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116 NE 97 St (8)4 O BUILDING INSPECTION DEPARTMEN 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. �• c-D Owner Name and Address No , F Street___; i • , 4 ' Registered Architect and /or Engineer ` ,_� i Il Name and address of licensed contractor y Location and legal description of lot to be built on: Lot Block Subdivision Street and Number where work is to be done State work to be done and purpose of building (by floors) and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of_ _::__ ��__:.. Kind of foundation Roof °ming Estimated Total cost of improvements $ Amount of Permit $ Zone cubage required _____ _______ _:__„ Plan Cubage Distance to next nearest building Disapproved (Signed) ZiS'Co MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PE MIT to Building I rpector Date - Size of Building Lot.__ 4 Maximum live load to be borne by each floor I hereby subt all the plans and specifications for said building. All notices with reference to the building and its construction may d 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 \subcontrators, on work to be/performed under this permit, as are licensed by Miami Shores Village. 1 Remarks (Signed).. __ 4 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 (° _ ) 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 liy- mproper notice for inspection or faulty materials and /or workmanship. c. , / 6 (44t --- /- / 4 il — P X ii' 1 :"---- P Fi ' ' 7 1 1 , ./. / 3 / 5 *IC' it C.- I 6 r j ` 7 - 7 r - I /I .= 11 ---5 . _ .!) \-1-0 ••• 43 cP c •C;') (:! 4 fr ' _ 9 .?..faits• -4 . N: SURVEYOR OF N. 77 47, P = 1.1'tr-:137 7117! ii S'J'..i'VEY of tat 1.; i& ti zarrect. to t'ar.: 8u;- t/it'd and and superv1- .;:an; zzre FLORIDA. – 2. 41 - _ !-: i 6ct: t5 IC: 1 tt 1 t A i ' 3- le et t•-•4. 3 c.v •••• t. 1 zoo' . E . 1 " I '.. . c , . ...... --.... 7 i re 142 1 (1- ■ 111 Z. 6' — _ 2 i ---- 3 2 t , 50 5, .• &86,,, I • UN rt. 1 5 I I 5 5 ). .>. o . A c., STATE OF FLORIDA) SS COUNTY CF DADE ) < /". (Piti of the Village of Miami Shores, County of Dada' a dtate ofr 1 , being duly sworn, doth depose and say, that under the prgv,isions of Ordinance 'No. 185, dated June 15, 1948, amending paragraph (d) of Section 2 of Ordinance No. 9,7of the Building Code of Miami Shores Village,, he desires to build a _ ., r, ' on Lot i Block ! ,'c of �Gf�,r�74 ,(: / � ��- _1 Subdivision, that he is the oI°rer of said property, and will be the owner of said 'T > -- ?_?) , - . ( Q2l..L - , that he will do the work personally, and that he will, at such times as are required by the Zoning and Building Director: - - A F F I D A V I T 1. File plans and specifications and obtain approval of the Pla ,acing Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the work in accordance with the provisions of this Code. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certificates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 9. Not set himself up as a "contractor ". 10. Sign an affidavit before commencing work to the effect that he has read this Article and will do the work personally and observe all of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 11. In order to prevent abuses and subterfuge the right of such owner - builder as herein provided, is limited to but one owner - builder permit each 2 years, and where an owner - builder has once exercized the privilege herein conferred no second application for owner - builder permit shall be granted in less than 2 years, unless the applicant is qualified as a licensed General Contractor under the applicable Ordinances of said Village. And Further this Deponent says not: SUBSCIIBED AND SWORN TO BEFORE ME this 195 day of A.D., NOTARY PUBLIC THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE A PENALTY IS IMPOSED FOR FAILURE TO KEEP THIS LICENSE EXHIBITED AT YOUR ESTABLISHMENT OR PLACE OF BUSINESS Village MSV /1958 THIS LICENSE EXPIRES In consideration of the sum of Date Issued License 19 __ * N° 2986 Dollars ($ t Paid to Miami Shores Village, Dade County, State of Florida, 4 is hereby :licensed to engage