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1400 NE 101 St (7)N° 1852 Miami Shores Village, Fla, P\7: t9 Owner, Agent or Tenant of Building -4 , Lot Block / Subdivision Street Address h 40,7) 'cJ Approved use by occupancy Remarks. CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION A -(= 644; This Certificate of Occupancy is issued to the above named v 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 �' OWNER'S NAME Guernsey Const. Co. PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 1400 N.E. 101st Street LOT 3 BLOCK 1 SUBDIVISION n MS Bay Park Est. GENERAL CONTRACTOR R.V. Guernsey ADDRESS PHONE NO. LICENSE NO. 15259 BUILDING PERMIT NO. 9 -30 -53 DATE 7.00 PERMIT FEE $ BUILDER'S BOND NO. DATE ZONE REQUIREMENTS CU. FT. $2,500 Tax Va1u PLAN CUBE CU. FT. EST. COST $ DRAW NGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION REPAIRS DESCR IPTION Swimming Pool ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE•SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS �� I�� CERTIFICATE OF OCCUPANCY NO. / l J� ISSUED I v - -6G B\ TOt�* %; -- - .,....■ BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE PERMIT NO. DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION I- .. ` � $ SEPTIC TANK BEAMS & LINTELS $ SEWER $ SOLAR HEATER FRAMING $ GAS $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT FINAL 1 C-' CLEAN -UP SEWER CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK $ SEWER $ SOLAR HEATER $ GAS $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING GAS SEWER SEPTIC TANK SOLAR HEATER FIXTURES CONTRACTOR PHONE PERMIT NO. DATE FEE $ NEW BLDG. 1 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 ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS - ..1PPROVr^L TO POWER CO. FOR SERVICE DATE BY BUILDING { ,1 ^'' DATE • - Yrk_ -- AI 195 2 ELECTRICAL ❑ PERMIT N? 15259 p, cto w PLUMBING CI ' .; % _; N �� '�' ROOFING ❑ Work to be performed under this Permit Owner of Building _ s,,. ?►.. Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA 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. CONTRACTOR OR BUILDER Signed Subdi- vision Value of 2 Project $ � S Amt. of Permit $ - women BY 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 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. BY AUTHORITY Owner' Name and Address___ Registered Architect and /or Engineer Name nd address of licensed contractor. ___ Location and legal description of lot to be built on: Lot_ __. Block_._ Street and Number where work is to be done_ New Building, _ Rernodeling__ To be constructed of_ _ _ Kind of foundation Estimated ,ta1 cost of improvements $ ®Q Zone ^ubage required. __. Distance to next nearest building__ _ _ Maximum live load to be borne by each floor_ _ . _____ STATE OF FLORIDA, COUNTY OF DADE. and who, being by me first d. 1 of di abov de. ed • istru. therein by him s . ;131c, - / D. n Permit No Disapprov (Signed) ____ _ t Chairman _ Member ____ Member Council Approved ss. MIAMI SFItRES VILLAGE BUILDIN INSPECTION DEPARTMEN' APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the det. iled statenien• of the plans and specifications herewith submitted for the build- ing or o h. -ructure her 1 described. This i-i licatic is made in compliance and con •o'm ty w.th the Building Ordinance of Mia ii Shores Village, .or da, and all pro. isions of the Laws of the State of 1. h. rid. all o d nances ,,f Mi .mi Shores Village and all rules and regu•a'ion, of the Budding Div.. i of .tam Sho. illage h 1 1 e -o• ipl.ed with, whether herein specified 9r not. A copy of approved plans and specificati ms must be kei at building durin progress of the wcrk. Date_ ector Subdivision IVoa State work to be done and purpose of building (by floors) j and for no other purpose. No. of Stories. ® 6 Cov ring__ Amount c`. Permit $. plan Cubage ia - ___ ti •92.V _Size of Building Lot Addition____ ___ -__ _____ __ _ Repairs. _ hereby submit all the plans and specuieations for said building. All notices with reference to the building and its be sent to The unde signed appli ant for th's building permit does hereby certify clat he understands and accepts his .•bligations as an employer of 1 bor under he Florida Workmen's Compensation Act be ng S- , tion 5966 Coi p led Gen N•e. /6/ -c (Sigie Member Member Member _Date Disapproved / Date ���; - - - - -/e z_21.._ _4/__ '. /3 - -• -- and h s compl ed wtth he prov'aons thereof, and will require s•milar comp lance from all c in the wo k to be p rt med under th s pern it and ill post or cause to be posted for insp or .otit es as are requir d by the Act. The u. d,r ign sd agrees to employ only such/ abc permit as are licensed by M am: Shores `il•: ge. Remarks__ al Laws of Florida P r anen. S•ipplt uent. tractors or sub - contractors inplo .ed by him tion on the site of the or - s i :h public not] e ctors, on work to , -rforn. d . der this No----- --- -- ----- -• -- --- -. Street Read, Sworn to and Subscribed before me. Notary Public State of Florida LANNING BOARD DATE ,19 construction may Before me, the undersigned authority, a notary public, duly authorized to adm :nister oaths and take acknowledgments, personally p p- pearcd .to me well known, sworn, upon oath depo , .es and says that he is the n t, • h has careially read the foregoing application, and that he did sign the same, and that all facts My Com :nission Expires. Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application Ifter approval his been obtained from the Planr ng Board A re- inspection fee of $1.00 will be charged when such re- inspection is mu ie necessary by improper notice for inspe :•t•or or fa• Ity materials and /or workmanship.