1135 NE 99 St (6)N° 1986
Miami Shores Village, Fla ,
CtRtTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Owner, Agent or Tenant of Building s
Lot 11 Block I1 Subdivision
Street Address � 13 S� L► "1 l+
Approved use by occupancy
6- '7 - 5i
Remarks.
This Certificate of Occupancy is issued to the above named t l,+yJl1..
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.
" V tlnl..
BUILDING DT ISl
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMEN7
APPLICATION FOR BUILDING PERMIT
Owner': Name and Address__
Registered Architect and/or Engineer
Name ,Ind address of licensed contractor
Location and legal description of lot to be built on:
Lot Block 7f Subdivision
Street and Number where work is to be done
State work to b don and plose of building (by floors) C 44 M
New Building_ Remodeling
To be constructed of hr Kind
Estimated " ,tal cost of improvements $
STATE OF FLORIDA,
COUNTY OF DADE. ss.
peared _
Disapproved _ Date
(Signed) _
Chairman
Building Inspector
PLANNING BOARD
.I.°....
Addition fr __ Repairs -
./Vo__ /7-avast4
Notary Public State of Florida
My Commission Expires
.. DATE
Member
Member
Member
%
(0$
q-LI/
Application is hereby made for the approval of the det...iled statement of the plans and specifications herewith submitted for the build-
ing or other structure hercii, described This .TplicaticH is made in compliance and con7orm-ty with the Building Ordinance of Mialai
Shores Village, Florda, and all provisions of the Laws f the Statt: of FLrida. all o,d,nances of Mi .rni Shores Village and all rules and
regula:ions of the Building Divi:i;:u of Nnam; Shop \ iilage :,h ',e -oripl.ed with, whether herein specified or not. A copy ot approved
plans and specifications must be kei at building durin progress of die work.
1
Date 41 , 19
No. / / 3 sr Street 4/4 ; r 1-
/ 4, ,Sr s 77.144,1e
and for no other purpose.
No. of Stories
Ceiv e 3 7/ < .S
Amount c Permit 17 .P%
0
3 0-4
Zone r.ubage required _Plan Cubage
Distance to next nearest building.. _ _Size of Building Lot
Maximum live load to be borne by each floor
hereby submit all the plans and specirioations for said building. All notices with reference to the building and its construction may
be sent to..__ _ _ _ _ - ---
The unde. signed appli -ant for th;s bolding permit does hereby certify That he understands and accepts his obligations as an employer
of 1: bor u nder he Florida Workmen's Compensation Act being S. -•tion 5966. .pled Gen -al Laws of Florida. P SuppIt Dent,
and h -s compled w;th he provions thereof, and will require sMirlar emir) lance from all contractors or sub-contractor einplo-ed by hini
in the work to be p rf - med under tlis pern:it• and ill post or causc to be posted for inspection on the site of the work stih b public no b e
or , ,otires as are requir d by the Act. The u. r igir-d agrees to employ only such ubcontr m- ctors, on work to be perfor d —.der this
perniit as are licensed by M am. Shores il!..ge.
Remarks_
Before me, the undersigned authority, a notary public, duly authorized to administer oaths ..nd take acknowledgments, personally pp-
to me well known,
and who, being by me first d ly worn, upon oath depo"es and says that he is the
of th abov de ibed istruction t, 1.. has careially read the foregoing application, and that he did sign the same, and tl all !acts
therein by him stated are trie.
Permit No -- _ 2_ _ . Date 1‘ -•-• Read, Sworn to and Subscribed before me.
Member __
Council Approved ____ _ ._ . Date proed Date
NOTE: A charge of $1.00 will be made for making corrections or -Linges to this application ftor approval 1 , s 1;e, n obtained from
the Plain ng Board
A re-inspection fee of $1.00 will be charged when such re-inspection is m - :0 nceessar) by improper notice for inspt 1 or fa ity
materials and workmanship.
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