1201 NE 102 St (8)N9 1192
Owner, Agept or
Lot
Street Address
Approved use by occupancy
Remarks.
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Tenant of Building
Block +r
d j
Miami Shores Village, Fla r 1
.
Subdivision,
{
o tt. E t,
This Certificate of Occupancy is issued to the above named d' t day "e•
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 buil ings or tructures.
/3UILDING QIVIS1ON
G'.. H. HICKMAN
OB LOCATION (ST. OR AVE.)
ZONE
A•
I ;" ■O NAME
1201. N. E.. 102nd Street
W. P. PIERCE
REPAIRS
ALTERATION
ADDITION
GENERAL CONTRACTOR
BUILDING PERMIT NO. 11170
P EQUIREMENTS
SUBMITTED TO PLANNING BOARD
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL,
APPROVED
CU. FT.
0 eY
CERTIFICAT
ISSUED
BUILDING rE
E OF OCCUPANCY NO. 9 RMIT AND INSPECTION RECOR
pRE5ENT ADDRESS LICENSE NO. PHONE NO.
10Q90 N. E. 100th Street I I
LOT BLOCK
#8 #186 I Bv Breeze
SUBDIVISION
ADDRESS
PERMIT FEES 211.00 I
111 lawnway Sp_r_i_ngs
DATE -2 -
PLAN CUBE 24900 CU. FT.
DRAWINGS SPECIFICATIONS, RESTRICTIONS AND CUBE CHECKED BY:
TYP STORIES
I 1 I ROOF CONSTRUCTION INTERIOR CONSTRUCTION
NEW CONSTRUCTION CBs Tile I Tar & Oak F1-
P'las Walls 8e Ceil.
T v �- DESCRIPTION
Din: Hz - Bit. - 2 Berl
Raw,- Den- 2 baths - 2 Car Att
DESCRIPTION
REJECTED
ZDH
REFERRED TO COUNCIL
REMARKS
NO. 1
MIAMI SHORES VILLAGE
PHONE NO.
LICENSE NO.
BUILDER'S BOND
8 DATE 3 -27.
EST. COST 5
DATE
2 7 - 51
REASONS
I /SPECTIONS
DATE
BY
RE- INSPECT
BY
NEW BLDG. f ALTERATION
FOUNDATION
rr
vl� k J!
PERMIT NO,
DATE
BEAMS & LINTELS
s f /
p
$
FIXTURES
SEPTIC TANK
FRAMING \
$
SEWER
DATE
■
RE- INSPECT
B Y RE-1N
SOLAR HEATER
�
C
FINAL
.Ce7,3'S'
ROUGHING •
GAS
H. W. HEATER CONK.
tr
CLEAN -UP
7 -s--0-/
'/
W "J
RANGE CONN.
PERMIT NO. /702
DATE
3
— 3 1 •- IP'J
ADDITION
E
—
NEW BLDG. f ALTERATION
$
SPECIAL PERMITS
PERMIT NO,
DATE
TEMPORARY SERVICE
MOTORS
$
FIXTURES
SEPTIC TANK
$
$
SEWER
DATE
BY
RE- INSPECT
B Y RE-1N
SOLAR HEATER
�
C
r
ROUGHING •
GAS
H. W. HEATER CONK.
tr
RANGE CONN.
INSPECTIONS
DATE
BY
RE- INSPECT
BY
R E
ROUGHING
...
4- s
-
GAS
SEWER
~�
SEPTIC TANK
SOLAR HEATER.
FIXTURES
//��
1p'1
3-51•
f
P
•
'
NEW BLDG. I ALTERATION ADDITION -
SPECIAL PERMITS
PERMIT NO.
DATE
TEMPORARY SERVICE
$
H. W. HEATER CONN.
$
RANGE CONN.
