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1401 NE 101 St (9)■ CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 126 Miami Shores Village, Florida, 3 4,° 14,13i ‘liA Owner, Agent or Tenant of Building \ � "' Lot 1 Block 3 Subdivisio Street Address 1' 0 / . E • 10/ ,g„ 1 Approved use by occupancy 1 - 1( 6.-+- - 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. l iVWN BUILDING DIVISION OWNER'S NAME Guernsey Construction a ., Inc. PRESENT ADDRESS LICENSE NO. PHONE O. JOB LOCATION (ST. OR A VE.) R.V. Guernsey LOT 3 BLOCK 3 SUBDIVISION MSBP Est, GENERAL CONTRACTOR 1401 N.E. 101st Street ADDRESS PHONE NO. LICENSE NO. 1108 BUILDING PERMIT NO. 110 d DATE 1 -10 -55 PERMIT FEE $ 21 BUILDER'S BOND NO. DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE 28,47 CU. FT. EST. COSTS 17,000 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE STORIES ROOF CONSTRUCTION INTERIOR CONSTRUCTION concrete tile and oak floors, REPAIRS DESCRIPTION plaster Walls and ceilings 3 bdrm. -32 baths - dining area - living F+voni- 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. / [ � [+j� / ISSUED -4- Sat BY /` a TO - BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 8'.0S °�I}� `-C6 TEMPORARY SERVICE $ i / SEPTIC TANK (IC. U 4?) r,!%f. BEAMS & LINTELS .��� fb' RANGE CONN. S / !, SOLAR HEATER FRAMING ry i A ^1 '- N GAS $ FIXTURES $ $ INSPECTIONS DATE BY FINAL 3 -1-Z: J- A. BY ROUGHING BY TEMP. SERVICE CLEAN -UP GAS ROUGHING PERMIT NO. A1. :4 / DATE � � � / . f �` _, _ . � l - FEE $ J / REPAIRS NNN NEW BLDG. f ALTERATION ADDITION SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE FEE TEMPORARY SERVICE $ i / SEPTIC TANK (IC. U 4?) r,!%f. // �l Fn ��,` i/" L , L ' S /'' �( � r f JJ SEWER fb' RANGE CONN. S / !, SOLAR HEATER $ MOTORS $ GAS $ FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING BY TEMP. SERVICE GAS ROUGHING ''-"' ,, - )' �� � -\ • SEWER H. W. HEATER CONN. SEPTIC TANK 1 ! � .. � . v SOLAR HEATER FIXTURES °____ '_ , 3-2.7)-- c-',1 CONTRACTOR / -� -O o PHONE PERMIT NO. DATE / c5 f j - `�----.� NEW BLDG. ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS $ FIXTURES $ S INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING ''-"' ,, - )' �� � -\ H. W. HEATER CONN. RANGE CONN. • FIXTURES & FINAL 3-2.7)-- c-',1 BUILDING INSPECTIONS (1 �� Q PLUMBING PERMITS & INSPECTIONS CONTRACTOR ELECTRICAL PER ITS & INSPECTIONS APPROVAL. TO POWER CO. FOR SERVICE DATE IN, — ". - • •' r , BY 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 ke t at building during progress of the work. Owner's Name and Address -, c Registered Architect and /or Engineer Name and address of licensed contractor Location and legal description of lot to be built on: State work to be done and purpose of building (by floors) To be constructed of Kind of foundation Estimated Total cost of improvements $.___ / Z,__® mci Zone cubage required aast: Distance to next nearest building ./.27 Maximum live load to be borne by each floor__ I hereby su be sent Permit No Disapproved (Signed) . MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT Block all the plans and sp ications for and who, being by me first duly sworn, upon oath deposes of the above described construction, that he has carefully therein by him stated are i e ' D ate A f aro ill J i. u ildi - spector Date_ No. /o2-s?C /2 /SS . Street 44- /2 Lot 3 Subdivisio _ Street and Number where work is to be done Z4 l ( ,tr/ _ .l_ _/ ;19 and for no other purpose. New Building_ Remodeling Addition 1 Amount ?AZ. rs No. of Stories _ Roof if wing 1 L of Permit $ plan Cubage �w -_l�, "1 __ Size of Building Lot id_O___._.?c g. All notices with reference to the building and its construction may / a2- / /r:_ e. ell &- 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 5968, Compiled General Laws of Florida, Permanent Sup element, and has complied with the provisions thereof, and will require similar compliance from -all ntractors or sub - contractors employe by him in the work to be performed under this permit; and will post or cause to be posted for insp tion on the site of the w. k such public notice or notices as are required by the Act. The undersigned agrees to employ only such%spbcoq actors, on work to A 'erformed under this permit, as are licensed by Miami Shores Village. Remarks (Sign e/ Ay/4./.44.Z.1, STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared to me well known, says that he is the e foregoing application, and that he did sign the same, and that all facts Read, Sworn to and Subscribed before me. Notary \Public, State of Florida 1 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.