1290 NE 101 St (2)N9 1717
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
•
Miami Shores Village, Fla ,
Owner, Agent or Tenant.of Building
Lot Block 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 as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
BUILDING DIVISION
N9 1717
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores V *1lage, Fla , 4 4 4
Owner, Agent or Tenant of Building \
Lot N1 64 1A Block 41 V Subdivisii
Street Address C> I C L.
a-
r
Approved use by occupancy l
Remarks:
This Certificate of Occupancy is issued to the above named --n-
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 ss the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
�
, 9 7 \\00 0 & BUILDING DIVISION
OWNER'S NAME
H. Lamer
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
1290 N.B. 101st St.
LOT
7&:a Tract 184
BLOCK
also w25'
SUBDIVISION
of Tract 190A MS Sec. 8
GENET AL CONTRACTOR
Dean Clausser
_ ADDRESS
PHONE NO.
LICENSE NO.
13619 ,
BUILDING PERMIT NO.
DATE 3 -52
PERMIT FEES 24 eoo
BUILDER'S BOND
1 '
NO. 1 T ?9 DATE
N., x , , 35, 000
ZONE REQUIREMENTS CU. FT.
35.931E
PLAN CUBE CU. FT.
20,000
EST. COST S
DRAWINGS. SPECIFICATI S. RESTRICTIONS AND CUBE CHECKED BY
DATE
x
NEW CONSTR CTI M\
'. TYPE
CBS
STORIES
1
ROOF CONSTRUCTION
tile
INTERIOR CONSTRUCTION
rogly and cork tile floors,
\
REPAIRS, ,�
. DESCRIPTIO walls anti ceilings
\ 3 bdzms. -4 baths - screened patio - living porch - living room- kitchen-
\
ALTERAT N
p ! DESCRIPTION
',utility roam -maids room -2 car garage
ADDITI h ��. .
1
SUBMITTED TO PLANNIN OARD
APPROVED
REJECTED
REFERRED TO COUNCIL
' REASONS
#i
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
I �� //
CERTIFICATE OF OCCUPANCY NO. / 7 / /
i� /L "v
ISSUED ✓ 1
BY ai
TO
44A,4 ,,J
BUILDING PER IT AND INSPECTION RECORD -MIAMI SHORES 61Lkil =CAGE
INSPECTIONS
s
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
/ /- .2112--
401
TEMPORARY SERVICE
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BEAMS & LINTELS
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FRAMING
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$
GAS
$
S
S
S
INSPECTIONS
FINAL
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t
RE- INSPECT
BY
ROUGHING
CLEAN -UP
ntl
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ROUGHING
GAS
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CONTRACTOR �,
PHONE
PERMIT NO. q y
\ `i s I DATE 0'A o P $ __,--
FEE S /S 3
NEW BLDG. - I ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
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SEPTIC TANK
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S
SEWER
S
S
SOLAR HEATER
$
$
GAS
$
S
S
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
` ).
4
ROUGHING
GAS
{ {(
H. W. HEATER CONN
SEWER
•
RANGE CONN.
SEPTIC TANK
SOLAR HEATER
FIXTURES & FINAL
FIXTURES
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CONTRACTOR \7 l
PHONE
FEES LFO - , f
PERMIT NO. I ± ---- _j DATE !'
NEW BLDG. I ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
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H. W. HEATER CONN.
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RANGE CONN.
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MOTORS
$
FIXTURES
$
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INSPECTIONS -
DATE •
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
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ROUGHING
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H. W. HEATER CONN
RANGE CONN.
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FIXTURES & FINAL
1
, 4
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTION
APPROVAL TO POWER CO. FOR. SERVICE DATE19w.A2.. 4 * B S 3
ELECTRICAL PERMITS & INSPECTIONS
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building < ,
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
I l
n
I r
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 13619
❑ Work to be performed under this Permit
;'
B1.
Value of
Project $
DATE
Contractor's
License No
Amt. of
Permit
$
195
i •'
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 xi'th the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to ant 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 responsibility for work
done by his agents, servants or employees.
Signed: ` _' BY "' J
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining theret6 and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting thf g ;permit I •assume responsibility for all work done by either, myself, my agent, servant or employee.
gi , .
'�� BY AUTHORITY
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
Name and address of licensed contractor
1( 1 g
Date
Registered Architect and /or Eng 94er
Date
C:je
Location And legal des riptio g f pl to be built on:
Lot__- s' ) 1/ " / Book Subdivision -
�A 2 �.A. 19d
StreeC' d" A rrw'lier� work is to b e done �_ .P r. _ _ Se_, ( . •
State work to be done and purpose of building (by floors)._ __ / -'',Ar
No � Street
and for no other purpose.
New Building 1 - '' Remodeling Addition ' f Repairs No. of Stories 1 / c>
a e ,
To be constructed of___ __, R' S ' Kind of foundation s ✓%- °
' - �°�- Roof Covering J' - - -
Estimated Total cost of improvements $ ;--) ) 1 u z' _
lam " Amount of Permit $ _ u
Zone cubage required - 6 _ ff f f) 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 bcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed
Read, Sworn to and Subscribed before me.
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 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
Disapproved I)at
(Signed)
Inspector
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.
Notary Public, State of Florida
My Commission Expires