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370 NE 101 St (8)PHONE #: 9 ,3 l0 c5030 Acknowledged by: Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 - Fax; (305)756 -8972 PLEASE PRINT DATE: Cl/ X7 10 (X0 TIME: ( z ; ' NAME OF PERSON REQUESTING FILE: \/ l Cre7F 13'RO o YOUR ADDRESS: M (RA-m U , FL 33V7;7 ADDRESS OF FILE REQUESTED: Q710 1\1. � - 112-4:3F1 F- NEON "PL 1 416 INFORMATION REQUESTED: rA I understand that all documents in this file are property of Miami Shores Village and that NO documents may be removed from this file. You may get 4 complementary copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not including any blue prints. If blue prints are order please be aware that we are not responsible for the quality of the printed documents. FILE RETURNED TO: INITIAL PLEASE BETWEEN 11 -1 . YOU 305 - 757 -0867. SHE SAID LAST THERE SHE DIDN'T HEARD AT BACKYARD. CAN CALL AT TIME YOU WERE YOU KNOCKING THE WAS Passed 'I Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until • t� » M ` � �. Inspection Date: 07/03/2006 Inspector: Grande, Claudio Owner: STEWARTSON, ELIZABETH Job Address: 370 101 Street NE Miami Shores Village, FL Project: <NONE> Contractor: Building Department Comments Wednesday, June 28, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Re Occupancy Work Classification: Re- Occupancy Phone Number Parcel Number 1132060135270 Lot: Page 1 of 2 BETWEEN 10 -1 Passed Inspector Comments r ,4 _,6, tr a y Mr ; ..4 ( 103 /4i Failed ar7 . Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until I#1S�IflL�E t#( Inspection Date: 06/27/2006 Inspector: Grande, Claudio Owner: STEWARTSON, ELIZABETH Job Address: 370 101 Street NE Project: <NONE> Contractor: Miami Shores Village, FL Building Department Comments Monday, June 26, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 cl� Block: Permit Type: Residential Construction Inspection Type: Re Occupancy Work Classification: Re- Occupancy Phone Number Parcel Number 1132060135270 Lot: Page 2 of 2 RE- OCCUPANCY A -PI iJ AT --O Date (Rev. 10/02/03) Miami Shores Village Building Department Contact Name E Lf Z4 t- S ,0 g I cVO/UI'hone # 3 D S - 2-6,5)(0 - 7 Buyer Seller Realtor Company Name Property Address 37 o A I E / O / S 7 City Miami Shores State Fl Zip 33 / 3 g 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 the property. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate. Applicant Name e Z.A 6 El STEZA Z \S © kj Signatur by A / 7. i !z?Sap,. w Sign: Print: The foregoing instrument was acknowledged before me this ho is personally known to me or who has produced DR l j/ q 5 L 1C 1 as identification and who did take an oath. NOTARY PUBLIC: IMF C4 L tat �II'Il MONICA USSETH ouz MY COMMISSION # DD 483995 a EXPIRES: October 20, 2009 My Commission Expires: Building Officials Approval: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 ge. Fax: (305) 756 -8972 Pexmit No O6 „-ii- Loc ID day of J1)&) , 20Q� , Re -Occ. $60.00 Notary $5.00 CCF $0.60 Total (p 5, ‘0 BRUCE MARRIS (786) 200 -5686 i Passed oti Inspector Comments Failed Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until itctta €; Inspection Date: 07/03/2006 Inspector: Grande, Claudio Owner: ORTIZ, AXEL Job Address: 1080 92 Street NE Project: <NONE> Contractor: Building Department Comments Friday, June 30, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 lc 5 Miami Shores Village, FL 33138- Block: Permit Type: Residential Construction Inspection Type: Re Occupancy Work Classification: Re- Occupancy Phone Number Parcel Number 1132050270400 Lot: Page 