848 NE 100 St (12)N9 1301
CERTIFICATE OF- OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Owner, Agent or Tenant of Building
Lot
Miami Shores Village, Fla ,
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 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
OWNER'S NAME
it.D. BESSELIEU
PRESENT ADDRESS
165 NJ. 96th., STREET
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
848 N.E.. 100th. STREET
LOT
, 4 & all of
BLOCK
,9
SUBDIVISION
SEC a
G ENERAL CONTRACTOR
JOHN F.. MC CLUS EY
1 ADDRESS
1362 N.W., 16th.. Mita''
PHONE NO.
LICENSE NO.
BUILDING PERMIT NO. 11817
Q
DATE 7/
P FEES 26
BUILDER'S BOND
NO. �-_ DATE
ZONE REQUIREMENTS 20, CU. FT.
PLAN CUBE 21, CU. FT.
EST. COST $ 21,000.00
DRAW
NGS, SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: P.G..
DATE
7/
X.
NEW CONSTRUCTION
CBS
C
STORIES
ROOF CONSTRUCTION
TI
INTERIOR CONSTRUCTION
oak f loors- -plas. walls & eel
REPAIRS
DESCRIPTION
LW.. • -- FLA. RM. -- KIT. - -3 BID RHO.. - -2 BATHS—PORCH—ATT. GARAGE
ALTERATION
DESCRIPTION
- - - •- -- - - -
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. ` e) 0
t
•'1 -7
I ISSUED I °`- !. a I
I/ \�\\ I . -, �
BY k ! TO ( J �° '" '
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS ,C' -
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
7-2,3-,s-/
G.:',
TEMPORARY SERVICE
TEMPORARY SERVICE
$
BEAMS & LINTELS
Q'
/i6 s-a.
ry
O 2'��-
$ A � .
SEWER
RANGE CONN.
FRAMING
Fi -13° SD
4)14i-
'
$
GAS
FIXTURES
/ -%,
ga- s/ �.01
$
$
INSPECTIONS
FINAL
/ 1- 4i -$1
41
BY
RE- INSPECT
BY
ROUGHING
CLEAN-UP
/I
GAS
CONTRACTOR / ���e; •
PHONE
o ?
PERMIT NO. //O ✓� I DATE 7 - V
FEE $ 7 ��
NEW BLDG. I ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
TEMPORARY SERVICE
$
SEPTIC TANK
Q'
/i6 s-a.
ry
O 2'��-
$ A � .
SEWER
RANGE CONN.
$ '
SOLAR HEATER
MOTORS
$
GAS
FIXTURES
$
$
$
INSPECTIONS
DATE
DATE
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
7-'626'47
�
/•
GAS
ROUGHING
°k4,°'
SEWER
H. W. HEATER CONN.
SEPTIC TANK
�/
d '� S1 94t/.✓.
�( �//
.
SOLAR HEATER
(�
FIXTURES
/_ .,
gy�pp,,
JJ1
I'
CONTRACTOR 'e D
PHONE
PERMIT NO. J I g 4 I DATE S- ( ^ ,Y7
FEE $ /a"
NEW BLDG. I ALTERATION
ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
°k4,°'
H. W. HEATER CONN.
RANGE CONN.
FIXTURES & FINAL
/Q ' ANT(
I'
9 B arLDING INSPECTIONS
PLUMBING P RMI=$& INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE ja ° kV -
Off 64V
PAID BY ' "p
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
W. D B.�SSEL i�. n,�'y
/i
/4
J
PERM :CT #1181 - -- 7/19/5
/qs.?
/7
A..3/- SA
i ""'"
- sa
06,7
,
/
,*ADDRESS ftlift N.E.. 100th. STREET
LEGAL - 4&a115 BLK169 SEC 8
RECORD GARBAGE TAX
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, w ther 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 141 Q
Registered Architect and /or Engineer___1
Name and address of licensed contractor____________
Locati n and legal description of lot to be built on:
Lot I At 4 Block I 9_
Stree
and Number where work is to be done
Zone cubage required
APPLICATION FOR BUILDING PERMIT
Distance to next nearest building
Permit No 1 ( Date
Disapproved Date
( Signed)
Building Inspector
NOTE: A charge of $1.00 will be made
the Planning Board.
A re- inspection fee of $1.00 will
materials and /or workmanship.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
pft
Subdivision _
State work to be done and' purpose of building (by floors)
Z
Chairman
Member
Member
Council Approved
Date ! - 8
No � / _
_ �_�_�_ treet
i( P
1 r.
PLANNING BOARD DATE
/-' 1
r
l` and for no tither purpose.
New Building V R odeling dit�os Repairs No. of Stories__ _________________
To be constructed of Kind of undatio 2. - -- 0 ( Roof Covering 4 ' c
g
improvements ° b
Estimated Total cost of im
p $- _ c -�___ �- _ Amount of Permit $ 2
Plan Cubage i) 1 -2 C
Size of Building Lot Q
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 subcontractors, on work ; to be pe formed under ,this
permit, as are licensed by Miami Shores Village. � 9 \ // / J /,/
Remarks (Signed) - ':� ` � l ,1 v i_ � � .- ,2'� r ; �„
IT _ h
e 19 ), \
�.
Read, Sworn to and Subscribed before me.
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 state re e.
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
Date Disapproved Date
for making corrections or changes to this application after approval has been obtained from
be charged when such re- inspection is made necessary by improper notice for inspection or faulty