816 NE 99 St (9)N9 1252
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla ,
Owner, Agent or Tenant of Building
Lot Block Subdivision
Street Address
Approved use by occupancy
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 pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
BUILDING DIVISION
OWNER'S NAME
AL.TUS BUILDERS
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
816 N: E. 99th Street
LOT
10 & EE 11
BLOCK
72
SUBDIVISION
MSS 3
GENERAL CONTRACTOR
WALTER FOGEL
ADDRESS
401 N. W. 104th Terr.
PHONE NO.
LICENSE NO.
4=
BUILDING PERMIT NO. 11
DATE — I
PERMIT FEE S 16
BUILDER'S BOND
NO. i DATE — — 1
ZONE REQUIREMENTS 20,,000 CU. FT.
PLAN CUBE 20027 CU. FT.
EST. COST S12, 000
DRAW
NGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY P.G.
1 DATE
4 -17 51
NEW CONSTRUCTION
TYPE
CBS
STORIES ROOF CONSTRUCTION
1. Tile
INTERIOR CONSTRUCTION
Ter Fl- Plea walla & pail
REPAIRS
Liv p,,, Kit- 2 DESCR IPTION
L v Thu Din. Bm- Kit- .. Por - Bedroan .pnw43Ar roan- att.
ALTERATION
gar_
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
9
CERTIFICATE OF OCCUPANCY NO./ (A.,6 a
ISSUED /7/.1.'01
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BY i�+
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TO / si ' .'— '' a.�
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTION
/DATE
BY
INSPECT
BY
RE- INSPECT
BY
FOUNDATION
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$
BEAMS & LINTELS
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DATE
FINAL /
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BY
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CLEAN -UP
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4
,P-4t°s
GAS
SEWER
NEW BLDG. I ALTERATION I ADDITION
v
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
`
S
SEPTIC TANK
$
SEWER
$
SOLAR HEATER
$
GAS
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
0
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rff
,P-4t°s
GAS
SEWER
-
SEPTIC TANK
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SOLAR HEATER
FIXTURES
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ECTRICAL _ r MITS & INSPECTIONS
j`e�
CONTRACTOR
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PHONE
PERMIT NO. // /J � I DATED 4-
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FEE $ � J
NEW BLDG. I ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
/? -S
ROUGHING
/J
7 - ,/ • s
T
7 /7
jr," f L 16( '
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
1 ()- 4- gr
nn
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•
&.BUILDING INSPECTIONS
PLUMBI
CONTRACTOR
PERMIT NO.
G PERMITS & INSPECTIONS
DATE
PHONE "
FEE S
FOR SERVICE DATE ' !
APPROVAL. TO POWER CO.
PAID BY ALMS
4 -17 -51
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
`
/ 9 5-7-
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ADDRESS 816 N. E: 99th Street
LOT BLOCK
LEGAL 10 & ET 11 #f72 II15 # 3 RECORD GARBAGE TAX
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of ,
Building `i a.,
Architect i l i,
Contractor
or Builder
Legal
Description
Address of
Building
Lir
PERMIT N? 11324
(
[1 Work to be performed under this Permit
Lot
t ..
t a 4(4.0..
CONTRACTOR UILDER
MIAMI SHORES VILLAGE, FLORID
DATR `; ' '�•� 1 195
BL
This permit is granted to the contractor or builder named above to construct th
herefor in strict compliance with all ordinances pertaining thereto and with the un
drawings, statements or specifications that may have been submitted to and ago
time if the work is not done in compliance with such ordinances or if the pla
granted is the understanding that the contractor or builder named above assu
pertaining to the work covered hereby whether shown on the plans or drawings
done by his agents, servants or employees.
Signed • �e
w` ► 1 J :4 ,
Subdi-
vision
Value of
Project
BY
Contractor's
License No
\ 4414‘4 '
Amt. of
Permit $
AUTHORITY
� r to install the equipment or device described in the application
that the work will be performed in compliance with any plans,
proper municipal authorities. This Permit may be revoked at any
without authorization. A further condition upon which this permit is
possibility for a thorough knowledge of the ordinances and regulations
statements or specifications and that he assumes responsibility for work
BY 4
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
•
STATE OF FLORIDA,
COUNTY OF DADE.
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 __. 4 19_
Owner's Name and Address Ji t.--t-, C(1 . t •. N l Street__ = a Q Q 1 0- a
Registered Architect and /or Engineer _ fp s n; t,3...4 4 -A.
Name and address of licensed contractor -0 (` l k_,\ 'vim. h —�
Location and le al description of lot to be built on:
Lot 10 4. V 1) Block 1. Subdivision
Street and Number where work is to be done S—'M f
State work to be done and purpose of building (by floors)__
Distance to next nearest building '
ss.
Permit No Date
Disapproved Date
(Signed)
Building Inspector
Chairman
Member
Member
Council Approved Date
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re- inspection fee of $1.00 will be charged
materials and /or workmanship.
MIAMI S I-l.J 14ES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
(Signed)
J �
r.)
14
.lam 9 — y \r 1 ti_ !L1 6)
PLANNING BOARD DATE
;, L \ - - tom �_�
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
•
and for no other purpose.
New Building Remodeling Addition � , Repairs No. of tories___ 1
To be constructed of__ � . . __ Kind of foundation � \ X �r t " ' ^ V�'C (to \� _ Ro f Co ng " " u `
Estimated Total cost of improvements $ @ � (.> Amount of Permit $
Zone cubage required 0 4 0 C _Plan Cubage �_N 6, ` '
Size of Building Lot 1S_ k t I_
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 permit 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 subcontractor on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks
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.
My Commission Expires
Member
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
p