383 NE 96 St (2)APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
)
to re- occupy the single family residence known as : (address)
. Legal Description:
Lot:
Block
I hereby certify that I understand that the zoning of the ro e
and that it is unlawful for more than one family to reside therein is
I also understand that a y residential use
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 no
constitute any representation, warranty or certification as to the condition of the dwelling or o
structures on such property. ther
dwelling
Applicant G2ti� -L(.._ ��
Date � v Z
Print Name
For purposes of conducting the inspection required by Section 902
y of the Miami Shores Land
Development and Zoning
Code, please contact:
Contact Name: (4 n ,e c ) (--73°5---9
Telephone: — 1-)
Buyer Seller Realtor nn
Company Name % V' V f d� �
Application Fee ($S0) paid: Cash
Inspected by:
Comments:
PAGE I OF 2
, Miami Shores, Florida.
PB & PG:
hereby apply for a certificate
Check No. 5 � C-
Approved Denied
Date J#Z.Z_
CER I lr "1CATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has been inspected for purposes of re- occupancy pursuant to
Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such
property may re- occupied by the above applicant for single-family residential purposes.
PAGE 2 OF 2
MIAMI SHORES VIL , FLORIDA
Date of Certification: 3
THIS CER1 "iFICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY IvIIAlI II SHORES
VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
MIAMI SHORES LAND AND DEVELOPMENT CODE
PERTAINING SOLELY TO THE REQUIREMENT THAT EACH
ONE - FAMILY DWELLING IS USED AND INTENDED TO BE
USED FOR A ONE - FAMILY 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 INTERES thD PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DETERMINE THE CONDITION,
THEREOF.
o A �� t.
w s 1.
i
t ' L .
to '
or SI
'I'
Lot Bl. Subdi- . ',,
ion ' _ �r vision Y:a iJ
of Value of 4 Amt. of
1 Project $ a Permit $ ,, y �
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner
Building
Archite
2ontrac
or Build
Legal
Descript
Address
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
PERMIT IT? 12022
DATE
1 0 16\\ ,.:4316 3
Work to be performed under this Permit
Q �
Contractor's
License No
95
This permit is granted to the contractor or builder named above to construct the building or t • stall the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that th 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.
i
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
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner
Building
Archite
2ontrac
or Build
Legal
Descript
Address
Building
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE. FLORIDA
PERMIT IT? 12022
DATE
1 0 16\\ ,.:4316 3
Work to be performed under this Permit
Q �
Contractor's
License No
95
This permit is granted to the contractor or builder named above to construct the building or t • stall the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that th 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.
i
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
ADDRESS Jo) " 7 °11 °I'• LEGAL lots 21 - 22 bI 4, aec.A. RECORD GARBAGE TAX
PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT
NUMBER
S`T1 E - a i S , CHAt LIES , P. 9 -11 -51
N? 1414
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 a ill
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
MIAMI SHOW VILLAGE
•
COMPLAINT REPORT Esi
Telephoned 0 Person bf Date /
Name—
Address
Subject:
Disposition:
Phone No.
.;"-
1 /
ir 4 '
7' -
Received by
Referred to f &'..:;
Signed
Date /,) )
Date
N9 1414
Lot ' ' Block
Street Address
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla , ''° `
Owner, Agent or Tenant of Building
Subdivision
Approved use by occupancy
Remarks.
This Certificate of Occupancy is issued to the above named L
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.
<''� a , `� �� BUILDING DIVISION
JOB LOCATION (ST. OR AVE.)
383 1..E. 96ti St.
GENERAL CONTRACTOR
12022
BUILDING PERMIT NO
ZONE
25,000
REQUIREMENTS
DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY
CBS
NEW CONSTRUCTION
REPAIRS
ALTERATION
ADDITION
SL BMITTED TO PLANNING BOARD
RE- SUBMITTED TO PLANNING BOARD
F 'EMITTED TO VILLAGE COUNCIL
OWNER'S NAME PRESENT ADDRESS
DATE 9711 -51
APPROVED
CU. FT.
REJECTED
• • Is , • 'i A tee:(
LOT
PLAN CUBE
ADDRESS
PERMIT FEE S
ELOCK
21 -22 43
32,178
REFERRED TO COUNCIL
CU. FT.
REMARKS
LICENSE NO.
Sec. ;1
Fl ONE NO
,11319 9 -11 -51
NO DATE
EST COST 5
n, ' i JA.
CERTIFICATE ATE OFOCCUPANCY NO.L ISSUED � BY TO
A A A l
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
SUBDIVISION
BUILDER'S BOND
REASONS
20,000
PHONE NO.
