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504 NE 101 St (6)• CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N° 966 Miami Shores Village, Florida, 8 -3-•59 Owner, Agent or Tenant of Building MARION ARNOLD Lot 6 & 7 Block 95 Subdivision MIAMI SHORES # h. i Street Address 504 N.E. 101st S + . Approved use by occupancy FLORIDA ROOM E%TENTION Remarks. 8557 This Certificate of Occupancy is issued to the above named Owner 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. Plan Cube 2494 Tax VJalue 1247 BUILDING DIVISION ' OWNER'S NAME ."412/0At J7►.Q.N C PRESENT ADDRESS $ , / & : : . /0/ $7 LICENSE NO. PI-IONE NO. JOB LOCATION (ST. OR AVER , 4. ,/L` /o / ` 6- 7. LOT G 4 7 BLOCK l4" SUBDIVISION 70- 4-- GENERAL CONTRACTOR ®b.' - ADDRESS PHONE NO. LICENSE NO. �j � - BUILDING PERMIT NO. o , I (�j DATE / '. _/ PERMITTJEE $ Ai C. • BUILDER'S BOND NO. DATE A / Ht Of/ i7'l q , J ZONE REQUIREMENTS CU. FT. T.J. _�' / 2- _.1 7 "� PLAN CUBE 2 7-S54" CU. FT. Cc% EST. COST $ 300 O (� DRAWINGS. SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY: Q. / /re-r/GEC� '' // f/ DAT= 4- / NEW CONSTRUCTION TYPE 0._.(3 s STORIES a,.1� ROOF CONSTRUCTION .Ib..., . ` t�� INTERIOR CONSTRUCTION ...C., ®®9— REPAIRS j c=,1, /J ESCRIPPfifION 474:1:...f."-- if4ov. �J .-f7 ALTERATION / DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTFID TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. "� Fl —3 —i7 ISSUED // BY 11 M A�21 D N f �- TO BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE. BY INSPECTIONS DATE BY FOUNDATION $ SEPTIC TANK ROOF TEMPORARY SERVICE $ BEAMS & LINTELS $ TUB & TOP OUT POOL SOLAR HEATER $ FRAMING $ GAS AIR COND. MOTORS $ FINAL $ FIXTURES CLEAN UP SEPTIC TANK $ SLAB FIXTURES & FINAL SOLAR HEATER SLAB SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE RE - INSPECT BY $ SEPTIC TANK FEE TEMPORARY SERVICE $ SEWER $ TUB & TOP OUT S SOLAR HEATER $ RANGE CONN. $ GAS SEWER MOTORS $ $ FIXTURES S INSPECTIONS DATE BY RE- INSPECT BY RE - INSPECT BY ROUGHING DATE FEE TEMPORARY SERVICE $ TUB & TOP OUT H. W. HEATER CONN • $ RANGE CONN. SEWER MOTORS $ FIXTURES SEPTIC TANK $ FIXTURES & FINAL SOLAR HEATER FIXTURES GAS CONTRACTOR PHONE PERMIT NO. 1 DATE FEE $ NEW BLDG. 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ H. W. HEATER CONN. H. W. HEATER CONN • $ RANGE CONN. $ MOTORS $ FIXTURES $ FIXTURES & FINAL INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL ' //J Ci`BUILDING INSPECTIONS 831' CONTRACTOR PERMIT NO. NEW BLDG. PLUMBING PERMITS & INSPECTIONS DATE ALTERATION ADDITION PHONE FEE $ REPAIRS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE BY BUILDING �►' ELECTRICAL ❑ P E R M I T o PLUMBING ❑ N • ROOFING ❑ Owner of Building '`t Architect Contractor or Builder Legal Lot 6 7 Description. Address of Building ''t MIAMI SHORES VILLAGE. FLORIDA z his Bl. Work to be performed under this Permit -' �. a ° ` < Ye.1 � �► ; j t ., �t . r+ /( / . -1 4 P bAT ? 5 , Con ractoi s mow !... u e No'ki 4 p .. Subdi- vision Sq. Ft Value of Project $ 770, Amt. of Permit $ .4 195.E This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in th4pplication herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance wit 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 thgorrp�ugh knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the st t s ents or sp9ffca id)s and that he assumes responsibility for work done by his agents, servants or employees. 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-- per sume responsibility for all work done by ither, myself, my agent, servant or employee. by 24 CONTRACTOR OR BUILDER Signed INSPECTOR BY BY AUTHORITY Remarks STATE OF FLORIDA, COUNTY OF DADE. ss MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT 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. Owner's Name and Address._ Registered Architect and /or Engineer Name and address of licensed contractor _. _ Location and-legal description of lot to be built on: Lot 6, f Block t) taof - t_ Street and Number where work is to be done____ State work to be done and purpose of building (by floors)L:Z Subdivision ( Signed) - -r- 1'7 19- and for no other purpose. New Building . � R�oiodeling Addition.. Repairs No. o✓Sto�cie� To be constructed of. t __. Kind of foundation Roof Cover Estimated Total cost of improvements $ J 1 Amount of Permit $ d _ i Zone cubage required _Plan Cubage C.7 �/ � �/ � S/r' /A �4 I e � Distance to next nearest building____ Size of Building Lot /� 6 ._ f_l 5 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 subcontrac rs, on work to be performed under this permit, as are licensed by Miami Shores Village. 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. 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