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301 NE 101 St (4)N? 962 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla., Owner, Agent or Tenant of Building Lot Block Subdivision Street Address f Approved use by occupancy P'` •` 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. BUILDING DIVISION ` HOLLAND, ROBERT P. 301 N. E. 101st Street Owner - Builder BUILDING PERMIT NO. 8630 ZONE DRAWINGS. SPECIFICATIONS, x NEW CONSTRUCTION JOB LOCATION (ST. OR AVE.) GENERAL CONTRACTOR REPAIRS ALTERATION ADDITION OWNER'S NAME REQUIREMENTS 18,500 SUBMITTED TO PLANNING BOARD RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL CBS DATE 12 / 1 4/49 APPROVED CU. FT. 1 2931 N. W. 58th Street LOT 1 1 4 RESTRICTIONS AND CUBE CHECKED BY REJECTED Built up PRESENT ADDRESS ADDRESS BLOCK 3 2931 N. W. 58th Street PERMIT FEES 16.00 PLAN CUBE 20,628 JDH TYPE STORIES ROOF CONSTRUCTION DESCR IPTION Liv Rm - Enc. Porch - Kit - 3 Bed Rine - 2 Baths - 1 car attached garage DESCRIPTION REFERRED TO COUNCIL SUBDIVISION Miami Shores Sect. #1 CU. FT. REMARKS NO. 9 CERTIFICATE OF OCCUPANCY NO. 962 ISSUED � ° By JDH TO Robt. P. Holland, 301 NE 101st St BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE LICENSE NO. PHONE NO. BUILDER'S BOND INTERIOR CONSTRUCTION PHONE NO. 'LICENSE NO. 3624 0 -B DATE 1 EST. COST S 12,000.00 DATE 1 2/14/49 i :lak Floors - Blaster Walls REASONS INSPECTIONS DATE B Y Y p�v RE- INSPECT BY RE- INSPECT BY FOUNDATION' 12/20/49 JDH TEMPORARY SERVICE 8756 }I 1S /13 /50 3 BEAMS & LINTELS 1/6/50 JDH 3 2.00 SEWER FRAMING 4/11/50 DH JDH 3 GAS 3 3 INSPECTIONS FINAL 7/11) So RE- INSPECT BY RE- INSPECT BY ROUGHING CLEAN -UP GAS CONTRACTOR Ph llips Plumbinf Co. FHONE PERMIT NO. 872 ,DATE 1/9/5 FEE (� 3 9000 NEW BLDG. Z •4 LTERATION `4DDITION REPAIRS REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 8756 }I 1S /13 /50 3 Acme TANK cme pp[ 865, r� 1.2/20/,9 3 2.00 SEWER 5 SOLAR HEATER 3 GAS 3 3 INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING GAS C 4/11/50 JDH SEWER SEPTIC TANK 12/20/19 JDH SOLAR HEATER. FIXTURES at FINAL 7/27/50 JDH JDH CONTRACTOR E• C . Cornelius P HONE PERMIT NO. 9177 AT E /.. . 7/50 F EE $ 1 3 .7 1I NEW BLDG. X 'ALTERATION 'ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE 8756 }I 1S /13 /50 y 1 $ ®00 H. W. HEATER CONN. $ RANGE CONN. $ MOTORS S FIXTURES $ $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING C 4/11/50 JDH H. W. HEATER CONN. RANGE CONN. FIXTURES at FINAL 7/27/50 JDH BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE 7/ BY JDH ;UILDING LECTRICAL 'LUMBING MIAMI SHORES VILLAGE, FLORIDA DATE <' •._ PERMIT N9 8630 Work to be performed under this Permit / )weer of luilding architect �;. 1 - contractor ,r Builder .ega1 Lot Bl. t, �� �: ,> )escription iddress of ; uilding This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any Mans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked t any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this ermit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and ?gulations pertaining to the work covered hereby whether shown on the plans or drawings or in the sta)ements or specifications and that he assumes respon- ibility for work done by his agents, servants or employees. // e- Value of j / Project y I Signed. Subdi- vision INSPECTOR 1 / 194E Contractor's License No. Amt. of - Permit /.'r e G By... CONTRACTOR OR BUILDER BY AUTHORITY In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. 1 accepting this permit I assume responsibility for work done by either myself, my agent, servant or employee. CC• 962 PAID BY ���� YEAR ANNUAL TAX PERIOD USED AMOUNT PAID A DATE PAID RECEIPT NUMBER ROBT. P. HOLLAND /9.5/ /2 ..-b )Z '3/5 / / Z. do / - /%' Si /604i i l� '( / 1 /a ,E 3 / - -tea ,L -�,°� 1 -as - S� 0 6� . ADDRESS 301 N. E. 101St St. MIAMI SHORES SECT. #1 LEGAL 13-V1 Blk. 38 RECORD GARBAGE TAX Issued v �� ° � Amount J = No. Houses 4 in consideration of the issuance to me by Miami Shores Village, Florida, of a permit or permits to construct or repair a building or build' gs at the following addresses: �r o ' Dom = "ai do hereby deposit with Miami Shores Village, Florida, the sum of , and I agree with said Village that, when such construction shall have been completed by me within the meaning of the ordinances of said Village, I will clear all premises and repair any Village property damaged by me, = used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the completion of such constructi n within the meaning of such ordinances, the Village may clear. and repair the same and pay the costs of such clearance and 1 repairs , 9ut of the aforesaid, and return the remainder to me; and that, if I shall clear and repair said property immediately, as aforesaid, then ir r. t..... r. r. . eo ait . r. r. ar ti tircl tr. >tr a�f o' . ar... m••. »., ...... f,.....: u••...,,l r,,... ,•.r... co�u......rco�a....,,...••�r•,....•..