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1150 NE 102 St (7)CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION N9 209 ' -7i (09, Cs Miami Shores Village, Florida, 9 / I'J-� � J Owner, Agent or Tenant of Building Lot / Block 1.1 Subdivision Street Address /15 O E . /0 NVIE 12 f Approved use by occupancy Remarks. This Certificate of Occupancy is issued to the above named 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 OWNER•S NAME Guy Hickman PRESENT ADDRESS LICENSE NO. PHONE NO. -)' JOB LOCATION (ST. OR AVE.) +94 -44x 115(1 11 III 1(I2„Ii S1-. LOT 7 BLOCK 176 SUBDIVISION M. S. Sec. 8 _ GENERAL CONTRACTOR W. L. Pierce ADDRESS PHONE NO. LICENSE NO. 456 BUILDING PERMIT NO. 1 DATE 4-23 -55 PERMIT FEES 24.00 BUILDER'S BOND NO. DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE 37,609 CU. FT. EST. COST S 20,000 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY DATE S NEW CONSTRUCTION TYPE CBS CBS STORIES 1 ROOF CONSTRUCTION Tile INTERIOR CONSTRUCTION oak floor, Plaster walls coiling. REPAIRS DESCR IPTION b garage, den, living room screen porch, dining room, kitchen, 3 bedroom 7 ha-throomS ALTERATION 2 DESCR,PTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD GUBMITTED TO VILLAGE COUNCIL REMARKS ^ CERTIFICATE OF OCCUPANCY NO. aP ISSUED �'53� '\ ' BY A�`'L ` TO C J �, `. BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE 5, INSPECTIONS DATE B Y� RE- INSPECT BY RE- INSPECT BY FOUNDATION 4 . '_0 �7 - 4 /.+I(/ FEE TEMPORARY SERVICE H. W. HEATER CONN. BEAMS & LINTELS SEPTIC TANK "'s. RANGE CONN. $ $ FRAMING 2/ - ..5.5" 5 SOLAR HEATER FIXTURES $ GAS $ S INSPECTIONS FINAL % ST et k DATE BY RE- INSPECT BY CLEAN -UP 4t II ROUGHING Ct. I CONTRACTOR PHONE PERMIT NO. DATE FEE S NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE H. W. HEATER CONN. $� SEPTIC TANK "'s. RANGE CONN. $ $ SEWER MOTORS 5 SOLAR HEATER FIXTURES $ GAS $ S INSPECTIONS DATE $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING ROUGHING Ct. I GAS H. W. HEATER CONN • SEWER A ,✓'a"' SEPTIC TANK �' i;- - ; V. 9 G.XTURES & FINAL SOLAR HEATER I 1 , FIXTURES ■ . - r _g_ I / PERMIT NO. DATE "! "- + 6 P FEE $ NEW BLDG. 1 ALTERATION ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVIC yam!' - - - $ H. W. HEATER CONN. $ RANGE CONN. $ MOTORS S FIXTURES S S INSPECTIONS DATE BY 1 RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE F Y ' ROUGHING Ct. I H. W. HEATER CONN • RANGE CONN. A ,✓'a"' t G.XTURES & FINAL , CONTRACTOR r_; BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS E LECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE PHONE 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. Date1� 19 Owner's Name and Address.. G ?� �! No. �..t�`Street ` r �," // Registered Architect and /or Engineer..? ': > • L ' , Name and address of licensed contractor Location and le al description of lot to be built on: Lot f Block. Subdivisi n.. C—/ °) Street and Number where work is to be done •.1. State work to be done and purpose of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. J ss 4 MIAMI SHORES VILLAGE New Building Remodeling. Addition To be constructed of Kind of foundation Estimated Total cost of improvements $ 2.° 0 0 0 Zone cubage required I ` -Plan Cubage J Distance to next nearest building,lQ Size of Building Lot uil • g 'nsp ! BUILDING INSPECTION DEPARTMENT and for no other purpose. Amount Repairs No. of Stories ! 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 inspe io on the site of the work su •) public notice or notices as are required by the Act. The undersigned agrees to employ only such subcon , rs, on wor to be perf ed under this permit, as are licensed by Miami Shores Village. Remarks (Signed 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 1 ` Da e Read, Sworn to and Subscribed before me. Disapproved (Signed) Notary Public, State of Florida 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.