521 NE 94 St (5)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 applicaticn is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the Stan.. of Florida. all otdMances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shor< s Village sh:al be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kepi 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. Block
Street and Number where work is to be done
Remarks.
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Permit No
Disapproved
(Signed)
APPLICATION FOR BUILDING PERMIT
Date
Building Inspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Date
Subdivision
State work to be done and purpose of building (by floors).
C9 = o
(Signed)
PLANNING BOARD DATE
Chairman
Member ____ .__ _
Member _
Council Approved _ _ . .Date Disapproved
2
No Street_
My Com:nission Expires.
Member
Member
Member
,19 °'
Fq
and for no other purpose.
New Building____ - Remodeling__ Addition _ Repairs.. _ .. __ .__ No. of Stories
To be constructed of . .. Kind of foundation Roof Ca vering__. _.. -_. -__ _..
Estimated " ;tal cost of improvements $_ZP . Amount cif Permit $ — _
Zone cubage required. __.._ . _ _._ .Plan Cubage
Distance to next nearest building__ .-__ Size of Building Lot
Maximum live load to be borne by each floor __...
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 Central Laws of Florida, Permanent Supplement,
and has complied with the provi :ions thereof, and will require similar compliance from all contractors or ...- contractors employed by him
in the work to be pi rf.rmed under this permit; and will post or cause to be posted for in ction on the site of the such public notice
or Notices as are requir• d by the Act. The undersigned agrees to employ only such su o q(rctors, o work to..bee perfornit - [aide this
permit. as are licensed by Miami Shores Village. / N �•
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ' p-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the
of th abov. described instruction. t;. .t he has carefully read the regoing application, and that he did sign the same, and that all facts
therein by him stated are rue. _
_ _ . _ _ ..____ Date___. Read, Sworn to and Subscribed before me.
Notary Public. State of Florida
to me well known,
Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval h. s been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is male necessary by improper notice for inspec -tion or faulty
materials and /or workmanship.
MIAMI SHORES VILLAGE
Office of Electrical Inspector
CERTIFICATE OF INSPECTION
THIS CERTIFIES THAT the wiripg and apparatus installed at =.:' / ;
by r %.(' Address
for .• : ', y 4 owner, and occupied as
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Size of Service , • 12-44
Range r ,,. A ,f ° - t de watts. Water Heater 4
Power: Connected load *`
Other Apparatus )1'
Number of Lighting Circuits
H P. Space Heaters .1( watts
ELECICAL INSPECTOR.
watts
BUILDING
ELECTRICAL
PLUMBIN
Owner of
Building
MIAMI SHORES VILLAGE, FLORIDA
RACTOR BIJ�LD R
PERMIT N? 7945
Work to be performed under this Permit
Architect
Contractor
or Builder
Legal Lot
Description
Address of
Building
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 appli-
cation 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.
Bl.
(f
s r
Subdi-
vision
Value of
Project
BY
DATE 194_
Contractor's
License No
Amt. o
Permit
Signed. By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the, work covered hereunder in compliance with al pances and reepl u
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of' Miami Shores"Vi age.
In acceptipg this permit t�me responsibility for a work done by either myself, my agent, servant or employee.
I
AUTHORITY
BUILDING
ELECTRICAL
PLUMBIN3
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 7757
Work to be performed under this Permi �' ,� "t„•� �'
Buildin -4..! ✓ f lr - . I P' ,icoetk■ , t, /
Architect A1 + 4L4' °� ,,
Contract ! 2 or Builder or u^ "L" � 'T .%e.
Legal Lott Bl. '' '" Subdi
Description ICs ir, 1* 1 6 3 vision
Address of '
Value of Amt. of r /
Building I�� Project `� Permit �F
This permit is granted to the contrfctor or builder named above to construct the building or to install the equipment or device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 qt drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. ■ r < <
,,, B
Signed 0 - 74.0'7—, SPECTO R �.G..•
INSPECTOR By t
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance will ordinaneei aig1.0gOlaticts
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 responsibility for all work done by either myself, my agent, servant or employee.
R BUILDER
DATE
4
Contractor's
cense No.
BY AUTHORITY
194r
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
t
4 11/49
JIM
TEMPORARY SERVICE
)'
4/7/49
$ 1.00
$
BEAMS & LINTELS
_`J 3
'B
$ 1.00
SEWER
$
FRAMING
3 /49
4/ /(p / /4g
/� ""
72
$
$
GAS
$
$
IS
INSPECTIONS
FINAL
6/ 90/49
3DH
BY
RE- INSPECT
BY
ROUGHING
,CLEAN -UP
TT)H
ROUGHING
GAS
CONTRACTOR Phillips Plumbing
PHONE
�7f�
PERMIT NO. 7802 DATE 4/
�
FEE $ 1 .
