OCCUPANCY/SURVEY1960OWNER'S NAME
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NEW CONSTRUCTION
PRESENT ADDRESS
39e A/• E. /Oc-� .4-,
LICENSE NO.
PHONE NO.
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JOB LOCATION (ST. OR
AVE.)
/OW N-C - SP 41 ) 1.
LOT
"'"D
"'"
BLOCK
). N G i i .) SUBDIVISION
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GENERAL CONTRACTOR
%Vie• n r• C.4u s S en
ADDRESS
4 5' e Ai. E• /0e — 'traoa .1
PHONE NO.
LICENSE NO.
3 4? Z
BUILDING PERMIT NO. S7 3
DATE
Y I- ` o
PERMIT FEE $ S4•
BUILDER'S BOND
NO. •d S Q. DATE �4" Co
ZONE k`• C REQUIREMENTS " O •O
CU. FT.
, r._ , 78 J.
PLAN CUBE'NE4r-4R'' CU. FT.
EST. COST S .I. 0 o0
DRAW NGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: a• N• $f4'f .EL
DATE
L
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
NEW CONSTRUCTION
TYPE
a65
STORIES
04.1E
ROOF CONSTRUCTION
Ts Lc
INTERIOR CONSTRUCTION
J, are.."9..r _ 2 7H 12E5 .
REPAIRS
DESCRIPTION
J FL -T 04•C. S f/Gip OTC. e` FA, / nc_e f(oo.c_
f re.,0. 4 , c �C�
ALTERATION L,644.1. DESCRIPTION
ADDITION S 4 C(C_ c.J., D ,t A SE 4N0 Tat ".+. .
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. I 18z-
,'..---3 p._4 0
ISSUED
6.44,5,
BY
'' /1. Vass
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TO
DRAW NGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: a• N• $f4'f .EL
DATE
L
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
ROUGHING
$
ROOF
SEPTIC TANK
y �
14 - Di4 -�1,
BEAMS & LINTELS
m e w
$
POOL
SEWER
$
FRAMING
$
AIR COND.
SOLAR HEATER
FINAL
$
$
CLEAN UP
GAS
$
SLAB
$
46
SOLAR HEATER
SLAB
t
SPECIALS PERMITS
PERMIT NO.
DATE
RE- INSPECT
FEE
TEMPORARY SERVICE
BY
ROUGHING
$
FEE
SEPTIC TANK
y �
14 - Di4 -�1,
f
- C'�, c214V
m e w
$
7rr"
SEWER
$
/
$
SEWER
SOLAR HEATER
RANGE CONN.
$
$
GAS
$
$
46
SOLAR HEATER
FIXTURES & FINAL
t
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
DATE
FEE
TEMPORARY SERVICE £Gnn •
pp7
.. b _ YA
+ ?. z.a -
$ •z x �
TUB & TOP OUT
$
RANGE CONN.
SEWER
MOTORS
RANGE CONN.
$
FIXTURES
SEPTIC TANK
$
46
SOLAR HEATER
FIXTURES & FINAL
FIXTURES
GAS
CONTRACTOR R- e . Cc.- t'C-i2! .-.
PHONE
PERMIT NO. 733 I DATE T- "-i— '
FEE $
NEW BLDG. '& 1 ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE £Gnn •
pp7
.. b _ YA
+ ?. z.a -
$ •z x �
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
RANGE CONN.
$
FIXTURES
$
46
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
IVLO ( 4 " ` t SUILD NG INSPECTIONS
A el
J
CONTRACTOR
PERMIT NO.
NEW BLDG.
PLUMBING PERMITS & INSPECTIONS
1 DATE
1 ALTERATION 1 ADDITION
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
3a- vi
PHONE
FEE $
REPAIRS
BY
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1182
Owner, Agent or Tenant of Building bean R. Clausse
Lot D Block Subdivision Kinney Park
Street Address XIMENDEUIREMCNICIEX 1025 N.E.98th St.
Approved use by occupancy 3 Bedtoim, 2 Bath Res.
Remarks 573
Miami Shores Village, Florida, 12 -30-60
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 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.
Plan Cube 28850.96
Tax Value 14425.4
BUILDING DIVISION
Registered Architect and /or Engineer
Name and address of licensed contractor
Disapproved EC
( Signed)
Building Insp tor
MIAMI SHORES VILLAGE - - 'r -•- -'f` 1-7 3 .
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.
/�) ) Date , 19(2.
Owners Name and Address _ /. /_r ..e' - No Street
Location and le description of lot to be built on:
Lot Block Subdivision.
Street and Number where work is to be done 1 o Z � (%1
State work to be done and purpose of building (by floors) `Y
and for no other purpose.
New Building / Remodeling. Addition Repairs No. of Storm /
To Estimated be Total cost of i Kind of foundation Roof Coyg�ing `.
CIS/ �J y
improvements $�.� Amount of Permit $_.. �/ 1 �� f.� ,/
-
Zone cubage required 4
Distance Cubage - �`'__` rKQ., l f 1 I_ ors
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building pennit 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 s contractors, on work to be pe ;formed 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 same, and that all facts
therein by him stated are true. j
Permit No 3 Date a / , Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
LANNING 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.
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, a. FORD CO:
1774 W. Flagler Street
MIAMI '35, FLORIDA
Phones: FR 9-3508, FR -002a • ,
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Date 6 0
U.Le" t 01 Z 0 7 2:), .13 Z" O / 7 9.
According to the Plat thereof as recorded in Plat Book 6 7 at Page
Public Records of Dade County, Florida.
, 44
ORDER No, 2-3-56 3
1 •
T. 3.3/0 -2
-771;
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