345 NE 100 St (5)Lot:
Buyer
LWJ AIE /00 f
Legal Description:
Contact Name:
Comments:
APPLICATION FOR CERTIFICATE OF RE OCCUPANCY
I, ,� i A ,y� `i f� ��S C� h'
to re- occupy the single family residence known as : (address)
Block PB & PG:
I hereby certify that I understand that the zoning. of the property is for single- family residential use
and that it is unlawful for more than one family to reside therein. I also understand that any
Certificate of Re=Occupancy that may be issued by Miami Shores Village, certifies only that the
referenced property is being used for single - family purposes and that such Certificate does not
constitute any representation, warranty or certification as to the condition of the dwelling or other
structures on such property.
I a c.0
PAGE 1 OF 2
, Miami Shores, Florida.
, hereby apply for a certificate
Date - 0 0
Applicant
Print Name , c3 E'7
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
0 , ' <<— Telephone:
Seller Realtor Company Name ffif 049 ES 4,,< -P / 7'
Application Fee ($50) paid: Cash Check No. /
Inspected by: FRANK LuBIEN Approved X Denied Date APRIL 13, 2000
CERrH ICATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has been inspected for purposes of re- occupancy pursuant to
Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such
property may be re- occupied by the above applicant for single- family residential purposes.
MIAMI SHORES VILLAGE, FLORIDA
r
By:
PAGE 2 OF 2
Date of Certification: APRTT, 13, 2000
THIS CERTIFICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES
VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
MIAMI SHORES LAND AND DEVELOPMENT CODE
PERTAINING SOLELY TO THE REQUIREMENT THAT EACH
01\1E-FAMILY DWELLING IS USED AND INTENDED TO BE
USED FOR A ONE- FAMILY DWELLING PURPOSE ONLY;
HOWEVER, THIS CERTIFICATE DOES NOT CONSTITUTE ANY
REPRESENTATION OR WARRANTY AS TO THE CONDITION
OF THE DWELLING OR OTHER STRUCTURES ON TEE
PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH
CONDITION, AND INTERESTED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DETERMINE THE CONDITION,
THEREOF.
Date
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address 3 V c /00 ST Tax Folio 11- 32- Cx, - O t 3 - 5
Legal Description ¢; s /..of /8 #oo Id' 11 Ea 31 Historically Designated: Yes No a
rlr I P A D I S ?Or Mme• 1 0 . ( 0 5 s Sec L PD ,o -7o
Owner/Lessee / Tenant QLOR6t d. moo &i .' q M. 1,0 ysoN4 Master Permit # 1.1 7d 7 /
Owner's Address 3 ys /ye /DO 5-t Phone 36$" 75 7 34. ( Z
Contractin Co. Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION IF. M01. MON /P ' �✓Go ` C c� t/z; 2r
Square Ft. Estimated Cost (value)4 'L1 10
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.
Signature of owner and/or Condo President Date Signature of C
Notary as to Owner and/or Condo President Date Notary
My Commission Expires: My Co
"w t� t'" � •
-.YAWL AK
: lder l - 6 G- 222 . a0
-30 --t
Contracto
ssion Exp s: GLADYS J VILLAR
NOTARY PUBLIC STATI: OF FLORIDA
COMMISSION NO. C014•t03
MY COMMISSION £XP. MAR.1 *
YSEA Date
FEES: PERMIT ,SD RADON C.C.F. Ip NOTARY ) BOND 6 D
TOTAL DUE J
APPROVED:
Zoning Bu ilding f ` 1 0 E Electrical
Mechanical Plumbing Structural Engineer
00
• MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statc,,,rnt ur me 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 s
plans and specifications must be kept at building during progreu of the work. pedfied or not. A copy of a
LIC NO. DATE OF FUMISZTION 6/i2,5 pprwed
Owner's Name and Address .........LAS -....J4' NE 1 00 St Mia. ate MFR.— 6 . 12._________..
.19..
Registered Architect and /or Engineer.... 3:2UTHERN FUMIGATORS
Name and address of licensed contractor
Locati // o and Icgal es of lot to be built on:
E Block
SubdivisionM. ., f f 1141./2... �� :ze
Number where w or k 1s to
Street and A /� �.f p
be done. .._...3.�I N.�'
........ Street Miami .1 o"
mi Shores �"rids.
be done
State work to "" ~ ~••-~•• �
.and purpose of building (by floors).....
Fi3�4I�61 • TT �. N...In1H0I a � 1 HOUSE
a.. ... New B •!d
STATE OF FLORIDA, j
COUNTY OF DADE. ss.
Council Approved
• NOTE: • A "ch.rrge of 31.00 will be made for
the Planning Board. •
A re- inspection fee of $1.00 will be charged
materials win /or workmanship.
3950 Sw 6th St .ta :' < , �.... ,,, .,..,e,,,.„
1f1ViI hA•TTON .DATE-1-6/-1.2/8.5. DRYW00D TERMITES .. _�._.._.._�
w. mg Remodeling Addition ry
To'be constructed of Kind Repairs'
of foundation
. Estimated Total cost of improvement i 20 00 Roof Coverin •
s
• Zone, cubage required
Distance •to next newest building
Maximum lire load to be borne by each floor
I hereby submit all the plans and specifications for said building. All
be sent to
as an employer The, undersigned applicant fur this building permit does hereby certify that he understands and accepts his obligatio
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws
and bas cnmphcd with the provisions thereof,
Amount of Permit d.
