828 NE 97 St (7)N° 1015
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 as 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
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
PERMIT N° 9393
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project $
DATE 195
Contractor's
License No
This permit is granted to the contractor or builder named above to construct e b • ding or to install the equipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understing that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by cE r 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 w145 t A further condition upon which this permit is
granted is the understanding that the contractor or builder named above assumes the responsihili thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or in the statements 6ipiecifications and that he assumes responsibility for work
done by his agents, servants or employees.
Amt. of
Permit $
Signed • fed BY
INSPECTOR
In consideration of the issuance t e of this permit I agree to perform the work covered hereunder in com/iliO with all ordinances and regulations
pertaining thereto and in strict conform' with the plans, drawings, statements or specifications submitted to the proper ' vthorities of Miami Shores Village.
Tn accepting this permit I assume respo sibility for all work done by either, myself, my agent, servant or employee. dts
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AUTh tY
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ii Amount__
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No. Houses
(0
Issued__ 19_
KNOW ALL MEN BY THESE PRESENTS, that
Address
v
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FLOR ID A
BUILDER'S BOND
:14 Amount of Bond
Cost of clearing and repairs done by Village
Balance due Builder Cancelled ■;/ 19 By
N? _ 1010
in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permit.' to construct or repair a Euilding or
buildings at the following addresses:
do hereby deposit with Miami Shores Village, Florida, the sum of_i , and I agree with said Village that, when such construction shall have
been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me,
used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the
completion of such construction within the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearance and
repairs out of the aforesaid_ and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then
said_ shall be returned to me.
WITNESS MY HAND and Seal at Miami Shores Village, Florida, this__, day of
___( Seal )
INSTRUCTIONS TO BUILDER—When above rnentioned construction is completed and the premises are cleared and repaired take this bond to the
Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the above agreement.
VILLAGE BUILDING INSPECTOR'S APPROVAL
17:4 1 hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof ha3 caused
1.4 the surrounding premises to be cleared and repaired in as good condition as they were before commencing said construction.
WHEN CLEARED AND REPAIRED BY THE VILLAGE
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Village Building Inspector, Miami Shores Village
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