RE-OCCUPANCY/FUMIGATIONI, •
Lot:
Comments:
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
1 jeA-
hereby apply for a certificate to re- occupy the single family residence known as: (address)
/00 A/ & /0 7 S' , Miami Shores, Florida.
Legal description:
,Block: ,PB&PG:
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, Florida, 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.
Buyer. Seller: Realtor. V C ompany Name:
********* 1**** * * * * * ** * * ** * *11 * * ** * *** ****# 4144 **rn * * *** **** * **
For the purposes of conducting the inspection required by Section 902 of the Mani Shores
Development and Zoning Code, cont
Contact Name: � IAA-
Application Fee (550) Paid: Cash: Number:
Inspection: By: ? noroved: Denied: Daze:
Telephone: ?OS : 300 - V
CERTIFICATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described
in the application has been inspected for the 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 applicant for single - family residential purposes.
MIAMI SHORES VILLAGE, FLORIDA
By:
Date of Certification: 4. ( a d \p
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 PARTIES ARE
ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION
OF THE PREMISES IN ORDER TO DETERMLNE THE CONDITION
THEREOF.
Date
PERMIT APPLICATION FOR MUNICI OF DADE COUNT
(OWNER TO RETAIN COPY)
100 N.E. 101 St. Miami Shores
Legal Description / / , aL � rf, fZ Master Permit. 1 57/ 7,'
Owner / Lessee / Tenant Mr. Nick Friedman
Owner's Address
Contracting Co.
Qualifier
State,
Architect /Engineer
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMING MECHANICAL PAVING FENCE S
WORK DESCRIPTION Tent Fumigation
Square Ft. Cubic Ft. 46,280 Estimated Cost $1 nn
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE
DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF I'
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT).
Application is hereby made to obtain a permit to do work and installation as indicated above,
on the attached addendum (if applicable). I certify that all work will be performed to meet
standards of all laws regulating construction in this jurisdiction. I understand that separ
permits are required for ELECTRICAL, PLUMING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all it
will be done in compliance with all applicable laws regulating construction and zoni:
Furthermore, I a horize the above -named contractor to do the work stated.
Signature of 0wr_e.r and /or Co
Date:
5 -9 -1991 Job Address
No ary as to - Owns.: an
My Commission Exp irss:
PERMIT FEE:
TomT,Lostetter
Zoning
Same as above
Active Pest Control
r .
Competency # Ins.Co.
President
r Condo President
SS#
NOTARY PUBLIC STATE 01' FLOVi)A
MY CO'SSION EX* MAR.25,1194
BONDED THRU GENERAL INS. UND,
APPROVED: Fire
Mechanical Plumbing
Address , /!`.
otary
My Co
*
Building
Tax Folio #1,VZ /j /005'
Phone 7 5 9 -1 31 1
Address 645 N.A. 128 St N.M.
Phone 681 -8822
Si: • atur
Da
ontractor or Owner- Builder
to Contract • r -or._ Owner -
Builder
issibn Expires N o" P� ARY (C STAT& F ELC DA1
MY C M � S t O N . Exp. OKT, 31,1992
ro
• Other m . S l r , r
Electrical
Engineering
Location and legal description of lot to be built on:
STATE OF FLORIDA, 1
COUNTY OF DADE. j ss•
/ 7-4 6, /3 2 0)-d
MIAMI SHORES VILLAGE /1? /�i
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby mode for the approval of the detailed statumenr ur the plans and specifications herewith submitted for the build •
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all 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 progreu of the work.
6 1 7 / _...__.....k . _. _ _ _..._... 3
- � Date. � / / I9..
Owner's Name and Address ! / , .a _ •= ...._....... _ . eet_2. 4 .. SV met' 65
Registered Architect and /or Engineer /1.5 7 .7- 7 ,,,, ,,, „,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Name and address of licensed contractor. CTi /L” _ p � � �Qlr'� 'S .!L_ 1 95 .1 IU /�S-
Lot Block Subdivision �.._
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
-J214 F
Building Inspector
f
and for no other purpose.
Ncw Building Remodeling Ad ttion Repairs No. of Stories
To be constructed of Kind of nn dation Roof Covering
Estimate Total cost of improvements $ � [ • :Q.Q. /... Amount of Permit S.
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 Libor under the Florida Workmen's Compensation Act, being Section 59G6, Compiled General Laws of Florida, Permanent Sop )Ie•ment,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employ • . 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 b is notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontra . - on work to be performy .is
pcnnit, as are licensed by Miami Shores Village.
Remarks (Signed) de g
tl/
My Commission Expires _
Before me, the undersigned authority, a notary public, duly authorizcd 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 aree true. y
Permit No.7 te 4 / Date SJ ` Read, Sworn to and Subscribed before me.
Disapproved Dat
Notary Public, State of Florida
(Signed)
PLANNING BOARD DATE
Chairman Member
\fcrr,bcr Member
Member .. ... _....._......_..._.— ...._....... Member
Council Approved Date Disapproved Date
NOTI•:: A charge of S1.00 will be made for making corrections or changes to this application after approval has been obtained from
the 1'LrnniNg Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anti /or workmanship.