NEW BLDG. X 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
)'
4/7/49
$ 1.00
$
SEPTIC TANK Superior
p
7809
4/20/49
$ 1.00
SEWER
$
$
SOLAR HEATER
$
$
GAS
$
$
IS
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
11/l9/)
TT)H
ROUGHING
GAS
JDH
{-
H. W. HEATER CONN
SEWER
RANGE CONN.
SEPTIC TANK
4/21/49
m
JDH
SOLAR HEATER
FIXTURES a FINAL
FIXTURES
6/30/49
�T1v
JDH
CONTRACTOR Abar Electric
PHONE
PERMIT NO. 7 p7 DATE 5/19/49
FEE $ 12.80
REPAIRS
NEW BLDG. X l I ALTERATION I ADDITION
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
7773
)'
4/7/49
$ 1.00
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
1= IXTURES
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
r TEMP. SERVICE
4/11/49
3DH
ROUGHING
5/16/4
JDH
{-
H. W. HEATER CONN
RANGE CONN.
FIXTURES a FINAL
6/16/49
JDH
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE 6/16/49 BYJDH
OWNER'S NAME PRESENT ADDRESS
rILLIE W.AY HANCOCK & VIRGINIA DR2AlliN 621 N. 2. 92nd Street
LICENSE NO
PHONE NO.
JOB LOCATION (ST. OR AVE.)
;21 N. E. 94th Street
LOT
16 & 17
BLOCK
55
SUBDIVISION
1.1, S. Sect. #{2
GENERAL CONTRACTOR
r. F. I
ADDRESS
621 N. L. 92nd Street
PHONE NO.
LICENSE NO.
3248 0 -B
c
BUILDING PERMIT NO. 7707
DATE 4/1/49
PERMIT FEE $ 16.00
p BUILDER'S BOND
NO. 820 DATE 4/1/49
ZONE PEQUIREMENTS 1 7,5 0 9 CU. FT.
PLAN CUBE 23,665 CU. FT.
EST. COST $ 11,533
tVT
DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: JD
DATE
4/1!49
X
NEW CONSTRUCTION
CBS
CBS
STORIES
1
ROOF CONSTRUCTION
Tile
INTERIOR CONSTRUCTION
Plaster Walls - Oak Floors
REPAIRS
DESCR IPTION
Liv RTC -Din Rm_Kit- : - : • ' • - :: • : II - - 2 Kates
DES RIPTION
1 car attached g ua�e
ALTERATION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJE ED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
.
CERTIFICATE OF OCCUPANCY NO. 74
(]
ISSUED ' �V 1 /49
BY JDH
TO Hancock & L:ree.den, 521 NE ghth
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
t.
Registered Architect and /or Engineer.
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.
t9� Date..
Owner's Name and Address. 44X `� " `� No._� Street.
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done CI / Z.f
Name and address of licensed contractor d4 1;Zi �Z�S� .' :Z�� .
°
State w to be done and purpose of building (by floors)...=. . L; f/
To be constructed of Kind of foundatio _-
and for no other purpose.
New Building Remodeling. Addition Repairs No. of Stories
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
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA,
COUNTY OF DADE. j
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.
,!_I!_..
Permit No _3__ Date.__ / _.J — 6 Read, Sworn to and Subscribed before me.
Disapproved ,,.._ Date- ..
Notary Public, State of Florida
(Signed) - -. �� 1 �
'Tiling 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.
s�
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 / l r /._06/v.__. 6/'9
Registered Architect and /or Engineer gyp/ o
Name and address of licensed contractor 1� .�. 1 il• <...f7
Location and legal description of lot to be built on:
Street and Number where work is to be don
cd
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date._
State work to be done and purpose of building (
Date �/ �'`'�• // , 19,�l
Lot Block Subdivision
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 $ ®��/ "64 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 per armed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) t7
STATE OF FLORIDA,
COUNTY OF DADE. I 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 J sta d are true.
Permit No - 7 / U Date..1' 7 G " 1 Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
Notary Public, State of Florida
Building Ins�to 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.
1
tp�
::::.
•:6
!, .... '• 1 mu! l!. 1f. Jtl. U. ]!. t f ,,...., 1wl .,••.. x ,....,, tl ,....,, tlgout ....,,tl,,. f ,,...,, 1l ,,...,, tl ,,. ..,, / ,.••...
