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790 NE 95 St (3)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 Addre3tr �� £i" � 1'.G3�%i 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. 'O Stat 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 .. -�2�e .........._..N Estimated Total cost of improvements $... . d t'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 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 su . ,,, tr ctors, on work to be performed under this pennit, 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 _ -- 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 state are true. Permit No.._._1-_.. Z Date ? 3 d :__. Read, Sworn to and Subscribed before me. Disapproved Date. ^ Notary Public, State of Florida (Signed) Buildiri spector / My Commission Expires ,19.. Stre d.y�� � ` f-`- 21 41 ...7 C' to me well known, PLAN NC BOARD DATE Chairman / Member s1crnber 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 frmn the Planning Board. A re inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. NO. SST PART OF LOT LOT BLOCK BUILDING TO BE USED FOR o Rea' a ceorea, Hotel SUBDIVISIO COST OP BUILDING X770 ,- l6�/��C 2f g( �� � �� / / .%"v!�(� 1 ��U Li / FRONT DEPTH HEIGHT STORIES TYPE O jCST$CTION BUILDING TO BE USED FOR o Rea' a ceorea, Hotel ROOF 71/ COST OP BUILDING X770 ,- l6�/��C PERMIT FEE a � } �� Ci z�! �� � �� /...% Fr ile rr ncrete, Stucco �" /� BUILDING PERMIT • Owner of Building Architect Contractor or Builder This permit is issued to the building above described, as per appli that all facts stated in the application are and compliance with the building laws of iii ulations of the building department of s, ordinances or rules and regulations, 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 and regulations of the building department of Miami Shores Village. Dated DESCRIPTION OF BUILDING , Plans and Speci Sons heretofore filed in this office. This permit is granted upon the express condition rue and that the construction complies strictly with the plans and specifications submitted, and in accordance the State of Florida and with the building ordinances and zoning laws of Miami Shores Village, and rules and Miami Shores Village. This permit may be revoked at any time upon te violation of any provisions of said or upon any change in the plans and specificatio_nss unauthor d y th tiilding inspector. Bu I LDltiG_INS Miami hores Village, Florida, PROPOSED LOCATION To VAA MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR N? 314 (SEAL) NO. STREET PART OF LOT LOT BLOCK SUBDIVISION ROOF COST OF BUILDING PERMIT FEE FRONT DEPTH HEIGHT STORIES TYPE OF CONSTRUCTION BUILDING TO BE USED FOR ROOF COST OF BUILDING PERMIT FEE Frame, Tile Concrete, Stucco Residence, Apts., Stores, Hotel BUILDING PERMIT Dated , 19 Miami Shores Village, Florida, , 19 Owner of Building Architect Contractor or Builder PROPOSED LOCATION DESCRIPTION OF BUILDING MIAMI SHORES VILLAGE OFFICE OF BUILDING INSPECTOR N9 314 This permit is issued to To the building above described, as per application, Plans and Specifications heretofore filed in this office. This permit is granted upon the express 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 and regulations, or upon any change in the plans and specifications unauthorized by the building inspector. BUILDING INSPECTOR 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 and regulations of the building department of Miami Shores Village. (SEAL) BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building PERMIT N? 14446 ❑ Work to be performed under this Permit Architect Contractor or Builder Legal Lot II BI. Description. Address of Building INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR' OR BLJLDER MIAMI SHORES VILLAGE, FLORIDA 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 application 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 responsibility for work done by his agents, servants or employees. Signed Subdi- vision Value of Project $ BY DATF 195 Contractor's License No Amt. of Permit AUTHORITY BUILDING ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA Il PERMIT N? 10217 Work to be performed under this Permit Bl. Subdi- vision Value of Project $ DATE 195 Contractor's License No Amt. of Permit $ 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 application 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 responsibility for work done by his agents, servants or employees. Signed • BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY Owner's Name and Address "2-5 - Name and address of licensed contractor - MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION F. 