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1217 NE 100 St (7), � CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N? 865 Owner, Agent or Tenant of Building Lot 3 Miami Shores Village, Florida, 12-26-58 Block 5 Subdivision 71::P.T7O:'I ' 1 '0137?S Street Address 1217 ;:.' 1100th St. Approved use by occupancy P.TI0 ' ,JCLOS TR' Remarks This Certificate of Occupancy is issued to the above named t'' :TTNinP 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. Tcx 1 7c11 uo • 143 BUILDING DIVISION OWNER'S NAME • .4•+r • i ' L APE, Fes, C� PRESENT ADDRES / 2/ 7 N E /c, v St LICENSE NO. PHONE NO. � JOB LOCATION (ST. OR AVE.) / a 7 /./ /4' -'? v. LOT v3 BLOCK r SUBDIVISION . CO7 6e-0,e es GENERAL CONTRACTO S., ,, r..).ta�� f ...) s�'o ,, L � , E/oc °SJ2 , / AD - D / RESS �G S T (X ed. 4 2 .7> S/ PHONE NO. LICENSE NO. /X' / BUILDING PERMIT NO. `� ° ( `S /0 DATE `�� PERMIT FEE $ /a �_ BUILDER'S BOND NO. N D , 4 00 , r , a ,� ZONE REQUIREMENTS CU. FT. I --y„,... JNC,�v _ PLAN - T � / V3 CU. FT. a_ EST. COST $ . rs ,�// 4 /4 1 1 4 6C � *5- DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: O. "• 1G(C C / DAT = J/ / - J NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS c DESCRIPTION 4.-7 SC e E.1 f`.& `p s-J2e _ 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. ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION $ SEPTIC TANK ROOF I I I $ BEAMS & LINTELS H. W. HEATER CONN. TUB & TOP OUT POOL SOLAR HEATER RANGE CONN. FRIMING ` $ GAS AIR COND. $ FINAL FIXTURES CLEAN UP SEPTIC TANK SLAB SOLAR HEATER SLAB SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE - INSPECT BY $ SEPTIC TANK TEMPORARY SERVICE I I I $ SEWER H. W. HEATER CONN. TUB & TOP OUT $ SOLAR HEATER RANGE CONN. $ GAS SEWER $ S FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE - INSPECT BY ROUGHING FEE TEMPORARY SERVICE I I I H. W. HEATER CONN $ H. W. HEATER CONN. TUB & TOP OUT RANGE CONN. $ RANGE CONN. 1 I $ SEWER S FIXTURES SEPTIC TANK SOLAR HEATER FIXTURES GAS CONTRACTOR PHONE PERMIT NO. I DATE FEE $ NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE I I I H. W. HEATER CONN $ H. W. HEATER CONN. RANGE CONN. $ RANGE CONN. 1 I $ MOTORS S FIXTURES $ INSPECTIONS DATE BY RE- INSPECTI BY RE- INSPECT' BY TFMP SERVICE I ROUGHING I I I H. W. HEATER CONN I RANGE CONN. 1 I CONTRACTOR PERMIT NO. NEW BLDG. BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS PHONE FEE $ REPAIRS DATE I ALTERATION I ADDITION FIXTURES & FINAL 1 ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY MIAMI SHORES VILLA E. FS.. O BUILDING © 0 ELECTRICAL ❑ PERMIT N9 PLUMBING ❑ N • 8 01 ROOFING ❑ Owner of Building Architect Contractor or Builder Legal Description Address of Building Lot Bl Work to be performed under this Permit 3 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 drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed • tEIY Subdi- vision ( Sq. Ft Value of Project $ ' '; 1 INSPECTOR A Pr • Contractor's License No Amt. of Permit $ /r- In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and 'regjjlations 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 1 assume responsibility for all work done by either, myself, my agent, servant or employee. hi CONTRACTOR OR BUILDER BY AUTHORITY State work to be done and purpose of building (by floors) Disapproved (Signed) .,,1//��.•111����![[!! C--A - 7/e/2 Date 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. Date Oct . 27th , 19.58. Owner's Name and Address ._E1111 C.aTpent_er No.. 1217 StreekLE_..... Registered Architect and /or Engineer G . K • TURNER Name and address of licensed contractor Sun-Way Custom Enclosures, InC.3634N.W.47 Location and legal description of lot to be built on: Lot 3 Block 5 Subdivision Earl et on Shores Street and Number where work is to be done 1217 N .E . 100th St . , Miami Shores Patio Screen Enclosure 7 and for no other purpose. New Building Remodeling Addition X Repairs No. of Stories c- To be constructed Al> 1_ p._ 5.._11.1WnriaM at i%reenin$ Roof Covering Pitrertlese Estimated Total cost of improvements $ Amount of Perrnit $ i ° - ' 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 tbe 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 ws 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 s contractors, , p rormed r thi permit, as are licensed by Miami Shores Village. • 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 is the. of the above described construction, that he has carefully read the foreg• ng application, and that he did sign the same, and that all facts therein by him stated c( ar. Permit Date R. d, Sworn to and Subscribed before me. Notary Public, State of Florida Building nspector My Commission Expires PL • NING 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. r