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1301 NE 101 St (14)N9 1721 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , 02 0' S3 Owner, Agent or Tenant of Building -� � `,:, 6 Lot Block 2— Subdivision ' r Street Address 1 A l Y1 , t A 1 to \ g.-10 Approved use by occupancy I "4- te r, , Remarks. C � This Certificate of Occupancy is issued to the above named CLtJv. _ 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 os 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 OWNER•S NAME guernsey Const. Co., Inc. PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) .301 N.7. 101st Stre t LOT 4 BLOCK 2 SUBDIVISION MS Bay Park Est. ; GENERAL CONTRACTOR taymond V. Guerns4y ADDRESS PHONE NO. LICEC'SE NO. BUILDING PERMIT NO. 1 4 2 55 DATE 2 -9 -53 PERMIT FEE $ 19.00 \ BUILDER•S BOND NO. 1527 DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE 26 ,3 2 4 CU. FT. EST. COST $ 15,000 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: DATE X NEW CONSTRUCTION TYPE CBS STORIES 1 ROOF CONSTRUCTION tile INTERIOR CONSTRUCTION oak and tile floors, plaster REPAIRS DESCRIPTION Walls and ceilings 3 bdrm. -21- baths- living room -sun porch - dining area- kitchen - garage ALTERATION DESCRIPTION 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. 7 [�/ ISSUED 'd' ° �'" BY J TO Oft,-- - - BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS 6 DATE °I- c 3 PERMIT NO. I a 13 (1- I DATE cl /& s1.3 RE- INSPECT BY RE- INSPECT BY FOUNDATION �'1/ �BBY 77 1 4 TEMPORARY SERVICE n A $ BEAMS & LINTELS -- 2 2�9'Cp %,,. -�� ,9 S / 4 , P44 SEWER V FRAMING 3,-//-.5 kW $ GAS $ INSPECTIONS FINAL Uir - d 1`i C... T ...1 0 1". BY RE- INSPECT BY ROUGHING CLEAN -UP !t F, GAS CONTRACTOR ' / .MJ 1.�X- C43 PHONE °I- c 3 PERMIT NO. I a 13 (1- I DATE cl /& s1.3 $ /A NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE n A $ SEPTIC TANK (Olt � 1�" 1 - Y,. %,,. -�� ,9 S / 4 , P44 SEWER V $ SOLAR HEATER $ GAS $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING `,L I CS- , GAS 3 -Q 6',' , SEWER SEPTIC TANK SOLAR HEATER FIXTURES ((�� J�. @� N'1 .. J CONTRACTOR p U 6 V` - PHONE PERMIT NO. /I"�' s - ' 1 DATE 4 53 FEE $ /1 3� . NEW BLDG. ALTERATION 1 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 ()IV,. ROUGHING 3 -Q 6',' , H. W. HEATER CONN RALSGE CONN. FIXTURES & FINAL 11 ,(o -S 6 L .. J BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE '.; f MIAMI SHORES VILLAGE, FLORIDA BUILDING P DATE ' / - - 195 ELECTRICAL o PERMIT N° 14255 Contractor's PLUMBING El License No ROOFING 0 Work to be performed under this Permit Owner of '. . Building --' ' s d Architect Contractor or Builder Legal Description. Address of Building Lot !!BL Signed: Subdi- vision Project $ / 1, INSPECTOR BY 1/ i '..., i 1 . ‘ "'Le 1 ,-.'; I L 1 e t. 0 ' 1 Value of Permit Amt. of 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 in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. k.4 art if 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 thereto and in strict conformity with the plans, drawings, 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. j f / ' CONTRACTOR OR BUILDER BY AUTHORITY i 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 Registered Architect and /or Engineer „BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT a6-4", Disapproved Date (Signed) L Building Inspeotor MIAMI SHORES VILLAGE Dat Name and address of licensed contractor Location and legal escription of lot to be built on: Lot Block f"6- Subdivision 5�1� pp ti Street and Number where work is to be done 4_x_0__4 A Q ®ii '�1 State work to be done and purpose of bui ding (by floors ) Street a.AAA 19 and for no other purpose. New Building � Remodeling Addition Repairs No. of Stories To be constructed of lib _ —S_ Kind of foundation ss Roof Covering Estimated Total cost of improvements $ ,l r __thin.) Amount of Permi $ l_ 1 Zone cubage required 2 6 0 0 0 .Plan Cubage oZa2 _ l. Distance to next nearest building ZO •4"• 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 contyactors or sub - contractors empl yed by him in the work to be performed under this permit; and will post or cause to be posted for insp '6n on the site of the work uc ,Public notice or notices as are required by the Act. The undersigned agrees to employ only such subc. ctors, on work to be p 6d under this Remarks (Signed) permit, as are licensed by Miami Shores Village. 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 y �l Date 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.