802 NE 100 St (7)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
7-el Date 2,; 2' /&u Job Address 86 Z Jl,C . /DO ,ST" , Tax Folio
Legal Description Historically Designated: Yes No >(
/ Tenant �2sq 1,'c,. S 6 5 1, e T /� Master Permit # �' ,
Owner's Address la Z /1V. L , / 0-67 7..?" ,S7 , Phone .3 oS - 7,5 4/ - /cf
Contracting Co. �., - /.. = • Obt) 4-e r Address
Qualifier SS# Phone
State # Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one UILDIN ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION . °4' i ' , �' c a" 0 c' << , — ..-e.-5'
.4/ 7 ' 7,4. d=r
Square Ft. Estimated Cost (value) / 2
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 stat
Signature of owner and/or Condo President Date Signature of Contractor or Owner - )wilder Date
Notary as to Owner and/or Condo President
My Commission Expires:
FEES: PERMIT
C c. 7c'2Z ' L5 /' Y/'
Date Notary as to Contract Owner - Builder
F
RADON C.C.F. NOT
My Commission Expires:
o T:: ys
v'•A TAMONT
964435900404e
c
CC797277
�lF O MY COMMISSION EXPIRES
OF FI DEC. 17 2002
tv
APPROVED:
Zoning 31 Bmul V
nrng Building Electrical
Mechanical Plumbing Structural Engineer
TOTAL DUE
Date
167 -0
I, ged ,r3 Ce.
5 C.,411 cs4GL
5
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
(I /WS , hereby apply for a certificate
to re- occupy the single family residence laiown as : (address)
g- /U6 /DO S'r ems' , Miami Shores, Florida.
Legal Description:
Lot: / / Block / (o 9 PB & PG: / " 3
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.
Applicant Date
Print Name - 5)1A 0,Q t i.CC
******** * * ********* I************************* * * * * * * * * * * * * * * * * * * * * * * * * **_ * * **
For purposes of conducting the inspection required by Section 902 of the ?fiami Shores Land
Development and Zoning Code, please c ontact:
4 Contact Name: e s - DD v ? J Q -a Telephone: 3 d S V' 9 S S 9
Buyer Seller Realtor Company Name / f 4'J
Check No. / y(
Application Fee (350) paid: Cash
Inspected by: F . LUBIEN h . ! Approved X Denied Date 1/20/00
Comments:
PAGE l OF
CERT1r IC ATE OF RE- OCCUPANCY
On behalf of Miiami Shores Village, Florida, the undersigned certifies that the property
described in the above application has bee inspected for purposes of re- occupancy pursuant to
Sections 901 and 902 of the Vfiami 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 VTT.T,AGE, FLORIDA
By
PAGE 2 OF 2
Date of Certification: 1/20/00
THIS CERIIIdICATE 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 SOLPT.Y TO THE REQUIREMENT THAT EACH
ONE— FAMILY DWELLING IS USED AND INTENDED TO BE
USED FOR A ONE—FAMILY DWELLING PURPOSE ONLY;
HOWEVER., THIS CER'I"i>~ICATE DOES NOT CONSTITUTE ANY
REPRESENTATION OR WARRANTY AS TO THE CONDITION
OF THE DWELLING OR OTHER STRUCTURES ON THE
PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH
CONDITION, AND INTERESTED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES Ii T ORDER TO DETERMINE THE CONDITION,
THEREOF.