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TAX RECORDN9 1217 CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Owner, Agent or Tenant of Building Miami Shores Village, Fla, Lot Block j Subdivision Street Address „ t 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 .•� Architect Contractor or Builder f BUILDING ELECTRICAL PLUMBING Owner of Building PERMIT N° 10230 - MC /at l ett* a Work to be performed under this Permit MIAMI SHORES VILLAGE, FLORIDA S ned:"" Subdi- vision Value of Project $ BY ATE 6 v..' i! 195 L ' Legal Lot :" a BI. Description Address of Building ," t �,.' / This permit is granted to the contractor or builder named above to construct the building o •nstall t e a device described in the application t herefor in strict compliance with all ordinances pertaining thereto and with the underst• ding tha - th will', e fie ed in compliance with any plans, drawings, statements or specifications that may have been submitted to and a ' ` g , p y approv by �a• • oper uncap autli r,�i s Permit may be revoked at any time if the work is not done in compliance with such ordinances if the pl nge ri .. ut a ho a tlr r condition upon which this permit is done by his agents, servants or employees. , granted is the understanding that the contractor or builder na>al v eld, t esp,.. ty f a ough knowledge of the ordinances and regulations + he ep'ts or specifications and that he assumes responsibility for work pertaining to the work covered hereby whether shown on the rnstor draw ;p BY Amt. of rmit $ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance wit 1 ordinances and regulations p ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper autlk rities A Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself, my, agent, servant or employee. 1 CONTRACTOR OR BUILDER ■ AUTHORITY ;UILDING LECTRICAL 'LUMBING Dwner of iuilding MIAMI SHORES VILLAGE, FLORIDA PERMIT No . 4004 DATE Contractor's License No. Work to be performed under this Permit 194-- Architect Contractor it Builder t. ` I_.egal Lot ; `. �` Bl. Subdi- Description ' . u } v Address of , / , Value of f Amt. of r Building r / Project f 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 appli- cation 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 or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. �+ ,.r r Signed. C / y t.. / By INSPECTOR 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 accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. t. CONTRACTOR an BUILDER BY AUTHORITY • ONds Ow er s Name Liq N . Add. or Phone r 7 /d c' 0.1 General Contractor Lic.No. Add. or Phone Zone Req.Cu.Ft. 2 1 ' 0 g Plat Restriction Checked by To Planning Board Re- Submitted to P.B. Approved Rejected Plans & Spec. Checked by ' / (>, To Council Approved Rejected Bldg. Permit No. No. �D U Date '1/ / a d Fee Cost /1 ( { 77/ Type /2 f Stories / Roof f� New Construction Plumbing Permit No. Septic Tank Sewer Miscll New Cons t . Electrical Permit No. Fixtures Heater Motors Miscll New Construction Building Inspection Foundation Beams & Lintel's Final Final Clean -Up 0 Y o V Alterations 41.teration Date 11 n 11 Date I1 11 fl Alteration Plumbing Inspection Date By Roughing 1'2 - I v-t�I �M ° Fixtures Sewer Septic Tank Solar Heater Final Certificate Subdivision 7 3 1() Approved Rey -insp - 2 0 A/ k, . / c / No. Street Cu.Cont. / 2 By e- / 1 Repairs Fee It n epairs 7Fe e I 11 It fl It Re •airs Re -insp By Re -Insp By Electrical Inspection Date By „Re -insp By Re -Insp By Roughing 7 Fixtures Final Temp, O.K. Service O.K. to Power Co. Cert.Occup.Issued Rejected By Re -Insp By • PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NUMBER V , ' , 1-1 1940 1941 1942 1943 a 1944 1945 , 9). a /f 1946 7-, IL -I/- I ?"'i7 / ` /!00 P/ —/V / "::_l /- f gO i ?XI-- orAr 2 , If 7 1947 i ...� / ��:y =:/= • 2.1 1948 / • Oa /,, ` f /- ci , 1/ - . - ! 7 / d .' i �� _� � / / 1949 I. /,(. a/ ', kav20 ^ /4 /014794 1950 // ° / - .3 1-.5.