Plan Cubage
2 j a Size of Building Lot
in b work to r , and will require s lar compliance from all contractors or sub-contractors e em ploy�ed�by�hinm
performed undr this permit; and will post or cause to be posted for inspection on the site of the work such �+ ublic notice
or notices subcontractors, on work to as.ara required by the Act. The undersigned agrees to employ only such
permit, as are licensed by Miami Shores Village. per
formed under this
Ae,n;uks
,Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
. pea,red ..... ,
__......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 carne
therein by h� stated . we.
- / Imo, , and that all bets
Fermat No:. ' Date. .t�-' 1 r
,� Read, Sworn to and Subscribed before me.
Disapproved` .:. :. - .. Date
Signed)
• Building Inspector
notices with reference to the
Member
( Signed)...._ ...... _._..._........_.,_.,..
building and
.Craalnnan
�Icrnber. .. ... _.. , .. ..» Member
- . ; �fomber' .. • ........._.. _ .. ..................... Member
r)
_. N o ......... » ........... Street _..»
and for no other purpose.
No of Stories
its
construction may
Notary Public, State of Florida
My Commission Expires ....... _.... »,, ........ _
PLANNING BOARD DATE
Date Disapproved
making corrections or changes to this application after a Date
approval has been obtained frntn
- when such re- inspection is made necessary by Improper notice for inspection or faulty
JOB #
BROWARD 792-2009
DADS 945 - 2052
PALM BEACH 734 -4889
FUMIGATION NOTIFICATION
JUNE IN 12, 1985 . 9 : AM
DATE OF FUMIGATION APPROX. TIME
LOCATION OF STRUCTURE LASH - 345 N.E. 1G St. Miami Shores,Florida
OWNER'S NAME & ADDRESS LASH - 345 N.E. 100 St. Miami Shores,Florida
TYPE OF STRUCTURE: C.B.Sxxx FRAME RES. xxx BUS. APTS.
APPROX. NO. CUBIC FT. 30,000
NAME OF FUMIGANT VIKANE GAS
LENGTH OF FUMIGATION PERIOD 24 HOURS
DISTANCE TO NEAREST BUILDING
2 ft.
CERTIFIED (OR SPECIAL I.D.) FUMIGATOR IN CHARGE:
NAME BRUCE EDWARDS
TELEPHONE
9 -2e
DAY
FIRM NAME: SOUTHERN FUMIGATORS, INC.
3950 S.W. 6 ST.
FORT LAUDERDALE, FL 33312
581 -0855
NIGHT
FUMIGATION SHALL BE PERFORMED IN STRICT ADHERENCE TO THE FUMIGANT'S REGISTERED
LABEL AND FLORIDA STATE BOARD OF HEALTH RULES 1701 -2:
NOTIFICATION TO BE RECEIVED NOT LATER THAN THE DAY PRIOR TO THE RELEASE OF THE
FUMIGANT BY:
xxx COUNTY HEALTH DEPT. xx FIRE DEPT. 6 XX xOTHER
building.
APPLICATION
Application is hereby made for the approval of the plans and
specifications herewith submitted for the building or other
structure herein described.- This application is made in com-
pliance and conformation with the Building Ordinance of the
Miami Shores Village, Florilda, 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
Department of Miami Shores Village, shall be complied with,
whether .pe:'. ied or- not... _ -
01VNE _ :;r
-
ARCHITEC
�..: et- . . CONTRACTOR (. ; 1
c r) 4; . r ,. .34'.0.'h
LOT // P.., ' BLK �5 SUIBDIVISI01� ,7,k a� 0 i ; k r tit'r REETj 1 / O ,
NEW . ADDITION REPAIRS NUMBER OF STORIEC 7 ROOF , t'
COST (excluding Architect's fee, landscaping & garage)4 ,
Building to be used for
I hereby submit all the plans and specifications for said
STATE OF FLORIDA) Sighed
COUNTY OF DADE )
Before me, the undersigned authority, a notary public, duly
authorized to administer oaths and take acknowledgment,
personally appeared to me well
known, and who, being by me first duly sworn, upon oath
deposes and says that he is the builder of the above described
construction, that he has read the foregoing application,
and that he did sign the same, and that facts stated by him
are true. Read, Sworn and Subscribed before he,
Notary Public (Signed)
My Commission expires
Chairman
Member
Member
Secretary
BUILDING PERMIT RECORD
MIAMI SHORES VILLAGE
FLORIDA
Cubic Feet /i! r Cubic feet required in this Block /6
PLONING BOARD
and no other use.
Building Inspector
Permit No., k k Issued to ,4,. Date ,.
Electrical Permit No. Plumbing Permit No.
Painting
Plastering
Lathing
Electrical
lvIason & Concrete
Plumbing
Roofing.
Glazing
Tile
Miscellaneous
Lti -ST OF 0 -'C ON'TRAC TORU