2 of 2 (Rev. 10/02/03) RE- OCCUPANCY APPLIC�iTION- Date 0 Contact Name Buyer Property Address City Miami Shores Applicant Name / Sign: Print: My Co 3ruce o� Seller Realtor f Company Name / j r e f fission Expires: /o Miami Shores Village Building Department , 3 (1 20 /V6 9.2 ''"/ , 'E State Fl OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate. /( 7 Fecmit_No Loc ID Building Officials Approval: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 Phone # S1o3(o Zip 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 the property. The foregoing instrument was acknowledged before me this ? day of)Jr C , 20 Cro by�VC.,+C�• r (=* Y 1 - , who is personally known to me or who has l of • as identification and who did take an oath. NOTARY PUBLIC' ,*+T�L[G STP BORIDA . � v t {Bel n�de sir # Lr476455 co 009 , ,Iles d o r aing Re -Occ. $60.00 Notary CCF Total $5.00 $0.60 c..S- 6o _ . ia 3 0 P1 APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY 001766 / -G/Cle---- hereby apply for certificate to re- occupy the single family residence known as: (address) 92 N6 ion r Legal description: Lot: t a 9 5/l'Lo; � Applic Print Name: Inspection: By: Comments: Buyer: Seller: Realtor Miami Shores, Florida. lock: /' ,PB&PG: 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, Florida, 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. Date: irbe Approved: Denied: Date: ****************************.***** * * * * * * * * * * * * * * *... * * * * * * * * * * * ** For the purposes of conducting the inspection required by Section Development and Z Code, co tact: Contact Name: .1 77 1 /1 / O 7270t %S Telephone: Application Fee (550) Paid: Cash: Check: Number. ompany Name: 902 of the Miami Shores /77-4/ ?78 . 4-A0 61- /l 4 er //7;rcel- CERTIFICATE OF By RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the s dersigned certifies that the property described » in the application has been inspected for the pure ses of re-occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Z ning o de and that such property may be re- occupied by the applicant for single - family r purposes. VILLAGE, FLORIDA D . e of Certification THIS CERTIFICATE VERIFIES T THE REFERENCED ED S HAS N BEEN HAS BEEN INSPECTED BY M SHORVILLAGE SCHEDULE OF DETERMINED TO PRESENTLY C KPLY REGULATIONS OF THE MIAMI S ` ORES LAND AND DEVELOPMENT REQUIREMENT PERTAINING SOLELY TO 1 •1 REQEMENT THAT EACH ONE - FAMILY DWELLING IS USE AND INTENDED TO BE USED FOR A ONE-FAMILY DWELLING P ' ' OSE ONLY; HOWEVER, a I1S OR CERTIFICATE DOES NOT CONS F 'I DWELLING OR OTHER AS TO THE COND ON O STRUCTURES ON THE PREMISE DESCRIBED HEREIN, OR ES ARE ASPECT OF SUCH CONDITION, AND INTERESTED PARTI ADVISED AND ENCOURAGED T MAKE '1HEIR OWN INSPECTION CONDITION OF THE PREMISES IN ORDER T DETERMINE THE COh THEREOF. STATE OF FLORIDA) SS COUNTY OF DATE ) r 6 C(� � < <! !f:7��lw�� of the Village of'Miamhores, County of Dade and State of Florida, being duly sworn, doth depose 410 e , that under the provisions of Ordinance No 185, dated June 15, 1918, ampncir ing paragraph (d) of Section B - 368 of Ordinance Ng07 of the Building Code of Miami Shores Village, he desires to build a / " on Lot _fi ,)V- Block 39 of v ‘,. , %`, ems Subdivision, that- he i , p the owner of said property, and will be the owner of said 4, , that he wi 11 do the work personally, and that . he will, at such times as are required by the Zoning and Building Directo::- 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 certia f icates 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 tin right of such ownerbuilder as herein. provided, "is limited to but one owner.builder permit each 2 years, and where an owner•.builde.c-" has once exercized the privilege herein conferred no second appa,ication 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 SJB,SC 7; ; , .. - tee .ME 19 AFFIDAVIT v - C o, ���� .