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OCCUPANCYN° 990 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Owner, Agent or Tenant of Building Lot a Block Street Address �1 5 Approved use by occupancy Remarks • Miami S • res Villa This Certificate of Occupancy is issued to the above name for building at above named location only upon the express provision that the applicant will abide by and comply with all conditions of Ordin nces s. 2, 93, 94 and 97, known as the Zoning, Electrical, Plumbing f i d Building Ordinances of M mi Shores Village pertaining to or es-, the erection, construction, alteration or remodeling of BUILDING DLVISI N �7 � JOHN T OWNER'S NAME. BAKER, d I PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 1156 N. E. 101st Street LOT 2 BLOCK 177 S(7EDIVISION Miami Shores Sect. #8 - GENERAL CONTRACTOR Dean R. Claussen ADDRESS 4 N.W. 95th Street PHONE NO. 78- 1144 _LICENSE NO. 3422 BUILDING PERMIT NO. 9158 '• / r DATE 414/50 C PERMIT FEE $ 1 BUILDER•S BOND NO. 927 DATE Trans. ZONE REQUIREMENTS 20,000 ` CU. FT. PLAN CUBE 20,100 CU. FT. EST. COST $ 11.000.00 TTtt7 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY JDH DATE 4/3/50 $ NEW CONSTRUCTION TYPE CBS STORIES 1 ROOF CONSTRUCTION Tile INTERIOR CONSTRUCTION Oak Floors - Plaster Walls REPAIRS DESCR IPTION Rm 13v - Din Rm - Kit - 2 Bed Ems - 2 Baths - jai. Porch - 1 car att. 6 ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. 990 / ISSUED 10/19/51 BY JDFI TO John Baker. 11 & A lNT.' in, r.. BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE yr. I N�/• INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 4/6/50 JDH FEE TEMPORARY SERVICE 9178 4/7/50 BEAMS & LINTELS 5/2/50 JDH S SEWER FRAMING ., 5/29/50 J' S GAS $ 12 S FINAL DATE BY RF- INSPECT BY RE- INSPECT BY CLEAN -UP 4/13/50 JDH CONTRACTOR F. Jones - 7th Ave. PHONE p PERMIT NO. 7177 ( DATE 4/ FEES 14_.75 NEW BLDG. X I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 9178 4/7/50 S SEPTIC TANK S SEWER S SOLAR HEATER S GAS $ 12 S INSPECTIONS DATE BY RF- INSPECT BY RE- INSPECT BY ROUGHING 4/13/50 JDH GAS "5/29/50 JDH SEWER SEPTIC TANK 5/19/50 JDH SOLAR HEATER. FIXTURES .I� 3 /r,E. /0 JDH CONTRACTOR Jennjn� F.leotrin Cn, PHONE PERMIT NO. 9k32 DATE 5/31/5n FEE $ 15.85 NEW BLDG. X I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 9178 4/7/50 $ 1.00 H. W. HEATER CONN. S RANGE CONN. $ N MOTORS $ FIXTURES $ 12 $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE 4/7/50 JDH ROUGHING "5/29/50 JDH H. W. HEATER CONN RANGE CONN. • • FIXTURES & FINAL 8/4/50 JDH BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE 6 /4/5 0 BY JDH P. lj LI H L bs 115 N. E. �v to .7 V1 GU to L EGAL .1-4-''' C+ D1• "L • + '..° L; t #� • RECORD GARBAGE TAX cert • occ • 10- 19- 5OPAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID NUMBER RECEIPT John Baker (o) /Fy J /a , 0.0 /q ,3ie-s / /-2,-- 0-1 � ;. »+�.. ma c, _ / / ......2.g_.1 Az /� �� /T��- /� U d / / / - S/ �// ® 6 Ms s 6 Ms s BUILDING ELECTRICAL PLUMBING MIAMI SHORES VILLAGE, FLORIDA, PERMIT N° 9158 Work to,be' performed under this Permit e/" '' Owner of Building - s 1 ` ' , 'F %.." i Architect I -I -) •a' , '.._ Contractor - or Builder 1 -' r `- * ' Subdi- Legal Lot 0. Bl. / 7 vision r ,,;, Description. - { . r" f Value of ,/` Bolding of _ f t; -:.: L _ Project $ if CONTRACTOR OR BUILDER BY DATE • Contractor's `License No Amt. of Permit 1950_ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility f r a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans o wings or in the statement�or specifications and that he ass es responsibility for work done by his agents, servants or employees. Signed •`"- BY INSPECTOR In consideration of the issuance to me of this permit I agree to •pej orm the work covered hereunder in compliance with all inances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specificati . ...ubmitted o the opelauthorit!lbf Miami s V e. In accepting this permit I assume responsibility for all work done by either, myself, my age - Application is hereby made for the approval of the detailed statement of 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 progress of the work. Owner's Name and Address Registered Architect and/or Ffigineer x Name and address of licensed contractor Location and legal description of lot to be built on: Lot___________ Block __7 7 Su i Street and Number where work is to be done State work to be done and purpose of building (by floors) Permit No Disapproved (Signed ) STATE OF FLORIDA, COUNTY OF DADE. ss. JA .,2!.• -MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Date fli! Date / . No Street . 1/1 . and for no other purpose. New Building Remodeling Addition .9 Re -aairs_ No. _of Stories 1 To be constructed of 1 K ind of foundation ' ' '- /"A� ' -- �/' Roof Coverin � -- g - ---- 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 labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed 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 public notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on vork to/ be' performed under this Estimated Total cost of improvements $_ tit Amount of Permit $ LS Zone cubage required Distance to next nearest building a6 I 4.