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890 NE 100 St (10)Contact Name: Inspected by: Comments: APPLICATION FOR CERTIFICATE OF RE OCCUPANCY I, W. Jeffrey Miller , hereby apply for a certificate to re- occupy the single family residence known as : (address) 890 N.E. 100th Street , Miami Shores, Florida. Legal Description: Lot: 1 & 2 Block 169 PB & PG: 14 -33 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 su • property. 1 c * * * * * * * * ** Applicant . �. Print Nam e * * * * * * * * * *"�! * ** * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Rick Burch Buyer Seller Realtor x Company Name Arvida Realty Application Fee ($50) paid: Cash Check No. 1592 Approved PAGE 1 OF 2 Date 9 30-o() ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** X Denied Telephone: 305 - 332 -2888 Date 10/17/00 CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has been inspected for purposes of re- occupancy pursuant to Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single - family residential purposes. THIS CERTIFICATE 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 SOLELY TO THE REQUIREMENT THAT EACH ONE - FAMILY DWELLING IS USED AND INTENDED TO BE USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY; HOWEVER, THIS CERTIFICATE 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 IN ORDER TO DETERMINE THE CONDITION, THEREOF. PAGE 2 OF 2 MIAMI SH a RES VILLAGE, FLORIDA By: Date ofCertificati.n: 10/17/00 A F F I D A V I T 2. Apply for and secure a Permit. SUBSCRIB "M AND SWC v * O B FORE .ME this 19 5 . S STATE OF FLORIDA) SS COUNTY OF DATE ) of the Village of ' Miamhores, County of� nd ate of Florida, being duly sworn, doth depose s , that under �� � der the provisions of Ordinance No, 185,, dated June 15, 1948, amend- ing paragraph (d) of Section B -368. of Ordinance No, 97 of the Building Code of Miami Shores Village, he desires to build a on Lot / ¢ 2 Block / 6 of S S-Q,c • Subdivision, that he is the owner of said property, and will be the owner of said , that he will do the work personally, and that. he will, at such times as are required by the Zoning and Building Director: - 1, File plans and specifications and obtain approval of the Planning Board and the Building Inspector. 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 certi• ficates showing the payment required by the Federal Social Security Act to the State of Florida or the United States of America. t . 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 col menc ing 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 abubes and subterfuge tle right of such ownerbuilder as herein provided, is limited to but one owner - builder permit each 2 years, and where an owner- builder. has once exercized the privilege herein conferred no second application 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: OWNER day of. A... D., Q-4 NOTARY PUB C, .votary 'ubhc, Stth b, - forldo at lore ;ply commission expires Nov. 21, 19 1. nd'd by 1v,a :s. 3ondi„^ insuranc- irt 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 This License Expires In consideration of the sum of For the period beginning ' 114 1 subject to the Provisions of all ordinances. (SEAL) Date Issue ? Welber r 1951 T.R1PLICATE VILLAGE LICENSE and ending Wig* 19 • x N° 6516 Dollars $ Paid to Miami Shores Village, Dade County, State of Florida, 7,3. 890 X.20 100th 30. Address is hereby licensed to engage in or operate the business of IMF obund Appitares six =WM two date et lRael MIAMI SHORES VILLAGE, FLORIDA By VILLAGE MANAGER THIS LICENSE NOT TRANSFERABLE WITHOUT APPROVAL OF THE VILLAGE MANAGER : 7J.....cn4�. 5PakTi �?, c ect ,n}��ticp1�t:cp1 ; j tcp�l�tte�}. .... s t:c�lp�t�tpf�7t _� _ _SA_• _4_r � : 4? : ": ti? : S? : _SA :� _�?_' �' _6+ :•' 4 :•' _4_rttD}017itcn.}LL7r�p.}�, 4 tt i! ti — 4_ _rD_ _�C► ..yr fr fr lr >;i 1r• rr r>; it ri �r• rr•....••fi••...•�ri• n• a••. ..••ar....•�ri• ri•....••;