366 NE 99 St (14)APPLICATION FOR
CERTIFICATE OF RE -OCCUPANCY
GLAzKS AB w(6 )any apply for a certica to re-copy t�singte-
. family residents known as 3 G6 Ads- 4q , Miami Shores. Fiocida.33
alkla Lot . Block , Plat , as a single-family residence.
I hereby certify tat I understand that the zoning of the property is for single-family
residenti use and that it is unlawful for more than one family to reside therms ' I also
understand that any Certificate of Re- Cczpancc that may be issued by Miami Shores
Village, Florida, certifies only that the referenced property is being used for single-truly
purposes and that such Certificate does not constftute arty representation, warranty or
won as to the condition of the dwelling or other structures on suet property.
Date: it•A 4 e
For purposes of conducting the inspection required by Section 902 of the Miami
Shores Land Cevelopment and Zoning Code, please contact the following person(s):
Name: .64A►L/9•. G °‚ ‚ 4 147 'Relationship: 5 eizati
Phone Nat (3o) 1$1 -1r 1f6 Address: 3G4 iv. a. 9 9 r " Se.
M „t,.,, 'SPt',ss, , 33 t 38
Applicatran Received: - r,
Application Fee (550) Paid: Check No
Inspection Made: 1 Y eY•
Inspediorr Passed (0 on )0/1 if/g
Failed () because: j
Page 1 of 2
l�
Print Name: 6 LADY S Aaa6
B / -/' -fe
CERTIFICATE OF RE -OCCUPANCY
On behalf of Miami Shores ViIIage, Florida, the undersigned certifies that the
property descbed in the above application has been inspected for purposes of re-
oc:.upancc pursuant to Sections 901 and 902 of the &frami Shores Land Development and
Zoning Cade and that such property maybe re-occupied by the above appficant far single-
family residential purposes.
Page 2 of 2
MIAMI SHORES VILLAGE, FLORIDA
By. ttilavyv
Da ofCert fcation:
THIS CERTIFICATE VERIFIES THAT THE
PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES
VILLAGE AND HAS SEEN DETERMINED TO PRESENTLY
_ COMPLY WITH THE SCHEDULE OF REGULATIONS OF
THE MIAMI SHORES LAND AND DEVELOPMENT CODE
PERTAINING SOLaYTO THE REQUIREMENT THAT EACH
ONE - FAMILY DWELLING 15 USED AND INTENDED TO SE
USED FOR A ONE- FAMILY DWELLING ING PURPOSE ONLY;
HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE
ANY IRE OR WARRANTY AS TO THE
CONDITION OFTHE DV'1aL1NG OR OTHER STRUCTURES
ON THE PREMISES DESCRIBED HEREIN, OR ANY
- ASPECT OF SUCH CONDITION, AND INTERESTED
PERSONS ARE ADVISED AND ENCOURAGED TO MAKE
THF!R OWN INSPECTION OF THE PREMISES IN ORDER
TO DETERMINE THE COMMON THEREOF. •
MJ
0 1 ) 7*
TDWL. P.Qi
STATE OP FLORIDA) se
COUNT! OF DADE )
.0. aPre __ of the Village of Miami Shores,
eunty of Dade and State of ' ''larida, being duly sworn, loth depose and say,
that under the provisions of Ordinance No. 185, dated June 15, 1928, amend-
ing paragraph (d) of Section B. -368 of Ordinance Ilo, the Buillir:
of Miami Sb rea Village, he desires to build a I MAIM_
on Lot 3 4 Bloch - 1 . r .�. 8t # _ _ Subdiv .sio
tba he is the z ef said pre0Orty, and will be the el4 er of sale'
f _ , that he will do the work personally,
and that he grill at such timie Y as are required by the Zoning ana 3uiluing
Director: -
Asa
1. Pilo plans and specifications and obtain approval of the
Planning Beard and the Building Inspector.
Apply fir imopestiene •
6. Pie wi* the $Villain; Inspector certificates that provision
has iii >aeii lie the Workmen's Compensation,
Public Liability and ' Insurance.
7. Pile with the Biildiag Inspector as the Job progresses certi-
tiamSea X18 the hy the Federal Social
Semarlir Art to the te of or the United States of
America.
Assume the respemeibility of not Toying other than properly
Ii , contractors by Mtam; Shores Village for any part or
m se the week.
Apply far and mews a Permit.
FY the required Sees.
fameute the work is accordance with the provisions of this
Cade.
9. Not set himself up as a e contrastotW .
104 Sign en affidavit before commeseing work to the feet that
he bes reed this Article and will de the work pers onally and
almerum d the eethinhoeth he I .eetri cs;1
1°l sad Zooii g Cedes of Miami Village. Such
vet to be terised was blames to be supplied
11. In order to present abuses and eiliebterele the ri ght of such
eme '.gilder se herein provided, ie limited to but oat
eumer..builder permit each 2 yeses, and wee an owner-builder
bes once sameelsed the privilege herein o+soferred no second
ation fair s- builder pest ebell be ,gran loss
then 2 rare, usages the applies► is q*alitiad as a licensed
seal Gastrulae under the apppliete Ordimanaes of said
Village.
his Dept says net:
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
FLORIDA MIAMI SHORES VILMA
Date ow, 19.
Contractor's
License No.
BUILDING ►!
ELECTRICAL •
PLUMBING ❑ PERMIT N9 86$4
ROO ❑
Lot
131
iii Zit :#
Signed•
CONTRACTOR or BUILDER BY
Work to be performed under ibis Permit
Subdi-
vision
Sq. Ft.
Value of
Project $
Am
Perauit
AUTHORITY
esti
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device deserlhsd 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 subankted to and approved by the proper municipal authorities. This - stern* : ,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 cettdl upea which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough know ordinances of the ordites and
regulations pertaining to the work covered hereby whether shown an the plans or drawings or in the statements or specifications that bt;aesux es respon-
sibility for work done by his agents, servants or employees.
(INSPECTOR) BY A
In consideration of the issuance to m of this perrntt perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plane, dr stdtemente or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work tone by either, eayself, n' agent, servant or employee.