1450 NE 101 St (11)CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N? _75
Miami Shores Village, Flori �+
4
Owner, Agent or Tenant of Building
Lot Block Subdivisio
Street Address I S ' 'E , 1 0
Approved use by occupancy
Remarks.
Tkis 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 r odeling of buildings or structures.
G? 9
D, Li sTei\Jalita.
BUILDING DIVISION
OWNER'S NAME
Guernsey Const. Co.,Inc.
PRESENT ADDRESS
10231 -N. E. 13th Ave.
LICENSE NO.
PHONE NO.
.. - -.
- JOB LOCATION (ST. OR AVE.)
1450 N. E. 101st St.
LOT
8
BLOCK
1 i.S.B.B.Eatates
SUBDIVISION
' - GENERAL CONTRACTOR
R. V. Guernsey
ADDRESS
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. 119
DATE 5 -6 -54
PERMIT FEE $ 26.00
BUILDER•S BOND
NO. DATE
ZONE R EQUIREMENTS CU. FT.
PLAN CUBE 42, 929 CU. FT.
^ EST. COST $ 26.00
,
' Cv 6 "�
DATE
�s
,� I �°
DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: Y V
X
NEW CONSTRUCTION
TYPE
` ,{, c BJ
r
STORIES
1
ROOF CONSTRUCTION
Tile Roof
INTERIO CONSTRUCTION
1Tile floor, P laster walls &
c. ll rag, bedronmG Gel rated k
REPAIRS
DESCRIPTION strips(f10
ALTERATION
ESC PTION
3 bedrooms, Ben, Living room, Florida room, Kitchen, utilityx room,
garage. 3 baths
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. �'.
ISSUE > �N ''
I
BY i` L /l1/
A �l.
TO "' °
BUILDING PERMIT AND INSPECtION RECORD -MIAMI SHORES VILLAGE
r)
INSPECTIONS
DATE
BY
RE- INSPECT
BY
i
RE- INSPECT
BY
FOUNDATION
,{
'S 13- - 51
k, t - =1'
TEMPORARY SERVICE
5
BEAMS &LINTELS
7" ��' :;
f � .
S
RANGE CONN.
FRAMING
,-3.!--.S;;
;;7 .
5
FIXTURES
$
S
INSPECTIONS
FINAL
pp
U cj
BY
RE- INSPECT
3 -,s7
BY
TEMP. SERVICE
CLEAN -UP
ROUGHING
.,
v. t
PLUMBING
RMITS & INSPECTIONS
CONTRACTOR (1 - �
; PHONE
�
PERMIT NO. I Ci
�
DATE `v 1 ° AS -
FEE $ /�- NJ
NEW BLDG.
ALTERATION I ADDITION
REPAIRS rr «viii,,,
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
v% / /d
V,
/S-q2/
SEPTIC TANK
,---, ..
SEWER
FIXTURES & FINAL
/
$
SOLAR HEATER
$
GAS
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
GAS
SEWER
SEPTIC TANK
q- �l
✓(2��f
,
SOLAR HEATER
r
FIXTURES
j C)-I -S ..
;,), '‘•
CONTRACTOR
PHONE
PERMIT NO. DATE
FEE $
NEW BLDG. I ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
5
H. W. HEATER CONN.
S
RANGE CONN.
S
MOTORS
5
FIXTURES
$
S
INSPECTIONS
DATE.
BY
-�� do
RE- INSPECT
" - 1
BY
RE- INSPECT
3 -,s7
BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
-' i `<
BUILDING INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE 0(/.
G
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or ocher structure herein described. This applicaticn is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws cif the State. of Florida. all o finances of Miami Shores Village and all rules and
regulations of the Building Divi,ii,n of Miami Shore', \, iilage .h fi he complied with, whether herein specified or not. A copy of approved
plans and specifications must' be kepi at building durint 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:
Lot __ d'_ --_ -- - .. Block.._ _. -. / -- --
New Building. _ Remodeling
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMEN'
APPLICATION FOR BUILDING PERMIT
To be constructed of Kind of foundation._
Estimated "' ;cal cost of improvements $ _ 00 Amount of Permit $.
-Plan Cubage.
Size of Building Lot
ector
Date 'Ws, , 19.. SC"
No. __ /V' 6 Str et_. . i O t
a-. 4/
/a S.. 3, n/ i= < 2
subdivision_ .4 - J' P P
Street and Number where work is to be done ✓ gra. .._ .. • /0/ L -
State work to be done and purpose of building (by floors) - - - -G/
Addition ____ ____ ___ _____ ____ Repairs.
Read, Sworn to and Subscribed before me.
Notary Public State of Florida
My Com:nission Expires_ ......... ... ...
and for no other purpose.
_ No of Stories
Roof Coverg.
Zone cubage required. __. . c _°X _.O -- '�
Distance to next nearest building__
Maximum live load to be borne by each floor
I hereby submit all the plans and speciiic•ations for said building. All notices with reference to the building and its construction may
be sentto.
The undersigned applicant for this building permit does hereby certify That he understands and accepts his obligations as an employer
of labor under he Florida Workmen's Compensation Act, being Scrtion 5966, Compled Cyr• - 1 Laws of Florida, Pcraiancnt Sappy 'tent,
and h s complied w ;th the lirov;;ions thereof, and will require similar comnliance from all- con , actors or sub - contractors emplo''ed by him
in the wo-k to be p, rf r under this permit: and will post or cause to be posted for inspec on on the site of the work such public notice
or notices as are requir d by the Act. The uudcr'ogned agrees to employ only such subconir etors, on work to b; p form• d •., der this
permit. as are licensed by Miami Shores ‘ ihagc.
Remarks. (Signed/ ... btd �s' /
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,
and who, being by me first duly sworn, upon oath depores and says that he is the •
of th abov. de scribed istruction. ti h, has carefully read the foregoing application, and that he did sign the same, and that .dl facts
therein by him stated ar'true.
Permit No ._ - .__ - . Date c c° -
.
Disapproved
(Signed) ._._ ... _
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 L cs hecn obtained from
the Planr:ng Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is mc.ie necessary by improper notice for inspe»'tior or l:u ity
materials and /or workmanship.