865 NE 97 St (5)OWNER'S NAME
F CJ.-0d S o
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
CD b b M • T9' c
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LOT
2d
BLOCK
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SUBDIVISION
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GENERAL CONTRACTOR
4- _ S. �
ADDRESS
A
has N•'. (41) �d
PHONE NO.
LICENSE NO.
4
BUILDING PERMIT NO. •=2 O C.'.1
a
DATE ° 7 I
Ev:=>
PERMIT FEE $ 4 /
BUILDER'S BOND
NO. 7- E I t" . I t" . � b
DATE �
ZONE REQUIREMENTS CU. FT.
1 0 6 6 ° ra. e l . V
PLAN CUBE mor, 514. VC. CU. FT.
o
EST. COST $ ��e C. O 6
r
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: 1 '' 0 W • Uv ��nQ (1tI; A� tce -. ,
DATE
I 6' .zt °b0
NEW CONSTRUCTION
TYPE
1 STORIES
ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
REPAIRS
DESCRIPTION
. dG UQ SSS �C�po - 17 e (a-D :� ('� -1
ALTERATION
IAi':7A
7� DESCRIPTION IA
�Of�h b G� d 0 ® 1J7, ( E L 6v o
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTFD TO VILLAGE COUNCIL
REMARKS
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CERTIFICATE OF OCCUPANCY NO. 2- I ISSUED
BY
I
TO ��a�G. `' �TfJ�
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
'It
r A4 1 FP 7, c 7-4.4.,41. Cdf . 20 rt
ROOF
SEWER
TEMPORARY SERVICE
BEAMS & LINTELS
$
SOLAR HEATER
POOL
H. W. HEATER CONN
$
FRAMING
RANGE CONN.
AIR COND.
$
MOTORS
FINAL
5
INSPECTIONS
CLEAN UP
BY
RE - INSPECT
SLAB
RE - INSPECT
BY
ROUGH ING
S
SLAB
TUB & TOP OUT
SPECIALS PERMITS PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
NEW BLDG. 'P. 1 ALTERATION 1 ADDITION
$
SEPTIC TANK Alea7.+
'It
r A4 1 FP 7, c 7-4.4.,41. Cdf . 20 rt
5
SEWER
TEMPORARY SERVICE
$
SOLAR HEATER
H. W. HEATER CONN.
H. W. HEATER CONN
$
GAS
RANGE CONN.
$
$
MOTORS
5
INSPECTIONS
DATE
BY
RE - INSPECT
BY
RE - INSPECT
BY
ROUGH ING
S
TUB & TOP OUT
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
GAS
CONTRACTOFr71,. K LA-) , (t► lia,4,. S
PHONE
PERMIT NO-EA1 o I DATE 'o- \ 'i -C i
FEE $ X31• S'o
NEW BLDG. 'P. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
H. W. HEATER CONN
$
RANGE CONN.
$
MOTORS
$
FIXTURES
S
S
INSPECTIONS
DATE
BY
RE- INSPECTI BY
RE- INSPECT BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
�Y
.e
3
W E,. k.o
BUILDING INSPECTIONS - al r?--
PLUMBING PERMITS & INSPECTIONS
CONTRACTOR kP " 7T PHONE
PERMIT NO. I DATE
NEW BLDG. 1 ALTERATION I ADDITION
ELECTRICAL PERMITS & INSPECTIONS
M) APPROVAL TO POWER CO. FOR SERVICE DATE
FEE $ e0
REPAIRS
BY
1 z; -‘O/
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1289
Owner, Agent or Tenant of Building 'NUT, S T,A11TN
Lot 21 73 Subdivisio
Street Address 865 N.E. 97th Street
PLAN CUB 25,37446
TAX VALUE 12,687e23
Miami Shores Village, Florida,
12 -20 -61
Approved use by occupancy 3 Bedroom,, 2 Bath. Res.
Remarks
OW R
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
b:iami Shores Village
Building and Zoning Dept
Taami Shores Fla.
Dear Sirs:
We are acquainted with the fact that i:r. Paul
S. Lane plans to build a 3 Bedroom 2 Bath Single Family Residence
on the 50' x 112' lot adjoining our homes.
Pair. Lane has shown us his plans for this new home,
it is attractive, and we have no objections provided the minir_zr . sec,-
requirements are mete Furthermore we are not interested in
purchasing this lot from him.
September 15t 9 :J. .") 1
Very truly yours
9 57 NeF. 97t St
379 F.E. 97th St
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Order No.
.5"c0 E
Date
/' = 3
REVISIO
..9(3
I HEREBY CERTIFY: That the attached "SKETCH
roperty is true and correct to the best of
ly surveyed and platted under my direction.
NS
Order No. 52893
F.B.# 1128-3
R
57
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SKETCH OF SURVEY
g.Land Surveyor#
1
Lot 21, Block 73, MIAMI SHORES SECTION
3, according to the Plat thereof, record
ed in Plat Bookj0 at page_ 37of the
Publid td Florida
Field Book
Apyil 27, l61
Scaies shown
OF SURVEY" of tLe(-4WAPe
my knowledge (11-he asccrt-
A , •
HARR C. SCH AiSO,C 141:k INC
, - •
egistere Landx urveyor?#ce/4,
State of Florida'
‘• - 44- -
• , -e
Signatue
State - 61 - .
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la.
* Lana ,urveyorW State
.Land Surve or# State OTT