in or operate the business of THIS LICENSE NOT TRANSFERABLE WITHOUT THE APPROVAL CF THE VILLAGE MANAGER. MIAMI SHORES VILLAGE, FLORIDA By APC KIND OF POLICY POLICY NO. POLICY PERIOD LIMITS OF LIABILITY Bodily Injury Property Damage Workmen's Compensation W013391 Eff. 1/13/58 Exp. 1/13/59 Statutory FLORIDA Nil Manufacturers' and Contractors' Liability g�8� Eff. / 13 / 58 Expl /13 /59 Each person $ 50,000• Each accident $ 100,000• Each accident $ 5, 000• Aggregate $ 25,000. Owners', Landlords' and Tenants' Liability Eff. Exp. Each person $ Each accident $ Each accident $ Owners' or Contractors' Protective Liability Eff. Exp. Each person $ Each accident $ Each accident $ Aggregate $ Scheduled General Liability Eff. Exp. Each person $ Each accident $ Each accident $ Aggregate $ Automobile Liability (1) Owned Vehicles (2) Hired Vehicles (3) Other Non -owned Vehicles Eff. Exp. Each person $ Each accident $ Each accident $ Comprehensive Liability (1) Automobile Eff. Exp. Each person $ Each accident $ Each accident $ (2) General Eff. Exp. Each person $ Each accident $ Aggregate $ Each accident $ Aggregate $ (3) General- Automobile Eff. Exp. Each person $ Each accident $ Aggregate $ Each accident $ Aggregate $ Wabash Fire and Casualty Insurance Company 1622 NORTH MERIDIAN STREET INDIANAPOLIS 6, INDIANA CERTIFICATE OF INSURANCE THIS IS TO CERTIFY that the described policies, covering in accordance with the terms thereof, are in force as of date hereof: Insured JOHN S. AVERY Address 970 N. E. 130th St., N. Miami, Florida Location covered This certificate is issued to TO WHOM IT IIAY CONCERN City of Miami S Florida Address In the event of any material change in or cancellation of said policies the insuring company will make every effort to notify the party to whom this certificate is issued of such change or cancellation, but undertakes no responsibility by reason of any failure so to do. Dated For No. U -737 12 -55 8/29/58 WABASH FIRE and CASUALTY INSURANCE COMPANY By R. L. DORRIS INSURANCE AGENCY - ,AUTI REPRESENTATIVE LOC BUILDING ELECTRICAL PLUMBING ROOFING Owner of Building Architect Contractor or Builder Legal Lot Description Address of Building • CCNTRACTOR OR BUILDER MIAMI SHORES VILLAGE. ° PERMIT N? 7902 ❑ BI. Work to be performed under this Permit_ Subdi- vision FLORIDA DATE Contractor's License No. 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 cr 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 wcrk 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 consideratio:i 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 195 - k. 17 4 Picritt- bRA 6 - hereby apply for a cerdficate to re- occupy the sine family residence known as: (address) /l ) ) • Legal description: Lot: ,Blocic ,PB&PG: I hereby =dry' that I tmdersrand that the zoning of the property is for ;-i gLe- iamiIy residential use and that it is unlawful for more than one family to reside therein. I also understand Mar any Certificate of Re -Oc apancy that may be issued by Mani Shores Village, Florida, certifies only that the referenc-d property is being used for singe- family purposes and that such Certificate does not continue any representation, warranty or certification as to the condition of the dwellins or other strut-arm on such property. 11114171Z * For the purposes of conducting the inspecion required by Se von 902 of the Miami Shores Development and Zoning Code, contact: AR'/ PzF I, ,iJ-s O it- Contact Name: 0A Le. C Dg A-k -. Tephone: -- 7...S - 60 - ? 6o j Buyer Seiler. • Realtor. ) Company Name: ecA-L T y oo Application Fee (S50) Paid: Cash:_ Checc t/Number: Comments: APPLICATION FOR CERI "I .ICATE OF RE-OCCUPANCY , Miami Shores, Florida. Inspection: /� Approved: �%�eaied:Date: 0 °0. CERTIFICATE OF RE-OCCUPANCY On behalf of vfiami Shores VUlage, Florida, the undersigned =lilies that the property described in the application 'gas been inspected for the purposes of re- occupancy pursuant to Sections 901 and 902 of the yriami Shores Land Development and Zoning Code and that such property may be re- occupied by the applicant for single- family residential