OCCUPANCY�)A�U / • G RLP
to re- occupy the single family residence known as : (address)
/ /u r=
Legal Description:
Lot: / 1 c6 / Z
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 such property.
Applicant
Print Name
Comments:
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
Block ) r S�
\ 14 it) E A- t. 0 /lJ
Application Fee ($50) paid: Cash
Inspected b . / f'" Approved
Check No.
PAGE 1 OF 2
, Miami Shores, Florida.
, hereby apply for a certificate
PB & PG: / d — 7 6
Date er
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Contact Name: A /(J /=- t- • G A I-
/ /U Telephone: 3 3 Q � -9 3 d /
X / ZS
Buyer Seller Realtor Company Name
Denied Date" 1
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.
PAGE 2 OF 2
MIAMI SHORES
By
Date of Certification:
FLORIDA
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- FAMII.,Y DWELLING PURPOSE ONLY;
HOWEVER, THIS CERTIFICATE -DOES NOT CONSTITUTE ANY
REPRESENTATION OR WARRANTY AS TO THE CONDITION
(F'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.
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 Engineer /,—
Name and address of licensed contractor.. .gj !L
Location and legal description of lot to be built on:
Lot Block Subdivision
�j
Street and Number where work is to be done.... 7-
State work o be done and purppse of building (by floors)
New Building ' Remodeling. Addition
Disapproved Date
�j
( Signed)
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Building Inspector
Chairman
Member
Member
Council Approved Date
NOTE: A charge of $1.00 will be made for
the Planning Board.
A re- inspection fee of $1.00 will be charged
materials and /or workmanship.
F i P
Date &a < �— , 19-
No.../ Street.,lr & . 61' ..f
t --
PLANNING BOARD DATE
• J e
and for no other purpose.
Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ d y 7i Amount of Permit $
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 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 subcon ractors .pn work to be perfor ed under this
permit, as are licensed by Miami Shores Village.
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 the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. /
Permit No ° �fr Date - -1 ' � ° ' ' Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
Disapproved Date
making corrections or changes to this application after approval has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
OWNER'S NAME
S_ Silberman
PRESENT ADDRESS
LICENSE NO.
PHONE NO,
JOB LOCATION (ST. OR AVE.)
122 N.F. 101st Street .
LOT
BLOCK
SUBDIVISION
GENERAL CONTRACTOR
owner
ADDRESS
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. 87
DATE 4 -30 -54
G
PERMIT FEE $ 6.00
BUILDER•S BOND
NO. DATE
ZONE REQUIREMEN CU. FT.
PLAN CUBE2212 TAX VnT,(y'+f
)- s Y COST $1,
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:
DATE
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
REPAIRS
DESCR IPTION
screen porch on rear of res.
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
J��+ee
CERTIFICATE OF OCCUPANCY NO./91f?
1/
ISSUED "'!
BY kj___TO
AtiVael,
BUILDIMG PERMIT AND INSPECT ON RECdRD -MIAMI SHORES VILLAGE
i
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
5'6-
PM-.
a
$
BEAMS & LINTELS
111
$
SEWER
FRAMING
,
$
GAS s
$ •
$
INSPECTIONS
FINAL
./S
ke) � ,
BY
RE- INSPECT
BY
ROUGHING
CLEAN -UP
ry-
6 v /
b H
GAS
CONTRACTOR
PHONE
PERMIT NO. . I DATE
FEE $
NEW BLDG. I ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
SEPTIC TANK
$
SEWER
$
SOLAR HEATER
$
GAS s
$ •
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
GAS
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
CONTRACTOR
PHONE
PERMIT NO. DATE
FEE $
NEW BLDG. I ALTERATION I 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
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
Y(a�'S7
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
N9 1988
Street Address
CERTIFICATE OF OCCUPANCY
Approved use by occupancy
Remarks•` -�-Q
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla., C
Owner, Agent or Tenant of Building �
Lot
Block Subdivision
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 remodelin of . uildi gs or struc4ures.
44-..* f b
4
4 .
BUILDING DIVISION
r