COCERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1121
Miami Shores Village, Fla ,
Owner, Agent or Tenant of Building
Lot 4- ` = 4 '` - 'lock -r
Street Address
Approved use by occupancy
Remarks. / i
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.
4 � 7
f ' r BUILDING DIVISION
BUILDING
ELECTRICAL
PLUMBING
Architect
Contractor
or Builder
Legal
:..Description
Address of
$wilding
Lot
Owner of
Building
Work to be performed under this Permit
MIAMI SHORES VILLAGE, FLOR - DA �.B}
DATJ te3J. ''�• t 1950
PERMIT N° 10305
,.y
t t ,+�; Bl. .�
Subdi-
vision
Value of
Project
BY
4 Gt
g '. Amt. of t
$ 1 2, ji../ ) I Permit $ i ti„D
This permit is granted to the contractor or builder named above to construct the building or to install the a uipment or device described in the application
herefor in strict compliance with all ordinances pertaining thereto and with the understandin
drawings, statements or specifications that may have been submitted to and approved
time if the work is not done in compliance with such ordinances or if the plans are cha
or i
License No.
at the work willt be performed in compliance with any plans,
r municipal authorities. This Permit may be revoked at any
authorization. A further condition upon which this permit is
ok a thorough knowledge of the ordinances and regulations
Or specifications . that he assumes responsibility for work
compliance ii`h all ordinances
is the understanding that the contractor or builder named abov
pertaining to the work covered hereby whether shown oz he ans or d
done by his agents, servants or employees. o `r`4
t 4
A Sire
In consideration of the issu .`,, liddi
�t I agree to p
pertaining thereto and in strict co o t e plans, drawings, state
In accepting this pe rnit I as res nsi. 'ty for all work done by el
e X4 27 R oft DER AUTHORITY
orm the work covered hereunder in c e s and regulations
nts or specifications submitted to the proper authorities of Miami Shores Village.
myself, my agent, servant or employee.
OWNER•S NAME
George Duvall
PRESENT ADDRESS
355 N. 1.. 54th St..
LICENSE NO.
PHONE NO.
r
JOB LOCATION (ST. OR AVE.)
1267 N. E. 100th St.
LOT
E5016S 125' 7
BLOCK
ill
. SUBDIVISION
I Gotdos Shores
GENERAL CONTRACTOR
George Duval
ADDRESS _
355 N. W. 54th St.
PHONE NO.
LICENSE NO.
0
Y
BUILDING P MIT NO. 1Y
DATE 112].60
[
PERMIT FEE $ 16.00
BUILDER'S BOND
q
NO. 11 43 DATE 11 -21 -50
ZONE REQUIREMENTS 25.000 CU. FT.
PLAN CUBE 23,221 CU. FT.
EST. COST S 12,000.00
DATE
DRAWINGS. tPE � CIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: PG 111-21-50
X
NEW CONSTRUCTION
TYPE
CB .
1STORIES ROOF CONSTRUCTION
1 Tile
INTERIOR CONSTRUCTION
Oak floora - laater walls
REPAIRS
DESCRIPTION -
Liv.Y'ID.- jfl7 -p0T" oh•Kit -3 b 2
ALTERATION
DESC IPTIO
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
a REMARKS
ERTIFICATE OF OCCUPANCY NO. // IQ /
1111 �j p Al..
I ISSUED 4- BY / •/l /CI TO �0,- - 1 1
BUILDING PERMIT AND INSPECTION
OR -MIAMI SHORES VKCAGE
INSPECTIONS
UATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
F OUNDATION
-
REAMS & LINTELS -
FRAMING
���.
/4 ■ p
i'
��
FEE
-
1051
$ 100
S
$
SEPTIC TANK Heal=
,n �p
12 -18..50
$ 1 00
$
SEWER
SOLAR HEATER
f -I
- t---
- - - -- - --
CCW
t= V - -
J.
l
FINAL
CLEAN -UP
- -
S
CONTRACTOR . Plumbing Co.
PHONE
^ Hanloa
PERMIT NO.10330 1 DATE 11-27
FEE S uE p 100
_NEW BLDG. I ALTERATION - ] ADDITION
REPAIRS
SPECIAL PERMITS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE_
1051
$ 100
S
$
SEPTIC TANK Heal=
,n �p
12 -18..50
$ 1 00
$
SEWER
SOLAR HEATER
S
j��� �
,
GAS ,..
CCW
t= V - -
J.
l
S
-4
- -
S
INSPECTIONS — 1 DATE
BY
RE- INSPECT
BY
RE•INSPECT
BY
ROUGHING r /•.S;00!i'
TEMP. SERVICE
1 -'2.,Z
,
GAS
SEWER I/t- n27 -3
ROUGHING
/.- 7 - I
t i
SEPTIC TANK
H. W. HEATER CONN
SOLAR HEATER
RANGE CONN.
�Sry��{y
FIXTURES 1•� 7- `� '.�
A
- - - - --
1
- - - --
1 _
PHONE
_CONTRACTOR
PERMIT NO. DATE. ' [ ? , 2
�/�
FEE S IVO
i
NEW BLDG. I ALTERATION 1 ADDITION
REPAIRS /"
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
103Q(,
1y ?1 ._� �r
$ 100
S
H. W. HEATER CONN.
RANGE CONN.
S
MOTORS
S
FIXTURES
S
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
1 -'2.,Z
,
ROUGHING
/.- 7 - I
t i
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL .
' 7 -151
j J/ /
/ ",7'7
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
,ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE 3 I- J
/
BY /%
ADDRESS 1287 N. E. 100th Street
E Ot Lot 6& W 2 Lot 7, t1ock 1
LEGAL Gordon Shores RECORD GARBAGE TAX
PAID BY
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
11
le
!tee_/_ _` _
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ADDRESS 1287 N. E. 100th Street
E Ot Lot 6& W 2 Lot 7, t1ock 1
LEGAL Gordon Shores RECORD GARBAGE TAX
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.
,19`
Owner's Name and Address �y C_ _01.f__ e i _ No Street
Registered Architect and /or Engineer
Name and address of licensed contractor
be sent to
Date
Location and legal description of lot to be built on:
Lot,�c_._s �_L,L:_ _:11_. '- lock / Subdivision__ Ls.- _—_—_z_._-_.,_ -___4.._‘___4.
�� �`= '.__d- < ° .Z - -L --
Street and Number where work is to be done___ ___ .id:� �� ' '-
State work to be done and purpose of building (by floors)
• ,/: ( ' a2_ ' and for no other purpose.
New Building ' Remodeling Addition Repairs No. of Stories —
To be constructed of_________..— Kind of foundation _,_, Roof & Da eying- _ ______�___
Estimated Total cost of improvements $____—____—_ ---- -- ---- --- _______— _Amount of Permit $ / .
Zone cubage required
Distance to next nearest building__ — ___________Size of Building Lot ,74,1 _X ___ /__6
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
_ _Plan Cubage
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 rovisions 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 to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) __
4
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.
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