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. Registered Architect and /or Engineer Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done ._ -1 Date o l2 ad 4i e: A 1 /14.t.... - ) G C No.- _- .. 2_ ?.O Street /t/ C • 74_ ,JT - - -- State work to be done and purpose of building (by floors) - m 7 • 0 2 S nd e Lz 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 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 p ublic notice or notices as are required by the Act. The undersigned agrees to employ only uch ractors, on work to be performed under is d this permit, as are licensed by Miami Shores Village. Remarks (Signe Disapproved Date (Signed) • ----- ... _ 1. Building Inspector 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 true. Permit No Date -30-G S Read, Sworn to and Subscribed before me. 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 $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 Architect Contractor or Builder Legal Description. Address of Building Lot CONTRACTOR OR BUILDER MIAMI SHORES VILLAGE. FLORIDA BUILDING ❑ ELECTRICAL ❑ DATE 195 PERMIT *T PLUMBING ❑ ��I ? 8589 Contractors License No ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Bl. Subdi- vision Sq. Ft Value of Project $ <. , Amt. of Permit $ 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 application 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 responsibility for work done by his agents, servants or employees. Signed: BY INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY ;UILDING LECTRICAL - LUMBING MIAMI SHORES VILLAGE, FLORIDA PERMIT Nn 5500 . Work to be performed under this Permit )wner of ;wilding architect DATE 194_ Contractor's License No contractor r Builder ,egal Lot Bl. Subdi- )escription vision iddress of Value of Amt. of ; uilding Project Permit 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- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any clans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked .t 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 )ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and egulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon- .ibility for work done by his agents, servants or employees. ' Signed • By IIN(,SPHCTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations >ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHORITY BUILDING ELECTRICAL PLUMBING Architect Contractor or Builder v MIAMI SHORES VILLAGE, FLORIDA DATE 194_ PERMIT N2 4888 Work to be performed under this Permit Owner of � ... j ► . ` .x _,•\ k A, Building Contractor's License No. Legal Lot 1 Bl. Subdi -,,., ` Description , i n Address of ' i . t °"'' �- Value of '21 � Amt. of �;' 4,00-*' Building E " Project .% "' , Permit This per it j 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 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 or drawings or fn. the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees: Signed. By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances an -regulations pertaining thereto and in s 'ct conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami S ores Village. In accepting this perr #'I esponsibility for all work done by either myself, my agent, servant or employee. /*; • 4 . t . .e. _ CONTRACTOR OR BUILDER , BY AUTHORITY BUILDING ELECTRICAL PLUMBING ROOFING MIAMI SHORES VILLAGE, FLORIDA PERMIT Owner of Building Architect Contractor ; 4 or Builder Legal Lot Description II Bl CONTRACTOR OR BUILDER N9 6853 Work to be performed under this Permi DATE. 19 Contractor's License No. Signed. a INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances c diid regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for an work done by either, myself, my agent, servant or employee. Address of Value of H Amount of Building Project $ 1 Permit $ 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 applica- tion 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. Subdi- vision BY AUTHORITY ABBOT br> 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: Lot I Block 6. 