870 NE 97 St (7)OWNER'S NAME
M.CAf9s
PRESENT ADDRESS
' 7c. 4 .c, cy?
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
9 7o 1.1. &.- _ 9 ( ffr
LOT
6.415/ - 7
BLOCK
? `f
SUBDIVISION
"s en Pi 0.4& - 3 Seer c 3
GENERAL CONTRACTOR
0W(c1EL'Q
ADDRESS
PHONE NO,
LICENSE NO.
BUILDING PERMIT NO. tat 5o
c
DATE I - 3 -6 '9
11
PERMIT FEE $ - 1 , "
BUILDER'S BOND
NO. ✓ DATE v
A00/TId14
ZONE REQUIREMENTS CU. FT.
ROO. Tro , 4 "Cif. 64R -MAC el,
Chn..yC /n rube-
PLAN CUBE CU. FT.
EST. COST $ 7o
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: � - � • 1�! _
BUILDING PERMIT AND INSPECTION RECORD — MIAMI SHORES VILLAGE
DATE
1- 3- 6>
NEW CONSTRUCTION
TYPE
CAS
STORIES
on
1 ROOF CONSTRUCTION
'$.�j- v,e.
INTERIOR CONSTRUCTION
6sa�,a..r, f6 ,.1-.a,. _ -
REPAIRS
/; DESCRIPTION / /
Co,rGr-C'to f/o .,,i e.c p.. to --Ne.� Ge:r / .. 7 - 4.,......1 6rb c,-,....1
DESCRIPTION r
ALTERATION
ADDITION Ti' r. - - 7,1e j r 11 S -
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SU TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO.
ISSUED
BY
TO
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: � - � • 1�! _
BUILDING PERMIT AND INSPECTION RECORD — MIAMI SHORES VILLAGE
DATE
1- 3- 6>
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
$
SEPTIC TANK
ROOF
TEMPORARY SERVICE
$
BEAMS & LINTELS
$
POOL
$
s .
SOLAR HEATER
FRAMING
RANGE CONN.
$
AIR COND.
SEWER
MOTORS
FINAL
$
CLEAN UP
SEPTIC TANK
SLAB
FIXTURES & FINAL
S
SLAB
SPECIALS PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
RE - INSPECT
BY
$
SEPTIC TANK
FEE
TEMPORARY SERVICE
$
SEWER
$
TUB & TOP OUT
$
s .
SOLAR HEATER
$
RANGE CONN.
$
GAS
SEWER
MOTORS
$
$
FIXTURES
INSPECTIONS
DATE
BY
RE - INSPECT
BY
RE - INSPECT
BY
ROUGHING
DATE
FEE
TEMPORARY SERVICE
$
TUB & TOP OUT
H. W. HEATER CONN
$
RANGE CONN.
RANGE CONN.
SEWER
MOTORS
$
FIXTURES
SEPTIC TANK
$
FIXTURES & FINAL
S
SOLAR HEATER
FIXTURES
GAS
CONTRACTOR
PHONE
PERMIT NO. 1 DATE
FEE $
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
H. W. HEATER CONN
$
RANGE CONN.
RANGE CONN.
$
MOTORS
$
FIXTURES
$
FIXTURES & FINAL
S
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECTI BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
BUILDING INSPECTIONS
CONTRACTOR
PERMIT NO.
NEW BLDG.
PLUMBING PERMITS & INSPECTIONS
PHONE
FEE $
DATE
ALTERATION
APPROVAL TO POWER CO. FOR SERVICE DATE
ADDITION
ELECTRICAL PERMITS & INSPECTIONS
REPAIRS
BY
BUILDING Et Date j 1•
ELECTRICAL ❑ N? C
PLUMBING ❑ PERMIT N? 10750 Contractor's
ROOFING ❑ License No.
❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal Lot
�
Description ' ° ,: Bl
Address of
Building
Signed
CONTRACTOR or BUILDER
MIAMI SHORES VILLAGE, FLORIDA
Subdi-
vision
Sq. Ft.
Value of I I Amount of r 0 -•
Project $ ` °' I I 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 applica-
tion 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 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 respon-
sibility for work done by his agents, servants or employees.
(INSPECTOR) BY
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
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N? 129
Miami Shores Village, Florida,
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
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 129 Miami Shores Village, Florida,
Owner, Agent or Tenant of Building
Lot
°E 7 Bloc Subdivision ! 2 �'
Street Address Q 1 0
Approved use by occupancy
ap2
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 re odeling of buildings or structures.
61 10 j (06
OWNER'S NAME
Thomas L. Jackson
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
370 N.E. 97th Street
LOT
6-07
BLOCK
74
SUBDIVISION
Sec. 3
GENERAL CONTRACTOR
CS BLDG., INC.
ADDRESS
PHONE NO.
LICENSE NO. •
QQ
BUILDING PERMIT NO. "44
/
DATE 11 - 10 - 54
PERMIT FEE $ 20.00
BUILDER'S BOND
NO. 1729 DATE
ZONE REQUIREMENTS CU. FT.
PLAN CUBE 21 CU. FT.
