1301 NE 100 St, CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
N° 296
Owner, Agent or Tenant of Building ✓C E
Lot 7s' / Block Subdivision 4 IDA) T S
Street Address /3 0 / iO• . ST:
Approved use by occupancy i.D.. N
Remarks •
This Certificate of Occupancy is issued to the above named 0 4 ' - ' 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.
( d 6 rE- & 1/c&
Tom-X 'xt> 8
BUILDING DIVISION
Miami Shores Village, Florida,
i9
ILDING DIVISION
4,WNER'S NAME
Jerome C,, ftofmayer
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
to
1301 N:E. 100th Street
LOT
Tract "B"
BLOCK
SUBDIVISION
Gordon. Tracts
GENERAL CONTRACTOR
Albert Patelsky
ADDRESS
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. 1371
3
3-14-55 -14 -55
DATE
PERMIT FEE $ 55
BUILDER'S BOND
No 1768 DATE
ZONE P EQUIREMENTS CU. FT.
PLAN CUBE 42,603 CU. FT.
EST. COST $ 55,000
DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:
DATE
I
NEW CONSTRUCTION
TYPE
CBS
STORIES
1
ROOF CONSTRUCTION
gravel
INTERIOR CONSTRUCTION
vinyl and cement tile, plaster
REPAIRS
DESCRIPTIONWF:I. uud eei11ngS
3 bdrms. - baths - maid's room-utility-kitchen-den-living-dining areal -
screened area- Patio DESCRIPTION
ALTERATION
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
TO
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
IN6
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
„._
, F
F
P,
BEAMS &LINTELS
-1- y�' ' Ta
-,.
�_ °
$
SEWER
r'
FRAMING
$
SOLAR HEATER
$
GAS
/!.�' .
'/
/
,,
C
I NSPECTIONS
DATE
FINAL
DATE
g BY
RE- INSPECT
BY
RE- INSPECT
BY
CLEAN -UP
- 243:(
f
•
ROUGHING
IC',
CONTRACTOR 1.4 W
PHONE
i
PERMIT NO. /S 1 I DATE 4■ t2 6 5 S
FEE $ ar1 _
NEW BLDG. 1 ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
„._
, F
F
$
SEPTIC TANK �'
�
�_ °
$
SEWER
$
SOLAR HEATER
$
GAS
/!.�' .
$ r..? "
$
,,
C
I NSPECTIONS
DATE
INSPECTIONS
DATE
g BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
- 243:(
f
ROUGHING
_ � � -, r ' "')
GAS
4 d (r
t / �
`
— (1,--5 O -.^S.'..
a o
H. W. HEATER CON
SEWER
RANGE CONN.
SEPTIC TANK
o 1
¢ _23
/� p�
eAs
SOLAR HEATER
FIXTURES & FINAL
FIXTURES
// Ai sJ
,�/
06/ '
'
PERMIT NO. i .A..,C);
DATE Cl/J,// 5 -4+
FEE $ ,j
(NEW L B
/
ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
„._
, F
F
$ iti
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES f ../ /».�p�yt-1 L�//
/!.�' .
$ r..? "
I NSPECTIONS
DATE
BY
RE- INSPECT
BY
l
RE- INSPECT
BY
TEMP. SERVICE
2 )i ?-
l
/
-, . .(
f
ROUGHING
_ � � -, r ' "')
1 Asa
L � o �
t / �
`
Q /�
O "‘' 5 .. . ) )
a o
H. W. HEATER CON
RANGE CONN.
FIXTURES & FINAL
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
CONTRACTOR �� ^ //l � /.f' PHONE
APPROVAL TO POWER CO. FOR SERVICE DATE .
17- S,® BY 4-Oa}ZC4='
Street and Number where work is to be done
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.
Owner's Name and Address p
Registered Architect and /or Engineer �- . -)3 Name and address of licensed contractor (1` " — °
Location and legal description of lot to be built on:
�,," 11- t
Lot_ k _. _ Block Subdivision
13o
Date
No Street
New Building Remodeling Addition Repairs
To be constructed of Kind of foundation
Ca- 1-4
, 19,73"
State work to be done and purpose of building (by floors)
and for no other purpose.
� � �/ No. of Stories
5 'ng
r g �
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
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 5968, 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 employe 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 ork such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on wor p rformed u er this
permit, as are licensed by Miami Shores Village.
Rernarks ( Signed)
STATE OF FLORIDA, f
COUNTY OF DADE. ss.
reference to the building and its construction may
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 /.371 Date /
Disapproved
(Signed)
Chairman
Member �.
Member ....
Council Approved
l�J
Building
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
r / fir D
Mem er V �
Member
Member
i NING BOARD
Date Disapproved Date
NOTE: A charge of $1.00 will be n lade 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
materials and /or workmanship.
T i
necessary by improper notice for inspection or faulty