67 NE 94 St (13)OWNER'S NAME
• V i ;, fa r, . .
PRESENT ADDRESS
e "? : . , Vi -.
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LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
.: . : . = - ' .. ��
LOT
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BLOCK
.,
SUBDIVISION
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GENERAL CONTRACTOR 1 ADDRESS
0`:)' ' 0`:)' w- e �,. ib ' t∎ ooq <,., � OC:ba 0
PHONE NO.
LICENSE NO.
1 I ")
I3UILDING PERMIT NO. ';5
DATE 3 °fib° `=g
PERMIT FEE $ IC) ° C^7
BUILDER'S BOND
NO. DATE
' t?00
_;:cio d.
ZONE REQUIREMENTS CU. FT.
00
PLAN CUBE � S S p., CU. FT.
9c)
EST. COST S 40.
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: 0, °b. C`"?0 ',',!;t,ti, -,
DATE
3 •1b' -b
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
REPAIRS
DESCRIPTION
r -.
9 .2, �6 A,00r. = e , _S)' , 4 , ,4 1. ti-,CI 61 .. . - a% . 6i)K'
ALTERATION
DESCRIPTION '
ADDITION
"'UJ� r. 173 0P.;,ape : , rl � 00 --,_ 1`�I�c,S, ti'.
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SURMITTFO TO VILLAGE COUNCIL
REMARKS
�
CERTIF'CATE OF OCCUPANCY NO. 9 17-7,
p
ISSUED v" U�
/ �j
BY Al`< /('
TO ®. J. C im.fe'
d
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
. INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
$
SEPTIC TANK
ROOF
TEMPORARY SERVICE
$
BEAMS & LINTELS
$
TUB & TOP OUT
POOL
SOLAR HEATER
FLAMING
RANGE CONN.
$
AIR COND.
SEWER
MOTORS
FINAL
$
CLEAN UP
R
SEPTIC TANK
SLAB P 'C WJL'3
C'--! 7 -6,
I
SLAB
SOLAR HEATER
FIXTURES & FINAL
SPECIALS PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
RE - INSPECT
BY
$
SEPTIC TANK
FEE
TEMPORARY SERVICE
$
SEWER
$
TUB & TOP OUT
$
SOLAR HEATER
$
RANGE CONN.
$
GAS
SEWER
MOTORS
$
$
FIXTURES
R
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE - INSPECT
BY
ROUGHING
DATE
FEE
TEMPORARY SERVICE
ROUGHING
$
TUB & TOP OUT
H. W. HEATER CONN
$
RANGE CONN.
SEWER
MOTORS
$
FIXTURES
SEPTIC TANK
$
S
SOLAR HEATER
FIXTURES & FINAL
FIXTURES
GAS
CONTRACTOR 4EI j-/ 2 E.-c-.77zlC, .
PHONE
PERMIT NO. /46 I DATE 3- 33 — 6(
FEE $ i.,3•
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
ROUGHING
$
H. W. HEATER CONN.
H. W. HEATER CONN
$
RANGE CONN.
$
MOTORS
$
FIXTURES
-
$
S
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
324® oc, Faa>6 Ma
BUILDING � INSPECTIONS 40
PLUMBING PERMITS & INSPECTIONS
CONTRACTOR L 4 0. PC.. c,
PERMIT NO. 11 1. 1 DATE 3..- (m.
NEW BLDG. 1 ALTERATION
I ADDITION
ELECTRICAL PERMITS & INSPECTIONS
PHONE
FEE $
REPAIRS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
Nn
()wtler, Agent - TK+rtan4. '..44r441 tg
Lo _
Street Address___'_ -_
Approved use by occupancy
Remarks:_.
50
CERTIFICATE OF OCCUPANCY
III SIIORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla ,
Block _ Subdi
This Certificate of Occupancy is issued to the above named_ ___ L...A
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, 9.1 and 97, known as the .
Zoning, Electrical, 1 and Building Ordinances of Miami. Shores Village 1 ertaining to
die erection, construction, alteration or remodeling of buildings or siXucttr's. ti ' "`°..,.,,,....,
1 a 1i, _..
Btii :r (: I)l�t
BUILDING
ELECTRICAL
PLUMBING
Ownci of
Building
Arcf 1 t cet _
Corti actor
or Builder
Jegal. Lot
Description
Address of
Building
This permit is
MIAMI SHORES VILLAGE, FLORIDA
DATE * 194
Contractor's
License No. 1 7
PERMIT N') 6025
Work to be performed under this Permit
BI.
a( 1
Subdi-
vision
Value of
Project
Amt. of i t
Pe -mit 4'
Tranted to tiie contractor of builder named above to construct the building or to install the equipment or dexice described in the appli-
catioz hercfor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plays, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may he revoked
d
at an} 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 ihi.,
permi` is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
rc pe::-taining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and drat he ussu)ucs rc -pnn-
s.b.litp for work done by his agents, servants or employees.
Signed: �� / E e_ By _ /^ _ 4
INSPECTOR �l
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all cydinances told regulations
u rta n rg thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper nuthoritic of Miami ShorAs Tillage.
