OCCUPANCYCERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N? 754
Miami Shores Village, Florida, May 7, 1958
Owner, Agent or Tenant of Building JOHN W. PATTERSON
Lot 15 Block 2 Subdivision EARLTON SHORES
Street Address 1269 N.E. 98th StrPAt
Approved use by occupancy ADDITION TO FLORIDA ROOM
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 •= taining to
the erection, construction, alteration or remodeling of buildings structures.
PLAN CUBE 1455
Tax Vilue 728
OWNER
ILDING DIVISION
` • • OWNER'S NAME P
PRESENT ADDRESS L
LICENSE NO. P
PHONE NO.
JOB LOCATION (ST. OR AVE.) L
LOT B
BLOCK S
SUBDIVISION
GENERAL CONTRACTOR A
ADD RESS P
PHONE NO. L
LICENSE NO.
g/ 5
BUILDER'S BOND
BUILDING PERMIT AND INSPECTION RECORD— MIAMI"SHORES VILLAGE
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
$
SEPTIC TANK
ROOF
TEMPORARY SERVICE
$
EsEAMS & LINTELS e , J�-
U
POOL
$
SOLAR HEATER
FRAMING
V
AIR COND.
GAS
$
FINAL
$
CLEAN UP
$
FIXTURES
SLAB
INSPECTIONS
DATE
BY
RE- INSPECT
BY
SLAB
BY
ROUGHING
SPECIALS PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
REPAIRS
SPECIAL PERMITS
$
SEPTIC TANK
FEE
TEMPORARY SERVICE
$
SEWER
$
H. W. HEATER CONN.
$
SOLAR HEATER
S
RANGE CONN.
$
GAS
$
MOTORS
$
$
FIXTURES
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE - INSPECT
BY
ROUGHING
TUB & TOP OUT
SEWER
SEPTIC TANK
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
S
RANGE CONN.
$
MOTORS
$
FIXTURES
$
A
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES Be FINAL
CONTRACTOR
PERMIT NO.
NEW BLDG.
ILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
DATE
1 ALTERATION 1 ADDITION
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
PHONE
FEE S
REPAIRS
BY
MIAMI SHORES VILLAGE, FLA. N9 7605
4
JOB C,) G C/L 7" /,LLo - 4T TES e,.r
ADDRESS /24, /I & Y/
INSPECTION , r) «/AG Az_
TIME READY
REMARKS:
.1 /J b / er-c- l l t ,J n. 4-4 . eT) 4001 T1 o.J A-7
T s T .,-) t _ s _ rV
INSPECTORS DATE
j
' 3 /3 /o/
Legal Description:
Lot: AS
Applicant
Buyer
Inspected by:
Comments:
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
to re- occupy the single family residence known as : (address)
e 00 .. ', - hereby apply for a certificate
a L /v6 9 O , Muni Shores, Florida.
Block 0 PB & PG: ! 3
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 such •roperty.
Date 3/4/
/,2 l
Print Name ea P t [ t-tx
* * * * * * * * * * * * * * * * ** *************************** * * * * * * * * * * * * * * * * * * * * * * * * : : : * * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Contact Name: rt JQ-2- Telephone: - 7.5 —( i -- 5 ) 9 2?
Seller Realtor '-- Company Name ?' 4 v j dC& �-ea
Application Fee (S50cpaid: Cash Check No. /S c 3
/l
Approved Z/"------Denied Date
PAGE OF2
CER 1 iF ICATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has bee 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 re- occupied by the above applicant for single - family residential purposes.
PAGE 2 OF 2
i
/'
MIAl HORES,.ViLLAGE, FLORIDA
Byf�
Date of Certificatio
THIS CERI11.ICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES
VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
MIAMI SHORES LAND AND DEVELOPMENT CODE
PERTAINING SOLELY TO THE REQUIREMENT THAT EACH
ONE - FAMILY DWELLING IS USED AND INTENDED TO BE
USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY;
HOWEVER, THIS CER'INCATE DOES NOT CONSTITUTE ANY.
REPRESENTATION OR WARR.y AS TO THE CONDITION.
OF THE DWELLING OR OTHER STRUCTURES ON THE
PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH
CONDITION, AND INTERESTED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES EV ORDER TO DETERMINE THE CONDITION,
THEREOF.
ITEMS
SUB CONTRACTORS & SUPPLIERS
NAME & ADDRESS
1. Architectural Fee ( lans)
�--
2. Asphalt walks, drives, etc.
=1 6
77i'
E., O
. o •
- i.-
3. Cabinets - Bath Vanity
4, Cabinets - Kitchen
-
5. Cabinets Medicine
6. Cabinets - Unit Closet
7. Cleanin_
C- rh /2-.
8. Clearin: Site
9. Concrete - Foundation.Slabs,Beams
r -Z .
10. Concrete - Walks drives. etc.
--�
11. Contractors Fee
12. Electric Fixtures
13. Electric Wiring
14. Equipment Rental
15. Excavation
---
Fill for S1
----
17, Floors - Finish 'wood & kitchen
-.
18, Floors - Terrazzo
. _---
19. Gara:e Doors
C 'c.0
.
20. Glass Sliding Doors
_ •--•
21. Hardware - Finish
-4. -"
22. Hardware - Rou_h
23. Heatin:
--
24. Insurance - Liabilit cm.. bond
C.a.,
Lab
P , or - P oll
r�
Labor - Contract
.
o--
27. Labor - Contract
28. Landscaping, Fi11 Grading_
-
29, Lath Plaster Stucco
-,
zo
30. Lumber All
` e , c .
31. Masonry Labor
---
32, Masonry Materials, Block
. Ro Q o .
33. Millwork
34. Miscellaneous
---
35. Ornamental Iron Work
--
36. Oven & Plate - Built -in
--
37. Overhead
__-
38. Painting
1 -2 A.2._
39, Permits. Tem.ora Power
`--"
40. Piling Foundation
41. Plumbin: Com.lete
-'
42. Pool - Swimmin:
--'
43. Roofin, & Sheet Metal Work
•
44, Roof Trusses - Pre -fab,
--
45. Screen Enclosures
-�
•
46. Sestic Tank or Sewera:e •
47. Shower or Tub Enclosures
48. Steel - Reinforcing & strl.
--
e
49, Supervision
.-�
50, Surve ys
--
51. Tile & Marble
52. Water - Public
53. Water - Well & Pump
54, Windows - Glazing & Screens
'--
55, Window Frames - Concrete
BUILDER
MMIAMI SHORES VILLAGE
APPLICATION FOR FINAL INSPECTION
- Prior to a final inspect n this application must to filled out; if sub contractors have
failed to take out pernits the general contractor shall be res•o •le for the permit and
fee. A final inspection nust be made prior to the releas= o Florida P'6we Light Co,
and the issueance of a certificate of occupancy.
OWNER M2. $.4112S. / c Da "( (f eg.. JOB A RESS (241 K € ? 3
n A n
LOT l.c BLOCK A SUB.
M U e - DAY LABOR CONTRACT DATE a - 13 ��
TOTAL tot .