OCCUPANCYMay -09 -97 01:54P Miami Shores Village
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
I, STEVEN_ W. JACOBSON
hereby apply for a certificate to re- .ccupy the single family residence known as aaddress)
1350 NE 101 STREET Mani Shores, Florida.
Legal description:
Lot: 2
,Block: 1
I hereby certify that I understand that the zoning of the property is for single- family residential use
and that it is unlawful for more than one family to reside therein. I also understand that any
y
Certificate of Re- Occupancy that may be issued by Miami Shores Village,
and that Florida, ruh Certificate does
that the referenced property is being used for single- family purposes
not constitute any representation, warranty or certification as to the condition of the dwelling or
other structures on such property.
Print Name: STEVEN W JACOBSON
Inspection:
Comments:
PB&PG: 55 -83
Application Fee ($50) Paid: Cash: Check: X Number:
305 756 8972 P.02
For :he purposes of conducting the inspection required by Section 902 of the Miami Shores
Development and Zoning Code, contact:
Contact Name: ANNIE MONTGOMERY Telephone:
305- 892 -1876
Buyer: Seller. Realtor: X Company Name: ANNIE MONTGOMERY REALTY
pproved: l /Denied: ___Date 2 8
)9 -97 01:54P Miami Shores Village P.02
9 305 756 8972 P.03
CERTIFICATE OF RE- OCCUPANCY
On behalf of Miami Shores lalage, Florida, the undersigned certifies that the property described
in the application has been inspected for the purposes of re-occupancy pursuant to Sections 901
and 902 of the Miami Shores Land Development and Zoning Code and that such property may be
re- occupied by the applicant for single- family residential purposes.
MIAMI SHORES VILLAGE, FLORIDA
B
Date of Certification:
THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY
HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN
DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF
REGULATIONS OF THE MIAMI SHORES LAND AND. DEVELOPMENT
CODE PERTAINING SOLELY TO 1 FL REQDLRE THAT EACH
ONE - FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR
A ONE -FAME, Y DWELLING PURPOSE ONLY; HOWEVER, THIS
CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR
WARRANTY AS TO THE CONDITION OF THE DWELLPi IG OR OTHER
STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY
ASPECT OF SUCH CONDITION, AND INTERESTED PARTIES ARE
ADVISED AND ENCOURAGED TO. MAKE THEIR OWN INSPECTION
OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION
THEREOF.
May -09 -97 01:54P Miami Shores Village
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
I, STEVEN W. JACOBSON
hereby apply for a certificate to re- ccupy the single family residence known- as'(address)
1350 -NE 101 STREET _ , Miami Shores, Florida.
Legal description:
Lot: 2 ,Block: 1 PB&PG: 55-83
I hereby certify that I understand that the zoning of the property is for single - family residential use
and that it is unlawful for more than one family to reside therein. I also understand that any
Certificate of Re- Occupancy that may be issued by Miami Shores Village, Florida, certifies only
that the referenced property is being used for single - family purposes and that such Certificate does
not constitute any representation, warranty or certification as to the condition of the dwelling or
other structures on such property.
A licant C,C -cat- 0-"- • Date:
pp c�
Print Name: STEVEN W JACOBSON
Apciication Fee (S50) Paid: Cash:__ Check: X Number:
Inspection:
Comments:
305 756 8972 P.02
02
* * * * * * * * * * * *** * * * * ** * ****** * * * *s * * * * * * * * ** * * * * ** * * ** * * * * **
For the purposes of conducting the inspection required by Section 902 of the Miami Shores
Development and Zoning Code, contact:
Contact Name: ANNIE MONTGOMERY Telephone° 305- 892 -1876
Buyer: Seller: X Company Name: ANNIE MONTGOMERY REALTY
pproved:%Denied:_DateZ 2 b
14ay- 09 -97 01:54P Miami Shores Village
CERTIFICATE OF RE-OCCUPANCY
305 756 8972 P.03
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described
in the application has been inspected for the purposes of re- occupancy pursuant to Sections 901
and 902 of the Miami Shores Land Development and Zoning Code and that such property may be
re- occupied by the applicant for single- family residential purposes.
