1235 NE 100 St (7)CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1801
Owner, Agent or Tenant of Building ;IR. CITTCIf{TS
Lot 4 Block 1 Subdivision_Gm0ii S
Street Address 1285 N•E• 10011% St.
Approved use by occupancy
Remarks. PFf?fiTT NA 12194
This Certificate of Occupancy is issued to the above named OUNER
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.
�N
u: 25'13
Miami Shores Village, Florida, 12441.70
DIN DIVIS ''I�
OWNER'S NAME
k aA11 44401/4 C-0 +c.hen t
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
1 JOB LOCATION (ST. OR AVE.)
1 2- 3 5 N. c' , lo s 'f'
LOT
4
BLOCK
SUBDIVISION
Goi'1on c�'t'1are.S
GENERAL CONTRACTOR
c. � 4�- 1►t,. Ca ., sz_ Co I nc- .
ADDRESS
Z ' l IJ•�. (3q- S *.
PHONE NO.
LICENSE NO.
a4rz.(...
BUILDING PERMIT NO. (2. 1
I DATE 41::18.- I PERMIT FEE $ S G z3
BUILDER'S BOND
NO. Z 7 3 " DATE S I 1
ZONE -� REQUIREMENTS z 4 dm C U. FT.
PLAN CU'BE ZS 3 1 Z + CU. FT.
p� 60
EST. COST $ �'' add
R.,
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: L.- R.• �t�-� .
( DATE
4=f Y_ 7
NEW CONSTRUCTION
TYPE
C.3S
STORIES
o "e
1 ROOF CONSTRUCTION INTERIOR CONSTRUCTION
T (C 1 3 Zed rec. - - Z a.- 2-tS -
REPAIRS
DESCRIPTION
l 1
Lb rL°TG ft..., % IL S.TCEN.� . .-« 0,__9- Cel I1 (.......ii
ALTERATION
` o DESCRIPTION J
S G �'�J` le -...L .
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTFr) TO VILLAGF COUNCIL
REMARKS
(X/
CERTIFICATE OF OCCUPANCY NO. / " (2/
/ J 1
ISSUED I �"
BY�
l y� -yam,, /O �L rp "'
TO /�w I `mil `-�7T �Z�s� S
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE BY
INSPECTIONS
DATE
BY
FOUNDATION
SEPTIC TANK
ROOF
I
$
BEAMS & LINTELS
POOL
$
SOLAR HEATER
FRAMING
$
AIR COND.
e �74�[
S
FINAL
S
S
CLEAN UP
RANGE CONN.
SLAB
SEPTIC TANK
$
MOTORS
SLAB
SOLAR HEATER
FIXTIJRFS & FINAL
FIXTURES
SPECIALS PERMITS
PERMIT NO. DATE
FEE
TEMPORARY SERVICE
BY
$
SEPTIC TANK
ROUGHING
I
$
SEWER
SPECIAL PERMITS
$
SOLAR HEATER
DATE
$
GAS
e �74�[
S
SEWER
S
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE - INSPECT
BY
ROUGHING
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
TUB & TOP OUT
DATE
FEE
TEMPORARY SERVICE 4 -75. ,,, /
e �74�[
0
SEWER
S
H. W. HEATER CONN.
RANGE CONN.
SEPTIC TANK
$
MOTORS
SOLAR HEATER
FIXTIJRFS & FINAL
FIXTURES
S
FIXTURES
S
GAS
CONTRACTOR
DATE
PHONE
RE- INSPECT
PERMIT NO. I DATE
RE - INSPECT BY
FEE $
NEW BLDG. 1 ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE 4 -75. ,,, /
e �74�[
0
d r--- f -2S -J
S
H. W. HEATER CONN.
RANGE CONN.
$
MOTORS
$
FIXTIJRFS & FINAL
FIXTURES
S
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE - INSPECT BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTIJRFS & FINAL
CONTRACTOR 4 vu" f 4s pi, _
PERMIT NO. 1 DATE 6 '+ - - cz.
NEW BLDG.