purposes. MIAMI SHORES VILLAGE, FLORIDA By Date of Cerancation: 4 V THIS CER i it IC_ .TE VERIFIES THAT 1 : REFERENCED PROPERTY HAS BEEN Ii iSPECTED BY NEU:N I SHORES VILLAGE AND HAS BEEN DETERtitl`r.: D TO PRESENTLY COMPLY WITH SCHEDULE OF REGULATIONS OF U i MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINTlNG SOLELY TO '11iE REQUIREMENT THAT EACH ONE- F.tiiLY DWELLING IS USED AND INTENDED TO BE USED FOR. A ONE-FAMILY DWELLTYG PURPOSE ONLY; HOWEVER, THIS CERi ICATE DOES NOT CONSTITUTE AIYY 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 E TERESTED PARTIES ARE • ADVISED AND ENCOURAGED TO MAKE i HEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION THEREOF. i:a3711, 717.rch00,1n9 NZ:111_1:e :).11.(7;•dn of 1:17_, :.:;:n-ocarat( illoyed for tho zO 2C LC 0; 115 7. • nth 6 Tot 13 PI. 19 I1 i1O2 't ,, 1 1,ectric Lr 1err,32zo laaetering i Yloom Zr A Con.. Concreti;- Carpentry ConcrfA Aoof _12:3onry • :ac ;lept:ic Tr: Co. Heatin Jo ;;Iscs Co, 'errtezza Tilo 3on±,ructore TIradclo T:ri City Til Co • 1111,r ipe.c. Co. 3randon tr Condition Co. Centrl Concrete Cc. • noeing mid Tile Co. Mw.liation Cc. Averj • Avery 1:ours J 4 rorth OWNER'S NAME is. if J E t PRESENT ADDRESS 57 i� � . / �� LICENSE NO. PHONE Nal. JOB LQC ION (ST. OR AVE.) LOT BLOCK SUBDIVISION S� / GEN' RAL CONTRACTOR ` �e.A.)4. ,� - ,,, i ,. ,- ADDRESS 5'0 W e '3 ® . `, PHONE NO, LICENSE NO. - 29x6. BUILDING PERMIT NO. 717457__ n DATE Jb - 7 -Jr ! (1 �/ ®0 PERMIT FEE $ `�'� BUILDER'S BOND 2 CJ �/ NO � O.1 DATE / ®� - /'�F1 ZONE R. / 0 - 4 REQUIREMENTS a:r0 O CU. FT. PLAN CUBE o ,,,S fir CU. FT. EST. COST $ / 0O0 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: C. PC /2ij /Hi /L C. G DATL /0-- ,-A ' NEW CONSTRUCTION TYPE G s STORIES ©,v t ROOF CONSTRUCTION / i c INTERIOR CONSTRUCTION 2 3 "2 , - h' 8'? /Is REPAIRS DESCRIPTION L mil - .2 4 s . d! e Co - - .,d A1.2- • !-6 /e - DESCRIPTION ALTERATION ,/� _' �y ADDITION me)® / 8ci .� t C) 7, e , s . ,/ f Se <. L ,� - SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. c u 7 ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE I BY INSPECTIONS DATE BY FOUNDATION � E B6 -} h� ROOF "T. /G-z7 POOL AIR COND. -d v Q. - C ' BEAMS & LINTELS /a.-a Q.- 1' I /' f/-5'` I --An -g 345— FRAMING FINAL I TUB &TOP OUT 01 CLEAN UP SOLAR HEATER �. ... SLAB Q v -afo t ..,/ c,,!.3. cR . GAS SEWER $ $ SLAB mK / 41 aft - s... a ..Jra�.t_si — 'Z .-'Z. - 9 al✓4 SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE- INSPECT BY $ SEPTIC TANK cs PERMIT NO. $ SEWER FEE TUB &TOP OUT 01 $ SOLAR HEATER �. ... $ ?b e d $ GAS SEWER $ $ S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING ®!S ,2- O -,Sj'' cs PERMIT NO. DATE FEE TUB &TOP OUT 01 , IZ- (, -a'q ,...PI �. ... $ ?b e d RANGE CONN. SEWER $ RANGE CONN. $ SEPTIC TANK $ FIXTURES SOLAR HEATER $ FIXTURES at "erg 'a --) ,y� c- - - ' GAS CONTRACTOR . 4 C (c - ' , , ,/,Z6�o DATE PHONE PERMIT NO. 'JS 1 DATE / - - RE- INSPECT' BY FEE $ c9 ©'S5- NEW BLDG. 1 ALTERATION 1 ADDITION .:, - REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE C.--L,} H. W. HEATER CONN. C 6 �. ... $ ?b e d RANGE CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT' BY TEMP. SERVICE /1- 2M. -`�i?" C-1.1. .:, - ROUGHING / v X 4 ` j tg" � H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL I 2 0 E 0 a 4 BUILDING INSPECTIONS S 7 CONTRACTOR PERMIT NO. 7 54-4 1 DATE / L - . ALTERATION 1 ADDITION NEW BLDG. PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS PHONE FEE $ REPAIRS APPROVAL TO POWER CO. FOR SERVICE DATE BY v3 3L) CERTIFICATE OF OCCUPANCY N° MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Florida, 3 - 24 Owner, Agent or Tenant of Building J.S. AVERY Lot 13 Block 1 9 Subdivision ninlag MAKI SHORES SEC # 1 Street Address 116 N.E. 97th Street Approved use by occupancy 2 BR, 1+ Baths Remarks • This Certificate of Occupancy is issued to the above named Owner 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 as the Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to the erection, construction, alteration or remodeling of buildings or structures. Plan Cube 18598 Tax Value 9299 BUILDING DIVISION