him stated• are true o - - 0PROI9 /cm/.
OVARY PUBLIC STATE Of FLORIDA' _
nv COM I li— v` Notary • $tab of north
BONDED THRU GENERAL IS UIIO.
NOTE: A re- inspection fee of $1.00 wW be nods whin snob wispeetkie Y Node nera my by begin* ;winkle fin' rspiefioa err fealty
materials and /or walonenrhip.
CLOSET.
BATH
usL
'fuss
LAVA•
TORIER
aINKe
SLOP
SINK•
LAUNDRY
Tua•
URINAL/
CATCH
SARIN
FLOOR
DRAIN
DRINKING
FOUNT•N•
TOTAL
FIITURLL
GONTR.
L1LT
CHICK
SIPTIC
TANK
SLWLR
CONN.
DRAIN
FICLD
SOAKAOI
PIT
G
TRAP
SOLAR
MLATLR
DRIP
WILL
SPRKLR.
STITCH
SMIM•O
FOOL
Gwent.
LAST
,
CNLCK
-
Location and Legal Description Lot
Size Septic Tank__
Feet of Drain Tile
Nature of Water Supply: City—Well.
Amount of Permit $
MIAMI SHORES VILLAGE
PLUMBING INSPECTION DEPARTMENT
APPLICATION FOR PLUMBING PERMIT
Permit No 9 t6 Application is hereby awde 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 ordinaooa 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 plows and specifications must be kept at
building during progress of work.
Owner's Name and Address B. & Wansley H. Walter No 518 N.E. 94th
Registered Architect and /or Engineer K . Pfeiffer -_- -
Employing Plumber's Name Certified Gunite Co., Inc. Na 12165 s S. Dixie Hiclhwax
9 + 10
Modr 56
Street and Number where work is to be performed — No 518 N.E. Street.. 94th
Pool
State work to be performed and purpose of building (By Roan)__. —_
New Building . Remodeling__ — Addition.. _ _ _..... Repairs No. of Stories ...... ...........
Type of Tank.___
nisi. Feet of Tank or Drain Field from Well.
Size of Soakage Pit
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the undersigned authority, • notary public, duly authorized to
John Pieklo
(si _3 �. �—? �f ?! ` __
Subdivision. Miami Shores
Capacity
Plumbing Inspector.
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 5988, Compiled General Laws of Florida Permanent Supplement, and hay com-
plied with the provisions thereof, and will require similar eompllance from all 000tractors or sub- contractors employed by him in the wort- to he
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 arr
required by the Act. The undersigned agrees to employ only such sub-contractors, ow to be performed) order this permit, as are
w�.
lionised by Miami Shores Village.
er oaths and take adnsowledgments, personally appeared
. f
Master Plumber.
'y/Treas.-Construction
he did sign the sawn, and that all facts
Manager
to me well known, and who, being by me first duly sworn, upon oath deposes and nys that
of the above described construction, that he Ness lead the foregoing /1
therein by him stated• are true o - - 0PROI9 /cm/.
OVARY PUBLIC STATE Of FLORIDA' _
nv COM I li— v` Notary • $tab of north
BONDED THRU GENERAL IS UIIO.
NOTE: A re- inspection fee of $1.00 wW be nods whin snob wispeetkie Y Node nera my by begin* ;winkle fin' rspiefioa err fealty
materials and /or walonenrhip.
Date
3/28/91
Miami Shores Village
Building and Zoning Department
Attention: Building Official
SWIMMING POOL OWNER'S CERTIFICATION
I certify that I am the legal owner of the property described as
Lot 9+10,11cck 56,Mi.ami trarrs,P.B. 10,B 7 located at 518 NE 94th Stsoet
act tyFtari - - -_.
Mani ors, Fl. 33138
In accordance with Section 33- 12(f), Code of Metropolitan Dade
County, I certify that I understand and agree that the swimming pool
to be constructed at the above address cannot be used or filled with
water until a separate permit has been obtained for an approved safety
barrier, and such barrier erected, inspected and approved.
