330 NE 96 StN9 1461
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla ,
Owner, Agent or Tenant of Building
Lot Block Subdivision
Street Address
Approved use by occupancy
Remarks.
This Certificate of Occupancy is issued to the above named
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known ss the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
BUILDING DIVISION
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during progress of the work.
Owner's Name and Address •
MIAMI SHORES VILLAGE
Date
,19
No Street
Registered Architect and /or Engineer
Name and address of licensed contractor
L - tea
Location and legal description of lot to be built on •
•
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 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 wok to be performed under this
permit, as are licensed by Miami Shores Village. e
Remarks
(Signed) –.. `. 7
STATE OF FLORIDA,
COUNTY OF DADE. ss.
/ :
Before me, the undersigned authority, a notary y y 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.
Disapproved Date
– Notary Public, State of Florida
( Signed)
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.
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BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner
Buildin
Archite
Contrac
or Build
Legal
Descrip
Addres
Buildin
PERMIT N? 11789
This permit is granted to the contractor or builder named above to construct the buildin o istaaiteequipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the unders ` 'st'rk will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by » �:, nicipal 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 th. w : uthorization. A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the respon lity 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 stat ments or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
Work to be performed under this Permit
Signed•
r 1 ` ~. '4•.■
BY
DATE
Contractor's
License No
AUTHORITY
I_. BY
INS1SECTOR
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.
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� 7 C'�LT PAID `
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YEAR
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ANNUAL TAX
/A . ®O
PERIOD USED
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AMOUNT PAID
1 ;ice � + r-
DATE PAID
lir-
RECEIPT
NUMBER
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aT «; 11789 -- 7/w53.._
ADDRESS 33 i . •. 96th. Ia `4•. �'
LEGAL5.. 4.996 lot 6 bike t 1 ',
CDR® GARBAGE TAX
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_E �. 4e • 96:h. ;r a ,e "�< i
GENERAL CONTRACTOR ADDRESS
BUILDING PERMIT NO. "" 7 ,8 9
ZONE F 'EQUIREME NTS
NEW CONSTRUCTION
REPAIRS
ALTERATION
ADDITION
JOB LOCATION (ST. OR AVE.)
5UR.MITTED TO PLANNING BOARD
OWNER'S NAME PRESENT ADDRESS
3,,Oco
0'
DATE
APPROVED
CU. FT.
rdb
REJECTED
LOT
PLAN CUBE
PERMIT FEE S
BLOCK
DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: s: "ewe
TYPE STORIES ROOF CONSTRUCTION
o n
° tE'.��.:r CU. FT.
DESCR IPTION
•
DESCRIPTION
REFERRED TO COUNCIL
f� nti
'RESUBMITTED TO PLANNING BOARD
•RMITTFD TO VILLAGE COUNCIL
Cr NTIFICATE OF OCCUPANCY NO. ISSUED BY _ TO
BUILDING PERMIT AND INSPECTION RECORD — MIAMI SHORES VILLAGE
REMARKS
LICENSE NO.
SUBDIVISION
PHONE NO.
BUILDER'S BOND
NO. I G / / DATE /:nr '1 ;_hjy...t
EST. COSTS - v DATE
c I
INTERIOR CONSTRUCTION
f locrz —7)las
REASONS
PHONE NO.
LICENSE NO.
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
7— / ?-∎r/
0&
FEE
TEMPORARY SERVICE
S'- - I
$
BEAMS & LINTELS
SEPTIC TANK
aY.../-
1' , (., -
$ d l
SEWER
FRAMING
9-.-1 -5/
4
$
$
GAS
$
$
$
$
FINAL
/• - / $ S/
.y4
RE- INSPECT
BY
RE- INSPECT
BY
CLEAN -UP
7
v� `�<
ROUGHING
y r
CONTRACTOR ,.
PHONE
PERMIT NO. J/f 7 DATE / �aC A-C
FEES Oe -"
NEW BLDG. ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
S'- - I
$
$
SEPTIC TANK
' .l 6
1111
1' , (., -
$ d l
SEWER
$
a
S
SOLAR HEATER
$
$
GAS
$
$
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
7
v� `�<
ROUGHING
GAS
r
,>.� - v ` �
'
H. W. HEATER CONN
SEWER
RANGE CONN.
SEPTIC TANK
(/- 1 Si
k PI ,
SOLAR HEATER
FIXTURES & FINAL
FIXTURES
' /7
/c /
/�J/�
CONTRACTOR
PHONE
PERMIT NO. c DATE t' , 4 '
FEES �� �- ��/�
REPAIRS //
NEW BLDG.
ALTERATION I ADDITION
SPECIAL PERMITS
PERMIT NO.
DATE
` FEE
TEMPORARY SERVICE
if,17-.9 _
S'- - I
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
/ A
7` i S
r
,>.� - v ` �
'
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
/
/ Z --ii.-5 1
J � / �
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BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE / /2., °
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 ���
Owner's Name and Address No I Street
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. ___= _________''____.___'_______
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 Covering
Amount of Permit $
_Plan Cubage
Size of Building Lot
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Estimated Total cost of improvements $
Zone cubage required
Distance to next nearest building
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)_.
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 carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. 2
Permit No._ ' Date Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Building Inspector My Commission Expires
Notary Public, State of Florida
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.