246 NE 100 St (10)N?
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
192
Owner, Agent or T =nant of Building
Le.)
Lo
Street Address
Bloc Subdivision
Approved use byocc
Remarks •
This Certificate of Occupancy is issued to the above named
Miami Shores Village, Florida,
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 cis the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
L i+ 1
BUILDING DIVISION
OWNER•S NAME
Donald Landis
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
I
JOB LOCATION (ST. OR AVE.)
owner
LOT
7 W25' of6
BLOCK
33
SUBDIVISION
Sec. 1
GENERAL CONTRACTOR
246 N.E. 100th Street
ADDRESS
PHONE NO.
LICENSE N.O.
BUILDING PERMIT NO. 70
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DATE 3 -2 ° -55
PERMIT FEE $ 2 } � 5o
BUILDER'S BOND
NO. DATE
ZONE REQUIREMENTS CU. FT.
PLAN CUBE 1 CU. FT.
EST. COST $ gOO.00
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:
DATE
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
REPAIRS
DESCR IPTION
Extend Fla. room
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. `` •
1
b
I ISSUED 2
BY ki
TO
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
BEAMS & LINTELS _
{ ,
$
S
SEWER
FRAMING
S
S
SOLAR HEATER
S
S
GAS
$
S
S
FIfAL
INSPECTIONS
IE4
BY
RE- INSPECT
BY
RE- INSPECT
CLEAN -UP
,5
i
if
CONTRACTOR
PHONE
PERMIT NO.
DATE
FEE S
NEW BLDG. I ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
S
SEPTIC TANK
$
S
SEWER
S
S
SOLAR HEATER
S
S
GAS
$
S
S
S
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
ROUGHING
GAS
H. W. HEATER CONN
SEWER
RANGE CONN.
SEPTIC TANK
SOLAR HEATER
FIXTURES & FINAL
FIXTURES
CONTRACTOR
PHONE
PERMIT NO. DATE
FEE S
NEW BLDG. I ALTERATION ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
S
MOTORS
S
FIXTURES
$
S
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
APPROVAL. TO POWER CO. FOR SERVICE DATE
BY
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 °
Street , 19
� �`"
Owner's Name and Address t' i a. No
Registered Architect and /or Engineer...__ _ s ._L
Name and address of licensed contractor
Location and legal descri ti n of lot to be built on:
�pA
Lot ( 7 ° _ s� ._' Block S vision
ubdi
Street and Number where work is to be done S
State work to be done and purpose of building (by floors)
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
•
c.
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind Lfoundation eRoof ng
Estimated Total cost of improvements $1," Amount of Permit $ .._
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, Pennanent 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 subcon ractors, on work to Jae performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)_ -- r � r...4
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 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
�J / are true. y
Permit No ° Date
Disapproved Date
(Signed)
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
Building Inspector 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.
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