1411 NE 101 St (10)CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 168
Owner, Agent or Tenant of Building
P- el k
Miami Shores Village, Florida,
a� '9..T 5
Lot 3 Block Subdivision ' S\
Street Address 1 4% "\
Approved use by occupancy
Remarks•
This Certificate of Occupancy is issued to the above named AN-
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 a 1
Guernsey Construction Co., Inc.
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
1)11 N.E. 101st Street
LOT
13
BLOCK
3
SUBDIVISION
MS BP Est.
GENERAL CONTRACTOR
R.V. Guernsey
ADDRESS
PHONE NO.
LICENSE NO.
d
��[[
BUILDING PERMIT NO. 1418
DATE 3•22•55
PERMIT FEE S 19.00
BUILDER•S BOND
NO. DATE
ZONE REQUIREMENTS CU. FT.
PLAN CUBE 20,071 CU. FT.
EST. COSTS 157000
DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY
DATE
NEW CONSTRUCTION
CBS
CBS
STORIES
1
ROOF CONSTRUCTION
tile
INTERIOR CONSTRUCTION
oak and stonex floors, plaster
REPAIRS
DESCRIPTION Walls and ceilings
3 bdrm. -3 baths-kitchen-Fla. room - living room- 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./ 6
ISSUED 7" ^�
BY
1 TO
BUILDING PERMIT AND IPQSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
RE- INSPECT
BY
REINSPECT
BY
FOUNDATION-
3-,,r'5
FA/
TEMPORARY SERVICE
TEMPORARY SERVICE
$
BEAMS & LINTELS
7 8./�
•/. '
$ / G�
$
SEWER
SOLAR HEATER
FRAMING
--e7-2 "a
.O4-
S
FIXTURES
$
INSPECTIONS
DATE
BY
RE- INSPECT
FINAL
-/. /-'
'0i4 '0i4
ROUGHING
BY
RE- INSPECT
BY
CLEAN -UP
d
it
'1
GAS
PERMIT NO. ti
W
DATE q ° X3° - '
FEE $ 1 r 4
REPAIRS
NEW BLDG.
ALTERATION I ADDITION
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
TEMPORARY SERVICE
$
SEPTIC TANK G� . /7e
, �r, C> •--
../..... _ C'''----,
$ / G�
$
SEWER
SOLAR HEATER
$
GAS
S
FIXTURES
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
BY
RE- INSPECT
BY
TEMP. SERVICE
GAS
ROUGHING
SEWER
H. W. HEATER CONN
l)
SEPTIC TANK
/. `-
!, + , ,
RANGE CONN.
SOLAR HEATER
FIXTURES
4 ,ss
)i.
F. XTUREB -& FINAL
// r O d
6 " &-5S
k
a
CONTRACTOR f =' n _ ' �' '
PHONE
PERMIT NO. 7. DATE -)
FEE $ 7
NEW BLDG. I 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
l)
RANGE CONN.
F. XTUREB -& FINAL
// r O d
6 " &-5S
k
a
BUILDING INSPECTIONS
ELECTRICAL PERJ4ITS & INSPECTIONS
PLUMBINGIIMITS & INSPECTIONS
CONTRACTOR V, ,�( G^� o PH
APPROVAL TO POWER CO. FOR SERVICE DATE (�' � )-1-1"
" 1-
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.
Owner's Name and Address
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on: r P Lot 1 Block //// Subdivision� 1(_ c 1�.�
Street and Number where work is to be done /7_L/ .L L' • / l
State work to be done and purpose of building (by floors)
New Building Remodeling Ad
To be constructed of_.. Kind of foundation
Estimated Total cost of improvgmgnts $___/J. a m 0
Zone cubage required
Distance to next nearest building ""
Maximum live load to be borne by each floor
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
Q v IP
Date / , 19 c--
/ Street XI
(//
and for no other purpose.
Amount of Permit $
.Plan Cubage__
eif Building Lot r /00 xi # -.p
! 7'
n Repairs No. of Stories.... /
of
d �
C
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 pennit 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 Sii dement,
and has complied with the provisions thereof, and will require similar compliance from ontractors or sub - contractors employe by him
in the work to be performed under this permit; and will post or cause to be posted fovins •ction on the site of the w.rk deli public notice
or notices as are required by the Act. The undersigned agrees to employ only such ubco tractors, on work to pe ormed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signe
No.1U '3i
® �
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
— - - - - - -- to me well known,
and who, being by me first duly sworn, upon oa . oses and says at he is the
of the above described construction, that he has 'r f lly read the re application, and that he did sign the same, and that all facts
therein by him state true.
LY Permit No _ --- - � • - --- -� D. t
Disapproved
(Signed)
ead, 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- 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.