1195 NE 100 St (3)N9 1779
Owner, Agent or Tenant of B
Lot f r Block
Street Address gi
Approved use by occupancy
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla , S kik3
uilding VAJ
1 Subdivision `(�
-,a ®
Remarks.
This Certificate of Occupancy is issued to the above named
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.
0 A, ''• 1 \ BUILDING DIVISION
Wm. L. Pierce
1195 N.E. 100th St.
Wm. Pierce
BUILDING PERMIT NO. 14330
ZONE
DRAWINGS, SPECIFICATIONS.
x
NEW CONSTRUCTION
REPAIRS
JOB LOCATION (ST. OR AVE.)
ALTERATION
ADDITION
OWNER'S NAME
GENERAL CONTRACTOR
REQUIREMENTS CU. FT.
SUBMITTED TO PLANNING BOARD
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
DATE 3 -3 -53
RESTRICTIONS AND CUBE CHECKED BY:
CBS 1 tile
APPROVED
15
REJECTED
LOT
PRESENT ADDRESS
177
ADDRESS
PLAN CUBE 261462
BLOCK
PERMIT FEES 23.00
TYPE STORIES ROOF CONSTRUCTION
DESCRIPTION
REFERRED TO COUNCIL
CU. FT.
DESCRIPTION cti1iiigs
REMARKS
LICENSE NO.
SUBDIVISION
Sec. 8 Rev.
PHONE NO.
N0 153 5
CERTIFICATE OF OCCUPANCY NO. 17 7 9 ISSUED 7° ?/-,.0 BY TO
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
BUILDER'S BOND
REASONS
DATE
1
INTERIOR CONSTRUCTION
PHONE NO.
LICENSE NO.
EST. COST S
DATE
oak floors, plaster walls and
3 bdrm. -2 baths- living room - jalousie porch - dining areas - kitchen nook -
kitch garage
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
3
J&
FEE
TEMPORARY SERVICE
$
BEAMS & LINTELS
1,,1�
- 4
/
/ it N�77
$ , bop Qz
'
SEWER
FRAMING
, �f� . �^ llll a ���� 7
SOLAR HEATER
$
$
GAS
$
$
$
$
FINAL
( ° /o 1 '.5. '..-
``3
RE- INSPECT
BY
RE- INSPECT
BY
CLEAN -UP
I I
II
ROUGHING
"0,,
CONTRACTOR "�� 1C zl��
PHONE
PERMIT NO. / 3S% e DATE p' - y S5
FEE $ y 7
NEW BLDG. 1 ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
$
SEPTIC TANK
'''‘.4
/
/ it N�77
$ , bop Qz
'
SEWER
$
$
SOLAR HEATER
$
$
GAS
$
$
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
j.. iq S --g ),
ROUGHING
GAS
H. W. HEATER CONN
SEWER
RANGE CONN.
SEPTIC TANK
5n, F
c- `f
SOLAR HEATER
FIXTURES &FINAL
FIXTURES
/
19 /% ° .ca
qj"I
,
CONTRACTOR � • L J - v
PHONE
PERMIT NO. /4•4f' DATE � V--
FEE $ /pL 22
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
+ dl'53Dt
H. W. HEATER CONN
RANGE CONN.
c- `f
FIXTURES &FINAL
( / CT/2 5 i7
e ��
,
BUILDING INSPECTIONS
PLUMBING PERM T c INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
•
APPROVAL TO POWER CO. FOR SERVICE DATE 6)' � - 5-a ■ ZNA..✓�
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
❑ PERMIT N? 14330
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
❑ Work to be performed under this Permit
k\
CO N RACT ®R" OR BUILDER
_a.
DATE 195
Contractor's
License No
1 BI
Subdi-
S " .� vision
I Value of Amt. of
I \ r, k Project $ f f Permit $ (�
! .nr
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 for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or draw ,jngs or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. + .�
i
4..,.,.. 4 ::, ' I.
Signed:
INSPECTOR
In consideration of the issuance to me of this permit I agree t 6"'tSeiform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit _I• assume responsibility for all work done by either, myself, my agent, servant or employee.
BY. AUTHORITY
Owner's Name and Address a/
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be
Lot Block
be sent to
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 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 t4ie 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.
built on: c
i J 7 Subdivision__
Street and Number where work is to be done (�
State work to be done and purpose of building (by floors) !?
and for no other purpose.
New Building ' Remodeling Additi n Repairs No. of Stores i
To be constructed of_ C_. _i. S Kind of foundation_. ..) 4. C4> C : Roof Covering 7- 4
Estimated Total cost of improvements f 1 CJ J
p $_ -_ - � � �[��t '® Amount of Permit $ � ��
Zone cubage required yes .6j 0 a .Plan Cubage
Distance to next nearest building ✓ Size of Building Lot
O a( Date /�sr 19%
• No. ___� Street__ _A i& • r
7
Notary Public, State of Florida
Maximum live load to be borne by each floor
I hereby submit all the plans and ss fications for said building. All notices with reference to the building and its construction may
6 1;7
„i f?
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 work to be performed under this
permit, as are licensed by Miami Shores Village. af(1 �'
Remarks (Signed) "
STATE OF FLORIDA,
COUNTY OF DADE. ss.
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 sworn, upon oath deposes and says that he is the_
of the above described construction, that he has carefully read th , foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. c''
Permit No Date ___53 Read, Sworn to and Subscribed before me.
Disapproved __
(Signed)
My Commission Expires
PLANNING BOARD DATE
Chairman Y 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.