1290 NE 100 St (13)N9 1711
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Owner, Agent or Tenant of Building
Lot f), Block Subdivision ��'1�• _ ;;�� ; �
Street Address 0
Approved use by occupancy A G�
Remarks-
This Certificate of Occupancy is issued to the above named 6"-.1.1.;
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.
Miami Shores Village, Fla , W.
' "- BUILDING DIVISION
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
;-- x''<1
FEE
•
I t
$
BEAMS & LINTELS
- /•.1 k.
\, '-
$
SEWER
FRAMING
SOLAR HEATER
4 ) V'
$
GAS
$
$
INSPECTIONS
FINAL
4
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
CLEAN -UP
�
� r--•„
GAS
n
CONTRACTOR ,..Ik ••, \ ' 4. ^ 'Y'
PHONE
PERMIT NO. \... ' DATE 0 ! - :' ')- -'>':
FEE $ // 6
NEW BLDG. 1 ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
I t
$
SEPTIC TANK
$
SEWER
$
SOLAR HEATER
$
GAS
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
Q
/7,,,/ `; • ^ �
�
� r--•„
GAS
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
INIMMIg
3.
CONTRACTOR IL-A (_,.. 7, A.�)\ 4
PHONE
PERMIT NO. � �° DATE ' � a' °¢°
`/
FEE $ /7
NEW BLDG. ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
I t
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
S
FIXTURES
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
3.
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL,PERMIT & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE • /i.)",5i BY
DING PERMIT NO
JOH LOCATION (ST. OR AVE.)
to
CLNERAL CONTRACTOR
OWNER'S NAME
ZONI" r'ECUIREMENTS CU. FT. PLAN CUBE
DRA■NINCS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY
NEW CONSTRUCTION
REPAIRS _
ALTERATION
ADDITION
Ut MITTED TO PLANNING BOARD
i,r c 'll'IMITTUID TO PLANNING BOARD
.^ITTE D TO VILLACE COUNCIL
DATE
APPROVED
REJECTED
LOT
PRESENT ADDRESS
ADDRESS
BLOCK
22.00
PERMIT FEE $
2
CU. FT.
DESCRIPTION
REFERRED TO COUNCIL
REMARKS
LICENSE NO.
SUBDIVISION
NO.
EST. COST $
1
C V, I IFICATE OF OCCUPANCY NO. I ISSUED " BY TO
BUILDING PERMIT AND INSPECTION RECORD-MIAMI SHORES VILLAGE
PHONE NO.
BUILDER'S BOND
1503
DATE
REASONS
7, 500
PHONE NO.
LICENSE NO.
DATE
TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION
tiln oak flooro, plaotcr waTTF1 and
cc
DESCRIPTION 1:1
at room-porch-can1.3g roora-:'.„ prp.-Iy?-zarr.T.:e
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building ' k
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
Lot
n PERMIT ' 13868
Contractor's
alr MW
❑ Work to be performed under this Permit PO
MIAMI SHORES VILLAGE, FLORIDA
CONTRACTOR OR BUILDER
Bl.
1
Subdi-
vision
Value of
Project $ j '7 -
Amt. of
Permit
•
BY AUTHORITY
$ L�
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 the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. j ry ".,_
Signed: 4 `.. " »�,_/ ~' aw .. _. BY
A INS
In consideration of the issuance to of this permit I agree to'peftorm the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformityt with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting thjs permit I assume respongbility for all work done by either, myself, my agent, servant or employee.
N9 1711
Miami Shores Village, Fla , 4 -
Lot Block i Subdivision
Street Address
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 cs the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Owner, Agent or Tenant of Building
1
BUILDING DIVISION
Owner's Name and Address
Registered Architect and /or Engineer
Name and address of licensed contractor
Disapproved Date
(Signed) * ! - �% "
Building Inspector
•
1 w
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.
Date
eh7 a s C fi
43/6 S c e
Location and legal description of lot to be built on: L/--- f--- -71 e ,-- S t 4 6 a- >rs i
Lot Block / Subdivision Street and Number where work is to be done a_64 y) 1 d 4 ;1 ' i
2.
State work to be done and purpose of building (by floors) / 5 # C / 3 S �S, ._,a -Q
and for no other purpose.
New Building ✓ Remodeling Addition � Repairs No. of Stories /
To be constructed of G 6S Kind of oundatibn G O h- ° 0 /� • Roof Covering
Estimated Total cost of improvements $ f_�r_ _ 0 __ 0 _ Amount of Permit
Zone cubage required __0° _Plan Cubage______7
Distance to next nearest building Q 1 "," Size of Building Lot g -10
Maximum live load to be borne by each floor
t/ G
19 4 - 572 - --
e C o
is
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 a work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subc9ntractors, on work 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 arefully reac�the foregoing application, and that he did sign the same, and that all facts
therein by him stated e true. /� ��
Permit No ` * � 1 Date -_ _OV_ i Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
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.