LICENSE NO.
DATE
TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION
1 TILE tile and oak floors,plaster
DESCR IPTION walls an c� -ling
3 bdrm., 2 baths, living -room, F1orir::3.-room, kite. en, dining•room,2 car
DESCR , PTION .'ta�'Agje
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
PERMIT NO. D
DATE F
FEE
TEMPORARY SERVICE $
$
BEAMS & LINTELS
°'
$
SEWER $
$
FRAMING
$
GAS ,
, 9 - S
S
$
INSPECTIONS
DATE B
BY R
RE- INSPECT B
FINAL
3 -
z 5
. _J.
D
`! •
•
CLEAN -UP
of
'.
CONTRACTOR P
PHONE
PERMIT NO. DATE F
FEE $
NEW BLDG. ALTERATION A
ADDITION R
REPAIRS
SPECIAL PERMITS P
PERMIT NO. D
DATE F
FEE
TEMPORARY SERVICE $
$
SEPTIC TANK $
$
SEWER $
$
SOLAR HEATER $
$
GAS ,
, 9 - S
S
$
INSPECTIONS
DATE B
BY R
RE- INSPECT B
BY R
RE- INSPECT B
BY
ROUGHING .
D
`! •
•
GAS
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES 3
3 o2 4 Z
Z •
• PHONE
>;-■ I I DATE r. ` ^ ` ' FEE $
PERMIT NO. P.- _ / ' %
NEW BLDG. I ALTERATION I ADDITION REPAIRS
SPECIAL PERMITS PERMIT NO. DATE FEE
TEMPORARY SERVICE $
H. W. HEATER CONN. $
RANGE CONN. $
MOTORS $
FIXTURES $
$
INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY
TEMP. SERVICE
ROUGHING it' f.- ; - � '
H. W. HEATER CONN.
RANGE CONN.
FIXTURES & FINAL 3 a4 -41— D-
/' 7 "
BUILbING INSPECTIO '
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
VKM• h- k'lJ- x -�L.a.
/' 7 "
BUILbING INSPECTIO '
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
VKM• h- k'lJ- x -�L.a.
.. :lJ• .. ,.�J• .. ,. J ... ,�� J,..... ,1f.••• «•,�1'r•....:1l.••....,� J ,....., 1 J , .. ,•jJ• .. , •1J• .. ,,tJ• .. ,� .. ,, .., .. ,,� .. ,,� J .. . ,, J• .. ,•� J .,...., t J ,.....,� f ........ .....
.... v �r rr u it �r �i u ;� sr sr ;r ti; �i tii tir..i �i ��
4:1
;a
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
TRIPLICATE
VILLAGE LICENSE
This License Expires :larch 11, 1952
N°
In consideration of the sum of
.;aTX —Fitt AND 00 /10G
Dollars $ 5
Paid to Miami Shores Village, Dade County, State of Florida,
c: i:iyr: ;; P.S T '.PIIIAS
Addres 1011.E. g5th
Street
6010
is hereby licensed to engage in or operate the business of
1,—HU . LDE .1c iuSF:
':_ I 11 1951 ilAni. 11 1952
For the period beginning ' and ending '
subject to the Provisions of all ordinances.
MIAMI SHORES VILLAGE, FLORIDA a�
(SEAL)
[. 11, Date Issued Ji�CylI�:DI. 1951 By VILLAGE MANAGER =�
THIS LICENSE NOT TRANSFERABLE WITHOUT APPROVAL OF THE VILLAGE MANAGER
•:: `r:°a°:ir`•°°'•i►:°°•'"i MM' .° '• `•°+Nr "ii`•°»°,•' i '•,o, i ' k t`•ftA'r`•° •' ` ''M ""kz•°$°•'•ir•° °•' AW;` •'n .
STATE OF FLORIDA) SS
COUNTY OF DATE )
of the Village of'Miami Shores,
County of Dade and State of Florida, being duly sworn, doth depose and say,
that under the provisions of Ordinance No. 185, dated June 15, 1948, amend..
ing paragraph (d) of Section B•368 of Ordinance No/7 of the Building Cale
of Miami Shores Village, he desires to bu ld a ? -
on Lot c ®1 A Block Ifs of
=� . Subdivision,
tha”s, is the owner of said property, and will be the owner of said
that he tvill do the work persDnally, and that
he will, at, uch times as are required by the Zoning and Building Director: -
1. File plans and specifications and obtain approval of the
Planning 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 provisign
has been made to carry the necessary Ciorlcnen's Compensation,
Public Liability and Property Damage Insurance.