$
MOTORS
$
FIXTURES
$
$
INSPECTIONS
DATE
BY
RE- INSPECT
B Y RE-1N
TEMP. SERVICE
�
C
r
ROUGHING •
�. ski•��
H. W. HEATER CONK.
tr
RANGE CONN.
FIXTURES & FINAL
l Q ''/.;.%S.7
/� QQ
t �/ /
�7 �-- _ 9 a _ 1 y -y o a
�/ I BUILDING INSPECTIg1�fS�
CONTRACTOR
PERMIT NO.
PLUMBING PERMITS & INSPECTION[
ELECTRICAL PERMITS & INSPECTIdP1
DATE
APPROVAL TO POWER CO. FOR SERVICE DATE
E- I NSPECT
BY
-_
E S
r'AIRS
$
I NSPECT
ON ms ; `
1
AIRS
SPECT
FEE
FEE
BY
BUILDING
ELECTRICAL
PLUMBING ❑
ROOFING ❑ Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
This permit is grantee to the contractor or bui der named abov 10'. construct the buildin
herefor in strict compliance with all ordinances
p pertaining thereto and with : nd'
drawings, statements or specifications that may have been submitted to and
time if the work is not done in compliance with such ordinances or if the •la
granted is the understanding that the contractor or builder named abov
pertaining to the work covered hereby whether shown on the plans or
done by his agents, servants or employees.
In consideration of the issuance to me of this
pertaining thereto and in strict conformity with the pl
In accepting this permit I assume resp sibility for all
MIAMI SHORES VILLAGE, FLORIDA
PERMIT IN? 11170
DAT
195.
Contra dtoi s
License No
e equipment or device described in the a
ork will be performed in compliance with any
icipal authorities. This Permit may be revoked at an
thorization. A further condition upon which this permit is
for a thorough knowledge of the • dinances and regulations
tements or specifications and that as. . es responsibility for work
INSP - ' R
rform the work covered hereunder i pliance all ordinances and regulations
ents or specifications submitted e proper au • orities of Miami Shores Village.
er, myself, my agent, servant or ,_ 'ployee.
CONTRACTOR OR ILDER BY AUTHORITY
ADDRESS 1201 N. E. 102nd Street • LEG L Lot kb B1 1156 Bay Breeze RECORD GARBAGETAX
PAID BY
P ■ 11170 2 WI BI
1 ° /
� -
(f,
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
J Oaf ° �
V T . /7.57
/
1 , 2 - d / • 5 1
/ o ? <' ` '
I — / - r - s /
/ 6 9 d 7
, : d
:3 CZ
'
% , \S7
/
/
s '
n ti '4 •.,
f
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structti erein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores — Villas, FI o_rida, 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.
` A ,
Owner's Name and Address ____ _ ____'; =_e
Registered Architect and /or Engineer
Name and address of licensed contractor
New Building
To be constructed of
STATE OF FLORIDA,
COUNTY OF DADE. ss.
and who, bei g by m
of the above escribe
therein by him stated
Permit No.
Disapprove
• P
Date
Bu ldin7' nspector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
p
Location and legal description of lot to be built on:
Lot Block Q ", (P' Subdivision L
Street and Number where work is to be done \ - 0 ■
State work to be done and purpose of building (by floors)__
Kind of foundation
Estimated Total cost of improvements $___ `a, •
Zone cubage required
Distance to next nearest building
Maximum live load to be borne by each floor
and for no other purpose.
Remodeling Addition Repairs No.�fStories__
- u Roof Covering
Amount of Permit $
_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 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 (Signed) _ e
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
first duly sworn, upon oath poses and sa that he is the
Construction, that he s c efully read the tore oing application, and that he did sign the same, and that all facts
e true. k
Date
Street_Lg £�
ead, Sworn to and Subscribed before me.
1 9
er
L
It
to me well known,
Notary Public, State of Florida
My Commission Expires
PLANING BOARD DATE
Chairm n / 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 obtain -' -
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper
materials and /or workmanship.
4