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1254 NE 100 St (8)N9 1526 Miami Shores Village, Fla , Owner, Agent or Tenant of Building � - -- Lot `i Street Address CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Block Subdivision Approved use by occupancy -- 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 remodeling of buildings or structures. . L..... %%w . . BUILDING DIVISION N9 1526 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Owner, Agent or Tenant of Building Q , 1 A ‘ ) , Lot `I' Block 1 Subdivision -= Street Address 1_.. ,i Approved use by occupancy Miami Shores Village, Fla , 1 S 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 remodeling of buildings or structures. (< )-" BUILbING DIVISION OWNER'S NAME P PRESENT ADDRESS L LICENSE NO. P PHONE NO. L (ST. OR AVE.) L LOT l St. S EARLTON S SUBDIVISISf4 GENERAL CONTRACTOR • • ADDRESS P PHONE NO. L LICENSE NO. BUILDING PERMIT NO. 1032A D � J � BUILDER'S B PERMIT FEE S 20.u0 N BOND ZONE PEQUIREMENTS 25,000 CU. FT. P PLAN CUBE 2 50 °7 CU. FT. E EST. COST S 159750 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: PG 1 DATE Z N NEW CONSTRUCTION C TYPE S STORIES R ROOF CONSTRUCTION I INTERIOR CONSTRUCTION REPAIRS L R"131- T i DESCR IPTION ALTERATION ADDITION SUBMITTED TO PLANNING BOARD APPROVED R REJECTED R REFERRED TO COUNCIL R REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. / \ I ISSUED ,( - -.) � �/� BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 7.,1 '/., r . � L4 DATE FEE TEMPORARY SERVICE "' 3 G — , BEAMS & LINTELS CULL - ti U ,SO � �I � f�f H. W. HEATER CONN. $ SEWER _/ FRAMING .( $ SOLAR HEATER /!9'�.1, • _ GAS $ $ FINAL $ $ INSPECTIONS DATE BY RE- INSPECT CLEAN -UP RE- INSPECT BY ROUGHING + q CONTRACTOR REYNOLDS` S.PIIJMB. PHONE PERMIT NO1 DATE 1 41 11 -50 FEE $ 9e50 REPAIRS NEW BLDG. g •+ 1 ALTERATION ADDITION SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE "' 3 G — , $__ $ SEPTIC TANK f�f H. W. HEATER CONN. $ SEWER RANGE CONN. $ SOLAR HEATER $ S GAS $ $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING + q 1 ROUGHING GAS / H. W. HEATER CONN SEWER RAF E CONN. SEPTIC TANK Q f � y SOLAR HEATER FIXTURES - F IXTURES &FINAL a^ 1„ , . J , .L CONTRACTOR 0 ORM T.TJT.' P1umb.Iac PHONE PERMIT NO. P DATE 50 FEE $13880 REPAIRS NEW BLDG. p...7.49.■ ALTERATION DDITI ON SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 6' "' 3 G — , $__ - -- $ f�f H. W. HEATER CONN. $ RANGE CONN. MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE .2.` ÷03 + q 1 ROUGHING i +,fe --' j / H. W. HEATER CONN RAF E CONN. - F IXTURES &FINAL a^ 1„ , . J , .L BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE S, BY BUILDING ELECTRIC/ILL PLUMBING • ,Contractor or Builder Legal Description Address off Building Lot v 1 MIAMI SHORES VILLAGE, FLORID PERMIT N? 10324 Work to be performed under this Penult Owner �; Building of Cot 0 Lit Architect toktit A Ogi 1'E, CapAt. . Li II . k k, y ( S' In consideration of the issuance to me of this permit I a pertaining thereto and in strict conformity with the plans, drawin In / accepting this p t I ty for all work donee j wisum CONTRACTOR OR BUILDER t c�,. , ,I •fie ..0 Subdi• • vision Value of -•••• (( ' • + . . . , r 4 `�.• Project $ .✓ 1e2 L) :✓ r This permit is granted to the contractor or builder named above to construct the building or to install the equipment herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will per drawings, statements or specifications that may have been submitted to and approved by the proper municipal au time if the work is not done in compliance with such ordinances or if the plans are changed without a orizati granted is the understanding that the contractor or builder named above assumes the r ' . • nsibiiity, pertaining to the work covered hereby whether shown on the plans or draw' • s or in done by his agents, servants or employees. ered hereunder in com iiann a with all ordinances and specifications submitted to the proper authorities of Miami Shores , my agent, servant gr employee. Amt. of 4,20 Permit $ r4 V - AUrscanY Er device described in the application ed in compliance with any plans, • Permit may be revoked at any dition upon which this permit is the ordinances and regulations he assumes responsibility for work ADDRESS 1254 W. E. 100th Street Lot ti, Block 1 LEGAL Earlton Shores RECORD GARBAGE TAX PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER A/ ,.1, A i l 4 • ` CV. // o S - 3 - S / f 52 / 01 0 / 0 2 - 3/" -S/ / -. 