933 NE 99 St (10)I, —1E4/•sAt ene i Mld
to re- occupy the single family residence known as : (address)
J N C � St
Legal Description:
Lot: 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 pr erty is bean used for single - family purposes and that such Certificate does not
constitute ation, warranty or certification as to the condition of the dwellin g or other
structures s c e
G
■
Applicant NNI UV 't e3 Date 1 II ic...2
Print Name _S € c N (AJ t �4AJ
*********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Application Fee ($50) paid: Cash
Inspected by:
Comments:
APPLICATION FOR CERTIFICATE OF RE OCCUPANCY
, Miami Shores, Florida.
Approved Denied
PAGE 1 OF 2
, hereby apply for a certificate
PB & PG:
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Contact Name: 1 EAN N-EfTe, Telephone: 75 1- j bcy3
Buyer Seller Realtor Company Name
Check No.
Date Q
CERTIFICATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has been 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.
PAGE2OF2
MIAMI SHORES AGE, FLORIDA
By:
Date of Certification: 7/ It
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
MIAMI SHORES LAND AND DEVELOPMENT CODE
PERTAINING SOLELY 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 THE
PREMISES IN ORDER TO DETERMINE THE CONDITION,
THEREOF.
Date
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 933 N. E 99 Street Tax Folio
Legal Description Historically Designated: Yes No
(isst0e9
Owner's Address 933 N.e 99 Street Phone ( 305) 756 -6633
Owner/Lessee / Tenant k \ EA,N1 N E 1 , Master Permit #
Contracting Co. \ s Building Maintenance Address 220 N.W 101 Street
Qualifier Linford Da limy SS # Phone (305) 756 -6633
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company
Mortgagor Address
Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION Take nut had flnnr and rip1ar•a Naw f1nn7and 1- i1e said
N T
oT Aprti
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I a thorize the above -named contractor to do the work stated.
Notary as to Owner and/or
My Commission Expires:
FEES: PERMIT -[v RADON
IF' AR
CCNWAY 11 EDEN
NOTARY FU UC STATE OP FLORIDA
COMMISSION NO. Cc685311
, MY COMMISSION CCP. OCT. x.2001
APPROVED:
Zoning Building
Mechanical Plumbing
C.C.F. 1'
Alig
Signature
as to C
y Commissi
ontractor or Owner- Builder
1740 ,0•3
n Expires mAtm j VILLAR
cAR� lit UC STATE OF FLORIDA
M RI ON NO. CC714103
IISSICN EXP. MAR. 1,202
NOTARY BOND
Electrical
TOTAL DUE c7
Date
/ 9
Date
Engineering
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aiami ShoresYllage
F L U A ID A
Fehr. 2, 1948.
This is to acknowledge receipt of $22.00 in cash
from J. F. Ritter tendered as permit fee,in connection
with application for permit to erect a house on Z9V of
lot 16; lot 17 & 116' of lot 18, Block 1 70, M.S. in
name of Clara Smith.
COPY
Vi'u a Manager.