7 I her be sent to Disapproved (Signed) APPLICATION FOR BUILDING PERMIT Street and Number where work is to be done 7 .. 9 0 ,1 Z • 9,5 T State wor to be dome and purpose f buildinj (by floors )..._ and for no other purpose. New Building 'v �Rerg odeling dition._.� Repairs No. of Stories To be constructed of /V Kind of foundation.._. Roof Covering .11-.4-- i1./5 4d Estimated Total cost of improvements $ / . 7 Amount of Permit $ 4 " Qb . 7 ... —y — Zone cubage required Plan Cubage Distance to next nearest building Size of Building Lot ../ Z A 8 aximum live load to be borne by each floor y submit all plans and specifications for said b Hing. All notices with reference to the building and its construction may 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, CompikT1 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) _ __ /.4 Building a MIAMI SHORES VILLAGE to spector BUILDING INSPECTION DEPARTMENT �, // ,195.1 t� No. .__%. o Street4 /t /?Su - Subdivision Date ■ 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 true. Permit No.___H D .— a 1 . Read, Sworn to and Subscribed before me. 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 $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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. L 0 STATE OF FLORIDA DEPARTMENT OF STATE Division of Archives, History and Records Management DS -HSP 3AAA Rev. 3.79 County:. Dade Owner of Site: Name: Address Condition of Site: Integrity of Site: Check One ❑ Excellent ❑ Good M Fair 863= = 863= = 863= = ❑ unaltered © Original Site FLORIDA MASTER SITE FILE Site Inventory Form Check One or More • Altered 858 = = 858= = 858= = ❑ Deteriorated 863 = = ❑ Restored ( ) (Date: )( )858= = ❑ Moved( ((Date: )( 1858= = NR Classification Category: Building Threats to Site: None Check One or More ❑ Zoning( )( )( )878= = ❑ Development( )( )( )878= = ❑ Deterioration( N )( )878= = ❑ Borrowing( )( )( )878= = ❑ Other (See Remarks Below): Areas of Significance: Architecture ❑ T ransportation( ❑ Fill( )( ❑ D redge( )( 878 1l FDAHRM Site Noy 8506 Site Name 830= = Survey Date Address of Site: 790 NE 95 St., Miami. Shores, FL Instruction for locating on S side of NE 95 St between Club Drive and N.F. 8th Avenue_ Location:Miami Shores Sec. 3 67 1 subdivision name block no. lot no. Significance: Structure is a fine example of the influence of Art Deco design on a masonry vernacular single - family home. Noteworthy features include the use of horizontal racing stripes on the front (N) facade and the cuFilinear mass of the chimney. Structure is in scale and character with the surrounding neighborhood. 911 = = 802= = 1009 = = 820= = 905= = 813= = 868= = 808= = Romano, John 790 NE 95 St. Miami Shores, FL 902 __ = Type of Ownership pr • 8 = Recording Date 832= = Recorder: Name & Title. Rodriguez, Vivian is Newton, Margo (Chair) Address MSHPB 818= = Original Useprivate residence 838= = Present Useprivate residence 850 = = Dates: Beginning +1938 844 = _ Culture /Phase American 840= Period 78th Century 845= = 916= = )( )878= = )( )878= = )( )878= = 910= = ARCHITECT Nelson, Harry 0. (Miami, FL) 872 = BUILDER (day labor) 874 = _ STYLE AND /OR PERIOD Masonry Vernacular 964 = = PLAN TYPE irregular /irregular 966 = = EXTERIOR FABRIC(S) textured stucco 854 = = STRUCTURAL SYSTEM(S) concrete block 856 = = PORCHES E: covered patio, access W $ S 942 = = FOUNDATION: concrete block 942 = = ROOF TYPE: intersecting gable 942 = = SECONDARY ROOF STRUCTURE(S): gable 942 = = CHIMNEY LOCATION: N: end, ext . 942 = _ WINDOW TYPE: jalousie, aluminum,awning 942 = = CHIMNEY: CBS 882 = = ROOF SURFACING: flat tile 882 = = ORNAMENT EXTERIOR: masonry 882 = = NO. OF CHIMNEYS one 952 = = NO. OF STORIES one 950 = = NO. OF DORMERS none 954 = = Map Reference (incl. scale & date) Miami Shores Village Plat 1980 Latitude and Longitude: Site Size (Approx. Acreage of Property): LT 1 .1111111 HI1 ,4 ii:ui, suer) M. S T .E. - 94 PRIllirc, 17 2! n _e G 00 ti LOCATION SKETCH OR MAP N N.E. 93 0 .p ST.;,) Photographic Records Numbers __... 