�r•.....,ar ar•• tr •ar•• i�•••....ar a v r ..... c ,rco$v� � •. i Address L /� 2 � 19 KNOW ALL MEN BY THESE PRESENT?" that I, sail shall be returned to me. WITNESS MY HAND and Seal at Miami Shores Village, Florida, this / ,mot , (i r%'" 1 , ( Seal ) 3 INSTRUCTIONS TO BUILDER —When above mentioned construction is completed and the premises are cleared and repaired take this bond to the Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the above agreement. VILLAGE BUILDING INSPECTOR'S APPROVAL I hereby certify that the construction contemplated under this Bond, has been completed and that the builder thereof has caused the surrounding premises to be cleared and repaired in as good condition as they were before commencing aid construction. ti. WHEN CLEARED AND REPAIRED BY THE VILLAGE Amount of Bond $ Cost of clearing and repairs done by Village $ Balance due Builder $ c1iami cSlzores9llage F L O R ID A BUILDEF� BOND Cancelled ...41 ►: °'•ii °•'•ii'.°. i°,•'•�MIO..•'ii•....•r NV ire°. '•ir•° °•'• r• 411.•° i °••'•iii•'•i`r` a'lit°• °'itvIr °•' i�°•b°.•'•i i•'•i .°. •'•i `•°e te.. °• i• (a ' J c_, . 7 N° Village Build ng Inspector, Miami 928 19 By !� e • F. t tc;': 16;. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT State work to be done and purpose of building (by floors) __ Application its 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. Date 4 , , 19 2 Street__ C) J s (X Owner's Name and Address ?'7 ��' ( 1_/���� �9 No s� Registered Architect and /or Engineer MO Name and address of licensed contractor L.7 )__,7 �� z. 4 .w Location and legal description of lot to be built on: Lot S t ° ` ' Block J Subdivis'on S. C Street and Number where work is to be done 2 e ®9` —` .::-fiin �1_G� n . .,._ mil; and for no other purpose. New Building y----- Remodeling Addition Repairs No. of Stories To be constructed of d , Kind of foundation Roof Covering 11-1 ° Estimated Total cost of improvements $_____te , _ !p''r ''' '' ▪ " Amount of Permit $ Zone cubage required________ _p l2e 2_Plan Cubage Distance to next nearest building .�G®- _ /4.- Size of Building Lot 75,)(113 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 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, Compiled General Laws of Florida, Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be• posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such su co actors, on work to a perfo ned under this permit, as are licensed by Miami Shores Village. ) , Remarks (Signed) __' ` / _ _ Disapproved _ (Signed Date Date Building Inspec At i I ( IN I 0 Read, Sworn to and Subscribed before me. ,c STATE OF FLORIDA, COUNTY OF DADE. 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 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 facts therein by him stated are true. Permit No 0 Notary Public, State of Florida 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- 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. _L O .a A ®' , ooh e) C"r )— t® 1f4� I . Cl eVE et MI6 ZVa5. ° ,( ___24 " i " 5 t Z,1 t 4 u 74 14` —V +d te r �-- = o `er - 7,t ®cs 41 I 14°1-6 Ito boo ql_3— -- 2 t . o 1`t°f, 7 L3oz . e 11'3" 1 ( +I to % ®, C o ® 0101314- STATE OF FLORIDA) SS COUNTY OF DADE A F F I D A V I T of the Village. of Miami. Shores, County of Dade and State of Florida, being duly sworn,. Cloth depose and say, that under the provisions of 0_^dinance Nc,. i85, dated June 15. 19L8, aaend- ing; paragraph (d) of Section B--36C of Ordinance 'Jo. 97 o f 4 ,ths Building Code of Miami Shores Village, he desires to build on Lot / _11J / ` Block a A . of of S e j Subd.iv:Lsion, that he is the owner of said property, and will be the owner of saic. that he will do the work personally, and that he gill, at such times as are required by the Zoning and 2ui.iciing Director : - 1. File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 2. Apply for and secure a Permit. 3. Pay the required fees. 4. Execute the work in accordance with the provisions of this Code. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workmen's Compensation, Public Liability and Property Damage Insurance. 7. File with the Building Inspector as the job progresses certi- ficates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. 8. Assume the responsibility of not employing other than properly licensed contractors by Miami Shores Village for any part or portion of the work. 9. Not set himself up as a "contractor ". 10. Sign an affidavit before commencing work to the effect that he has read this Article and ,will do the work personally and observe all of the requirements of the Building, Electrical, Plumbing and Zoning Codes of Miami Shores Village. Such affidavit to be properly notarized upon blanks to be supplied by the Building Inspector. 11. In order to prevent abuses and subterfuge the right of such owner-builder as herein provided, is limited to but one owner- builder permit each 2 years, and where an owner - builder has once exercised the privilege herein conferred no second application for owner - builder permit shall be granted in less than 2 years, unless the applicant is qualified as a licensed General Contractor under the applicable Ordinances of said Village. And Further this Deponent says not: SUBSCRIBED AND St'IORN TO B FORE NE this day of A. D., 19 NOTARY PUBLIC