1351 NE 101 St (9)N9 1817
Owner, Agent or
Lot
Street Address
Approved use by
Remarks.
This Certificate
for building at ab
abide by and co
Zoning, Electrical
the erection, con
1
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla.,, c
Tenant of Building 1 -.7
Block Subdivision � ^ '' < L ((;".
N
occupancy
J
r �
3 • •
f Occupancy is issued to the above named ,
ve named location only upon the express provision that the applicant will
ply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Plumbing and Building Ordinances of Miami Shores Village pertaining to
truction, alteration or remodeling of building or structures.
,
BUILDING DIVISION
OWNER'S NAME
Guernsey Coast. Co., Inc.
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
,.,. _____,
R.V. e r n o � B e L y OCATION (ST. OR
AVE.)
L
BLO K
E �� Bay S11 Y D,I_VI$JO -u.
ms 1`�Tr
GENERAL CONTRACTOR
1351 N.E. 101st St.
ADDRESS
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. 1476h
�!
DATE 6-j 53
PERMIT FEE S 19.00
LIMIT BOND
NO. LIMIT DATE
EST. COST $ 15,000
ZONE REQUIREMENTS
CU. FT.
PLAN CUBE 26061 CU. FT.
DRAWINGS. SPECIFICATIONS. RESTRICTIONS
AND CUBE CHECKED BY:
DATE
Y
NEW CONSTRUCTION
CBS
CBS
STORIES
1
ROOF CONSTRUCTION
tile
INTERIOR CONSTRUCTION
eak dloors, plaster palls and
REPAIRS
DESCRIPTION ceilings
ALTERATION
3
- DESCRIPTION
bdra.-3 baths -maids rem- kitchen- dining urea -Fla. reospliving rem-
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
-
REFERRED TO COUNCIL
REASONS ga
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
7
CERTIFICATE OF OCCUPANCY NO. i '�7 � 1
ISSUED / ?O -q
BY AAA
TO en'W
1:.
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION •
& ee 3
' �1
�
,,,,
FEE
TEMPORARY SERVICE
BEAMS & LINTELS
• g; J°7
$ / ��
SEWER
,/•
/
FRAMING
�n -- •sP�� 1.";
,°,:,...y.....;
4°
$
GAS
$
$
FINAL
IE'j— .53-
-1
RE- INSPECT
BY
RE- INSPECT
BY
CLEAN-UP
it
`'
1'/ S C, d
/ 1
-/
7
- %
e - c .-��
CONTRACTOR /".'' . _
/� 'V
PHONE
�.,[ r_
PERMIT NO. / 9 ci I DATE �0• / ( J ' G`,
,>
FEE $ /;- /3/
NEW BLDG. I ALTERATION
ADDITION
REPAIRS 1
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
SEPTIC TANK,/ •- /
//-I2
$ / ��
SEWER
,/•
/
F--
$
SOLAR HEATER
'
$
GAS
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
Us •
`'
1'/ S C, d
/ 1
-/
7
- %
e - c .-��
GAS
�" 11Z
_
-
SEW Eft
SEPTIC TANK
' , ��` '
/ � ,I -:p
SOLAR HEATER
FIXTURES
5 ?• -, / " - 5�
6'0
.
/ ,
k.
CONTRACTOR � y,?S,4 4r ! = c '
PHONE
FEES
PERMIT NO. A L L "�
DATE - /1• `
NEW BLDG.
ALTERATION ( 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 - )rf
Us •
`'
1'/ S C, d
/ 1
-/
7
- %
e - c .-��
ROUGHING
�" 11Z
_
-
H. W. HEATER CONN
RANGE CONN.
ZIXTURES & FINAL
•
' INSPECT! NS
PLUMBING PERMITS & INSPECTIONS
ELECTRICA PERMITS & ^l NSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
-
F. BY l I : "•: -
J
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description.