I
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ALTERATION I ADDITION
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
PHONE
FEE $ 33
REPAIRS
BY
Location and legal description of lot to be built on:
Lot _.5E Block
Street and Number where work is to be done
Distance to next nearest building
Maximum live 1 y ad to be
I hereby bmit all
MIAMI SHORES VILLAGE
BIY. -DING INSPECTION DEPARTMENT
APPLIFI- TION 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 d Addre
Registered chitect and /or Engine / m Ci • / 0tiJJ c
A y r p _
Name and a • . ess of licensed con -. ctor L. L. tC.. t 3 C 'L 5
State work to be done and purpose of building (by floors) /
New Building , v Remodeling Addition , �iepairs
To be constructed of_ _, Kind of four at ,y( E . "5 Roof C - ovesirrg Cyr s
Estimated Total cost of improvements $__2 t O � Amount of Permit $ O `2 4
Zone cubage required � � " ' ' - - - plan Cubage ... __y _,
Size of Building Lot
e by each floor_-_
1 3
R
Permit No _ Date_
Disapprove
(Signed)
Chairman
Member
Member .. - -- - ------ - - - - -- -
Council Approved
Date
(.4j—L" "" t Date.__ , 197 0
No Street
Subdivision V/ ; A 4 d iU . C�
F-0-Q
and for no other purpose.
_Date
(Sign
Lcer.E0Yc 64.1 Z
269i ti,uu• /3 vT
uilding. All notices with reference to the building and its construction may
The ndersigned 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, Pennanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all con tors or sub - contractors employed by him
t in the work to be performed under this permit; and will post or cause to be poste for inspection n the site of the work such public notice
or notices as : e required by Act. The undersigned agrees to employ onl suc subcon rs, on orly#o erfc med under this
pennit, as are ensed by Miam' hores 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 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 s ar
e e
� t r� - rte �7
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector My Commission Expires
X 73 ,
0 -4 oc*Ia_
No. of Stories
•
PLAN DYING BOARD__ ____ DATE
Member
Member
Member
Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has hr'n obtained from
the Planning Board.
A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspc, Lion or faulty
materials and /or workmanship.
„ , •
6
•
KIND OF
POLICY
POLICY
NUMBER
EXPIRATION
DATE
LIMITS OF LIABILITY
Bodily Injury
Property Damage
A— Workmen's
Compensation
WC73 55 93
12 -3 -69 tO
12 -3 -70
Provided by Workmen's
ompensation Law Florida
State of
Nil
B— Manufacturers or
Contractors Liability
Each person $
Each occurrence $
Each occurrence $
Aggregate $
C— Owners or Contractors
Protective Liability
Each person $
Each occurrence $
Each occurrence $
Aggregate $
D— Owners, Landlords
and Tenants Liability
Each person - $ /
Each occurrence $
Each occurrence $
E— Automobile
Liability
(1) Owned Vehicles
(2) Hired Vehicles
(3) Other Non -owned
Vehicles
�1
Each person $:
each accident
Each accident $
Each pent $
Each acci ent $
Each accident $
Each person
Each accident $
Each accident $
F— Comprehensive
Liability
(1) Comprehensive
Automobile
(2) Comprehensive
Gener
General
(3) Comprehensive
(comb'd General
and Automobile)
Each person $
Each occurrence $
Each occurrence $
GLA 43 41 67
12 -3 -70
Each person $....1.0.0.,000
Each occurrence $...300,.000
Aggregate $ 300,000
Each occurrence $....5 , 000
Aggregate $. ... 5 0 , 000
Each person $
Each occurrence $
Aggregate $
Each occurrence $
Aggregate $
Each person $
Each occurrence $
Aggregate $
Each occurrence $
Aggregate $
1000 Asylum Avenue,
SECURITY
INSURANCE
GROUP
Hartford, Conn. 06101
CERTIFICATE OF INSURANCE
This is to certify that insurance policies issued to CUTCHENS CONSTRUCTION, INC.
