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1421 NE 101 St (14)CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N? 242 i a — i.a �, Miami Shores Village, Florida, Owner, Agent or Tenant of Building Lot Block — Subdivisions Street Address ) ' 1 j g 1 Approved use by occupancy 1 r Remarks • This Certificate of Occupancy is issued to the above named t -I 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 r ; odeling of buildings or structures. J Li. 7 BUILDING DIVISION OWNER'S NAME Guernsey Construction Company, Inc. PRESENT ADDRESS LICENSE NO. PHON 'AO. JOB LOCATION (ST. OR AVE.) 1421 N.7. 101st Street LOT 12 BLOCK 3 SUBDIVISION MSBP Est. GENERAL CONTRACTOR R.V. Guernsey ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. 219 8 o DATE 8-4-55 20.00 PERMIT FEE $ BUILDER•S BOND NO. DATE ZONE REQUIREMENTS CU. FT. 29,274 PLAN CUBE CU. FT. 16,000 EST. COST S DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE CBS STORIES ROOF CONSTRUCTION 1 .rile INTERIOR CONSTRUCTION ceramic tile floor, plaster wa REPAIRS DESCR IPTION and ccilingp 3 bdrm.31-baths- living room - dining room - kitchen- garage -patio 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. 41-/ +/ a. /� ISSUED / /c2 C •S� BY AV p ( TO / "-- - i.` -_� BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE 11E INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION 9^5"- FEE TEMPORARY SERVICE $ BEAMS & LINTELS (-' ! r - /�( / -A �G $ 6 e) 9f SEWER FRAMING y'^^ 5- I'` $ GAS $ $ INSPECTIONS FINAL g 0 ° !.r'C4-S �rh� BY RE- INSPECT BY ROUGHING CLEAN -UP OC II , GAS CONTRACTOR Pt ^ � - PHONE PERMIT NO. �' c = DATE FEE $ d �,7 ff , REPAIRS \3 NEW BLDG. ALTERATION ADDITION SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK d1/4- /�S , . - ;-' 4 ... ,, , " :' -- �!� $ 6 e) 9f SEWER $ SOLAR HEATER $ GAS $ $ INSPECTIONS DATE B; RE- INSPECT BY RE- INSPECT BY ROUGHING i). ;,r GAS SEWER SEPTIC TANK 2 /s5 PCit* ,% SOLAR HEATER FIXTURES = - .;f ,,f v CONTRACTOR ) _.� /: - PHONE PERMIT NO. ,..,.J. ° ) ( DATE FEE $ / i • 7 , NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ry " O ti H. W. HEATER CONN. S RANGE CONN. S MOTORS S FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE .. (J\i-- ROUGHING H. W. HEATER CONN. RANGE CONN. FIXTURES & FINAL j() -/ BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS u APPROVAL TO POWER CO. FOR SERVICE DATE 10- Disapprove Block Street and Number where work is to be done State work to be done and purpose of building (by floors) ( Subdivision / ¥ ( To be constructed of C_ Kind of foundation 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 7 / , 19 �'� No./ I Street ' 177 (..� Owner's Name and Address.. Registered Architect and /or Engineer.... .. i� Name and address of licensed contractor "V' a•r - - �� Location and legal description of lot to be built on: Lot 1441k. _ r and for no other purpose. New Building Remodeling Ac lion Repairs No. of Stories 7 i.. Roof Cover Estimated Total cost of improvements $ _ �IQeQQ_amount of Permit $ .If'+-0?4..... Zone cubage required ' r 4e?_ ?..24 Plan Cubage 4 7; 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 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, Permanent 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 i. spect'. n on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such - ..con actors, on work to be per ed under this permit, as are licensed by Miami Shores Village. �� a Remarks (Signer/ .L, . :..d'�!� STATE OF FLORIDA, COUNTY OF DADE. ss. 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 a d says that he is the. of the abo e described construction, that he has caret ly re the foregoing aaplication, and that he did sign the same, and that all facts therein by 'm stated are true. 1 Permit No _ _. _ ' c Date 'at Read, Sworn to and Subscribed before me. Notary Public, State of Florida Building nspec or My Commission Expires PLANNING BOARD DATE 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. Disapproved_ ( Signed) • MIAMI SHO ES VILLAGE 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. �� p� Date . _ce a gis _ r 6 , 19Zf9. Owner's Name and AddresslP!�.J1 ci_� _ •1�.._ 1 Q : e ) No / 4 2-1'/ Street /Al ,,1 1_4-, Registered Architect and /or Engineer /� Name and address of licensed contractor 4 C (1 f 7.../a V C7L O Al- S° 49 _ R4 " / 141 ,S Location and legal description of lot to be built on: Lot___- _ - i_ _ -At. Block 3 Subdivision.. /kli_ame..i _ - -_C Q _ 6-.5 - - - -BAY Adie err4 Pej Street and Number where work is to be done 1 4__ 1 Al,t_ _ .._____.0 0_ - J_ r e State work to be done and purpose of building (by flow)._ � �4_ .e_er " �L�_ l� � g r "I-a°, Ve 11 14.117/7:1 and for no other purpose. New Building Remodeling f Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering 0 Estimated Total cost of improvements $ 3 P s.- — ___ _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, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors pis yed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the s' os the work : c; ublic notice or notices as are required by the Act. The undersigned agrees to employ only such subcontractors ?n : ork o b !p ; ' . ' ed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) STATE OF FLORIDA, COUNTY OF DADE. ss 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 Permit No.___ Date Read, Sworn to and Subscribed before me. therein by e. BUILDING INSPE ION DEPARTMENT BUILDING INSPE ION DEPARTMENT Notary Public, State of Florida Building Inspecto � %j My Commission Expires PL`' ING 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.