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OCCUPANCYdWNER'S NAME r uernsey C Co., Inc. PRESENT ADDRESS LICENSE NO. PHONE NO.- JOB LOCATION (ST. OR AVE.) 430 N.E. 101st St. LOT 6 BLOCK 1 SUBDIVISION r MS Bay Park Est. GENERAL CONTRACTOR L.V. Guernsey ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. 1569 8 DATE 2-2-54 �/ PERMIT FEE $ 24.00 BUILDER'S BOND NO. DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE 32 CU. FT. EST. COST $ 20,000 DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: DATE NEW CONSTRUCTION TYPE CBS STORIES 1 ROOF CONSTRUCTION tile INTERIOR CONSTRUCTION oak floors, plaster walls and REPAIRS DESCRIPTION ceilings 3 baths, 3 bdrm.,foyer- living room Fla. room - dining area kitchen ALTERATION utility room - garage 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. I9Q„ d / ISSUED 6`� � BY „e ,1 TO ''a✓ '�� BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION,{� PERMIT NO. �� f FEE TEMPORARY SERVICE $ BEAMS & LINTELS . ° ?, v ( FRAMING ...' S ' ti SEWER $ $ SOLAR HEATER $ $ GAS $ FINAL .2A*'$ -.�,, $ $ INSPECTIONS DATE CLEAN -UP U ().� BY RE- INSPECT BY ROUGHING J � /'S`�� 4.-Vii CONTRACTOR � pp 91 � = C �ti� PHONE PERMIT NO. /6 a 7 DATE 2 (c.=_ ,--- FEE $ /2 NEW BLDG. 1 ALTERATION ADDITION ( REPAIRS REPAIRS ) SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. SEPTIC TANK .0 - $ RANGE CONN. SEWER $ $ SOLAR HEATER $ $ GAS $ $ $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING J � /'S`�� 4.-Vii ` 1'1�1 ROUGHING GAS H. W. HEATER CONN. SEWER J • RANGE CONN. SEPTIC TANK ° ■ �� �� "� SOLAR HEATER FIXTURES & FINAL FIXTURES l -? i -- /),')•.� CONTRACTOR I , 1^ (,' ._- PHONE PERMIT NO. DATE FEE $ NEW BLDG. ALTERATION I 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 APPROVAL TO POWER CO. FOR SERVICE DATE 4 jl j' � BY )74 ( � IYL�DING INSPECTIONS '2 PLUMBING P ML TS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS N9 1967 Miami Shores Village, Fla , `�• // ® ' Owner, Agent or Tenant of Building Lot Block 1 Subdivision 1? Street Address Approved use by occupancy e CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION d 4 - 0 `rl . S, ‘t a� � 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 buildi gs or structures. i (D `�(1)11T / BUILDING D1 1 SIGN t BUILDING C� ELECTRICAL PLUMBING ❑ ROOFING Owner of Building ». ,.. Architect Contractor or Builder Legal Description. Address of Building Lot ❑ PERMIT N° 15699 ❑ Work to be performed under this Permit 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. 1 Signed: i" y + BY } C INSPECTOR In consideration of the issuance to me of this permit I agree to berform the work covered hereunder in compliance with all ordinances and regulations ertaining thereto and in strict conformity with the plans, drawings, stattnts or specifications submitted to the proper authorities of Miami Shores Village. n accepting this permit I assume responsibility for all work done by ei er, myself, my agent, servant or employee. CONTRACTOR OR BUILDER e MIAMI SHORES VILLAGE. FLORIDA Subdi- vision Value of Project $ DATE . 1 195 Contractor's License No Amt. of Permit $ BY AUTHORITY Zone cubage required_ __. STATE OF FLORIDA, COUNTY OF DADE. ss. Chairman Member Member _ . Council Approved 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 i. described. This rilicatic is made in compliance and con•o w.th the Building Ordinance. of Mia ii Shores Villacte, 1. .or'cla, and all pro. isions of the Law if the State of Fkrid. all o d•nances f Mi Yu Shores Village and all rules and regu7aliono of the Building Div. i of .iam- Shoo illage 'I ,e -o. ipl.ed with, whether herein specified or not. A copy of approved plans a./ nd specificati n must be kei.‘ at building durin progress of the wcrk. Date Owner' Name and Registered Architect and/or Engineer._ Name .nd address of licensed contractor Location and legal description of lot to be built on: Lot. '13 Street and Number where work is to be done / Ai / Block._ / State work to be done and purpose of building (by floors) New Building_ Rernodeling_ Addition__ Repairs. To be construct of_ Y ---- - Kind of foundation Estimated `I 7,tal cost of improvements $_ P—C'e ot:' 4= • Distance to next nearest building_ _ _ 'MIAMI SHORES VILLAGE Subdivision ,Cr No / Street_ .. and for no other purpose. Roof Cov !ring_ Amount of Permit $._ e)-4421 _Plan Cubage_ 3 Z- 41) ..„ • Size of Building Lot / t2r e) / 2 .■e ) Maximum live load to be borne by each floor_ Oa hereby submit all the plans and speciiications for said building. All notices with reference to the building and its construction may be sent to _ The unde signed appli -ant for this bulding permit does hereby certify nat he understands and accepts his obligations as an employer of bor under he Florida Workmen's Compensation Act being S. 