842 NE 99 St (8)N9 1198
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla ,
Owner, Agent or Tenant of Building •
Lot Block Subdivision
1
Street Address t w r •
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 ss 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
BUILDING
ELECTRICAL
PLUMBING
ROOFING ,
Owner of
Building's -�
Architect
Contractor
or Builder
Legal
Description
Address of
Building
MIAMI SHIRES VILLAGE, FLORIDA
t
PERMIT �$? 11325
❑ Work to be performed un4r this Permit
Lot
,
•
, r
BL
This permit is granted to the contractor or builder named above to co
herefor in strict compliance with all ordinances pertaining thereto and wi h
drawings, statements or specifications that may have been submitted to and
time if the work is not done in compliance with such ordinances or if the pla n
granted is the understanding that the contractor or builder named above ass
pertaining to the work covered hereby whether shown on the plans or drawl
done by his agents, servants or employees.
Signed•
In consideration of the issuance to me of this permit I agree to perfo
pertaining thereto and in strict conformity with the plans, drawings, statemen
In accepting this permit I assume responsibility for all work done by either,
kt.KAL k -'
CONTRACTOR 0
Subdi-
vision ° s
Value of
Project
INSPECTOR
DATE
195L
Contractor's
License No
I Amt. of
Permit $
nstruct install the equipment or device described in the application
the un a fiat the work will be performed in compliance with any plans,
approved th roper municipal authorities. This Permit may be revoked at any
s are chan without authorization. A further condition upon which this permit is
mes the responsibility for a thorough knowledge of the ordinances and regulations
ngs or in the statements or specifications and that he assumes responsibility for work
i �f� ✓
BY
the work covered hereunder in compliance with all ordinances and regulations
or specifications submitted to the proper authorities of Miami Shores Village.
yself, my agent, servant or employee.
BY AUTHORITY
113254•17'61 PAID BY A1jus B1dr8
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
•
RECEIPT
NUMBER
I
I
C
ADDRESS 81 N.. E.. 99th Street
LEGAL 7 & E 8 72 LES
RECORD GARBAGE TAX
4. �1 OWNER'S NAME
=US BUILDERS
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
8142 - N-. E.- 99th Street
LOT
7 & Ei 8
BLOCK
SUBDIVISION
S S
GENERAL CONTRACTOR
Walter Fogel.
ADDRESS
401 N. W. 1Q4th Terrace
PHONE NO.
LICENSE NO.
4027
Q C�
BUILDING PERMIT NO. 11325
��
D ATE 4 -17- 1
PERMIT FEE $ 16
BUILDER'S BOND
NO 5 DATA -17.51
ZONE REQUIREMENTS 20,000 CU. FT.
PLAN CUBE 2 05494 CU. FT.
EST. COSTS 12,000
DP,AW
/�,,
NGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: Pete Gaeta
DATE 1�
4- 1 7 -51I..
X
NEW CONSTRUCTION
/� �� TYPE
0883
STORIES
1
R OOF CONSTRUCTION
Tile
INTERIOR CONSTRUCTION
Ter Fl- Plaa.Walla & Geil•
REPAIRS
Liv � T1 p,. Rtn p Kit- DESCR IPTION L_
v - Din - Enc,Por • t- a Beane- Bath-Powder Bm,Toilet -At G
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
LL��
CERTIFICATE OF OCCUPANCY NO.I//,
•
�J /� ��f // ///�j // // 77 -
ISSUED/ �f� BY 1 •iT
‘4
TO
BUILDING PERMIT AND INSPECTION RECORD 4i.UAMI SHdfQES VILLAGE
INSPECTIONS
DA
"3Y
RE- INSPECT
BY
RE- INSPECT
BY
.OUNDATION
,,/ta'
/+
TEMPORARY SERVICE
S
$
BEAMS & LINTELS
J' /. 5/
^ 'p
/��
$
SEWER
$
FRAMING ,
J '3/ - f/
! //
$
$
GAS
$
$
$
INSPECTIONS
FINAL
7- / 74
V
BY
RE- INSPECT
BY
ROUGHING
CLEAN -UP
ROUGHING
GAS
CONTRACTORD4" "
PHONE -'
a { (� t DATE �" aZ 8- Sw"/
PERMIT NO. // '
FEE $
NEW BLDG. ALTERATION l ADDITION
1
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
S
$
SEPTIC TANK
$
$
SEWER
$
5
SOLAR HEATER
$
$
GAS
$
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
.i°a-s°$)
ROUGHING
GAS
,,//��/'
e.C,
•
H. W. HEATER CONN
SEWER
RANGE CONN.
SEPTIC TANK
/
C '.`r
�•h.
eh.
SOLAR HEATER
/FIXTURES & FINAL
FIXTURES
/
7'(9 S/
(�j
?
CONTRACTOR //�
PHONE
PERMIT NO. /AC DATE (' /
FEE S /®• S?
REPAIRS
NEW BLDG. 1 ALTERATION ADDITION
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
S
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
- • .
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
53l
,,//��/'
e.C,
H. W. HEATER CONN
RANGE CONN.
/FIXTURES & FINAL
/
/ -6 -.r/
(� yY
CZ9 '
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERM J & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
Application- eby made for the approval of the detain d statement of the plans and specifications herewitth submitted for the build-
ing or other st . • herein described. This application is nl• de in compliance and conformity with the Buileling Ordinance of Miami
Shores Village Aida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores 'Village and all rules and
regulations cr. Building Division of Miami Shores Village •. hall be complied with, whether herein specified or n A copy of approved
plans and si cations must be kept at building during prog ess of the work.
Owner's N and Address
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot_ " , 6 ___3 Block T?
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
Distance to next nearest building
MIAMI SH.LIRES VILLAGE
BUILDING INS PECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Sub:
*) Date
1 �` ��.A� No Street'
AAA
ivision _
Notary Public, State of Florida
19 g!
\�6n 1! !�1f
and for no other purpose.
New Building ' Remodeling ddition Repairs No. of Stories____ t
To be constructed of (-" F ' Kind of foundation (MA tti ° V Ro f Co er g V i La (V) _ttq f )
�� Estimated Total cost of improvements $ Ill. �QC Amount of Permit $
Zone cubage required ( ' f-''�� y _Plan Cubage 2- ' 4, ^i
0 \ I _Size of Building Lot 'VS ® ,
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 • — =� ` 1 tit ":, '
ti
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, 1 eing Section 5966, Compiled General Laws of Florida, Permanent Supplenient,
and has coinplied.with the provisions thereof, and will req ire similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will poi t 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 agre s to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village. �
Remarks — �- — ( Signed) -� 1 �:1C Kit <c5.1-",
STATE OF FLORIDA,
COUNTY OF DADE. j ss. -
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.
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Building Inspector My Commission Expires
PLANNING BOA ? :I DATE
. Chairman Member
Member { Member
Member 1 Member
Council Approved .__Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when sFch re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.