1280 NE 101 St.CER I ICATE OF OCCUPANCY
LAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 278
Owner, Agent or Tenant of Building De... D o N u
Lot /g A. Block Subdivision
/ of Y
Street Address ./ 2 Yo N•
/ Uo �✓ 3�
cJE•
Miami Shores Village, Florida, /r+Nd x.441
�bL ,
Approved use by occupancy 42.E-E-4 °�1D
Remarks.
This Certificate of Occupancy is issued to the above named N c 'Z
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 structure
BUILDING DIVISION
OWNER'S NAME
Dr. Dunn
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
- JQB LOCATION (ST. OR AVE.)
1280 N.E. 101st Street
LOT
184A
BLOCK
SUBDIVISION
Sec. B
GENERAL CONTRACTOR
Jones Shutter Products
ADDRESS
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO.
�
DATE 11 -14 -55
PERMIT FEES 6.00
BB IJILDER'S BOND
NO. 188 DATE
ZONE rEQUIREMENTS CU. FT.
PLAN CUBE CU. FT.
EST. COST S
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY
DATE
NEW CONSTRUCTION
TYPE
STORIES
I ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
REPAIRS
DESCR IPTION
-
2 1 -�.
•
ALTERATION
DESCRIPTION
I
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 I TO
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
/l®�'r7�
TEMPORARY SERVICE
n
-
$
SEPTIC TANK
it n
BEMS & LINTELS
//-4 -,Cr ,
B N.
SEWER
$
$
FRAMING
$
$
GAS
$
J
$
$
INSPECTIONS
DATE
FINAL
/ — //• V.
3T
RE- INSPECT
BY
ROUGHING
RE- INSPECT
CLEAN -UP
TEMP. SERVICE
GAS
PERMIT NO. DATE
FEE $
NEW BLDG. 1 ALTERATION
ADDITION f
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
DATE
-
$
SEPTIC TANK
$
$
SEWER
$
$
SOLAR HEATER
$
$
GAS
$
$
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
RE- INSPECT
BY
TEMP. SERVICE
GAS
ROUGHING
SEWER
H. W. HEATER CONN.
SEPTIC TANK
RANGE CONN.
SOLAR HEATER
FIXTURES
FIXTURES & FINAL
CONTRACTOR
PHONE
PERMIT NO. DATE
FEE $
NEW BLDG.
ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN.
RANGE CONN.
FIXTURES & FINAL
CONTRACTOR
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
PHONE
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
BUILDING MIAMI SHORES VILLAGE FLORIDA
Date�..07
ELECTRICAL ❑
PLUMBING ❑ PERMIT 1T? 8896
ROOFING ❑
Owner of
Building
CONTRACTOR or BUILDER
•
Work to be performed under this Permit
Y' BY
Contractor's
License No.
AUTHORITY
Architect
Contractor
or Builder
Description
Legal ( Subdi'. BI vision
Sq Ft.
Address of /0 6 �;: f Value of Amount of
Building .. 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 applica-
tion 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 respon-
sibility for work done by his agents, servants or employees.
Signed it ` (INSPECTOR) BY —
In consideration of the issuance to me of this permit •'agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, rawings, 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.
.:
' 4#:"ift,14040#
MIAMI SHORES VILLAGE
St3
` pplicatior 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 .....1 Q,Pd i VA/
Okiker
Registered Architect and /or Engineer
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
0Ttr' oe,
Name and address of licensed contractor_.. Q. 'J.1` .b
Location and legal description of lot to be built on:
Lot ,x .... Block subdivision.. t g l Q
Street and Number where work is to be done )a. 90 /M E P ®�
State work to be done and purpose of building (by floors)
ilding Inspector
Date
New Building k%'..- Remodeling Addition
To be constructed of..C.. Kind e of f � a ti p. .4 4
Estimated Total cost of improvements $..._
Zone cubage required
Distance to next nearest building
Amount of Permit $
.Plan Cubage
Size of Building Lot
No..) -6
T WIJI
tvt
Read, Sworn to and Subscribed before me.
,19
street, Si'
and for no other purpose.
Repairs No. of Stories
1 1 .
Roof Covering
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 5988, 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 bcontractors, on work to be performed under this
permit, as are licensed by Miami,' Shores Village.
Remarks (Signed)
Il ``r
STATE OF FLORIDA,
COUNTY OF DADE. j i°
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 ;Ida Date /I— I f
Disapproved
(Signed)
Date
Notary Public, State of Florida
My Commission Expires
PLANNING BOARD .. DATE
Chainnan 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.