In accepting this permit I assume responsibilityi for all work done by either myself, my agent, servant or employee.
j 1
O 'TRACTOR OR BUILDER
BY
1‘
AUTHORITY
JOO L.00ATICN (ST. OR AVE.)
f ! i NO.
OWNE :'S NAME
C. NEI.AL CON Ti- !ACTOR
C.ON!3TI7UCT ON `
AIRS
L I ERAT ION
.1DDITION
"VI 11 TO l_A\NHIL3 BOARD
S'J1 "..IITED - O 'LANNING HOARD
E'1 TO '1!I Arm COUNCIL
DATE
O1J!!1J0)ENTS `- irksi.i,, CU. FT
1 11
PL. AN CUB':
APPROVED REJECTED
LOT
F'CATION5. RESTRICTIONS AND CUBE CHECKED RY:
TYPE STORIEt. !(00;- CO, STRUCTION
.S = \1 ADOR ".SS
ADDRESS
J J
i3 LGCA
DESCR ■FTIO \'
w C,
DESCR ION
CL. FT
R!-:L-ERRED TO COUP:C
Ct TE C' OCCLP ,0CY NO. 502 I ISSUED %.t i r ` I;Y j TO -'l?_"_,�'?T'.r =_
3U!LJINC PERMIT AN!') IN 3FECTION 0: ;:L[
LS1 a0.
D;V1510'.
S BO \:7
REASONS
DATE
CR CO N5TR UCT10..N
0‘.
INSPECJIIONS
_
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNC�RTION
1 Q /21 /i
`;l!S
DATE
FEE
TEMPORARY SERVICE
$ 1 /O0
$
BEAMS & LINTELS
71/1 /
'IS
��pp�p
5883
71/19/07
$ 1 _00
$
SEWER
0/TAMING
$
$
GAS
$
$
$
$
INSPECTIONS
DATE
F�"NAL
4/8/48
DH
RE- INSPECT
BY
ROUGHING
11/3/i.. 7
— C,,LEAN -UP
4/8/48
GB
ROUGHING
GAS
CONTRACTOR _ :cC orrm: &Li. joye ct
PHONE ! ®L, / 93
PERMIT NO. %08
DATE /0/27/L7
FEE $ 10,0
NEW BLDG. .ea, I ALTERATION
I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$ 1 /O0
$
H. W. HEATER CONN.
$
SEPTIC TANK agner
��pp�p
5883
71/19/07
$ 1 _00
$
SEWER
SOLAR HEATER
$
$
GAS
$
$
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
11/3/i.. 7
MIS
ROUGHING
GAS
SEWER
SEPTIC TANK
11/17/47
.' it TS
SOLAR HEATER
3/23/48
LG 9
FIXTURES
, I
•
94 ACTOR ,U i 1e tri CO
PHONE 7-7664
P&M IT NO. .7025 DATE 1,
/
FEE $ 11.93
/ L,7
N'W BLDG. . I ALTERATION ADDITION
� I,
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE FEE
TEMPORARY SERVICE
5777
10/20/4 /
$ 1 /O0
$
H. W. HEATER CONN.
RANGE'CONN.
$
MOTORS
$
FIXTUIRES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
r�
1 Q/�1,/i' -/
7
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
3/23/48
LG 9
•
BUILDING INSPECTIONS
° PLUMBING Pae2M TS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE 3/23/4
BY L C Wagner
PAID BY CTF. 0eC. 4/911‘ Si
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
Harry 3. t agner
- 9
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ADDRESS 67 N.E. 94th St.
LEGAL Lot 20 & 21, Blk 4 IiSSa RECORD GAREAG'E TAX
Da 1 Time
Type Insp'
Permit No.
Name
Address
Company
Phone #
For Inspect
Approved
Correction
Re- Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
& Dtte
r ;
MIAMI SHORES VILLAGE, FLA. No
V
2
JOB
d .
ADDRESS
INSPECTION -
TIME READY
REMARKS•
INSPECTOR
DATE
2063
jv T
Rev. 110102/03)
A
RE— OCCUPANCY
APPLICATION
Date 1.0 ' ��
Contact Name 4, V40, t-- 4)T0c
Seller
Buyer
Property Address
City Miami Shores
Miami Shores Village
Building Department
Realtor
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
Permit No. rZn "° IP;?
Loc II)
Phone # 5 m i, (4-58(b
Company Name ` ' k k 11
State Fl Zip
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 the property.
OWNER'S AFFIDAVIT: certify that all the foregoing information is accurate.
Applicant Name 41�`
Sign: 6
Print:
My Commission Expires:
Signature .�
The foregoing instrument was acknowledged before me this , day of ikALLQ._ , 20 6
�, �. c?
by - 2) b\ CI_ - \l \ \ N. , who is personally known to me or who has
produced as identification and who did take an oath.
NOTARY PUBLIC:
,,,,,,,,•,, LOIS E. LNDLEY
A s MY COaMISSION # DD 361851
EXPIRES: December 15, 2008
Building Officials Approval:
Re -Occ. $60.00
Notary $5.00
CCF $0.60
Total 14 UO. (Q