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1234 NE 101 St (14)CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 262 Street Address - 2 Approved use by occupancy ssC 0: Miami Shores Village, Florida, / / ® 3 ®" -3 Owner, Agent or Tenant of Building Lot 3 Block_, / Subdivision 4 1a �a? 4 e y to • 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, alteratio or remodeling of buildings or structures. BUILDING DIVISION OWNER'S NAME PRESENT ADDRESS LICENSE NO. PHONE NO. • JOB LOCATION (ST. OR AVE.) 1234 Y. 101st Street LOT 3 BLOCK 1 SUBDIVISION Gordon.. Shor'•c GENERAL CONTRACTOR J rn 'R. rlaussen ADDRESS PHONE NO. LICENSE NO. ry BUILDING PERMIT NO. 2078 DATE -1 -55 PERMIT FEE $ 20�OO BUILDER'S BOND NO. 191 DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE 25)955 CU. FT. EST. COST S 169000 DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION CBS CBS STORIES 1 ROOF CONSTRUCTION tile INTERIOR CONSTRUCTION stone: and oak floors, plas tor REPAIRS DESCRIPTION wails and cei i i;ig 21 baths -3 bdrm- living; room Fla. room - kitchen - garage ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS h CERTIFICATE OF OCCUPANCY NO. .� 0,r ISSUED p r \ BY - �/) 1 TO • BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECT (ONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION TEMPORARY SERVICE �- 5 SEPTIC TANK '°'' ; BEAMS & LINTELS S SEWER S SOLAR HEATER FRAMING S GAS $ $ S INSPECTIONS DATE BY RE- INSPECT FINAL RE- INSPECT BY I ROUGHING 11 °�'• �J,� �"Y . _ ', - CLEAN -UP • . S 1 INSPECTIONS PERMIT NO. B DATE "_ FEE S NEW BLDG. ALTERATION I ADDITION � , REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE �- 5 SEPTIC TANK '°'' ; - �..: -% S SEWER S SOLAR HEATER S GAS $ $ S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY I ROUGHING 11 °�'• �J,� �"Y . _ ', - -- GAS S 1 INSPECTIONS �. SEWER a BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE SEPTIC TANK SOLAR HEATER ROUGHING II FIXTURES H. W. HEATER CONN RANGE CONN. SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE �- $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ S 1 INSPECTIONS DATE a BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE I ROUGHING II H. W. HEATER CONN RANGE CONN. I FIXTURES & FINAL * { 4 4 • t. CONTRACTOR CONTRACTOR PERMIT NO. NEW BLDG. BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS 'APPROVAL TO POWER CO. FOR SERVICE DATE ter ELECTRICAL PERMITS & INSPECTIONS DATE - 1 ALTERATION ADDITION IPHONE FEE $ REPAIRS BY srcowAlcow3!imimilmeml;c !rG !ictre3 sfm+mlIcuimi, lic ;fcoimsr s; tr src msr 'sra s �r sf sim ; cInerAre$os 6 1% Issued I ° - 19 &r cJd liQMi jhores9 page °:� 3 . Amount ' 1ST? 2705 14 No. Houses 6 ` --- "' -''' ..l et,,(--- . `,B U I L D ER' S BOND li 3 ._ KNOW ALL MEN BY THESE PRESENT, that I, 1 4 T /- Li N 41- p„,(...., „ el 9 f .z Address 6- ( 5 _c_.,, e 61 ----- l � d 1 in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or , t, c... z-,<.., DE buildings at the following address: k) �//� ii 4- il 4 1 c T 3 C-4, C...- L. / 6�.z ®w & � — i -2 . 3 4 ( a._Z5- / ®< 2 '17 •. do hereby deposit with Miami Shores Village, Florida, the sum of 4 D — and I agree with said Village that, when such construction shall hav been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me, ...� completion of such construction withi the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearance and 1 used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the r•- s E-I :.6 repairs of the aforesaid and return the remainder to . p,t that, if r shall clear and repair said property immediately, as aforesaid, then said — v shall be returned to me. '� WITNESS MY HAND and Seal at Miami Shores Village, Florida, this �� day of 0 ' 7 - J c p _ 1 �v R 7 , - INSTRUCTIONS TO BUILDER —When above mentioned construction is completed and the premises are cleared and repaired take this and to the Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the above agreement. VILLAGE BUILDING INSPECTOR'S APPROVAL I hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof has caused the surrounding premises to be cleared and repaired in as g. ' cond n as they were before commencing said construction. WHEN CLEARED AND REPAIRED BY THE VILLAGE Amount of Bond Cost of clearing and repairs done by Village . $ Balance due Builder $ Canc Village Build' g Inspector, Miami Shores Village ,1: �. it i! 11 i! �! !! !! !t H. !! +1cC�°'n �. !t 1t 11 ! +t 11 +t !t 11 11 '?' •`. °.' ::° '•' .co�c `°�°.'•..:° .' :� .' . a ►' '• ' mo o ? . .` ' c° '••t°, .'• C°$07 l' cT `D�°' ` `a �v I VAM •... yr rr !r fr• �r• �r fr fr rr n rr••....�fi• �r•.....�rr• ,r••...••�r• rr•....•�fr• 1r••...•�f�..... sir•.». •�/r•.....�fr•• »..•,r•.....�ir• jr•.... B 407 $s� \ ()A New Building G/ Remodeling Disapproved (Signed) 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 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 Enginee Name and address of licensed contractor Location and al description of lot to be built : Lot Block / Subdivision...... 4141—Y1., Street and Number where work is to be done _ 7 G ! 6 / State work to be done and purpose of building (by floors) Date. 'l 1 No Street .. ddition._. R airs No. of Stone n..... To be constructed of__ f. Kind of foundatio . �' -%°!� ��t t � . d _ Roof r---R � . Estimated Total cost of improvements $....,/,," —C Zone cubage required sR____ �__7_ Distance to next nearest building 1 + Size of Building Lot 14'x' ) ) A. Maximum live load to be borne by each floor 40 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 pennit 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 fork such public notice or notices as are required by the Act. The undersigned agrees to employ only such su contractors, on work to be pe {formed under this permit, as are licensed by Miami Shores Village. I ) / // c'�� Remarks (Signed) & 2 %i- V \ f "•/ �/ "Q Amount of Permit Plan Cubage- i r , 196 {� , and for no other urpose. j 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. ause Permit No 303 . Date l Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires 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.