1470 NE 101 St (10)CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 166
Miami Shores Village, Florida,
Approved use by occupancy
Owner, Agent or Tenant of Building
Lot 1 0 ' ` Block ' Subdivision
Street Address 4 1 0 1n - .. \ 0
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 buildings or structures.
3 C
14 fit To-k Yd
1 4 ft 1
ti
BUILDING DIVISION
OWNER • NAME P
PRESENT ADDRESS L
LICENSE NO. P
PHONE NO.
JOB LOCATION (ST. OR AVE.) L
LOT B
BLOCK S
SUBDIVISION
GENERAL CONTRACTOR A
ADDRESS P
PHONE NO. L
LICENSE NO.
920 1
11 -30 -54 2
28.00
BUILDER•S BOND
ZONE REQUIREMENTS CU. FT. P
39,562 cubic Ft. plus $ Value for pool
DATE
DRAWINGS, SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:
NEW CONSTRUCTION p
TYPE S
STORIES R
ROOF CONSTRUCTION I
INTERIOR CONSTRUCTION
REPAIRS 2
p l
ALTERATION
DESCRIPTION
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED R
REJECTED R
REFERRED TO COUNCIL R
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL �
REMARKS
CERTIFICATE OF OCCUPANCY NO. /1D / (/ ^' r I
ISSUED O2) '6 !N B
�///���J' • I/
BUILD! G PERMIT AND I SPECTION RECORD -MIAMI SHORES VI
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
��'[� � '�
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
BEAMS & LINTELS
V 1 ``
J - tkielj
$
SEPTIC TANK a,.., 4-
p�
t� 9 .s-7 '
,I,,' v /-'
7a�S
$
FRAMING
/ —H S
SOLAR HEATER,
S
$
GAS
$
$
$
$
FINAL
( t— pt W
BY
RE- INSPECT
BY
RE- INSPECT
BY
CLEAN -UP
a IL.
ROUGHING
CONTRACTOR MA) '0`-1 -, ( b - �'�
PHONE
PERMIT NO, I n
FEE S irMo
DATE 1 19_ • ,a S'
FEE $ 1 Q C)
NEW BLDG.
ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
H. W. HEATER CONN.
V 1 ``
J - tkielj
$
SEPTIC TANK a,.., 4-
p�
t� 9 .s-7 '
,I,,' v /-'
7a�S
$
SEWER
v
SOLAR HEATER,
S
$
GAS
$
$
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
/ /a1',1)
ROUGHING
GAS
H. W. HEATER CONN
SEWER
RANGE CONN.
SEPTIC TANK
SOLAR HEATER
FIXTURES
4-1.2-6.
CONTRACTOR -� -; may, 6 , � -(1...
PHONE
PERMIT NO. 4=111 DATE TISISMWEI
FEE S irMo
NEW BLDG. ALTERATION ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
V 1 ``
J - tkielj
L, 'Y ° /
-g
RANGE CONN.
S
MOTORS
S
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
1` r UILDING INSPECTIONS IoZ (f
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL,.PERMIT.S & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY .
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._.- ..._- e
Registered Architect and /or Engineer...
Name and address of licensed contractor ' _
Location and legal description of lot to be built on: � ry
Lot �__O Block / Subdivision y Y r ) � l� G - A , :
Street and Number where work is to be done ,I_`r'_7_ 0 -
State work to be done and purpose of building (by floors)
New Building Remodeling
To be constructed of Kind of foundation
STATE OF FLORIDA,
COUNTY OF DADE. ss
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
and for no other purpose.
Addition Repairs
.........
Date
No Street
Remarks (Signed)
No. of Stories
vering
Estimated Total cost of improvements ec:z0 Amount of Permit $ _
Zone cubage required 'WO plan Cubage 10 .
� �
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 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 596:; Compiled General Laws of Florida, Permanent Sup pleuient
and has complied with the provisions thereof, and will require similar com ance from all contractors or sub - contractors employe by him
in the work to be performed under this permit; and will post or cause to b poste for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ on suc subcontractors, on wor -- to-.be„ performed under this
permit, as are licensed by Miami Shores Village.
Read, Sworn to and Subscribed before me.
$ 401 4212.
Distance to next nearest building
g A-0 Size of Building Lot 1
19
Before me, the undersigned authority, a notary public, duly authorize 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 con tion, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein „ him stated are
Notary Public, State of Florida
Builds' Inspector ✓ My Commission Expires
PLA ' NING BOARD DATE
Member
r Member
ember ._..._. -. 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.