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561 NE 101 St (7)I, 0-6L- , hereby apply for a certificate to re- occupy the single family residence known as : (address) 70/ s/ , Miami Shores, Florida. Legal Description: Lot: 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 such property. X Applicant Print Name 1 /E72 -/" *********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: SE t(Q.&) Contact Name: `/ &-)-7 2 Telephone 5'447 '"G a ? 0 36/- S9 a c - Buyer _ Seller ) Realtor Company Name Application Fee ($50) paid: Cash Inspected by: F . LUB I EN )1(0 Approved X Denied Date 5/19/00 Comments: APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY Block PB & PG: Date Check Noy / 5' 7 PAGE 1 OF 2 ph..4 /1.< irdrihw- e-tx-eL IVA" fi 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 SHORES VILLAGE, FLORIDA f By: Pi Date of Certification: 5/19/00 STATE OF FLORIDA DEPARTMENT OF STATE t)ivielon of Archives History and Records Managemonl DS•HSP.3AAA Check One ❑ Excellent 863= = 863 = = 863 = = ❑ Good ^ l4 Fair ❑ Deteriorated ❑ Zoning( )( ❑ Development ( )( ❑ Deterioration( )( ❑ Borrowing ( )( Rev. 3.79 Site No. Site Name 830= = Survey Date 8506 Address of Site: 561 NE 101 St., Miami Shores, FL Instruction for locating on N side of NE 101 St. between NE 5 Ave. F, NE 6 Ave. 813= = Miami .Sho es FL Type of Ownership private - 84 = = Recorder: Name & Title' Stofik, Marty Address: MSHPB Location Miami Shores Sec. 4 Amd. 94 20 subdivision name block no. lot no. County: Dade Owner of Site: Name: Noel, Delbert H. Address: 561 NE 101 St. Condition of Site: Integrity of Site: NR Classification Category: Threats to Site: None Check One or More FLORIDA MASTER SITE FILE Site Inventory Form Check One or More ❑ Altered Unaltered l (Original Site Building 858 = _ 858 = = 858 = = 863 = = ❑ Restored ( ) (Date: )( ) 858 = = ❑ Moved( )(Date: )( )858= = )( )878 == )( ) 878 == )( )878 = = )( ) 878 = = ❑ Other (See Remarks Below): Areas of Significance: Architecture FDAHRM 802 =.= 1009= = 820= = 905= = 868= = 808= = 902= = Recording Date 832= = Original Usgrivate residence 838= =, Present Useprivate residence 850= = Dates: Beginning +1925 844 = = CulturelPhase American 840 = = Period 20th Century 845= = ❑ Transportation ( i( ❑ Fill ( )( ❑ Dredge( )( 878 = = 818= = 916= _. )( )878= = )( ) 878 = = )( ) 878 = = 910= = Significance: Structure was built during the first year of development of. the Miami Shores area by the Shoreland Company and reflects the Mediterranean Revival style that would become the theme of the development. Its most noteworthy features is a 11/2-story entry porch with high arched screen entrance with fanlight wood framing. Structure is in scale and character with the surrounding neighborhood. 911 = = ARCHITECT Hauri, Martin (Miami, FL BUILDER Skelton, R.N. Miami, FL • STYLE AND /OR PERIOD Mediterranean Revival PLAN TYPE irregular; irregular EXTERIOR FABRIC(S) rough stucco STRUCTURAL SYSTEM(S) concrete block PORCHES S; . entry, screened, access S, two large bays FOUNDATION: concrete footings ROOF TYPE: _gable SECONDARY ROOF STRUCTURE(S):rear win_g, flat, parapet CHIMNEY LOCATION: S. end, ext. WINDOW TYPE: wood DHS CHIMNEY: CBS ROOF SURFACING: barrel tile ORNAMENT EXTERIOR: wood NO. OF CHIMNEYS one NO. OF DORMERS none Map Reference (incl. scale & date)Mi Shores Vi llage Plat 19.80 809 = = Latitude and Longitude: O „ O Site Size (Approx. Acreag_e of Property): LT 1 LOCATION SKETCH OR MAP N Contact Print 1111111,111111 102..S% ul > 4 2 SCHOOL M I bM t SN aS JE Eta 1 4 50+00 I- lot T W 2 882 = = 952 = = NO. OF STORIES one 950 = = 954 = = Township 561 H F 16 1_91 Photographic Records Numbers 85N112HG28/85N112HG29 Range 53S 42E UTM Coordinates: — zone sFng — 7 Section 6 872 = = 874 = = 964 = = 966 = = 854 = = 856= = 942 = = 942 = = 942 = = coping 942 = = 942 = = 942 = = 882 = = 882 = = 800 = = 833 = = 812= = 890 = = 860 = = OF FLO 4 L, DEPARTMENT OF STATE Division of Archives, History and Records Management DS•HSP -3E - 9.74' CONTINUATION SHEET Site Namo 561 NE 101 St. Miami Shores, FL Physical Description Structure is a one -story Mediterranean Revival residence. It has a 1z story living room projection in front of central mass, preceeded by a . 12 story screened porch. Porch has two very high, very large screened arched bays, with wood fanlight framing. MSHPB USE ONLY Orig. owner- J.R. 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