� „ ( 0 V NII3 this ter/ day of -4 2241135e i l,” / NOTARY P /v/ • 1 . ';1 : . b1 $,. D., THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE A PENALTY IS IMPOSED FOR FAILURE TO KEEP THIS LICENSE EXHIBITED AT YOUR ESTABLISHMENT OR PLACE OF BUSINESS Village License THIS LICENSE EXPIRES Sapiimbor 30, .1954— 19 N °. 71 In consideration of the sum of Twooitrottee and 0 '"""'"' - Dollars ($ 25.00 ) Paid to Miami Shores Village, Dade County, State of Florida, Ralph Osborne ***s* * * * *t i*B1711D»R MEM expires sic tombs from date of is hereby licensed to engage in or operate the business of Loses nos MIAMI SHORES VILLAGE, FLORIDA Date Issued Morob 30' 1954 By THIS LICENSE NOT TRANSFERABLE WITHOUT THE APPROVAL OF THE VILLAGE MANAGER. MSV 1954 Kind of Policy Policy Number Effective Date Expiration Date Limits of Liability Contractor's & Manufacturers' LP Liability -98192 3/31/54 3/31/55 $..O,QQO. ...Each Person $ 1Q ., QQO.Each Accident Contractor's & Manufacturers' Property Damage LP -98192 3/31/54 3/31/55 $._l, OOA. ...Each Accident $LO.,OfQ....Aggregate Certificate of Insurance Commercial Insurance Company of Newark, N. J. Hereby Certifies that the following described policies have been issued to: Name of Insured RALPH C , OSBORNE P. O. Address 117 N.W. 103rd Street, Miami Shores Location Covered . X20.. 11...E......1Q1...atxeet.,...Mi am i Shor es.,...Fla . Carpentry, Masonry and Plastering DESCRIPTION OF OPERATIONS OR COVERAGES In the event of any material change in or cancelation of said policies, the COMMERCIAL INSUR- ANCE COMPANY OF NEWARK, N. J. intends to notify the party to whom this Certificate is addressed of such change or cancelation, but the COMMERCIAL INSURANCE COMPANY OF NEWARK, N. J. under- takes no responsibility by reason of any failure so to do. Dated this 31 day of March , 19 54. This Certificate issued to: BUILDING DEPARTMENT Min mi...�ShDr �s,...F lorida By Commercial Insurance Company of Newark, N. J. Authorised Representative. Und. CS. 5945 -C 52116 — Printed in U.S.A. Kind of Policy Policy Number 1 Effective Date Expiration Date Limits of Liability $ 5,000 YO' ; 00 ach Person $ . ach Accident Contractor's & Manufacturers' Liability 12 - 98192 3/31/54 3/31/55 Contractor's & Manufacturers' Property Damage LP - 98192 3/31/54 3/31/55 $.. 1 000 Each Accident I�0 " , , Und. CS. 5945 -C Certificate of Insurance Commercial Insurance Company of Newark, N. J. Hereby Certifies that the following described policies have been issued to : Name of Insured RALPH C. OSBORNE P. O. Address 117 N.W. 103rd Street, Miami Shores, Fla. Location Covered 370 N.E. 101 Street, Miami Shores, Fla. DESCRIPTION OF OPERATIONS OR COVERAGES Carpentry, Masonry and Plastering In the event of any material change in or cancelation of said policies, the COMMERCIAL INSUR- ANCE COMPANY OF NEWARK, N. J. intends to notify the party to whom this Certificate is addressed of such change or cancelation, but the COMMERCIAL INSURANCE COMPANY OF NEWARK, N. J. under- takes no responsibility by reason of any failure so to do. Dated this 31 54 day of March , 19 This Certificate issued to : Commercial Insurance Company of Newark, N. J. BUILDING DEPARTMENT , By therised Representative. 52116 — Printed in U.S.A. V o —