- ! / - 6 - S U /59.5 LOCATION /444 N.E. 101st St. 5= Lots 6 -7, Block 90. M.S. GARBAGE TAX RECORD 4/4 N. E. 1.01st St. S. E. Adcock /57...,5r/ � c, a /7 year annual tax period used /4 / t. 0 amount paid date paid i? 6-0 iio 'sr el- /t / - / / receipt_ #__ aiami Jhores9' llage F L O H ID A KNOW ALL MEN BY THESE PRESENTS, that I, in consideration of the issuance to me by Miami Shores Village, Florida, of a permit (No a building at or pon the following described property in said Village. Lot � t , Block a� , • WHEN CLEARED AND REPAIRED BY THE VILLAGE Amount of Bond $ 50.00 Cost of clearing and repairs done by Village . $ - Balance due Builder f0 00 BUILDER'S BOND a A 1PP Village APPROVED: VILLAGE BUILDING INSPECTOR'S APPROVAL I hereby certify that the construction contemplated under Building Permit No that the builder thereof has caused the surrounding premises to be cleared and repaired • . s _o.. commencing said construction. N9 _ 473 to construct or repair Subdivision do hereby deposit with Miami Shores Village, Florida, the sum of Fifty Dollars ($50.00), and I agree with said Village that, when such construction shall have been completed by me within the meaning of the ordinances of said Village, 1 will clear all premises and repair any Village property damaged by me, used for the deposit of material or equipment in the construction or repair and that, if I do not so clear and repair such premises immediately upon the completion of such construction within the meaning of such ordinances, the Village may clear and repair the same and pay the costs of such clearance and repairs out of the aforesaid Fifty Dollars, and return the remainder to me; and that, if I shall clear and repair said property immediately,"as aforesaid, then said Fifty Dollars shall be returned to me. WITNESS MY HAND and Seal at Miami Shores Village, Florida, this day of,, / ' 4j (Seal) INSTRUCTIONS TO BUILDER -- -When above mentioned construction is completed and the premises are cleared and repaired take this bond to the Village Building Inspector and obtain his approval, after which Miami Shores Village will refund your money in accordance with the above agreement. has been completed and on as they were before ildin nspect••r, Miami Shores Village. Saida? Inspector, 0 '• • `•� •'• i `•°.�°. •'• i `• `•�°• •'•i �°.�•'• i � °'• i �°.�' i `•°.� i `• ° �'•i �°.�°. •'• i rte•'• i �°•'• i � � i'r�'• i i �° •'• i �° •'• i � •'• i �°•' i `•� i � °�° •'• i �°�°•'• i �°�'• i'i t • MIAMI SHORES VILLAGE APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building 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 ; Ville and all'riiles and regula- tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. g y of approved plans and specifications must be kept at building during progress of the work. Date_ Owner's Name and Address . ___e...Ll. �� ' '/ �� ' ._ - Strt a' /Tv / ON , Registered Architect and /or Engineer Name and address of licensed contractor .Ss-_11.4 ✓s Location and legal description of lot to be built on: �/ Lot____ d __ q Block_ , 7 6 —__ Subdivision 1• 6 Street and Number where work is to be done 4 ci `L_2%/G ■ O / or State work to be done and purpose of building (by floors) feL -s .s- _- _- ------------- _- -- _ —_ --- — _-____ -_ —_ -_ __and for no other purpose. New Remodeling____ ______ __ —__ Addition__— ___— _— ________ Repairs - -y of Stories_____— _______ To be constructed of_e e g-__ Kind of foundation _ _G?!±-4 _ Roof Covering / ' 0 Zone cubage required_— / 0 o 4 1 3 6 6° Plan Cubage = --- 6 Estimated Total cost of improvements $ -1- .. Q_—____- 41fAmount of Permit $ Distance to next nearest building Building r ��� Size of Buildin Lot � o � .� // .i 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 performed under this permit, as are licensed by Miami Shores Village. Remarks (Sig STATE OF FLORIDA, COUNTY OF DADE. ss. Before me, the c� undersigned autho'y. p�gota public, duly authorized to administer oaths and take acknowledgments. personally appeared 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 stated are true. Permit No G (.1 Date L ■ / � 4/ ` Disapproved _________________ (Signed) Chairman Member Member Council Approved__ Date Notary Public, to of Florida Building Ins ctor My Co . mission Expires a DATE BUILDING INSPECTION DEPARTMENT PLANNING BOARD Re worn to and Subscribed before me. Member Member Member Date Disapproved _ —Date NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. 7L / 3