'tion 5966. Coi pled Gen al Laws of Florida P r anen StppTe nent, and h .s compl ed w he prov';ions thereof, and will require similar compnance from all contractors or sub-contractors emplo-ed by him in the wo'k to be p rf under th's pern and ill post or cause to be posted for i psection on the site of the work su :h public noti..e or ..otices as are requir d by the Act. The u..ch r ign..d agrees to employ only such lcztr. ctors, on work to be per orn d . der this permit as are licensed by M.am: Shores ge. Remarks_ (Signed) _444./46 Before me, the undersigned authority, a notary public, duly authorized to adm:nister oaths old take acknowledgments, personally vp- peared to me well known, and who, being by me first d. ly sworn, upon oath deposes and says that he is the of th abov. de ,c ibed ..istruction t; ; h- has carefuj read the foregoing application, and that he did sign the same, and that all facts therein by him stated are tr ie. Permit No I SC 9 k Date__ Ra5/5 9 Disapproved D te__ ( Signed) ___ .._ ___ ______ . Read, Sworn to and Subscribed before me. PLANNING BOARD DATE Member Member Member _Date Disapproved No. of Stories. , 19 .. • • Notary Public State of Florida My Com:nission Expires_ Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application Iftcr approval his been obtained from the Planr:ng Board A re-inspection fee of $1.00 will be charged when such re-inspection is rna1e necessary by improper notice for inspel.t•on or fa. ity materials and/or workmanship. 1 cf (tr. T7 4L, ° C c Date 7 /irc Job Address /,) ,c/.4" /O/ ` Tax Folio // 3 Z0r 02" 0a2a ,d / e y}' IJM e t9 ' Legal Description L �/� / Historically Designated: Yes No Owner/Lessee / Tenant /f?C.4 P / 12 1/44— Master Permit # ? 9 8 X. — Owner's Address 7000 Towv.fe: /ea AV/o /O /74. f/ if/J8 Phone (,?of) 87/ /y Contracting Co. �� /ate. ,C�y� /./. C•. fi 0 a,4 ,6. c. Address -? 2f EVE" 72 f � /72.,16y,; r4/• /re SS# Phone Oar) 7J e-- ff,e AO Qualifier /(P Ie , f zi/c/A - Square Ft: ''''PMIT APPLICATION FOR MIAMI SHORES VILLAGE State # C. eG or 2 V2 ? Municipal # Competency # Ins. Co. Architect/Engineer .5; haw /9-eii c.fJ t Address Bonding Company Address Mortgagor / Address Permit Type (circle one / UILDIN0 ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Ae° v `-A. c, � AI 11111111 41 i Signature of owner and/or Condo President 11 ate 4/ O °rUO Notary as to Owner and/or Condo President Data My Col nmf 9 � C IAt cn o r *� ? •. Estimated Cost (value) i /3--0 0 0 cr WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. FEES: PERMIT B.Sf o o RADON i.f . / G C.C.F. ,Z.l o NOTARY Soo o,cc D ..?oo. 0 ignature of Contractor or Owner- Builder Date ati i' I6 -y- Notar as to Contractor or Owner- Builder Date My Commission Expires:.. .!. ST `c: '•:�d I`/ /(/4 /a ,� . • f2 TOTAL DUE , '-('`/1. /G NOTICE OF COMMENCEMENT A RECOAbELPCOPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA COUNTY OF DADE /8 Signature of Owner n/� Print Owner's Name g• P . rJ L v/ Sworn to and subscribed before me this /4 day o Notary Public Print Notarys atne f r,r,At tdGTpt�V °'.l 1 �< PA i SANDRA 1.110N l My Comm Ex 12101•tt2 7 ( 9 a PAGE 3 '. y ,R '" ' tr C 4 d 1 v 1 , 4 , v� My co titalSE:Z I E:X'. �. :� At. G 1;' ',;,fi TAX FOLIO NO. 1/ 3. 0.2 iv 0020 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property and street address* / ' Jc ^C. /p tit ; f40•l,i j� 7J /J2 2. Description of improvement* A/a C•�►.l,S- �s�i.» 3. Owner(s) name and address* ig o44tr•1 4 f/c b -- d qe.-74-6 - S'* a o T,... f. ot/c /w /o m/ 41 /" c j..747,9 Interest in property D - - e " Name and address of fee simple titleholder 4. Contractor's name and address ,a 4.,%/:.l �'.. fr.. c I• .J... c 96R 1.62538 1996 APR 17 10:5f 5. Surety: (Payment bond required by owner from contractor, if any) Name and address' Amount of bond $ 6. Lender's name and address 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name and address n / 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as pro- vided in Section 713.13(1)(b), Florida Statutes. Name and address. A.6.4 Aff/- dg 2 s — C 9.2 J .f4- / /7n.:•..; /T6. 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date in specified) 9 ' OF FLORIDA, COUNTY OF DADE . HERESY CERTMY Met Mb N o hoe i of 1Ao oAginel/ge/ In . office on , A. CC 1E PIPS my li n/rcnd oinclot Seal. 104.01 VIN. CLERK, a dir to Prepared by. -1,. 6. 4, 1-.e /l o de./ C, 1/6, Address 4 2r .A/E' '72 '%' f "e 3,11,18 No. 2033 Lot Street Address 1430 N.E. 101 Street Approved use by occupancy Rprn -.{s : Permit No. 39982 3UIL0ING .ANO ZONING OC?ARTN•_Ni I0C:90 SCC :NO AVE :NUE NIAN1 3:.0QE5. ° L7 01 0.' 33139-3232 _._ ?`•CNE .2097 799-32C- = .ax (209) 736 -8972 CERTIFICATE OF OCCUPANCY Owner, Agent or Tenant of Building Mr • & Mrs . Blum Block Subdivision Single family residence Date January 15, 1998 This Certificate of Occupancy is issued to the above named owner 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. FRANK /UBIEN, DIRECTOR, BUILDING DIVISION