OCCUPANCY' OWNER'S NAME
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PRESENT ADDRESS
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LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
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LOT
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BLOCK
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GENERAL CONTRACTOR
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ADDRESS
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. L Er 4-
6
DATE L _ j _ 6, 0
PERMIT FEE $ 4-4. O
BUILDER'S BOND
NO. L4 6 c DATE (.. G a
ZONE 11.•Z3 REQUIREMENTS 4 •' 0 , 0 0 O CU. FT.
PLAN CUBE 41 / 1 O 4 CU. FT.
EST. COST $ i k : # 't "-'0, Z
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: L. 14 . Al Azle.. c\.,,,,.
DATZ
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NEW CONSTRUCTION
TYPE
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STORIES
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ROOF CONSTRUCTION
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INTERIOR CONSTRUCTION
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REPAIRS
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, DESCRIPTION
ALTERATION
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ADDITION �!3 rereI 44_3.. 14,s E L- a /is Ave.. , /O »/£ y.) . .1 ".ms, f ? ,-%
SUBMITTED TO PLANNING BOARD
APPROVED
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REJECTED
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REFERRED TO COUNCIL REASONS
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RE- SUBMITTED TO PLANNING BOARD
SURMITTFn TO VILLAGF COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. �- .
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ISSUED
BY
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BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTIONS
DATE BY
INSPECTIONS
DATE
BY
FOUNDATION
BY
ROOF
SEPTIC TANK 4Q,I1706 DGJt7
p
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BEAMS & LINTELS
$ 4.2.2
POOL
$ a
TUB & TOP OUT
FRAMING
SOLAR HEATER
$
AIR COND.
$
GAS
FINAL
MOTORS
$
CLEAN UP
$
FIXTURES
SLAB
SEPTIC TANK
$
SLAB
SOLAR HEATER
SPECIALS PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
RE- INSPECT
BY
$
SEPTIC TANK 4Q,I1706 DGJt7
p
Gr �G�g a�+ ee,
- .14v,
$ 4.2.2
SEWER
$ a
TUB & TOP OUT
$
SOLAR HEATER
$
RANGE CONN.
$
GAS
SEWER
MOTORS
$
$
FIXTURES
a
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
DATE
FEE
TEMPORARY SERVICE
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6 2
$ a
TUB & TOP OUT
H. W. HEATER CONN
$
RANGE CONN.
RANGE CONN.
SEWER
MOTORS
$
FIXTURES
SEPTIC TANK
$
FIXTURES & FINAL
SOLAR HEATER
FIXTURES
GAS
CONTRACTOR !(- Q , 41,2, a
PHONE
!-
PERMIT NO. 4 I DATE l2- 6 ®
FEE $ a4.
NEW BLDG. I ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
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6 2
$ a
H. W. HEATER CONN.
H. W. HEATER CONN
$
RANGE CONN.
RANGE CONN.
$
MOTORS
$
FIXTURES
$
FIXTURES & FINAL
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT BY'
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
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CONTRACTOR 41 aS cS
PERMIT NO. '
NEW BLDG.
BU DING INSPECTIONS 4 •
PLUMBING PERMITS & INSPECTIONS
IC I ALTERATION
1 DATE to
I ADDITION
PHONE
FEE $ d--
REPAIRS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1128
Owner, Agent or Tenant of Building DEAN R. CLAUSSEN
Lot C
Street Address
Approved use by occupancy
Plan Cube 21704
Tax Value 10852
9 -3-60
Miami Shores Village, Florida,
Block Subdivision KINNEY PARK
1005 N.E. 98th St.
3 Bedrool, 2 Bath Residence
Remarks. 284
This Certificate of Occupancy is issued to the above named Owner
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 cord 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.
1
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BUILDING DIVISION