0 0 at — /7—.57 / +t es. a- 9 ; 0� - , -C2 / i •g-s/ G',./ ADDRESS 1254 W. E. 100th Street Lot ti, Block 1 LEGAL Earlton Shores RECORD GARBAGE TAX OWNER'S NAME CC, ,IKF a PRESENT ADDRESS 104th St. LICENSE NO. PHONE NO. LOT 4 LOCK 1 EARLTON SUBDIVISISN SHORES :MOM JOB LOCATION (ST. OR AVE.) 4 1254 Ng 100th Street GENERAL CONTRACTOR UNIVERSAL DIXIE CONSTRUCTION CO. • ADDRESS 8403 NE Second Avenue PHONE NO. LICENSE NO. 4153 BUILDING PERMIT NO. 10321 C DATE 11- 214■50 PERMIT FEES 20.00 BUILDER'S BOND NO. 11 47 DATE ZONE REQUIREMENTS 259000 CU. FT. PLAN CUBE 2. 5. 00 7 CU. FT. EST. COST S 15,750 ^ DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY PG DATE 1-_3 X NEW CONSTRUCTION TYPE CBS STORIES 1 ROOF CONSTRUCTION Tile INTERIOR CONSTRUCTION Fleeter TN$1]� -Oak floors REPAIRS DESCR IPTION alam- _ ' A • ' • a a - - -- a ❑ it ; _ _ ALTERATION - L. 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. l ISSUED ? " - r `�-> l'-' BY '� ) TO 6=4" - 1 (' , 11 (_--® . / 1 BUILDrNG PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE. B RE- INSPECT BY RE- INSPECT BY FOUNDATION '( - ,...Q�i �± 7_ � DATE FEE TEMPORARY SERVICE $ I^ a 0 a BEAMS & LINTELS _ r_y $ RANGE CONN. $ SEWER FRAMING /Z . ) 9 ..5 tl SOLAR HEATER $ FIXTURES $ GAS '- $ $ INSPECTIONS FINAL INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT CLEAN-UP ROUGHING CONTRACTOR REYNO ar 3R0S.PLUMB. DATE 12.11 50 PHONE FEE $ 9.50 PERMIT NO1(» NEW BLDG. g J I ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ I^ a 0 a $ SEPTIC TANK $ RANGE CONN. $ SEWER $ MOTORS $ SOLAR HEATER $ FIXTURES $ GAS $ $ $ INSPECTIONS $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING ROUGHING 14.3 GAS I H. W. HEATER CONN SEWER RAN'?E CONN. SEPTIC TANK �g '' '.3 -7 SOLAR HEATER 4IXTURES & FINAL / ' , FIXTURES CONTRACTOR PHONE . 1w_ PERMIT NO. /Or DATE ] FEE $1 ,5180 REPAIRS NEW BLDG. ALTERATION ADDITION SPECIAL PERMITS PERMIT NO. `a -T r � DATE FEE TEMPORARY SERVICE /1 -- 3 b- Ire/ $ I^ a 0 a H. W. HEATER CONN. T $ RANGE CONN. $ MOTORS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE a.` - P' ROUGHING 14.3 1/ I H. W. HEATER CONN RAN'?E CONN. 4IXTURES & FINAL / ' , let .� BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE �, °"'"' BY Owner's Name and Address--- �l� f41064/ • Registered Architect and /or Engineer Street and Number where work is to be done MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Name and address of licensed contractor Location and legal description of lot to be built on: Lot Block Subdivision State work to be done and purpose of building (by floors) _ 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 19�F Ili jl-a-r and for no other purpose. New Building 4.0d Remodeling Addition Repairs No. of Stories J To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ _____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 subcontractors, on work to be performed 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 Date Read, Sworn to and Subscribed before me. Disapproved Date Notary Public, State of Florida ( Signed) Building Inspector 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. 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 Location and 1 gal description of lot to be built Lot_____ Block / Street and Number where work is to be done Staff work to be , o. - and pu 1 e Distance to next nearest building STATE OF FLORIDA, COUNTY OF DADE. ss. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT se )f buildin Maximum live load to be borne by each floor New Building___ ,,�� Remodeling Rion Re ' No. of Sto es_._ To be constructed ofd -�/` ' Kind of foundation Roof Covering Estimated Total cost of improvements $__ /—C• 7 •S ° ' ° ° ___Amount of Permit $ Zone cubage required / 1 __ 1 ______ __� __Plan Cubage 0 _ r I"' Size of Building Lot and for no other purpose. I hereby sub bryit all the plans and specificat' s for sa' building. notices referen o 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 subcontractors, on work to beferformed under this permit, as are licensed by Miami Shores Village. ' Remarks —_ - -- --- -- ___ --- (Signed) Read, Sworn to and Subscribed before me. Notary Public, State of Florida • y-v 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 Date Disapproved Date (Signed) Building Inspector 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.