1480 NE 101 St (8)CERTIFICATE OF OCCUPANCY ,
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 167
Approved use by occupancy
Miami Shores Village, Florida,
Owner, Agent or Tenant of Building
SO
Lot
11 Lk.) S( D Block 1 Subdivisio
Street Address i4-5w
�1
l o St�auL.t
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.
4 °a
a z @ i A `to-le
*
BUILDING DIVISION
OWNER'S NAME
Guernsey Construction Co., In c.
PRESENT ADDRESS
LICENSE NO.
PHONE !JO.
JOB LOCATION (ST. OR AVE.)
1480 N.E. ,9 Fla j Street
- LOT
11-4150 of 12
; _BLOCK
. 1
SUBDIVISION
MSBP Est. `
GENERAL CONTRACTOR
R.I. G uernsey
ADDRESS
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. 1300
DATE -24 -55
PERMIT FEE $ 28.00
BUILDER•S BOND
NO. DATE
ZONE REQUIREMENTS CU. FT.
PLAN CUBE 4 CU. FT.
EST. COST $ 2 4,000
-7-4 y r ,4'2 .F
DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: / T
DATE
NEW CONSTRUCTION
TYPE
CBS
STORIES
1.
ROOF CONSTRUCTION
tile
INTERIOR CONSTRUCTION
tile and oak floors, plaster
REPAIRS
DESCRIPTION Walls and ceilings
4 bdrm. -3 baths Fla. room - screened patio - garage- kitchen -foyer
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. I
A
ISSUED?
D
BY
TO
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION -
1..� ° a Pe`
FEE
TEMPORARY SER ICE d iklaG&
-RMIT
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$ J �
BEAMS & LINTELS
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,
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SEWER ® °' 4 4. 7i
t1-4 , ,
FRAMING
3- S-s
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$
GAS
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$
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$
FINAL
4g.d...5s-
BY
RE- INSPECT
BY
RE- INSPECT
CLEAN -UP
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3 `.55
TO
CONTRACTOR U � ✓ A
PHONE
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PERMIT NO. /Y 3 3 DATE 3 '' s x 3 0 .s�
/q
FEE $ / / S=
NEW BLDG. 1 ALTERATION I ADDITION
REPAIRS L
SPECIAL PERMITS
PEEJ NO.
DATE
FEE
TEMPORARY SER ICE d iklaG&
-RMIT
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$ J �
SEPTIC TANK 5 0 0
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SEWER ® °' 4 4. 7i
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$
SOLAR HEATER
$
GAS
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$
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$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
� -�
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3 `.55
TO
GAS
G
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SEWER ...... i
SEPTIC TANK
— 5
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� ii Q
SOLAR HEATER .J)
FIXTURES
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.
APPROVAL TO POWER CO. FOR SERVICE DATE ,( �.j aIML
1,1i -,
CONTRACTOR J i It 4, Qua � !•.., - e - , i
PHONE
PERMIT NO. I . D I DATE - �5
FEES gi•
NEW BLDG. ALTERATION ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
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$ e 9 4 _
J!
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
� -�
J1 -
3 `.55
TO
ROUGHING
G
telL
H. W. HEATER CONN
RANGE CONN.
r
r FIXTURES & FINAL
.
APPROVAL TO POWER CO. FOR SERVICE DATE ,( �.j aIML
1,1i -,
BUILDING INSPECTIONS / S
PLUMBINGy,Pg MITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
Owner's Name and Address
New Building
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Disapproved a _ Date.
(Signed)
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.
Registered Architect and /or Engineer ..:.. . ... .. 4/1---0-A1-4-7
Name and address of licensed contractor. - •
Location and legal description of lot to be built on: �� �� /J
Lot" °'' her /' Block__ ./ subdivision l�� &' Y - """A' &am _
Street and Number where work is to be done /V1 -L / ( a / .-
State work to be done and purpose of b 'ling (by floors) - - -__ 2r,,,
Remodeling Addition '
Date
— i Street__ —
AX, /ye (.?a---s--
•
�- oV
Repairs No. of Stories
overing
if/ d
s_
To be constructed of Kind of foundation
Estimated Total cost of improvements $ - ,c m v — Amount of Permit QQ --
Zone cubage required _Plan Cubage 4T 0 4 l -- �'Z ®, T.4 W
Distance to next nearest building &4 ` Size of Building Lot ig, i_4d V Vi n‘
Maximum live load to be borne by each floor •
I hereby submit all the plans and ec fica ations for said building. All notices with reference to the building and its construction may
be sent to ?s.
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, Compile -G eral Laws of Florida, Permanent Sup` dement,
and has complied with the provisions thereof, and will require similar compliance front all c ntractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted 6r msp tion on the site of t.e work such public notice
or notices as are required by the Act. The undersigned agrees to employ only suc subco actors, on wor.Jt. be. performed under this
permit, as are licensed by Miami Shores Village. , � // /
Remarks (Signe �.� /F 4��(/ `
a ►ee
and for no other purpose.
, 19._. 7 J° .
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 ca fully rea the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true. /u ��
Permit No - - ---- - - Date 2 _ �r Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
c or - 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 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.