335 NE 101 St (12)N9 1418
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla , - ata
Owner, Agent or Tenant of Building el • (..,j
- -�
Lot 1 � c"iit� s t Block ? Subdivision - 1
Street Address
Approved use by occupancy 1 1 r
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 -- structures. •
BUILDING DIVISION
N9 1418
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla ,
Owner, Agent or Tenant of Building
Lot Block ` Subdivision
Street Address
Approved use by occupancy
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 os 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
OWNER'S NAME
R. Wall
PRESENT ADDRESS
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
335 N.E. 101st St.
LOT
18 & w40
BLOCK
38
SUBDIVISION
Sec. 1
GENERAL CONTRACTOR
Dean Claussen
_ ADDRESS
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. 12350
DATE 11 -QQ / 5
PERMIT FEE $ 22.00
ND / S
BOND Iv
BUILDER'S O )
NO. 135 7 DATE
[
"ZONE REQUIREMENTS 1 " f � 15 CU. FT.
n
PLAN CUBE 20.14? CU. FT.
EST. COST $ 18,000
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:
DATE
X
NEW CONSTRUCTION
TYPE
CBS
STORIES
1
ROOF CONSTRUCTION
tile
INTERIOR CONSTRUCTION
hardwood floors,plaster walls a
g!cilia
REPAIRS
DESCR IPTIO ga
ALTERATION
DESCRIPTION
3 bdrin.-2 baths - kitchen - living roan- porch -1 car garage
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
�C
ISS UED IC9
{{{{����
BY TO O- - �_
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
RE - - INSPECT
BY
RE- INSPECT
BY
FOUNDATION
, ; -_,
36 I
1'14—,
,.
DATE
FEE
TEMPORARY SERVICE
�..
BEAMS & LINTELS ---0 r' . �.
$
SEPTIC TANK
e . -
FRAMING
1-10-5/
$
SOLAR HEATER
S
GAS
$
FINAL
_
$ _
INSPECTIONS 1
BY RE- INSPECT
BY
RE- INSPECT
CLEAN -UP
^ DATTE
ROUGHING 1 /Z
BY
TEMP. SERVICE
,16 '
CONTRACTOR
PHONE
PERMIT NO. ,
DATE ` -
FEES
_NEW BLDG. [ALTERATION
REPAIRS
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
�..
$
SEPTIC TANK
e . -
$ Q . < '
SEWER
$
SOLAR HEATER
S
GAS
$
_
$ _
INSPECTIONS 1
BY RE- INSPECT
BY
RE- INSPECT
BY
^ DATTE
ROUGHING 1 /Z
BY
TEMP. SERVICE
,16 '
GAS i
ROUGHING
ha Z (
r3 4.1/ 1
SEWER
H. W. HEATER CONN
SEPTIC TANK f Z'70"J!
RANGE CONN.
SOLAR HEATER
FIXTURES
FIXTURES & FINAL
CONTRACTOR °
PHONE
PERMIT NO. _ � DATE i
FEE $ ,
NEW BLDG. ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
�..
S
H. W. HEATER CONN
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
,16 '
ROUGHING
ha Z (
r3 4.1/ 1
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTION
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE r'
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building I •}
Architects"` , �.�'•'+�tj"`�
Contractor
or Builder
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE, F'LOR A
n PERMIT N° 12350
11
0 Work to be performed under this Permit `
irr w t j I Bl. 3 g svis o
Value of
�.,�.� .
t /r /�
.t C /0 / Project $ r ,
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in application
herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans,
drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at 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 permit is
granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawing or in t statements or specifications and that he ssumes responsibility for work
done by his agents, servants or employees. t
+� h
Signed • >1.•k1 1 ` 1 • i 1 SIR .i BY ,_ �,�
IN CTOR 1
In consideration of the issuance to me of this permit I agree to pe orm the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, state nts or specifications submitted to the proper authorities of Miami Shores Village.
In accepting, this permit I assume respontibility for all work done by er, myself, my agent, servant or employee.
, _... 1 i
T �.. /1 95
•
ADDRESS 335 N.E. 101st St.
Sec. 1
LEGALlOt 18 w40'of19 B1.38 RECORD GARBAGE TAX
PAID BY
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
R .Wall
11 -9451
ADDRESS 335 N.E. 101st St.
Sec. 1
LEGALlOt 18 w40'of19 B1.38 RECORD GARBAGE TAX
Permit No
Disapproved ________
( Signed)
P4te
r Building Inspector
..iiAMI SHORES VILLAGE
( ate
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 erein 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_ P �✓i No Street__' • G
Registered Architect and /or Engineer s /1/
i
Name and address of licensed contractor �_ >_':_'� ¢ ' _L,_________,____,_!'
Date 7/ •>
Location �rld legal description of lot to be built on:
Lot__ _14 ' -_ Block g Subdivisi n__ - f__
Street and Number where work is to be done . _03
t
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building Remodeling Addition f , a , Repairs No. of Stories 1
To be Constructed of - 1 -....J Kind o f ndation__—__________aL____._____ ,. Roof mg__ ____�__L,.
r. _t_ t m...,,1 ..,..,t „f improvements $ L (/l 3 d..,.,,,.,t ,$ Pnrm;4 C tr/ d _
Size of Building Lot i 4 _ic 1/
Distance to next nearest building
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 Au contractors, on worli to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (SignedX
STATE OF FLORIDA,
COUNTY OF DADE. SS.
Before Ale, 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 pie first duly sworn, upon oath deposes and says that he is the
of the above descri ed construction, that he hasf carefully read the fpregoing application, and that he did sign the same, and that all facts
therein by him stated ale tr
1 Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
PLANNINrYITOARD 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.
N
A &
iZSD 51) :
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