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1230 NE 102 St (9)• CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA N? 295 Owner, Agent or Tenant of Building 6 TRn1 / 6 A>.-6 7 -6-1. Lot Z Block / a Subdivision ig Street Address / - ® � Approved use by occupancy 10 C. Remarks • This Certificate of Occupancy is issued to the above named y 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. 27 1 BUILDING DIVISION Miami Shores Village, Florida, ) a • 2 V /P -KZ Ci r v / -/e sew- UILDING DIVI ON OWNER'S NAME Stanley ?lhite PRESENT ADDRESS LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) 1230 N.?. 102nd Street LOT 2 BLOCK 185 SUBDIVISION Bay Breeze GENERAL CONTRACTOR R.V. Guernsey ADDRESS PHONE NO. LICENSE NO. BUILDING PERMIT NO. 23 DATE 8 - 2 4 -55 PERMIT FEE $ 22.00 BUILDER'S BOND NO. DATE ZONE REQUIREMENTS CU. FT. PLAN CUBE 27,644 CU. FT. EST. COST S 1E, 7 000 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY DATE NEW CONSTRUCTION TYPE CBS STORIES 1 ROOF CONSTRUCTION tile . INTERIOR CONSTRUCTION stonex and oak floors, plaster REPAIRS DESCRIPTIONIC ±J_ and ceilings 2 bdrrl,- {'en -3 baths - living room -71a. room --k .tchen- Sarcze- 7)hoto. -room ' ALTERATION DESCRIPTION ADDITION SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTED TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO BUILDING PERMIT AND INSPECTION RECORD -MIAMI SHORES VILLAGE INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT B\ FOUNDATION .. tt � ( FEE TEMPORARY SERVICE $ BEAMS & LINTELS V-- , A -._,S 7 0 ya $ SEWER FRAMING <t" 07= k.I t,a<f $ GAS S $ INSPECTIONS FINAL BY RE- INSPECT BY RE- INSPECT BY ROUGHING CLEAN -UP GAS CONTRACTOR LAJ (-4_t PHONE PERMIT NO. A 6 ' k DATE it\ ,, 1 el °�,,r FEE $ i a.- A NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE $ SEPTIC TANK ' . 1 .t .q. 4 s''''. 7 0 ya $ SEWER $ SOLAR HEATER $ GAS S $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING �p g ' I+1'.�d GAS 971,<\ I ID u SEWER 111 SEPTIC TANK /0- cnPi SOLAR HEATER FIXTURES /O -- CA 7'43� ® 1 . , A CONTRACTOR .J�. LJ_ -,p PHONE , PERMIT NO. (i, (/ 77(1 I DATE 4c S � - s FEE S / 'V -6 NEW BLDG. I ALTERATION I ADDITION REPAIRS SPECIAL PERMITS PERMIT NO DATE FEE TEMPORARY SERVICE S H. W. HEATER CONN. $ RANGE CONN. r $ MOTORS $ FIXTURES $ INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY TEMP. SERVICE �p g ' I+1'.�d ROUGHING 971,<\ I ID u H. W. HEATER CONN 111 RANGE CONN. FIXTURES & FINAL /O -- CA 7'43� ® 1 . , A 13Y131-1DING INSPECTIONS a O PLUMBING PERMITS & INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS APPROVAL TO POWER CO. FOR SERVICE DATE `(y Lv�'d j A6 °(// BUILDING ELECTRICAL PLUMBING ROOFING MIAMI ,SHORES VIL G „ ❑ PERMIT N? Owner of I CONTRACTOR OR BUILDER tiORLDX AT Contractor's License No. 9 5 Work to be performed under this Permit Architect Contractor - or Builder Legal Lot I - Subdi- Description Bl. vision Building I. Address of ? Value bf Amount of • 4 - Project $ ' Permit $ 'I.) l This permit is granted to the contractor or builde r named above to construc the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with 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 thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown) on the plans or drawings cr in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. ` -- 'I - BY INSPECTOR 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY 9 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. MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 4"/ / - Date Owner's Name and Addres 2 � f • No g- epl Street Registered Architect and /or Engineer_ _ h cat X'' ✓ -� // Name and address of licensed contr • :.,,.1- -� =� / 5 S � �Y >f Location and legal description of lot to be built on _ Street and Number where work is to be done State work to be done and purpose of building (by floors) and for no other purpose. New Building V Remodeling Addition Repairs No. of Stories f To be constructed of Kind of ation Roof � Cover Estimated Total cost of improvements $ _. _ r• 4 rte" Amount of Permit $ f2# �Q _Plan Cubage ._. _ - __6 Size of Building Lot 1 I - ... Zone cubage required Distance to next nearest building Maximum live load to be borne by each floor be sent to peared I hereby submit all the plans and specifications for said building. All notices w ith reference to the building and its construction may b � e � � 0 ..� The undersigned applicant for is 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 inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only s fih subciintrac ors on work to be performed under this permit, as are licensed by Miami Shores Village. z Remarks (Signe Disapproved (Signed) se go 49 a - sze 7 STATE OF FLORIDA, COUNTY OF DADE. j ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- � }J 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 a e. Permit No i ` Date � 7 4 —S Read, Sworn to and Subscribed before me. D • te. - Notary Public, State of Florida Buil g 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.