842 NE 99 St (16)I, 6>e,
to re- occupy the single family residence known as : (address)
/U 9 j> J ( cf , Miami Shores, Florida.
Legal Description:
Lot: '7 EY O4 L- 6 Block
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 property.
Applicant
Print Name 6 e0 / ' £_ r ✓ / LLC L
x
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
f ar— � 9S �•
Contact Name: ( S ��7 �'� 67011 21� / Telephone: ]S �f
Buyer Seller Realtor 4 - - <Company Name A 7 ! i/
Application Fee ($50) paid: Cash Check No. / s
"7—
Comments:
Inspected by: Approved Denied Date
Comments:
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
le) etc
l i.c C v1 S SQ /) , hereby apply for a certificate
?ACE 1 OF 2
PB &PG: /0`37
Date 7/6/0/
CERTIFICATE 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 be re- occupied by the above applicant for single- family residential purposes.
PAGE 2 OF 2
MIAMI SHORES VILLAGE, FLORIDA
air
By. - -- ,
Date of Certification: 7 -- a /
THIS CERTIFICATE 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
1v1IAMI SHORES LAND AND DEVELOPMENT CODE
PERTAINING SOLFLY TO THE REQUIREMENT THAT EACH
ONE- FAMILY DWELLING IS USED AND INTENDED TO BE
USED FOR A ONE- FAMILY DWELLING PURPOSE ONLY;
HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY
REPRESENTATION OR WARRANTY 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 TI-
PREMISES IN ORDER TO DETERMINE THE CONDITION,
THEREOF.
401101111°1111111." _Amial"%r
- IPP-
Sign: e of owner
OWNER AFFIDAVIT
I, Daniel F. Aulton as owner of the property located at 842 NE 99 Stree
Miami Shores, Florida, hereby testify that the hallway leading into the
bathroom encompassing the open hall area where the electric panel is
located will never be enclosed by any means as long as I own this home.
I APPROVE AND AGREE to the terms and conditions as set forth herein
this I • of �� , 2004.
Print Owners Name /m/// /1/
Sworn and subscrib
Notary Public
Print Notary's Name
My Commission Expires:
fore me this
1�
day of � , 2004
Mabel 'Vargas
`•_ LommissnJu iIDD231984
Expires. Jul 13,200
'6; ;` BondedThtu
" Arlantir RnnclingCo..Inc
Disapproved
(Signed)
Chairman
Member —
Mtcmber .. ... — - ....._..._._ ... Council Approved Date
NOTE: A charge of $1.00 will be made for
the I'L►nir.;.; hoard.
A re- inspection fee of $1.00 will be charged
materials and/or workmanship.
MIAMI SHORES VILLAGE
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed state...ent 01 ine plans and specifications herewith submitted for the build •
in or other structure herein described. This application Is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and nil provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kept at building during pragreu of the work. p
.. 2 4 3 5 ' g Date..._.__..... �.._.___._ _._......__.. , 19.. .1
Owner's Name and Address ..... Poi .l.. (J S ?� ,. ._ No....$ a.._.. Street.0 9.�
Registered Architect and /or Engineer ...... .. .1M.1 Q) �A. . SaJ(; .S „,...,,,.,,,. „,� „ ,.,,.
Name and address of licensed contractor 39...S. NS. .�._....(.o t .1-- J I Ldd. ' 3 1 `x
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done $ ..1.- _....1 1.. . _ + ._..1. L!.q m ! S h o r ..
State work to be done and purpose of building (by floors) ..._...__.. ..
` q g J.
_............. for no other purpose.
New Bui!ding Remodeling Addition Repairs No. of Stories
• To be constructed of 1.
Kind of �. t .. Roof Covering
Estimated Total cost of improvements $••• "7 .Q ' QC! • Amount of Permit S. 1 ' 0..■
Zone cubage required Plan Cubage —
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 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 Siipplement,
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 subcontractors, on work to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed)
Building Inspector
BUILDING INSPECTION DEPARTMENT
Date
STATE OF FLORIDA, 1 .
COUNTY OF DADE. j ss'
Bcfore me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
PLANNING BOARD DATE
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 carefull read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. .
Permit No.. ..1.40 Date.. ‘ I . 1 Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commiuion Expires _........._.._.._
Member
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained frrnn
when such re- inspection is made necessary by improper notice for inspection or faulty