OCCUPANCYINSPECTIONS
DATE
BY
INSPECTIONS DATE
BY
FOUNDATION
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ROOF
POOL
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BEAMS & LINTELS
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FRAMING
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AIR COND.
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SOLAR HEATER
FINAL
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CLEAN U P
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SLAB
I S
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SLAB
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TEMPORARY SERVICE
DATE
1 S
RE- INSPECT
SEPTIC TANK
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ROUGHING
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SEWER
PERMIT NO.
I
TUB & TOP OUT
1 S
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SOLAR HEATER
lb
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I $
S
GAS
H. W. HEATER CONN. I
I S
SEPTIC TANK
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I e
INSPECTIONS
DATE
BY
RE- INSPECT
BY RE - INSPECT
BY
ROUGHING
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REPAIRS
SPECIAL PERMITS I
PERMIT NO.
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TUB & TOP OUT
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SEWER
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H. W. HEATER CONN. I
SEPTIC TANK
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RANGE CONN.
FIXTURES & FINAL
SOLAR HEATER
S
MOTORS
FIXTURES
S
FIXTURES
GAS
S
CONTRACTOR i mky..S , C.L. Col C., ).9: it - ,
BY
PHONE
RE- INSPECTI BY
PERMIT NO. L4
DATE i Z' 11 - C11
FEE
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NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS I
PERMIT NO.
I
DATE
H. W. HEATER CONN
FEE
TEMPORARY SERVICE LC
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H. W. HEATER CONN. I
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FIXTURES
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INSPECTIONS DATE
BY
RE- INSPECTI BY
RE- INSPECTI BY
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ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
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BUILDING INSPECTIONS S 2-
SPECIALS PERMITS
PLUMBING PERMITS & INSPECTIONS
CONTRACTOR �L.e w".111 Ca C
PERMIT NO. 35 1 DATE / ` 'Y
NEW BLDG. k 1 ALTERATION 1 ADDITION
PERMIT NO.
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
DATE I
PHONE
FEE S
REPAIRS
FEE
L.R. OWf9ER'S NAME
L. 1�. D UXi. A D
PRESENT ADDRESS
l `to N. C.. 4 I t ■
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. O AVE.)
9S S 14 •E• I ` t E5 -k..% 4 3'r ee. .
LOT
4.8S. 4' 3
BLOCK
Sn
SUBDIVISION.
Si P.,aw.4 ��iwres e. 3
'' 0:�h GENERAL CONTRACTOR
**SS N
S m i •_C_r
ADDRESS
c g f. •E.• ` t g ? ' " .
PHONE NO.
LICENSE NO.
ioI o L
w a
BUILDING PERMIT NO. '
34
DATE IO- L -Z -�Z-
,( 00
PERMIT FEE $ 4
BUILDER'S BOND
NO. ZS DATE iO 2s • -4'
ZONE... REQUIREMENTS 0e• cm CU. FT.
7'V. - /o, /oo
PLAN CUBE Zq t. CO CU. FT.
EST. COST $ 2z., o00
LL'' A
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: C• R . IL( Ar ,. `l _.L ` .
DATE.
�o- Z:z. -L "2.
NEW CONSTRUCTION
TYPE
G S S.
STORIES
en e..
ROOF CONSTRUCTION INTERIOR CONSTRUCTION (j
`I• i t d. 13 164. r . o M - 2 ��'1"k ` S
C ( DESCRIPTION
REPAIRS 4 @.cro.2 L eb L. t- f° 0 SA St C. l+.1 4 `o.I(Irsq. — LA
DESCRIPTION J
ALTERATION
ADDITION 1.3 % 7 *-%& -i.e. , ay.„ -
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTEID TO VILLAGE. COUNCIL
REMARKS
CERTIFICATE OF OCCUPANCY NO. /9-20 I ISSUED514 3
/',
BY (ea.. vg
�
TO cA 7�,+i - 0 W�/a0.-
BUILDING PERMIT AND IN RECORD -MIAMI SHORES VILLAGE
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1430
Owner, Agent or Tenant of Building L. R. Dixstad
Lot 4 & SE 20t ofBock 80 SubdivisionMiami Shores Sect. #3
Street Address 955 N. E. 98th St.
Approved use by occupancy
Remarks 3481
Plan Cube 20,200
Tax Value 10,100
Miami Shores Village, Florida, 5- 17-63
3 bedroom — 2 bath residence
This Certificate of Occupancy is issued to the above named owner
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
ITEMS
SUB COI :ACTOILS & SUPPLIERS
w i.n & ADDRESS
AIIOUn
1. Ar^ nxtectural Fee (plans
-2. Asphalt - (walks, drives, etc.
770.4-9
� po i ; ,mod
3. Cabinets Bath Vanity
_-
4. Cabinets -• :i ,chen
5. Cabinets - Medicine
6. Cabinets -. Unit Closet
7. Cleani::3,
e''v,c/T ,e,f c 7 o.0
8. Clearia
- -
_Site
9. Concrete - Foundation,Slabs,Beams
10. Concrete - Walks,drives,etc.
9. �• v 7"iy. / .
11. Contractors Fee
12. Electric Fixtures
13. Electric Uirin;
irfa
14. Equipment Rental
r---
15. Excavation
16. Fill for Si .b
17. Floors - Finish wood & kitchen
_
. C es/e i. cam' ♦.'
18. Floors - Terrazzo
/a " elr , ice" ; -, ,y
•/ �
19. Garay :.00rs
Da Ls „._
20. Glass Sliding Doors
21. Hardware - Finish
22. Hardware - Rough
23. heating
_ v F_'_.�
24. Insurance - Liability,comp.-bond_
25. Labor - Payroll
26. Labor - Contract
27. Labor - Contract
28. Landscc.s >> nom Fill, Grading
29. Latl Plaster Stucco
�[ T.3 �,�T / 6.44./
30. Lumber A11
31. Masonry Labor
- ,v2�.t/G L , - }, .,
32. iIasonry Materials, Block
33. Millwork
34. :iiscellaneous
35. Ornamental Iron Work
36. Oven & Plate - Built -in
37. Overhead
38. Painting
-----.7-77 /F; ' &) C 4 J 4/ '
39. Permits Tent orar Power
40. Piling Foundation
ZC`O'•S
41. Plumbing Complete
42. Pool - Swimming
43. Roofin. & Sheet Metal Work
0( 4'
44. Roof Trusses - Pre -fab.
45. Screen Enclosures
C:_ /, f4 Tl e o.v -- G
p,q,dc
46. Septic Tank or Sewerage
47. Shower or Tub Enclosures
_a> .6f-d/..
48. Steel - l:einforcin & strl.
49. Supervision
50. Survey
51. Tile & Marble
TTe PS
52. hater - Public
53. V ater - b ell & Pump
54. windows - Glazing & Screens
) c-
55. Window Frames - Concrete
� _gi?/i:V A -
1-
Prior to a final inspection this apps cation must be filled out4 if sub ;. ontractors have
failed to take out pernits the general. contractor shall be responsible fog° the permit and
fee. :' final. ' .:;section must be mac; prior to the release to Florida Power and Light Co.
and the issu r.ce of a certifica.r of occupancy.
i a / JOB ADDRESS 9N5 -- ✓
LOT
SIGNED
BLOCK
BUILL R k- � J, �F/ eceCT L �')AY LOU:. CONTRACT DATE
001,T uACTOU
Miami Shores Vi11ag
APPLICATION FOR FINAL I•;SPECTION
Stns.
19
TOTAL
3 o
; a -63
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