-- _Size of Building Lot L S —s- ; 17 Maximum live load to be borne by each floor P' P 419 permit, as are licensed by Miami Shores Village. ) Remarks (Signed)__ J o..A 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 swo , upon oath deposes and says that he is the of the above . escribed co struction therein by hi ' stated iat he has carefully read the foregoing application, and that he did sign the same, and that all facts 3 I ct ( Read, Sworn to and Subscribed before me. Date Building nspector PLANNING BOARD DATE Chairman Member Member Member Member —_____ 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 such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Notary Public, State of Florida My Commission Expires , 19 2113 g T MIAMI SHORES VILLAGE BUTT' DEPARTMENT 305- 795 -2204 Building Inspection Request Date o6 /Z C t 105 Type Insp'n 2 e occupc Permit No. 2O2- la) Name I<C1 Address 1 15G 1'x-1 t- 1 O 1 ST Company (305) 333 - 0322_ Phone # (3D5) 3-5C7-342_7_ Inspection Date Approved Correction Re- Insp'n Fee 1 (Rev. 10/02/03) • RE- OCCUPANCY APPLICATION Date i /2 � /0s Contact Name Buyer Seller ' Property Address //3 ' City Miami Shores Ap icant Name Building Officials Approval: Sign: Print: My Commission Expires: Miami Shores Village Building Department �o�v Realtor /c State Fl Phone # S 25 - Company Na ` 3 3 3 -4 3ZL ST. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 Permit No. EQZ005 — )3 , Loc ID Zip 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 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 the property. The foregoing instrument was acknowledged before me this 2 - 7 day of ,/(z _, 20 D S by G /i�1/.. .�Z 72 ' , who is personally known to me or who has produced "2,0 Z . G,e O`GaN '.Pas identification and who did take an oath. NOTARY PUBLIC: o � ` R �. SSl oN# ` u ,,,,,,,", 000".x3612. 2.005 Re -Occ. $60.00 Notary $5.00 CCF $0.60 Total o (0O Application Fee (SSO) paid: Cash: Comments: APPLICATION FOR CERTIFICATE OF RE hereby apply for a ( cate to re- occupy the smote famuy re known as: (address) //S1 x i /D / ��fiami Shores, Florida Legal description: Lot: v2. B lock / 7 7 pg&p:: T ` (o 7 I hereby certify that I cmdersmad that the zoning of the property is for and that it is unlawful for more than one ihmuy to reside therein I also understand j that residential use any Certificate ofRe -O caacr t may be issued by thaz the referenced ro � warm Shores Vie; Fonda comes only P �y is bed used for sia2fe. purposes �Y P had that such Cfirate does not constitute any r on, cvarrrmt, or certification concha other structures • such property. s * *s ** * * *s * *sss *s *szss:ssss saioriatssu matirmairasrititzAt i e For the purposes of conducting the hispecticna required by Development and Z• Code, c Section 902 of the Nand Shores Contact Na m e : L - / I / / S ' i/ hO Buyer: Suer Realtor: Company Name: /71(h/ proved: Denied: Dare://_. ft CERTIFICATE OF RE-OCCUPANCY On behalf of vfiami Shores VE1u age, Florida, the undersigned c. -rides Max the property deed in the application has been inspected for the purposes of re-oc ancy pursuant co Sections 901 and 902 of the Miami Shores Land Development and Zoning Cede and that such property may be re- oc^.cnied by the applicant for single -;Am; y residential purposes. THIS CERTIFICATE VERIFIES THAT nit; 'CID PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH ilih SCHEDULE OF REGULATIONS OF "1.121'WEAK( SHORES LAND AND DEVELOPMENT CODE PERTAINING SOLELY TO 1HE REQUIREMENT T 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 ui CONDITION OF 1HE DWELLING OR OTHER STRUCTURES ON 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 DETERMINE '1 H1{: COitiDMON THERE OF. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 progress of the work. Owner's Name and Address "'edge J t» /f sr12 ec Registered Architect and /or Engineer (� / �/ l� 7 Name and address of licensed contractor e,� /iONlar� ��/ �� j 2 �/ b��' -� / / 7_ Location and legal description of lot to be built on: // j 2Q� /9 6' S y y,A � Lot ?j Block / 77 Subdivision OO �v ^ 6 .:06.7 '" 'S i e (/ ei / Street and Number where work is to be done //.5 / 9 / 0/ J State }cork to be done and purpose of building (by floors), state exterior colors (submit samples) WS 6 z i t / 7-,_1-2 , 4._ w i 776 Ti +-, r .n- A,9 ,a,t' and for no other purpose. No. of Stories / New Building Remodeling Addition Repairs To be constructed of Kind of foundation /� Roof Covering Estimated Total cost of improvements $ 52 0 ' Amount of Permit 5 ✓ ie 0 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 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 obligatons as an employer of Labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida. Permanent Supplement, and has complied with the provisions thereof. and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this . mit; and will post 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 agrees to ploy only such subcon•ctors, on w to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) Date //" cZ 19 67r No. // U & Street 1 V 7/)/ Z ezro 90 1_7 STATE OF FLORIDA COUNTY OF DADE. } ss. Before me. the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared 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. 1 l 60 Date Date Read, Sworn to and Subscribed before me. Permit No. Disapproved (Signed) • �`/V" �/ "`rte " Building Inspector My Commission Expires PLANNING BOARD DATE Chairman Member Member Member Member Member Council Approved Date Disapproved Date NOTE: A charge of $25.00 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 $$25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and/or workmanship. Notary Public, State of Florida