OCCUPANCYN° 726
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla
Owner, Agent or Tenant of Building
Lot ° hBlock_! Subdivision
Street Address s
Approved use by occupancy
Remarks •
This Certificate of Occupancy is issued to the above nametk r t
for building at above named location only upon'l1the ahoy; prhvision that the applicant will
abide by and comply with all conditions of Ordn#ances Nos. 92, . 3, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordin`nceS of Miami Shores., Village pertaining to
the erection, construction, alteration or remode,, t of ,huildings. ors s
-__ i 3 BUILDING DIVISI
STATE OF FLORIDA) SS
COUNTY OF DADS
i 4. t(1 of the Village of Miami Shores,
County of e and State of Florida, being duly sworn, doth depose and say,
that under _e provision, of Ordinance No. 185, dated June 15, 1 ci48, amend-
ing paragraph (d) of Section B - -3c8 of Ordinance iJo.lof : the Build od.
of Miami Sh -e Village, he desires to build a � s�
on Lot 26 "'lock '?..— of Subdivision,
that he is■the ow er of said property, and will be the owner of sc.ic.
that he will do the work personally,
and that he vi 1, at such times as are/i-equired by the Zoning and Bvilding
Director:-
AFFIDAVIT
1. File plans and specifications and obtain approval of the
Planning Board and the Building Inspector.
2. Apply for and secure a Permit.
3. Pay the required fees.
4. Execute the work in accordance with the provisions of this
Code.
5. Apply for inspections.
6. File with the Building Inspector certificates that provision
has been made to carry the necessary Workmen's Compensation,
Public Liability and Property Damage Insurance.
7. File with the Building Inspector as the job progresses certi-
ficates showing the payment required by the Federal Social
Security Act to the State of Florida or the United States of
America.
8. Assume the responsibility of not employing other than properly
licensed contractors by Miami Shores Village for any part or
portion of the work.
9. Not set himself up as a "contractor ".
10. Sign an affidavit before commencing work to the effect that
he has read this Article and will do the work personally and
observe all of the requirements of the Building, Electrical,
Plumbing and Zoning Codes of Miami Shores Village. Such
affidavit to be properly notarized upon blanks to be supplied
by the wilding Inspector.
11. In order to prevent abuses and subterfuge the right of such
owner- builder as herein provided, is limited to but one
owner - builder permit each 2 years, and where an owner - builder
has once exercised the privilege herein conferred no second
application for owner - builder permit shall be granted in less
than 2 years, unless the applicant is qualified as a licensed
General Contractor under the applicable Ordinances of said
Village.
And Further this Deponent says not:
SUBS ':ED AND SWORN TO BEFORE NE
19
NDDRE55 869 N. E. 98th St. LEGAL Lot 20 -W -21, Blk.72 11 s RECORD GARBAGE TAX
ctf.occ. 5/17/49 PAID BY
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
Floyd H. Pollard (o)
1949
'312.00
/ -3( 19
$7, d.
/j, e,
/. o o
/ ?. °
6 - 6- /I
/ - / 4 1-5 - 0
/ /7
a •3/6"Q_
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es
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/6-P...
OW, ER'S NAME
FLOYD g. PCSLAND -
PRESENT ADDRESS --
1605 N. E. 111th Street
LICENSE NO. 1 PHONE NO.
' JOB LOCATION (ST. OR AVE.)
869 N. E. - 98th Street
LOT
20 ur z 21
BLOCK
72
SUBDIVISION
Miami Shores
GENERAL CONTRACTOR
Owner- Builder
ADDRESS
PHONE NO.
LICENSE NO.
3188 O -B
BUILDING PERMIT NO. 749n
DATE 1/A/49
PERMIT FEE $ 16
BUILDER•S BOND
NO. 786 DATE l ip / 49
ZONE REQUIREMENTS 20,000 CU. FT.
PLAN CUBE 20,121 CU. FT.
EST. COST $ 12,000.00
TMTMvv
DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: JDH
DATE
X
NEW CONSTRUCTION
TYPE
CBS
STORIES
1
ROOF CONSTRUCTION
White Shingle Tile
INTERIOR CONSTRUCTION
Frame - Oak Floors, Kit. Pine
REPAIRS
DESCR IPTION
Living Room, Dining Room, Kitchen, 2 Bedrooms, 1 Bath •
DESCRIPTION
1 car attached garage
ALTERATION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RESUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. 7
ISSUED 5/
BY JDg
p
TO Floyd H. Polland, 869 NE 98th Si
BUILDING PERMIT AND INSPECTION RECORD-MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
1/19/49
ppp
FEE
TEMPORARY SERVICE
$ 1.00
BEAMS & LINTELS
a I /4_1
7556
1/22/49
$ 1.00
SEWER
FRAMING
3 7 /y-y
ik
$
$
GAS
.
$
$
$
$
FINAL
5/
JDH
RE- INSPECT
BY
RE- INSPECT
BY
CLEAN -UP
1/27/119
--
ROUGHING
CONTRACTOR Phillips Plumbing Co.
PHONE
PERMIT NO. 7 4 I DATE 1/21/49
FEES 5.75
NEW BLDG. X ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
1/19/49
$ 1.00
$
SEPTIC TANK A.A•
7556
1/22/49
$ 1.00
SEWER
$
$
SOLAR HEATER
$
$
GAS
$
$
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
1/27/119
37113
ROUGHING
GAS
JDH
H. W. HEATER CONN
SEWER
RANGE CONN.
SEPTIC TANK
1/25/49
.7DH
SOLAR HEATER
FIXTURES & FINAL
FIXTURES
5/17/i9
JDH
CONTRACTOR !u• P • Hurst
PHONE
PERMIT NO. 7671 DATE 3(7/49
FEES 7.
NEW BLDG. X l I ALTERATION ADDITION
REPAIRS
SPECIAL efRM TS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
7539
1/19/49
$ 1.00
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
•
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
/TEMP. SERVICE
1/19/49
TDH
ROUGHING
9/7/49
JDH
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
4/28/49
3DH
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE 4/ SY