1310 NE 101 St (15)N° 1867
Approved use by occupancy
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla., i 1 -" 1 `4 - S.2)
Owner, Agent or Tenant of Building T�
Lot 1 Block 1 Subdivision I _._-. ao
Street Address 1 3 1 0 • L, 1 d CM
1�
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.
3 a x'1.1
1 pd. ".4 '� '^ BUILDING DIVISION
OWNER'S NAME °'
Guernsey Construction Company
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
1310 N.L. 101st Street
LOT
.1
"' BLOCK
1
SUBDIVISION
MSBP Eat.
GENERAL CONTRACTOR
Raymond V. Guernsey
ADDRESS
PHONE NO.
LICENSE NO.
15170
BUILDING PERMIT NO.
9 -8 -53
DATE
21.00
PERMIT FEE S
BUILDER'S BOND
T,1 mit
NO. DATE
ZONE REQUIREMENTS CU. FT.
/
PLAN CUBE 32 CU. FT.
EST. COSTS 16
DRAWINGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY
DATE
x
NEW CONSTRUCTION
TYPE
CBS
STORIES
1
ROOF CONSTRUCTION
tle
INTERIOR CONSTRUCTION
p recast concrete tile floor$,
REPAIRS
DESCRIPTION plaster walls and ceilings
3 bdrm.-32 baths- dining area Fla. room - living room- kitchen - utility-
ALTERATION
2 car garage 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. )8
ISSUED �/`
BY Ad I TO
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
6ATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
f- f S b
y
^
C S' 3g(„
i
r�sne+I 01 O QI/`p`
$ v ,1 1 � e
SEPTIC TANK (
n
QsG�y.11&1,
BEAMS & LINTELS
/ /'O
SOLAR HEATER
$
RANGE CONN.
$ ff
GAS
FRAMING
d—Q� C
$
$
FIXTURES
$
•
DATE
RE- INSPECT
BY
RE- INSPECT
BY
FINAL
I ,cj — ?—J
F t
BY
RE- INSPECT
BY
TEMP. SERVICE
CLEAN•UP
IL
1
ROUGHING
PERMIT NO. G"' ( el ) 1 DATE 9- ri— ..-
,/ 3 '
FEE $ /� C��
NEW BLDG. o I ALTERATION l ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
FEE
^
C S' 3g(„
i
r�sne+I 01 O QI/`p`
$ v ,1 1 � e
SEPTIC TANK (
n
QsG�y.11&1,
SEWER
SOLAR HEATER
$
RANGE CONN.
$ ff
GAS
■
MOTORS
$
$
FIXTURES
$
INSPECTIONS
DATE
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
(
9
�BY
-
BY
RE- INSPECT
BY
TEMP. SERVICE
GAS
ROUGHING
SEWER
IF % `�c�,.
-
H. W. HEATER CONN
SEPTIC TANK
RANGE CONN.
SOLAR HEATER
FIXTURES
/ 62. M r -
C2 "
FIXTURES & FINAL
CONTRACTOR C J
PHONE
PERMIT NO. I DATE
FEE $
NEW BLDG. 1 ALTERATION I 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
ROUGHING
#----/6r5
-
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
-AAdw ccd BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
CONTRACTOR RU ./�, pl
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE /c 9�
MIAMI SHORES VILLAGE
BUILDINV- INSPECTION DEPARTMEN
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the det, iled statemem of the plans and specifications herewith submitted for the build-
ing or o hot structure her‘i,1 described. This applicatici, is made in compliance and con•oun-ty w.th the Building Ordinance of Miami
Shores Villave, Pofda, and all pro • isions of the Laws a the State of Ekrid. all o &trances uf Mi Shores Village and all rules and
regulations of the Building Divt:.it of Shoi 1- 1 1 ,e iphed with, whether her in specified or not. A copy of approved
plans and specificati.m must be kepi at bunding durin, progress of the wcrk.
Owner':. Name and Address_
Registered Architect and/or Engineer
Name ;.nd address of licemed contractor
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Disapproved
(Signed)
D. te
4 0. 41110,
'411.11N6- .
:4Irg Inspector 'lb
tel (rtd4d ate _____
Location and legal description of lot to be built on:
Lot Block Subdivision __ •S 4.
Street and Number where work is to be done /3/6 /
State work to be done and purpose of building (by floors) 1442011 ge==t9 A
No/ 47.---34/ Street
and for no other purpose.
1.0*
New Building. Remodeling Addition_ Repairs. No. of Stories
To be constructed of Kin foundation Cov ling__
Estimated el -,tal cost of improvements $_ 6 s Amount of Permit $._ 1=='/ 1 el
.J
Zone cubage required __Plan Cubage
Distance to next nearest building__ . _ __Size of Building Lot
Maximum live load to be borne by each floor
hereby submit all the plans and speciiications for said building. All notices with reference to the building and its construction may
he sent to / 7- 3 / tv /
The tmde signed applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of Lbor under he Florida Workmen's Compensation Act being S.?ction 5966, Coi - pled Gen al Laws of Florida, Pur anen. Supple nent.
and hs complied with the prov:Aons thereof, and will require similar compliance from all contractors or sub-contractors emplo-ed by him
in the work to be performed under this permit: and will post or cause to be posted for ins ection on the site of the w rk s public noti. -e
or .otit es as are required by the Act. The unc.knigiv agrees to employ only such bco tr. ctors, on work to be" er d .. der this
permit. as are licensed by Miami Shores Village.
Remarks__ (Signed) 444 tx _
Before me, the undersigned authority, a notary public, duly authorized to administer oaths ,.nd take acknowledgments, personally ap-
peared _
and who, being by me first dly sworn, upon oath depores and says that he is the
of tlp ahoy: de :nstruction th;i: 11:• has careially read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are trae.
Permit No.____._ o Date. 9
Read, Sworn to and Subscribed before me.
Notary Public State of Florida
My Commission Expires
to me well known,
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 , approval his been obtained from
the Planning Board.
A re-inspection fee of $1.00 will be charged when such re-inspection is mkr_le necessary by improper notice for inspet.t or fa ity
materials and workmanship.