85N106HG39/85N106HG40 Contact Print 790 N.6- q +- sr. N. E. CI,5 ST f4 39 — ,,,,, _1 r FTng - TTOTIM ng N. �•.raca. e o e ulrl 39A Township 40 Range 53S 42E UTM Coordinates: 40. Section 6 809 = = 800 = = 833 = = 812 = = 890 = = 860 = = SLATE OF FLORIDA DEPARTMENT OF STATE Division of Archives, History and Records Management DS•HSP-3E 9.74 MSHPB USE ONLY Orig. owner John G. Bolen Reroofed 1976 Garage enclosed CONTINUATION SHEET Sitn No, Site Name 790 NE 95 St. Miami Shores, FL Physical Description: Structure is a single -story residence of masonry vernacular design with significant Art Deco influence including horizontal racing stripes across the front (N) facade. The curvilinear massing of the chimney is distinctily Art Moderne. Other details include an ornamental attic vent. A patio on the E is partially enclosed with a low masonry wall and has an aluminum patio roof. Roof configuration has extended slope over garage on W. 1 r z 4 Z impala 1111111120 2I •• If 100 11 1 1 411111310 mmm< • .n.�wn. 0•04C 3 GO, L CO,4114Y CLJO4 00C2C477 •n •Jy ./ a * J rP a,r e - N. 9B^' Sr .97' Sr s RP mad N E 92" r4 ACT 3 CV..CR a. . • �� S's J ,, Y /11 •L[' 7• 0/:R1 . 7 57,17 6 ••••C N • r • Aqu 6411111111111 biZitr ST 0 It eld mi So I.I. E. • • • t 1 t0000rna m maim N. E. 97 T42,4•-r- 2 C �l 92' C. 90 3' L 71444 INME Inn Min �IIIIIII� 41 < Grairat' 1 •45I. : 1001 :4 1, T2 ACT- 1 0 ru C N 5T. / r .. s EmmOm[o] / 0�0 ®r CS - 1 6 5.53 3, Ild# ‘ 11111111 MN Pygmy W r yr S. i • ; 0.000O4 (44- 5J)/ I 0 r ". • 0 I Ire by S T 99 ,- B. ®/e 157 gm INIMENIMIIMIEVEfflig 0 O 9C 5 JLELLi, r;Fi. 1 5 T. • t•C II 95 • SYR II ;Ft • 4 tJ it R C 10 Z •.• S T T. II l t° W MORWIRMIN 93 • 7J gaffil AMUDEMEGRO eanibilau NE 100•" ST 57.1 99'" 5T. N C- 5 T. N E. 96 Y � ROM . ® � Z a i ST. • 5T MEMO i ing aranumunamenummis 9 cc 7J 0 -A G AINW N O 581.. 5T. 7 5 T nr ig •.: -ai) 1 J ° S 7 • 1 1. 10 (4 N I 1 I 1 Ir wiry fV.E ;4 jg AMNON 1 O • •■ 1 • M.C. la 57. •r 44 H 44 4 JULIA lo 114• 5 a� © �DOD DO�®rt : �� - - - tOk vi =•�mmWD � , v oqv v u s e0 010 fr TRACT -3 J NZ In •.. „ter CT NRI G v r.a •..KS_ °c.�, Sue. (7 -IJ1 M t A {Yt I S 4-1-0 g7s, rL W' MIAMI 511017[5 VILLAGE LIM115� a t�• I l o rurr'E (a- 4)\- S _ G- NsL 6 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 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 _ a D - Q ,, /t/ I 19 Owner's Name and Address C o f e._ (,�� fil �` No. 7 / 0 Street e 9 Registered Architect andior Engineer Name and address of licensed contractor I I. I e P ^— 91,:2,s° 6 A- /le se ®la / /eta 1 Lot 1 Block Subdivision M 1 o rc-aS Location and legal description of lot to be built on: (, Street and Number where work is to be done -79)0 5s State work to be done and purpose of building (by floors), state exterior colors (submit samples) C J 0 Yd L -57 i /+� and for no other purpose New ui ~ L— Remodeling Addition Repairs I J u No. of Stories To be constructed of C / Kind of ndation /Z Jn Roof-Covering o ` Estimated Total cost of improvements S 4 ! V Amount of Permit $ J f�/ 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 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 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 app 'cation, and that he did sign the same. and that all facts therein by him stated are true. S QC 3 ffAvr Permit No. r Date =/ !I / � Read. Sworn to and Subscribed before me. Disapproved Date 1( 111jjj � Notary Public. State of Florida (Signed) r ef— Building Inspector 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 workmanship. According to the Plat thereof recorded in Plat Book / ' at Page 7 of the Public Records of Dade County, Florida. Subject to all restrictions, reservations, easements and Right —of —Way of Record Survey of L v T / in Block 7 Subdivision •/4/1 /-t / : 5 / 71676.-- S e" r /o N 3 Mroperty Address: sp N a" 9 5' L (.7z r/ O C..i /J _ 790 mot/ ?s'" = 7- (NJ ,( -1/ —F�q Dater 4' . 30- r d t til / 70 ° A. is Q c, r .. 1/ 7p f ° v r 2O P v v 3i. /O Qcs N 770 / G y r 7 o' 7 eV no 3 , S , • ,r /1 9O ) \ Q� /2 0 v rr y / S • t // 5 Note: The survey of the property shown hereon is in accordance with the description furnished by C, r / . 7 • /•;.' 