361 NE 101 St (14)CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N? 806
Miami Shores Village, Florida, 1 0-31 °5P
Owner, Agent or Tenant of Building
Lot . Block 3 Subdivisio I1. o r (: S 1.
Street Address 51 A
Approved use by occupancy y 1.1:
Remarks •
This Certificate of Occupancy is issued to the above named C' (
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.
' -; L
BUILDING DIVISION
OWNER'S NAME P
PRESENT ADDRESS L
LICENSE NO. P
PHONE NO.
JOB LOCATION (ST. OR AVE.) L
LOT B
BLOCK S
1 S
SUBDIVISION
GENERAL CONTRACTOR A
ADDRESS P
PHONE NO. L
LICENSE NO.
BUILDING PERMIT NO. 71 DATE / -r � P
PERMIT FEE $ Z Fes— N
BUILDER'S BOND
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
/ 0-
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
ROOF
,f�
BEAMS & LINTELS I.+�t -9 , /- `
POOL
FRAMING I
AIR COND.
FINAL
CLEAN UP /o -
per/
- j
SLAB
// n
- S "Air
SLAB
--- /
PLUMBING PERMITS & INSPECTIONS
CONTRACTOR
PHONE
PERMIT NO. DATE
FEE S
NEW BLDG. I ALTERATION ADDITION
REPAIRS
SPECIALS PERMITS
PERMIT NO. DATE
FEE
TEMPORARY SERVICE
$
SEPTIC TANK -.
$
SEWER
S
SOLAR HEATER
I
$
GAS
I
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
TUB & TOP OUT
SEWER
SEPTIC TANK
SOLAR HEATER
FIXTURES
GAS
ELECTRICAL PERMITS & INSPECTIONS
CONTRACTOR
PHONE
PERMIT NO. I DATE
FEE $
NEW BLDG. ALTFRATICN I ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
S
RANGE CONN.
$
MOTORS
$
FIXTURES
$
5
INSPECTIONS
DATE
BY
RE- INSPECT BY
RE- INSPECT' BY
TFMP. SERVICE
ROUGHING
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
APPROVAL TO POWER CO. FOR SERVICE DATE BY
BUILD NG INSPECTIONS
MIAMI SHORES VILLAGE, FLA. Na
•
JOB 1E/OX
ADDRESS 3
INSPECTION 7,/ f ;
��.
TIME READY '7 °
REMARKS:
7900
INSPECTOR DATE 7
BUILDING
ELECTRICAL
PLUMBING
ROOFING(
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
MIAMI SHORES VILLAGE. FLORIDA
PERMIT N° 7429
4
Lot ,-�
Bl
Work to be performed under this Permit
Subdi-
vision
Value of
Project
$ 7(.0‘,
, DATI" 195
Contractor's
License No.
Amount of
Permit $
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 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 drawings G in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees. ,
Signed. 1 ' `
- INSPECTOR
BY •
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
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In ac•
cepting this permit I assume responsibility for all wo ne by either, myself, my agent, servant or employee.
yr f :.r..
CONTRACTOR OR BUILDER [ BY AUTHORITY
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 herein 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.... /rC n n e th 7?. 7'h,71-
Registered Architect and /or Engineer..._.. __. h/ ,5' »X de
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot _.. 0 Block a Subdivision sSec /o Q,
Street and Number where work is to be done 341 N. E . /O/ St-
State work to be done and purpose of building (by floors) 4dg2 a /o d 1 Sit 7 7 i' L X000 /
p
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
To be constructed of. __. Bloch' Kind of foundation
Estimated Total cost of improvements $ " --0 Amount of Permit $. ...�`�/A__
Zone cubage required v _Plan Cubage
/
Distance to next nearest building Size of Building Lot Fs 1 X .__L /S
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 ()Wh_C
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 subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village. ��
Remarks (Signed) _-- �'hkf/l!__- / -
Permit No
Disapproved _
(Signed) ..
J
APPLICATION FOR BUILDING PERMIT
uilding Inspector
Chairman
Member
Member
Council Approved Date
NOTE: A charge of $1.00 will be made for making corrections
the Planning Board.
A re- inspection fee of $1.00 will be charged
materials and /or workmanship.
MIAMI SHD E S VILLAGE
Date
7 -.
BUILDING INSP TION DEPARTMENT
rp e'( Ca os c..
Roof Covering
Read, Sworn to and Subscribed before me.
PLANNING BOARD DATE
Member
Member
Member
Disapproved
or changes to this application after approval
2247._
Date ch. A, e /7 , 19c 5 f --
No. .. _3 41 Street NE. /O/ ,re-,.
Architect
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 be has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
My Commission Expires
Date
has been obtained from
when such re- inspection is made necessary by improper notice for inspection or faulty
f;
•