489 NE 101 St (5)IsT9 1223
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla ,
Owner, Agent or Tenant of Building
Lot '. Block ; t Subdivision •
Street Address '4 `' -\ 1
Approved use by occupancy
Remarks:
This Certificate of Occupancy is issued to the above named f°
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 es 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
OLIVER F. DREBERT
PRESENT ADDRESS
489 NE' 101 at St.
LICENSE NO.
PHONE NO.
JOB LOCATION (ST. OR AVE.)
489 NE' 101st Street;
LOT
E' 3 IT of 23 &24
I BLOCK
91
SUBDIVISION
)BLS
GENERAL CONTRACTOR
FUTCH & ROBERTS'
ADDRESS
260 NW 7lst St,
PHONE NO.
LICENSE NO.
-' '
BUILDING PERMIT NO.
DATE 11 -13 -50
PERMIT FEE $ 3.00
BUILDER'S BOND
NO. 11 33 DATE 11 ■13.50
ZONE REQUIREME CU. FT.
PLAN CUBE 4Co CU. FT.
EST. COST $
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: PG
DATE
- --1ie,�
NEW CONSTRUCTION
TYPE
STORIES
ROOF CONSTRUCTION
INTERIOR CONSTRUCTION
REPAIRS
DESCR IPTION
ALTERATION
DESCRIPTION
p A.�
Bedroom &- path
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.
ISSUED /024(
n
BY U3
I 'TO '
0
BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
FOUNDATION
//"ogf: JG
FEE
TEMPORARY SERVICE
$
BEAMS & LINTELS
/42"-//'
PC,
$
SEWER
FRAMING
4? -2y- Co
S
GAS
$
$
INSPECTIONS
FINAL
°CI
1)L
V'v
BY
RE- INSPECT
BY
ROUGHING
CLEAN -UP
J -'3,t
/ 3,'si
GAS
CONTRACTOR Futch & Roberts
PHONE
PERMIT NO. 10262 DATE 1115 •50
FEE $ 3e5O
NEW BLDG. I ALTERATION I ADDITION Z
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
SEPTIC TANK
$
SEWER
$
SOLAR HEATER
S
GAS
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
ROUGHING
--z/.-- 4
'
GAS
IR - - tk-r6
17
SEWER
SEPTIC TANK
SOLAR HEATER.
FIXTURES 0 Q/alto
FIXTURES & FINAL
/�
(° 3./ -3
eti
CONTRACTOR ,,. D II• ��
PHONE
PERMIT NO. / 7 DATE / Z - 2. 7 - ,
_IWO
FEE $ pR
NEW BLDG. ( ALTERATION 1 ADDITION
REPAIRS
SPECIAL PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
S
$
INSPECTIONS
DATE
BY
RE- INSPECT
BY
RE- INSPECT
BY
TEMP. SERVICE
ROUGHING
IR - - tk-r6
17
H. W. HEATER CONN
RANGE CONN.
FIXTURES & FINAL
/�
(° 3./ -3
eti
BUILDING INSPECTIONS
PLUMBING PERMITS & INSPECTIONS
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
BY
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Owner's Name and Address
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.
Estimated Total cost of improvements $
MIAMI SHORES VILLAGE
BUILDING. INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Distance to next nearest building
Maximum live load to be borne by each floor
Ls V Thaa
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivisio
Street and Number where work is to be done
State work .. a donci and purpose of building (by floor ) __
Date C IAO 0 1 C)
Street_
■•••••••11
sc5
and for no other purpose.
airs No. of Stories [
New Building Re odeling Ad,
To be constructed of__ Kind fo ation "' __ - Ro of Covering IL _
COO Amou of Permit $ Q ftair..........
Zone cubage required L" _Plan Cubage
Size of Building Lot
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 Gene ws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from . co • actors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted fo spe• 'on on the site of � tlie work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such s • •contr ctors, on - ork' t¢ be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) ti i -__1
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 stated are true.
Permit No Date Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
( Signed)
Building Inspector My Commission Expires -
PLANNING BOARD DATE
Chairman Member
Member / Member
Member Member
Council Approved 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.