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1223 NE 102 St (6)N9 1160 Owner, Agent or Tenant of Lot Block Street Address CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Miami Shores Village, Fla , Building - +'"} — Subdivision �:'.... Approved use by occupancy �~ Remarks. This Certificate of Occupancy is issued to the above named ..0"`" 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 os 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 Dk'A:`Rui PRESENT ADDRESS Killian Dr..,. Kendall LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) _. 1223 N. E. 102nd Street LOT #6 BLOCK #1$6 SUBDIVISION BAY BREEZE GENERAL CONTRACTOR OIRNER- BUILDER 'ADDRESS Killian Dr. Kendall PHONE NO. LICENSE NO. B-5030 BUILDING PERMIT NO. 10399 DATE 12 4 .6 4 .50 PERMIT FEE S 20.00 IIILDER'S BOND NO. 115$ DATE 12.6.50 EST. COST S 20.00 ZONE REQUIREMENTS 2541000 CU. FT. PLAN CUBE 25,247 CU. FT. DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: �r� - �CC DATE 12 5 ∎37 it NEW CONSTRUCTION CBS 0 B2 STORI ES 1 ROOF CONSTRUCTION Tile : � INTERIOR CONSTRUCTION •� i wami-din4por -2 bathe- kit -at. REPAIRS DESCR IPTION ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS / CERTIF ICATE OF OCCUPANCY NON /� (, I/ //,/� D' ISSUED ��� S /I BY(/ /may � ,/ TO /J �l . � � . „ /�( :4 J BUILdING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE 8a) INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY FOUNDATION .?..01 'OO FEE / TEMPORARY SERVICE 1 Z - 7%9 - ..S s/ o $ BEAMS & LINTELS - - 17 %ri I\ J $ / , Q d SEWER $ FRAMING - elf/ `' .2- 6r 1 $ /! $ $ GAS $ INSPECTIONS ATg BY $ INSPECTIONS F'AL BY X14 BY RE- INSPECT BY ROUGHING CLEAN -UP , ROUGHING _L-sf GAS CONTRACTOR �,,,Q�p / /T PHONE _ PERMIT NO. /O t. ex2 / DATE /— d - 5-- )1 FEE SA, NEW BLDG. I ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE / TEMPORARY SERVICE 1 Z - 7%9 - ..S s/ o $ SEPTIC TANK C[,I!�V ��yy / 0 7 1 1 {{ 7 � / _ // -� J J $ / , Q d SEWER $ $ SOLAR HEATER `' .2- 6r 1 $ /! $ $ GAS $ INSPECTIONS ATg BY $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING )..2.y / , ROUGHING _L-sf GAS H. W. HEATER CONN. rt.. SEWER RANGE CONN. SEPTIC TANK / �o1 9 tr 'f / D F SOLAR HEATER FIXTURES & FINAL A. /4 -,SJ 1 C FIXTURES ��. 1 -.1/ fr CONTRACTOR . PHONE 1 y � n PERMIT NO./hat - DATE .e. �•Le :.-, FEE $ I/I .1 REPAIRS NEW BLDG. ALTERATION ADDITION SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE /Q r 8 2 - 1 Z - 7%9 - ..S s/ o H. W. HEATER CONN. $ RANGE CONN. $ MOTORS , /', � _ 0 • `' .2- 6r 1 $ /! $ FIXTURES / $ INSPECTIONS ATg BY RE- INSPECT BY E RINSPECT BY TEMP. SERVICE // 4jc » t ROUGHING _L-sf H. W. HEATER CONN. rt.. RANGE CONN. FIXTURES & FINAL A. /4 -,SJ 1 C BUILDING INSPECTIONS PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE 7 Z - 37 BY plA .rV 14 G don ADDRESS 1223 N. F. 1 nr] St.rppf Lot 6, Block 186 LEGAL Bay Breeze RECORD GARBAGE TAX PAID BY YEAR ANNUAL TAX PERIOD USED AMOUNT PAID DATE PAID RECEIPT NU)ABER 137 / / - / 14 51 /. ,eiA /) -3/-5/ 0.?, ao //- s/ d , S77 I Y%T . G _. .. - saw __ �aw.... �„ , , 1 - - .._ 0 I /A 4 `' 7 •30.5 �9 a - 5 Z naaa _ ADDRESS 1223 N. F. 1 nr] St.rppf Lot 6, Block 186 LEGAL Bay Breeze RECORD GARBAGE TAX 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 Block 1Z( and who, of the abo therein by Street and Number where work is to be done State work to be done and purpose of building (by floors) _____ /_ New Building R odeling Ad To be constructed of L Kind of foundation // Estimated Total cost of improvements ,l,�i__ !'_ A Zone cubage required improvements Permit No._ Date Disapproved Date (Signed) __ ORES VILLAGE ING INSPECTION DEPARTMENT CATION FOR BUILDING PER . e for the approval of the detailed statement of the plans and specifications herewilk su mitted for the build - i-strifeture herein described. This application is made in compliance and conformity with the Building Ord' • anc f- as - Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village 1 regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A ',• f ptif — plans and specifications must be kept at building during progress of the work. L 1 • Ekk V � -y • Date 6" No Street 191 K) and for no other purpose. z epairs____ No. of Storie - - - -- � " Covering *_ - Amount of Permit $ - -- ---------- -------------------------- _Plan Cubage Sizeof Building Lot _________________________________________________________________________________ Distance to next nearest building 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Remarks _ ___ ( Signed )_ _ _`r _ 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, eing by me first duly sworn, upon oath depos :. and says that he is the described construction, that he has carefully ead the foregoing application, and that he did sign the same, and that all facts • stated are true. Read, Sworn to and Subscribed before me. Notary Public, State of Florida ui _ In�pec My Commission Expires ANNING BOARD DATE Cha/rman 1 Member Me ber Member Melkber Member Council Approved Date Disapproved Date NOTE: A charge of $1.00 will be made for making corrections o 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 ' .e necessary by improper notice for inspection or faulty materials and /or workmanship.