1226 NE 100 StN9 1920
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Mi i Shores Village, Fla, 1.- 1-47
Owner, Agent or Tenant of Building \c‘.
Lot p Block / Subdivision Street Address
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 remo ling of lildings or structures.
Approved use by occupancy
L �` I�'Ti�BU DIVISION
BUILDING
ELECTRICAL
PLUMBING
ROOFING ❑
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
Er
❑ PERMIT N? 15363
/r
CONTRACTOR OR
Work to be performed under this Permit
to
c
u a�
Signed • .*
Subdi-
vision
DATE 195
Contractor's
License No.
BY
Value of Amt. of
Project $ / ,� � Permit
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.
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform 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
G.H. Hickman
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
,
JOB L C 1 N (ST. OR AVE.)
1226 N.E. Q l OOt ` h Street
LOT
6
BLOCK
1
SUBDIVISION
Earlton Shores
GENERAL CONTRACTOR
Wm. Pierce
ADDRESS
PHONE NO.
LICENSE NO.
r
BUILDING PERMIT NO. 15363
DATE 10 -28 •3
PERMIT FEE $ 19.0
BUILDER'S BOND
NO. 1614 DATE
ZONE REQUIREMENTS CU. FT.
PLAN CUBE 26,412 CU. FT.
EST. COST $ 15
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:
DATE
X
NEW CONSTRUCTION
TYPE
CBS
STORIES
li
ROOF CONSTRUCTION
tile
INTERIOR CONSTRUCTION
2 bdrm. -2 bath -Fla. room -dinin
REPAIRS
�L
DESCR IPTION room — kitchen- garage
oak floors, plaster walls and ceilings
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. o .O
ISSUED , 1 J
BY -J
///� ,�
TO '�+
BUILDfNG PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
RE INSPECT
BY
RE- INSPECT
BY
FOUNDATION
1 -+
' o
S
SEPTIC TANK \:- �4,
BEAMS & LINTELS
.. .. . e- _.
$ p
SEWER
S :.-�! ::
SOLAR HEATER
FRAMING
j,,
S
GAS
$
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
FINAL
✓ -
J'
`�'
ROUGHING
CLEAN -UP
GAS
1{
,j
H. W. HEATER CONN,
/
CONTRACTOR
PHONE
PERMIT NO. i �_` - DATE ^ �• `'
FEE $
NEW BLDG. I ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
S
SEPTIC TANK \:- �4,
�1 " _ ,i .f
.. .. . e- _.
$ p
SEWER
S :.-�! ::
SOLAR HEATER
S
GAS
$
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
r -
ROUGHING
�_____//7777
)I
GAS
s
H. W. HEATER CONN,
/
SEWER
RANGE CONN.
SEPTIC TANK
I
SOLAR HEATER.
FIXTURES & FINAL ■
FIXTURES ii.1 '- "
'Y '
CONTRACTOR
PHONE
PERMIT NO. DATE s
FEE S
NEW BLDG. 1 ALTERATION ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
S
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
S
INSPECTIONS
DATE
BY j RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
�_____//7777
)I
1 k�.
H. W. HEATER CONN,
/
RANGE CONN.
I
FIXTURES & FINAL ■
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTION
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
ELY
Owner'. Name and Address a A
Location and legal description of lot to be built on:
Lot_ Block. / Subdivision
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Disapproved
(Signed)
Chairman
Member
Member
Council Approved.
MIAMI SHORES VILLAGE •
S i
BUILDIN' INSPECTION DEPARTMEN'
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the det, iled statemen' of the plans and specifications herewith submitted for the build-
ing or o h, , tructure her r. described. This ,:pi licatic.. is made in compliance and con-o'm.ty w.th the Building Ordinance of Miami
Shores Village, i or da, and all pro isions of the Laws uf the State of FIcrid. all o d nances of Mi .ni Shores Village and all rules and
regulation. of the Building Div.: i of ',lam. Sho. illage 1- '1 ,e o ipl.ed with, whether herein specified or not A copy of approved
plans and specificati .nQ must be ket at building durin, progress of the work.
- 4rci /f )n4I✓
Street and Number where work is to be done_ .
State work to be done and purpose of building (by floors)
Date_
Builds g Inspector
PLANNING BOARD
Member ...._.
Member
Member
.Date Disapproved
Date tooth ._.. a 4; , 19 S 3
My Commission Expires_
No Street_.
Registered Architect and /or Engineer 04-4-A c ! ,
Name nd address of licensed contractor kil ,924 .........
and for no .
other,urpose.
New Building_ - _ Remodeling ___. _ __. Addition____ ____ ___ _____ __ _ Repairs_ . _ _ No. of Stories. /Y'yj_
To be constructed ofd B TS _ Kind of #oundation..- Cft !V C,.** x 5 a t / _... . Roof Co v 'ring.. "� 4 ..
Estimated ". ;tal cost of improvements $__. G u '> Amount of Permit $... /-d-
Zone cubage required. __. 02 16`e _C - _.Plan Cubage 1.
Distance to next nearest building__ _ _ _ _ __ -Size of Building Lot /Q_._. -.z
Maximum live load to be borne by each fl o o r _
hereby the plugs and hications for said building. All notticces with reference o thebur ing an is construction may
be sent to - - ° .�LdtSvCQ _'—_.. .74c f !s:e.�!Q �
The unde signed appli--ant fort is building permit does hereby certify that he un stands and accepts his obligations as an employer
of l -bor under he Florida Workmen's Compensation Act being Section 5968, Col pled Gen al Laws of Florida P. r anon. Sipple cent,
and h..s comp' ed with the 1uroviaons thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be pr-rf'irmed under this permit; and will post or cause to be posted for inspection on the site of the work su :h public noti..e
or :.otiees as are requir: d by the Act. The uadt r <igned agrees to employ only such , ubcontr• ctors, on work t perform d . der this
permit as are licensed by Miami Shores Village. /
Remarks._ . _ (Signed) _ -- iu l _ X •../ c, -Q - --
DATE
Notary Public State of Florida
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 dely sworn, upon oath deposes and says that he is the
of tli abov. de.L•ibed ,, istruction ti; he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are tr -
Permit No Read, Sworn to and Subscribed before me.
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 Planr'ng Board
A re- inspection fee of $1.00 will be charged when such re- inspection is male necessary by improper notice for inspe :-t'on or fa ity
materials and /or workmanship.