I further understand that this certification, however, does not
eliminate the need for obtaining a permit and erecting an approved barrier
prior to final inspection and use of the pool.
Legal Owner
Note: This certification is to be submitted with a swimming pool
permit application in duplicate.
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date 3/28/91 Job Address 518 NE 94th Street . Tax Folio 11-3206-14-0960
Legal Description Lot 9 +10, Block 56, Miami Shores, :r. LMaster Permit #
P.B. 10, Pg 37, Dade County Florida
Owner / Lessee / Tenant
Owner's Address 51 8 Ne 94th Stret, Miami Shores, F1 331 38 phone 754 -4527
Contracting Co. rbfied Gnite GD.,Inc.,t k Qistrsn Rxalqkddress
Qualifier John Pieklo
State # G4C- 008380
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
WORK DESCRIPTION Swimming Pool
Square Ft.
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO
DO SO 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).
Application is hereby made to obtain a permit to do work and installation as indicated above, and
on the attached addendum (if applicable). I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
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.
Furthermore, I authorize th i a••ve -named contractor to do the work stated.
4
Sig - ; f �w _e= a /or Condo President
Date
Not as to 'Owner and /or Consdp Notar • as to Contra
My • • is`tion_Rx0ires ARY PIAI LIC, s �� Ib�' y
rry coMWI ISSION EXPIRES: SEM 2,7a . stc ->t= My Commission Expir
WHO ED THRII�IOTARY PUWC UMDER�tQerERed
* *
PERMIT FEE:
APPROVED:
Zoning
Mechanical
K. Pfeiffer
SS4#
Competency# Ins. Co.
Fire
Building
Plumbing
Address
Address
Address
12156 S. Dixie Highway, Miami, Fl. 33156
Estimated Cost
Phone
255 -5315
8220 SW 148th Drive, Miami, Fl. 33158
/ 5/(,k
Sig btu e of Contractor or Owner - Builder
Da�f
Other
Electrical
!IA
. CITY Q0110434 ' ; e ;,1994
. BONDED THRU GENERAL INS. UND.
Engineering
� M
SWIMMING POOL OWNER'S CERTIFICATION
Date March 18, 1991
Metropolitan Dade County
Building and Zoning Department
Attention: Building Official
123.03 -92
I certify that I am the legal owner of the property described as Lot 9 + 10, Block 56,
Miami Shores, P.B. 10, Pg 37, Dade County
518 NE 94 Street, Miami Shores, Fl. 33138
In accordance with Section 33- 12(f), Code of Metropolitan Dade County, I certify that I
understand and agree that the swimming pool to be constructed at the above address cannot be
used or filled with water until a separate permit has been obtained for an approved safety bar-
rier, and such barrier erected, inspected and approved.
I further understand that this certification, however, does not eliminate the need for ob-
taining a permit and erecting an approved barrier prior to final inspection and use of the pool.
Legal Owner
, located at
Note: This certification is to be submitted with a swimming pool permit application in duplicate.
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1•100,:e.Lj o•wt e-
ACCORDING TO THE KAT THEREOF AS RECORDED IN PLAT BOOK 140. L.: 2 AT PAGE NO.
, PIM* RECORDS OF 17•Ve COUNTY. FLORIDA.
FOR' __taAL4li.gt
• ‘QC4 IWITC4 SCALE 1"
, •
• T
guint las ,
otaanA assu '
4 40.1 1 11
,
LS\
e J. KIELLY:74)1C. SURVEY NO. .1:114-i-414.--..
Low ausvEvon
itHeET
-• I '
AL-1.61
AzioitA/26- Hawr7
imo I/0 me 7/7 c N t'4AP
THE 11‘NlRANCE RATE MAP, OM%
SEP. 30, 19R AND RUUD MARCH 18.