2_ no search of the Public Records has been made by this office for accuracy or omissions. I HEREBY CERTIFY: That the attached SKETCH OF SURVEY of the above described property is true and correct to the best of my knowledge and belief as recently surveyed and platted under my direction;also that there are not above vround enchroachments other than those shown_ _andlhat this aurit. .+...r. rAn Survey of L O T / in Block 6 7 Subdivision A 1 ' 1411-1 / :=-77 .L/ t= C i /p.G} N' 3 According to the Plat thereof recorded in Plat Book _ ' D at Page - 7 of the Public Records of Dade County. Florida. Subject to all restrictions, reservations. easements and Right —of —Way of Record Property Address: op A/ .g '�� • 7 rN _ 9 ,vim / S _ , - Al/ Mi — F /Q Data: n 5 . 30 — `/D A., 0 N N 4.' a ./0 A, 4 Q 6- r.. • 1 e - N" 7 '70 i — _ - - G a D o // 70 . j so 7 0 P r 31 10' N /3.25 • 7O ° 7 N I Z 3 l' . 7 (.S / e PO O l 9o' i2 m 70 o' s vuaci y C. Note: The survey of the property shown hereon is in accordance with the description furnished by • ' f. ' •J 'i' ' / ..' """f no search of the Public Records has been made by this office for accuracy or omissions. I HEREBY CERTIFY: That the attached SKETCH OF SURVEY of the above described property is true and correct to the best of my knowledge and belief as recently surveyed and platted under my direction;also that there are not above ground enchroachments other than those shown, and that this survey meets thn min .mum r• o- • ... k 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 January 30, 1961 ,19 Owner's Name and AddressW111..._ThaXp,._. N. .._ ._ 95th_.St.,Niami- Sh_ores,F1a_. Street Registered Architect and /or Engineer Miami F e. Name and address of licensed contractor Orkin Exterminating Com�aany,Inc . 1960 NW. 27th.Aves 1 Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done 790 NE • 95th • St 'Miami Shore , Fla . State work to be done and purpose of building (by floors) Nylon Tent F Vi1 ne 18 to 24 hours 19# and for no other purpose. New Building Remodeeliing. Addition Repairs No. of Stories To be constructed of 19,000 CUs td of foundation Roof Covering Estimated Total cost of improvements $ Amount of Permit $ 350.00 Zone cubage required Plan Cubage Distance to next nearest building 13 ft• West 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 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. v y Permit No / 2 / f Date 2 —2-- / Read, Sworn to and Subscribed before me. Disapproved I Date._ Notary Public, State of Florida (Signed) - - -- - ` .. � - - -' -- Buil.ing Inspector; My Commission Expires ING 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 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. ,1 0 APPLICATION C 2ERMIT TO FUMIGATE WITH VIKANE 1 BROMIDE.. ACRITl' . No._ - ncatron of building to be fumigated .'Tame c nd address of owner of premises C: f „ , 1 Typo, size and construction of building er_t°re building to be fumigated? If no' :., what portion? • FIL 1 NA. , ORKIN EXTERMINATING CO., INC. APT ;S ... . .1960 N. EC 27th Avenue, Miami, .Florida DATE 7,., 41 �1 • Appr' number of cubic feet of space in building or in portion to be :.Jatea • Kind rnd quanity of fumigant to be used and manner of application and lengta of fumigation period _iFcnce of nearest building and direction from building to be fumi ^ated • manner will vents to exterior of building to be sealed? if n . .-n fumigation will be begun r n = a 2e ime 1/0 zereby agreed to station a guard on the premises to be fumigY ;ed ''ur the fumigation period and to post suitable placards at ntr 'e to 10i bearing the following words in letters at 5wo inches by one inch in size: "DANGER, THIS BUILDING UNDER. 'LION WITH A DEADLY GAS". 12, It f hereby agreed to make such provisions that all openings into the huil0: !nay be opened from the outside after the period of flimigaV.on _ and to take such other precautions as may be necessary to it :ure •;ha5 .11 of the fumigant is removed from the building before arror ' 1 ted to enter. 13, It it hereby agreed to notify the County Health Department when the has been prepared for fumigation. Signature of Certified =st C . crol Operator in charge of f is f1 .. -atie .- job. PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT � NUMBER / 0,12_ 0 _ Qv 1940 /4 60y 1 /ly e -ze, .e°I / t= 1941 p /a. (0.e, /-/a- ad 7 / r �f �� L i .