Address of
Building
0, A
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
fI
DATE 195
El PERMIT N° 14 )54 Contr r s
❑ L en s N 'Work to be performed under this Permit tis
Bi.
Subdi-
vision
Value of
Project $
;• a
BY
Signed • BY
INSPECTOR
Amt. of
Permit
f
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 specification@ 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 comp iance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is
granted is the understanding that th contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered here y 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.
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 confcrmity 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.
AUTHORITY
f t
r
,•
APPLICATION FOR BUILDING PERMIT
Application is here .y made for the approval of the det.11ed statenien of the plans and specifications herewith submitted for the build-
ing or o 11, Tucture 11 r i described This ri is made in compliance and con•o ni.ty w•th the Building Ordinance of Mia ii
Shores .or da, nd all pro isions of the Laws f the State of 1: krid. all o d nances f Mi m Shores Village and all rules and
regu.a ion, of the Buildi g Div.. i of .iam Sho iilage '1 ,e o ipled with, whether herein specified or not. A copy of approved
plans and specificati .nr lust: be key at bueding durin progress of the wcrk.
Owner' Name and Add ess.
Registered Architect and/or Engineer...
Name nd address of li -n,ed contractor
Location and legal descri tion of lot to be built o :
Lot. Block.. -2_
Street and Number where work is to be done
MIAMI SHORES VILLAGE
BUILDIN INSPECTION DEPARTMEN
Date
State work to be done ad purpose of building (by floors) J--= •
New Building
To be constructed of
Estimated taI cost of i
Zone ^ubage required
Distance to next nearest building_ ..
Maximum live load to b borne by each floor.
hereby subs it all
be sent to
The unde signed ap
of 1: bor under he Flori
and h s compl ed w:th
in the wo k to be p ri
or .otit es as are requir
permit as are licensed b
Remarks__
STATE OF FLORIDA,
COUNTY OF DADE.
Before me, the unde
peared
Remodeling_
_ _ Kind of foundation
provements cit co CS
eze6z,6,
Subdivision ak-1-014 0 _ ‘aaZ
/ ..5/ /
and for no other purpose.
Addition.... ..... Repairs. _
Roof Cov
Amount oF Permit $-- /7
_Plan Cubage 0 6 /
Size of Building Lot
he plans andpechications fcsaid ilding. All notices with reference to the budding and its construction may
I._3 .
li ant for th s building permit does hereby certify at he understands and accepts his ,..bligations as an employer
a Workmen's Co Act being 5- -tion 5966 Col p led Gen al Laws of Florida P r anen. Sippk nent.
e prov thereof, and will require s:milar comn lance from all-66`tractors or sub-contractors emplo :ed by him
ed under th s pern it and ill post or cause to be posted for inspec on on the site of the wor. su :11 public non- c
by the Act. The u. d. r ign.1.1 agrees to employ only such Acont ctors, on work to erforn, d . der this
M ani. Shores N ge.
(Signe
(
No. of Stories.
ss.
signed authority, a notary public, duly authorized to adm.nister oaths ,..nd take acknowledgments, personally P p-
-
.to me well known,
and who, being by me fi st d. ly cworn, upon oath deposes and says that he is the
of th abov de & ibed • istruction , : h has careially read the foregoing application, and that he did sign the same, and that all facts
therein by h tated ar i, e
Permit :' I ..:Eir-- ---- 1 , .... Date.
'\ i . I liflAt VP .. Date_
01
• ' IV 1 ' \
Disappro
(Signe
Chairman
Member
Member
Council Approved.
NOTE: A charge o
the Ham' ng Board
A re-inspection fee
materials and/or workma
Read, Sworn to and Subscribed before me.
Notary Public State of Florida
uilding Inspector My Com:nission Expires.
PLANNING BOARD DATE
Member
Member
Member
.Date Disapproved Date
$1.00 will be made for making corrections or changes to this application tftrr approval his been obtained from
f $1.00 will be charged when such re-inspection is miie necessary by improper notice for inspeyt or fa ity
ship.