7. File with the Building Inspector as the job progresses certi-
ficates showing the payment required by the Federal Social
Security Act to the State of Florida or the United States of
Awerica.
8.
Assume the responsibility of nst 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.
114 In order to prevent abuses and subterfuge tha right of such
owner..builder as herein provided, is limited to but one
owner..builder pelt each 2 years, and where an owner..builder
has once exorcized 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:
AFFIDAVIT
SUBSCRIB2D ND -t '7* sums .NfE tlai
19 �,
L M
e e.v '�° c .r° i
NOTARY PUBLIC
w
' 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 Address__11,4i4 - _ ?T.. / /1 street y.,,-: .94- )
Registered Architect and /or Engineer J ___ __ ___
Name and address of licensed contractor I (1
Location and legal description of lot to be built on:
Lot a 1 14 a Block 4 Subdivision ./
Street and Number where i _c- r ' ,,
State work to be done and purpose of building (by floors )_____1
work is to be done
Date et4L , 19 -__
a._.
and for no other purpose.
New Building X Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ 2U_00 Amount of Permit $
Zone cubage required- ___16_,D 6O _Plan Cubage____ O e LJ
Distance to next nearest building AO _ _ _ Size of Building Lot a.0_Q__ l_b'
Maximum live load to be borne by each oor
I hereby submit all the plans and pecifications for said buildin . All notices with rgference to the building and its construction may
be sent to L_!,�d__.h__ • 1yni.44-n4., 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 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 :Arne, and that all facts
therein by him stated are true.
Permit No Date . Rea s orn to and Subicy6ed before me. '
N
Disapproved Date__
( Signed)
Building Inspector My Commission Expires
ary Pdblic, Stat of a
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.
THE INSURANCE COMPANY INDICATED IN THE SCHEDULE OF COVERAGES BELOW CERTIFIES
THAT IT HAS ISSUED THE POLICY OR POLICIES OF INSURANCE DESCRIBED IN SUCH SCHEDULE.
NAME OF INSURED
01110. P. •.45°'c r°kE
1 r 0 P. 0. ADDRESS
14. L� e .? e 9,>' sad Streot 9 n=7. E. o 'a , .S .Y c .. da.
WORKMEN'S COMPENSATION
LIABILITY (OTHER THAN AUTOMOBILE)
BODILY INJURY
PROPERTY DAMAGE
COMPANY
l!11��77
l '' xc 6S
v V r. Vt...R/ v
71MR TV .o0 : ::'A
2. 1.20 At..L.... ..�i.fL.,
_
IIITJRU'M:
CCL11
POLICY NO.
279 6%
K 323 ;
,
TERM
FROM 10/25/50 TO q�/�
LC/25/51
��nn++
FROMl.V / 1 TO :,0/25/
FROM 2 a TO 7„0/25,
LIMITS OF
LIABILITY
STATE OF
Florida
$ 2 j„ C V e EACH PERSON
$ 7.0 Civ.ie EACH ACCIDENT
$ 503)033e EACH ACCIDENT
AGGREGATE LIMIT
FOR POLICY PERIOD
AGGREGATE LIMIT
$ 710s Cyl�l' �y, a FOR POLICY PERIOD
DESCRIPTION OF OPERATIONS AND LOCATIONS COVERED
D'': ,.Lldin g Gonot.; c't10 , including c'='.:°r1 sr 9 =o nrf otc. `'I«.1
Lana; Sho oo sand aseigr :o In t :,6 ,' :,' e of :;:'?,.0r dae
80076-1 -47
•
4
AMERICAN AUTOMOBILE
INSURANCE COMPANY
SAINT LOUIS
1
AMER IOAN
4
1
• a
\ ' 1
ASSO CIA TED
INS URA C E C 0 Al I' Ar1E' 9
CERTIFICATE OF INSURANCE
ASSOCIATED INDEMNITY
CORPORATION
SAN FRANCISCO
THIS CERTIFICATE 1S ISSUED AT THE REQUEST OF
LU4.S= SHOR3S VILLAGE
ADDRESS
THE ISSUING COMPANY WILL MAIL TO THE SAID ADDRESS A RECORD OF ANY MATERIA ?_ CHANGE IN OR CAN -
GELATION OF THE SAID POLICY OR POLICIES. BUT UNDERTAKES NO RESPONSIBILITY FOR FAILURE TO DO SO.
FOR
LL' t.ICAD .rI.UAv:03J.'�.v COL AN
DATE OF ISSUE ,�., 20, 1951
•
BY
t :a:-`i2TZ fl SURANC` c 1,!`O.
'...4--e-i----.