•
MIAMI SHORES VILLAO, FLORIDA
THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY
HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN
DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF
REGULATIONS OF THE MIAMI SHORES LAND AND.DEVELOPMENT
CODE PERTAINING SOLELY TO fl.E REQUIREMENT THAT EACH
ONE - FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR
A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS
CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR
WARRANTY AS TO THE CONDITION OF THE DWELLING OR OTHER
STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY
ASPECT OF SUCH CONDITION, AND INTERESTED PARTIES ARE
ADVISED AND ENCOURAGED TO MAKE THEIR OWN" INSPECTION
OF THE PREMISES IN ORDER TO DETERMINE i at. CONDITION
THEREOF.
, r
Date 11 -01 -99
Legal Description
Owner / Lessee / Tenant
Owner's Address
WORK DESCRIPTION
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Addre50 NE 101st Street
1350 NE 101 st Street Miami Shores, FL. 33138
Contracting Co. Brothers MArine Construction
Qualifier Rory E. Dosh ss #
Phone
Estimated Cost(value)
ontractor
Signatur
Date:
o
i'1,. ia_M i.1 mil
Notr:ry as Contractor or T My Commission Expires: 6-
NO
Plumbing
Tax Folio) ( `�a0 6a - 3 - oO2D
$11.125.00
Owner- Builder
er- Builder
! 7 -o
* NO ..Digge ALF r 7Z * TA. * **
NOTAMEIWZATEEMO
v - 1 300
Other 3 7 /'O
Engineerin
I,
Lot: a.
Print Name
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
oh ��P �� �
EZQa. ? or
to re- occupy the single family residence known as : (address)
,
Miami Shores, Florida.
ovjner
hereby apply for a certificate
Legal Description: % / -3 2- 62,3 — /)1 i a+i S/1areS pK
Block / PB & PG: 5S - g
I hereby certify that I• understand that the zoning of the property is for single - family residential use
and that it is unlawful for more than one family to reside therein. I also understand that any
Certificate of Re- Occupancy that may be issued by Miami Shores Village, certifies only that the
referenced property is being used for single - family purposes and that such Certificate does not
constitute any representation, warranty or certification as to the condition of the dwelling or other
structures on such property.
Applicant /�-' Date (,t (? ' ?°
v to
rt,ec7 �r
********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Contact Name:
Buyer
Comments:
Inspected by: F. LUB I EN
Seller Realtor Company Name
Application Fee ($50) paid: Cash Check No./ 7 / 4#(.0.0- )
A PP roved
PAGE 1 OF 2
X Denied
Telephone: 3 r 7z / 3 O
Date 11/20/98
CERTIFICATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has been inspected for purposes of re- occupancy pursuant to
Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such
property may be re- occupied by the above applicant for single- family residential purposes.
NIIAMI J SHORES VILLAGE, FLORIDA
BY
Date of Certification: 11/20/98
THIS CERTIFICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES
VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
MIAMI SHORES LAND AND DEVELOPMENT CODE
PERTAINING SOT FLY TO THE REQUIREMENT THAT EACH
ONE - FAMILY DWELLING IS USED AND INTENDED TO BE
USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY;
HOWEVER, THIS CERTIHCATE DOES NOT CONSTITUTE ANY
REPRESENTATION OR WARRANTY AS TO THE CONDITION
OF THE DWELLING OR OTHER STRUCTURES ON THE
PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH
CONDITION, AND INTERESTED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DETERMINE THE CONDITION,
THEREOF.
PAGE 2 OF 2
Disapproved Date
(Signed) , 'i��
Building Inspector
\�
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 June 8, 19 55
Owner's Name and Address
Guernsey t 0 �_ ,�__�i_4�� No 10231 Street N•,E, 13th Ave.,
Registered Architect and /or Engineer
Name and address of licensed contractor_ __ _Sthat___M_e_t.11_413_C_La].._> y___0'$._ '- 3___N. -W.-___71$_t-___S-t_ -
Location and legal description of lot to be built on:
Lot 2 Block 1 Subdivision__ Bay Park Es t tt e s
Street and Number where work is to be done 1350 I , E,.iQ1. tStr_eet
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building X Remodeling Addition Repairs No. of Stories On8__ ________
To be constructed of Kind of foundation Roof Covering Tile
Estimated Total cost of improvements $ 1515 __Amount of Permit $ r 7.00
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 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 sub;; ntracto s, on work to 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
i
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 L ` i" (/ 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 -ins ection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials ar3 /or workmanship.
N9 1818
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Approved use by occupancy
Remarks:
t
Miami Shores Village, Fla., � , h - t- ?S'.
Owner, Agent or Tenant of Building ° A - -tA i =k,
Lot Block S ubdivision ? "'' - A
Street Address
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.
1C4 BUILDING DIVISION
• v