Issued
Amount
No. Houses
/ 19.17
.
BUILDER'S BOND
KNOW ALL MEN BY THESE PRESENTS, that
Address ■ . y4.2 t .`
Cost of clearing and repairs done by Village
ri
C.. s�F
do hereby deposit with Miami Shores Village, Florida, the sum eft
WHEN CLEARED AND REPAIRED BY THE VILLAGE
Amount of Bond $
$
iami C-Diores9 llage
F L O A I D A
4 .,c
820
in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or
buil gs at the following addresses:
/6..- /
repairs out of the aforesa
saicL` " •• • shall be returned to me.
WITNESS MY HAND and Seal at Miami Shores Village, Florida, this Ai. day of 4 1 i2 V
)14:1 , (Seal
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.
Balance due Builder $ Cancelled 19 By
I
Village Building Inspector, Miami S)*$es Village
n r !l rs n 11 n r rte n / +, �ncp•�71 ?cO r n r t n r n n
..., fir°. °•'•iieir�°.'�.°.•'Yr'. °•'•ii•..�.•'`arm°••'•ir ii`•°. °'s� '•i�r�°. °•''ir• aa•''�i:°m5e.a •' rr• . °••'•ii`•° iii° °•'• °•'•ii`•° °•'•itty °'•it•° •'•il'`•°'�°•'•ii °•''il' i
F.
•
, 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
completion of such construe '.n within the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearance and
and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then
F
tti)
to
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT.
APPLICATION FOR BUILDING PERMIT
Application is hereby wade 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. /
Z
Date..._. _...... . ,19.2
� .. ... .. _ No - . ' Street_
Owner's Name and Address ..9/
........
Registered Architect and /or Engineer
Name and address of licensed contactor -.. .
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done L
State work to be done and purpose of building (by oors) 2.... T
and for no other purpose.
1
New Building Remodeling Addition Repairs
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ Lr Qs - f,d. ,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 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 Sup pleinent,
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
pennit, as are licensed by Miami Shores Village.
Remarks (Signed) �•► •
No. of Stories —
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 e. 7
Permit No.. _. ' 2_ - 6 /73 _ - -_ Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed) - ( mmission Expires
1din pector My Q pires
Notary Public, State of Florida
PLAN ► •NC BOARD DATE
Chairman Member
\icrnbcr 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.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby wade 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 ..29X �tl` 1 Street �.[ — �f ..
Registered Architect and /or Engineer 1 ,, i . ..:. ..... . :.:::..: . ....,,.,_t.
Name and address of licensed contractor 1,e1.l .. _. � - ._C��- az-) - - 2/-C- 63 LA
Location and legal description of lot to be built on:
Lot Block Subdivision f! Q
Street and Number where work is to be done 2 _._ "22
Sate work to be done and purpose of building (by floors)....
9 .. c h i _ and for no other purpose.
New Building Remodeling l/ Addition Repairs No. of Stories -2 "
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 3 /s 3 11' Amount of Permit S,.
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 hint
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. �� J
Remarks ( Signed )..(,1'� :.. Our
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Notary Public, State of Florida
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. t�
Permit No..__ .L.-_!J Date 7' /` ` ? b Read, Sworn to and Subscribed before me.
Disapproved
(Signed)
uil•ing Inspector My Commission Expires
PLANNING BOARD _.._ DATE
Chairman Member
\1crriber 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 fmm
the Planning hoard.
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.
�� - /
qf P AID
BY
Y EAR .,
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
a. s. Drcad2n (o)
1949
- 12.00
12 -31 -49
1
6 -30 -49
13298
�Sa 5 -
�lf
so
/f s
/_ -3/
/,;24 a
/ 6
v
, � �� a
/Y
/ ,,
�.�
psi
6'a-
/,
/ a °-
/�• .3/. �
/2 -Q / -� -
if
/- f
, - o- - j
4 ?- 7 -.0 v-,
:
,
ADDRESS 5 .'. i/..th St.
LEGALLOt 16- 17,B1B. 55, 1.1 S S V RECORD GARBAGE TAX
N° 740
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla ,
Owner, Agent or Tenant of Building • f �' ^,,
Lot / / Block Subdivision
Street Address
Approved use by occupancy , /
Remarks:
This Certificate of Occupancy is issued to the above named
\... f
for building at above named location only upon the express provision that the ap ant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, own as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or stituctiires. !�
: gyp
BUILD-114 I N