(Name of Insured)
2091 -2093 N.W. 139th Street, Opa Locks, Fla.
(Address)
XX SECURITY INSURANCE COMPANY OF HARTFORD
❑ THE FIRE AND CASUALTY COMPANY OF CONNECTICUT
❑ THE CONNECTICUT INDEMNITY COMPANY
the numbers and expiration dates of w are listed below. are in force in this Company as of December 3, 1969
(Date)
covering in accordance with the terms thereof at the following location
Nantc
Address
Form 30134.5
State of Florida
This Certificate of Insurance neither affirmatively or negatively amends, extends or alters the coverage afforded by the policy
or policies certified to herein.
*Property damage caused by blasting or explosion (other than explosion of machinery or pressure equipment) excluded.
*Property damage caused by collapse of or structural injury to buildings excluded.
*Property damage underground caused by mechanical equipment excluded.
This Certificate is issued at the request of:
City of Miami
Building and Zoning Department, P.O.Box 708, Miami, Florida 33133
to whom we will mail written notice of cancellation or any changes affecting this Certificate.
ART WALL,INC.
By
Authorized Representative
3353 S. Dixie Highway, Mimi, Florida
1
Printed for Lawyers' Title
,tv 11.7)1 L i . j
!Jttlruturr, made this 30
of the County of
Guaranty Fund, Orlando, Florida
D eeQ (STATUTORY FORM—SECTION 689.02 FS.)
HELEN HIEBER KAYDEN, a single woman,
Dade
day of Apr i..
This instrument was prepared by:
0/ MO Low OJJtcn• of
IIIENDRICKS & 15:ENDrUCKS
J4'1.1. S,W. Firt,t Strtict
MIAI♦a$ FLORIDA 33135
1970 , rituPPrt
, State of Florida , grantor °, and
KENNETH CUTCHENS and EVELYN CUTCHENS, Ilia wife,
whose post office address is 2091 N. W. 139 Street, Opa Locka
of the County of Dade
, State of Florida , grantee °,
DigTtr55rth, That said grantor, for and in consideration of the sum of
• TEN AND N0 /100 ($10.00) Dollars,
and other good and valuable considerations to said rantor in hand
g paid by said grantee, the receipt whereof is hereby
acknowledged, has granted, bargained and sold to the said grantee, and grantee's heirs and assigns forever, the fol.;
lowing described land, situate, lying and being in Dade County, Florida, to -wit:
LOT 4, BLOCK 1, GORDON SHORES, according to the
plat thereof, as recorded in Plat Book 45, Page
8 of the Public Records of Dade County, Florida.
SUBJECT TO: limitations and restrictions of record, zoning
ordinances and taxes for the year 1970 and subsequent
years.
and said grantor does hereby fully warrant the title to
of all persons whomsoever.
° "Grantor" and "grantee" are used
3t1 l ttTIP$S I1311rr2alf, Grantor has hereunto set
Signed, sealed and delivered in our presence:
, ,,
1 , ' \ t ,
HELEN HIEBER KAYDEN,
STATE OF FLORIDA
COUNTY OF DADE
111E1t1 :13Y CERTIFY that on this day before me, an officer duly qualified to take acknowledgments, personally
•iP1;t•arvd HELEN HIEBER KAYDEN, a single woman,
to n known to be the person described in and, who executed the
me that s he executed the same.
A.VI TN ESS my. hand and official seal in the County and State last > oresaid this 30
15170
\1r cr,rn :nis. iot, expires:
i Ic rich a: U,r;;r:
1c,, 1972
�. ^:' :j�.�f's ❑�.• :n ..ri:a Ir, rz n Co.
.
said land, and will defend the same against the lawful claims
for singular or plural, as context requires.
grantor's hand and seal the day and year first above written.
(Seal)
(Seal)
(Seal)
(Seal)
foregoing instrument and acknowledged before
d :/of April-
Notary Public
A.6 . TO
t1
i .!
ul
A. Jay Cristol, Esquire
Dade Federal Building
21 N. E. First Avenue
Miami, Florida 33131