►� -t1 /j i - . - _ . ' i ., ! ' /� L� . 1942 ,, 1943 `a ) r, i 0 �. - ' - _ ` ' - .. , 1 / ® o 0 B ? - // -4b S / — . ! 7 " J ., e ogo_,A4 ?. dP) / .../.,.-,, L "' 45 (6) . (1 (O /4.1/90 4, • it ,.:..--,4", - 'e . ,,, 1946 ) 0 . e fr7C /-/.9--1 — /7 7Q2 7 —_ _ _ t So b o 1947 /b m ,-- „.„,„/ Ol , R/ /g 1948 t. . !; /o? /Y/(4 /.. 0-4.) g/ S A/ 9 7/ gi ,, Y . " j-- • • 1949 _i � //�/ it " if /�/�s "4. ■ i � . ' L Co) 1950 '' /a 5 -3 /- U /. !J • ' / /34 U LOCATION , 2'790 N. . 95th Street y-�Sy -so 0 GARBAGE TAX RECORD 790 N. E. 95th St. by year annual tax period used amount paid date paid receipt # 0. V. Carr Jr. / 1 Lock- . ) r /r4. '11 3 --mots / f ag ( i 1 (/i11,1 / 4,1- '!..) / r -� /-1 e �f / I :c Owner's Name and Address Distance to next nearest building 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. Me II 1 Registered Architect and /or Engineer Name and address of licensed contractor oi_ _�_E' ice A/ Date S O No 77 Street rsko Kiel:. Co -570/ /d Gblsar D Location and legal description of lot to be built on: Lot Block r� p Subdivision ! Street and Number where work is to be done ! D We i , � _`S- ____________ x ________ { State work to be done and purpose of building (by floors)__ lS�d /1 ill 4 ov S_V'_l _ _ gP' a retkl -- -- - - and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 206 = OP Estimated Total cost of improvements $ Amount of Permit $__ Zone cubage required _____________________.Plan Cubage Size of Building Lot Maximum live load to be borne by each floor I hereby su mit all the plans and specifications for said building. All notices with reference to the building and its construction may 7 ° ® 7,'7 G�7A10 - l e.o to S be sent "to �?.1= i 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 ins ection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub yract rs, on work to be perf ed under this permit, as are licensed by Miami Shores Village. ,/ / � Remarks____ (Signed). STATE OF FLORIDA, I COUNTY OF DADE. j 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. Permit No 6 Date < 1' Read, Sworn to and Subscribed before me. Disapproved Date ( Signed) Notary Public, State of Florida Building Inspector My Commission Expires PLANNING BOARD DATE to me well known, 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. Owner's Name and Address oC` 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. 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 � State work to be done a d purpose of building (by floors) ____ Subdivision Date ti 7 f g No. _7 7 ° Stree t!_[_ �Q___S___ 19 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation oof Cover 1 / oe 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. 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.#_FI �j Date Read, Sworn to and Subscribed before me. Disapproved Date ( Signed) Notary Public, State of Florida 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 $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. • APPLICATION Application is hereby made for the approval of. the plans and specifications her ith.aubmitted- -for the 'building or other structure herein described. This application is made in and conformation_with.#he. BUilditg . Ordinance of the Miami'Shores'Village, Florida, and all provisions of the Laws of the State of Florida,. all..Ordinanees -of - Miami' Shores Village; 'arid' all rules and regulations of the building Department of Miami„ Shores..V.illage,. shall be comp'ried with, whether " specif led or not. • BUILDING PERMIT RECORD MIAMI SHORES'VILLAGE FLORIDA DATE ,>/,:> ARCHITECT" o .. T � ✓� �; f.� <_'��� - COAITRACTOR LOT 1. t g 44E4 � BL � UBDIVISION�e,� NEW ADDITIO REPAIRS NUMBER OF STORIES COST (excluding Architect's fee, landscaping & garage)$a oca.. Building to be used for and and no other use. I hereby submit all the plans and specifications for said building. STATE OF FLORIDA) COUNTY OF DADE ) Signed rs 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 oath deposes 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. Read, Sworn and Subscribed before me, Notary Public (Signed) My Commission expires Cubic Feet Cubic feet required in this Block /(/o o PLANNING BOARk Chairman Member Member Secretary Permit No. Building Inspector Issued to i4r Electrical Permit No. 