1977 F:J:iI.I.>HLD 0Y ThE UNITED STATE
DEPP.RTMENT OF 11011:;IN,n, AND URBAN
DEVELOPMENT DELIN:-.Ii.:1HL HEREIN
DEAi3ED LAND TU BE SITUATED MIMI
ZONE. ft
A FLOOD HAZARI)
ZONE.
F ce 00. - Sea SIK, 3
roue itzvey - K..
' BLOCS _
-•‘t
hereby SWY that this sketch ol survey of the above desontwid property is true and correct to the best of my knowledge and belle! a?.
Met* auPayed and platted under my direcUon. 1 further certify that the survey meets the minimum requirements adopted by The
Professipnal Land Surveyors and she Fioeda Lend Tide Association There are no encroachments. except as shown
moo s / NH-4 GaPE
1401011; 1. It shown, bearings ere to an assumed merldian0/04
2. 11 shovivi, elevations ars referred to N.G.V. Dolum/ SIP
3 TH/6 /6 A IAN0 fiugvey
. .
.. • • • ••. •
'A . .11E4f A:. , •
C,Ios� 31310
I ,2b r' e ` Ctc. 6.A.3 G_ `�� rS , hereby apply for a certificate
to re- occupy the single family residence known as : (address)
71) E 9 L/ S tr' e.e ± , Miami Shores, Florida.
Legal Description:
Lot: / 0
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 / Date 54 ?l /
/.
Print N.. e � e0
* * * * * * * * * * * * * * *_ ** ************************* * * * * * * * * * * * * * * * * * * * * * * * * * *. * * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
a „,., ZG... /.v_? Telephone: - 73 - C/ - 9 S 9 2
- ecx-7- 3
Contact Name:
Buyer
APPLICATION FOR CERTIFICATE OF RE OCCUPANCY
Comments:
Seller Realtor 4,-7 Name /97 v /rla 7�
Application Fe paid: Cash Check No. /.5
Block ,j (.O PB & PG: 1 _3 7
Inspecte Approved // Denied
PAGE . OF 2
Date
CER I II ICAT E OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has bee 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.
PAGE2OF2
MIA S`HOR S. VTT.LAGE, FLORIDA
Date of Certifi • . ton: 3 / 'tea /
THIS CER rii.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 CER IEICATE 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 TED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES Ili t ORDER TO DETERMINE THE CONDITION,
THEREOF.
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE 195
PERMIT N? 10282
Work to be performed under this Permit
Owner of
Building
Bl.
Signed
Subdi-
vision
Value of
Project $
This permit is granted to the contractor or builder named above to construct the building or to install the equip o
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will bef t o
drawings, statements or specifications that may have been submitted to and approved by the proper municip au orate . Thi
time if the work is not done in compliance with such ordinances or if the plans are changed without auth 'zati • furth6r,c
granted is the understanding that the contractor or builder named above assumes the responsibili for oro h kjjowlee*e of
pertaining to the work covered hereby whether shown on the plans or drawings or in the statem tspq sp ifica 'ons nd that he
done by his agents, servants or employees.
BY
Contractor's
License No
trt
rw
Amt. of
Permit
AUTHORITY
w
Ice d l♦ itth e application
co wh any plans,
it ay be revoked at any
on upon which this permit is
the ordinances and regulations
assumes responsibility for work
In consideration of the issuance to me of this permit I agree to perform the w k ered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or speciications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
ADDRESS 518 N. E. 914th Street
sots 9 & 1O Block
LEGAL Miami Shores
RECORD GARBAGE TAX
PAID BY ap S'J
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
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ADDRESS 518 N. E. 914th Street
sots 9 & 1O Block
LEGAL Miami Shores
RECORD GARBAGE TAX
N9 1190
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla , _
Owner, Agent or Tenant of Building
Lot Block Subdivision
Street Address
Approved use by occupancy
Remarks.
This Certificate of Occupancy is issued to the above named
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known a s the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
BUILDING DIVISION