205 NE 101 St (10)CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1885
Miami Shores Village, Florida, '
Owner, Agent or Tenant of Building t--- `0 ` __C
I �
? A; x'3`; % ';Ac>A) ,.
Lot Block Subdivision
Street Address 7 . ' f� E ""
� a
Approved use by occupancy
Remarks
This Certificate of Occupancy is issued to the above named
7\
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.
BUILDING DIVISION
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby Linde for the approval of the detailed statement or rile 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.
Date ..._..._..._._...�...._._...._ �4 = ..L.__..._... ,19.L
Owner's Name and Address H L� i4tee V q" 2- �';�gZ _ NoqS°r'�'' Street f'.1SrtAs,{Xl�..?!� •
Registered Architect and /or Engineer Jo A• 1 6114 p• t;✓ ,,,,h .,,.., „
Name and address of licensed contractor �t V-t. C� S Cahe,�l'C S Zea �.:w�..'0JEt .._... `V 1 t !''Ytil..) . 1.6%. 3146
Location and legal description of lot to be built on: 1 51 Z —4 3 3 Z•
Lot 3 Block r Subdivision. ........�_!�.'� . la,..� ..a0 _ I ` I
Street and Number where work is to be done P' • t • 2 - 4..m 4AO . g r'....._...__ � ._._ �j� .-
State work to be done and purpose of building (by floors) )sLL.1r4,f..t_.�,n: 6 • • cvs.s. f ..�. .__... A l..l; t e5..._ .._..__
New Bui!ding Remodeling Addition. R pairs No. of Stories I.. —
To be constructed of ...C,..P>..,,.S..,. Kind of foundation ' .•. Y.li.:fL£ -t-e_ _. Roof Covering Cia-VA 14.+' 'II .1. - C.._
Estimated Total cost of improvements $ 5 . 0 .a 0.012 — Amount of Permit & ) 31 " 54
Zone cubage required .Plan Cubage 0 0
Distance.to next nearest building.. Size of Building Lot
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
be sent to.
The undersigned applicant for this building permit does hereby certify that he understand
of Libor under the Florida Workmen's Compensation Act, being Section 5966, Compiled Ce
and has complied .cith the provisions thereof, and will require similar compliance from all
in the work to be performed under this permit; and will post or cause to be posted for inspe
or notices as are required by the Act. The undersigned agrees to employ only such subcon
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
STATE OF FLORIDA, 1 .
COUNTY OF DADE. j ss•
peared
Disapproved
(Signed)
Date
Notary Public, State of Florida
Buil•ing Inspector My Commission Expires
and for no other purpose.
Construction
accepts his oblig
aws of Florida,
ors or sub -con
on the site of
s, on work
may
ployer
'tent,
ed him
ublic notice
under this
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap-
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 same, and that all fads
therein by him stated are true.. I
Permit No.. '/ 1 ( � ) Date �1 / Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
Chairman Member
\timber Member -
Mcmber .. ... _.....__....._..._._ ...._ Member
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application niter approval has been obtained from
the Plannir.i.: Board.
A re fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials anti /or workinanship.