EST. COSTS 16
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:
DATE
NEW CONSTRUCTION
TYPE
CBS
STORIES
1
ROOF CONSTRUCTION
Tile
INTERIOR CONSTRUCTION
oak and terrazzo floors, plan
REPAIRS
DESCRIPTION walls a nd ceilings
7 ,, �1
2 bdrm. -2 baths-living me m— j i1 nuMi Q pnrrh ki tchen r rit ge
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. 6/
�jl
ISSUED M° 41 r
BY &AI
I TO / Y
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
/ /. / ".:./.� .\'''
t- .,
•
TEMPORARY SERVICE
FEE
TEMPORARY SERVICE
BEAMS & LINTELS
,,,-?-,i`.`
c)�-
_
/
6
$ Y / ``7
SEWER
$
FRAMING
i. - lr�i•s
&A•
$
MOTORS
$
GAS
$
FIXTURES
$
$
$
FINAL
3-SS
7-6.63
) ,p- .
(o 4
RE- INSPECT
BY
RE- INSPECT
BY
CLEAN -UP
CONTRACTOR e, . 1' • �=✓S f _ ,e.r _,
PHONE
I )_ ,
G�
PERMIT NO. / 0 / 6 DATE ,�o �I ° cy , �
�,
FEE 5 //' 4
NEW BLDG. 1 ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
FEE
TEMPORARY SERVICE
$
SEPTIC TANK
- ,- ■ • '�•
_
/
6
$ Y / ``7
SEWER
$
RANGE CONN.
$ /
SOLAR HEATER
$
MOTORS
$
GAS
$
FIXTURES
$
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
n-g3-5
404.
GAS
ROUGHING
SEWER
H. W. HEATER CONN
SEPTIC TANK
RANGE CONN.
SOLAR HEATER
•f
\kl
FIXTURES
cc
) °,.3°..7 °
�ry
1 ?..i
---..
‘0.1 ' -' `4 ''
- c. 4) .:
CONTRACTOR tom, ^ ,Q_ Q _Q, ,
PHONE
PERMIT NO. / 3
a 1 DATE '?) • 4 . .
//
FEE $ /04. �"a
NEW BLDG.
ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
)jdV\ .Pa - , .`
-_ "!
J T --;.. .��
/rp
$ G'Y i`Ll1
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
•f
\kl
`c��' -s
FIXTURES & FINAL
�ry
1 ?..i
---..
‘0.1 ' -' `4 ''
- c. 4) .:
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL, TO POWER CO. FOR SERVICE DATE
BY
1
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
to re-occupy the single family residence known as : (address)
g1-20 /��!� -7 --2 S � , Miami Shores, Florida.
Legal Description:
Lot:
Applicant
Print Name - - (4 t
Contact Name:
Application Fee (S50) paid: Cash
Block
D 1-1 1 L' Date
Inspected by: Z� /� Approved
Comments:
Check No.
PAGE 1 OF 2
PB & PG:
Denied Date
a
A
hereby apply for a certificate
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 thatdential use any
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 not
constitute any representation, warranty or certification as to the condition of the dwelling or other
structures on such property.
* * * * * * * * * * ** *******.a.******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Telephone: - j 3
Buyer //- Realtor ✓ 2 • 3 °S_ 3 33 - C33 3
Company Name / / G /� -�3 s
CER'i iF 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 be re- occupied by the above applicant for single - family residential purposes.
MIAMI SHORES VII. , ORIDA
By:
PAGE 2 OF 2
Date of Certification:
THIS CER111: ICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES
VILLAGE AND HAS BEEN DETERRED TO PRESENTLY
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
MIAMI SHORES LAND AND DEVELOPMENT CODE
PERTAINING SOLELY TO THE REQUIREMENT THAT EACH
ONE -FAM LY DWELLING IS USED AND INTENDED TO BE
USED FOR A ONE- FAMLLY 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 INTERNS LED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DETERMNE THE CONDITION,
THEREOF.
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141
RAM
REMAINDER
LOT- 2
BLOCK -125
tr
LOT- 6
BLOCK -125
7
LOT- 23
BLOCK -125
50. AS'PHAL
P AVING
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wim
LOT- 4
BLOCK -125
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Rev. 10 /02/03)
\052W6o X 42 } 7 , o
RE- OCCUPANCY
APPLICATION
Date . 1 ' \V )2cip
Contact Name 7 E-Mk
Buyer
Property Address
Seller
City , Miami Shores
Miami Shores Village
Building Department
die
I hereby certify that I understand that the zoning of the property is for single- family residential use and
that it is unlawful for more than one family to reside therein. I also understand that any 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 not constitute any representation,
warranty or certification as to the condition of the dwelling or other structures on the property.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Sign:
Print:
My Commission Expires:
Permit
Loc ID
Building Officials Approval:
CL
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
No. \3c- 06 - l"IZ.L
Phone ##5 94 at 1 a01.
Realtor Company Name
T NE
State F1 Zip 313.
ignatu
The f. oing instrument was acknowledged before me this s day ofc,r �j , 20 No
by 1 Vea6...-- , who is ersonall known to me or who has
Y 1 personally
produced as identification and who did take an oath.
NOTARY PUBLIC:
Re -Occ. $60.00
Notary $5.00
CCF $0.60
Total