7 Plumbing Permit No. Date Painting Plastering Lathing.. Electrical Mason & Coricre e Plumbing .Roofing Glazing. Tile Miscell8nf,QU,s... LIST OF SUB-CONTRACTORS .,. • BUILDING ELECTRICAL PLUMBING Owner of Building In consideration pertaining thereto and In accep ' _ this per • MIAMI SHORES VILLAGE, FLORID Work to bg under this Permit Architect Contractor or Builder Legal. Lot Description Address of Building 1 This per it granted to the contractor or builder .' ed above to construct the building or to install the equipment or • vice 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 1ans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked ged without authorization. A further condition -upon which this the rtsp sibili at any time if the work is not done in compliance yvith such ordinances or if the plans are permit is granted is the understanding that the contractor or; builder named above ass - regulations pertaining to the work covered hereby whether shown on the plans or dra sibility for work done by his agents, servants or employees ; • s- ' CONTRACTOR OR BUILDER BL of the issuance to me of this permit I agree to perform the work covered ereunder''in compliance with q.ltpnAdinan g s and g t inns in str}ct conformity with the plans, drawings, statements or specificati• s submitted to the proper authorities of M hmi Shores - Village. espons}bility for all work done by either myself,, y agent, servant or employee. 4888 Signed. Value of Project 'Subdi- BY DATE Contractor's License No. Amt. of Permit si> AUTHORITY 1944 thorough knowledge'of the ordinances and r specifications and that he assumes respon- .2 I MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION • „- THIS CERTIFIES THAT the wiring and apparatus installed at b fif • re,..,?: • by )7 Address • PERMIT No. /- for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Range Number of Lighting Circuits watts.. Water Heater,- watts if P. SPae Heatert ( i --- watts Power: Connected load a Other Apparatus ELECTRICAL INSPECTOR. . "' Size of Service Range 447' Power: Connected load Address mum SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at by for , .r ;l has been inspected and current is authorized to be turned on, until otherwise notified, for: Number of Lighting Circuits 6r owner, and occupied as watts. Water Heater H P Space Heaters Y PERMIT No.A. watts watts Other Apparatus t ELECTRICAL INSPECTOR. APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY I, EC \ Or) hereby apply for a certificate to re- occupy the single family residence known as: (address) O Legal description: Print Name: - Q Miami Shores, Florida. Lot: ,Block , PB&PG: • I hereby certify that I understand that the zoning of the property is for singe- 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 4illage, Florida, certifies only that the referenced property is being used for single - family purposes and that such Certificate does not constitute any representation, warrant or cerafic a ion as to the condition of the dwelling or other structures on such property. Applicant: a4 Dater **A. ** *fit * * * * * * * * * * * * * * * * * * * For the purposes of conducting the inspection required by Se`don 902 of the Miami Shores Development and Zoning Code, contact: Contact Name: Telephone: Buyer Seller. ✓ Realtor: Name: Application Fee (350) Paid: Cash: Check ✓fumber: . • Inspection: By. 7 / proved: Denied: Date;,..' . Comments: CERTIFICATE 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. MI?MI SHORES GE, FLORIDA By. � Date of Certification:0'' 17. THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN IiNSPEC "1ED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERML (ED TO PRESENTLY COMPLY WITH TIE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTALNLNG SOLELY TO '1 i REQUIREMENT THAT EACH ONE-FAMILY DWELL) fG IS USED AND INTENDED TO BE USED FOR A ONE- FAMELY 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 'I HEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION THEREOF. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Date 8-6602 � , T , Time Type Insp' n �- gyp71 7J� Permit No. ce4 Name Z,c 4 -ate Address 7 v /✓ g 96 . J Company 1/1- - C eg Phone # 32$ 7S For Inspector: -` 0 ;- Correction Re- Insp'n Fee Name & Date