1250 NE 102 St (8)1, (54 pc
hereby apply for a certificate to re- occupy the single family residence k~own as: (address)
2,25 n/ / O)Z e_ ;El , Mlami Shores, Florida_
Le?aI description:
Lot: S ,Block: /r?6 ,PB&PG: 92- (95 .
I hereby certify that I understand that the zoning of the property is for single - family residendal use
and that it is unlawful for more than one family to reside ther –..:a. I also understand that any
Certificate of Re- Occupancy that may be issued by Nuami Shores Village, Florida, certifies only
that the referenced property is being used for single - famuy 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.
Applicant:
Print Name:
For the purposes of conducing the inspection required by Section 902 of the \Miami Shores
Development and Zoning Code, contact
Contact Name: e 5 - / - a s "II Q- � Telephone: 3 0 - 5 - - 9
Buyer: Seller. Realtor2 €ompaay Name:
Application Fee (S50) Paid: Cash:_ Check: Number //6.Z
Inspection: Bv:�� Approved: Denied:
Comments:
APPLICATION FOR CER i1N "ICATE OF RE- OCCUPANCY
�L.et 4 e / •
r apt/"
i 12,. �'��s -'t Date: , './
/44„.-L
CERTIFICATE OF RE- OCCUPANCY
On behalf of /v ami Shores Village, Florida, the under signed comes that the property described
in the application has been inspected for the purposes of re- ouupancy 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 applicant for single - family residential purposes.
MIAMI SHORES VILLAS FLORIDA
By:
Date of Certification:
THIS CER'1 "U ICATE 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 1HE MIA1MI 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
CERi UFICATE DOES NOT. CONSTTTUTE ANY REPRESENTATION OR
WARRANTY AS TO THE CONDITION OF i tiE DWELLING OR OTHER
STRUCTURES ON iliE PREMISES DESCRIBED HEREIN, OR ANY
ASPECT OF SUCH CONDITION, AND INTERESTED PARTIES ARE
ADVISED AND ENCOURAGED TO MAKE IHEIR OWN INSPECTION
OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION
THEREOF.
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
L d A LG,¢ /
to re- occupy the single family residence known as : (address)
i s so � . / 0 a 2 ' 2 : 1 5
Legal Description:
Lot:
Block PB & PG:
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.
Applicant _ __ _
Date
Print Name p L. 44 -sue,
********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Comments:
, hereby apply for a certificate
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
/INS) 7 5.o- -70 Cz- S
Contact Name: 2- „' '4 — SO ` TelephoneB(9o.r 4 yo — 3 e .2:
Buyer Seller f Realtor Company Name
, e. 94-47442 4 — ,''1 744- 6-02 o.c.� < <
Application Fee ($50) paid: Cash r/ Check No. ? .?' 0
, Miami Shores, Florida.
F. LUB X 12/11/98
Inspected by: Approved Denied Date
PAGE 1 0F 2
CERTlrICATE 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.
PAGE 2 OF 2
MIAMI SHORES VILLAGE, FLORIDA
t46,
By:
Date of Certification: 12 / 11 / 98
THIS CER1"IFICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES
VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY
COMPLY WITHTHE SCHEDULE OF REGULATIONS OF THE
MIAMI SHORES LAND AND DEVELOPMENT CODE
PERTAINING SOT.FT.Y 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.
1
MIAMI SHORES VILLAGE, FLA. Nt 360
JOB
ADDRESS f ,,1 ® " , / Z C_ ' C l
INSPECTION 9 ' A
REMARKS:
INSPECTOR
TIME READY �'.'"
Owner's Name and Address._
1
MIAMI SHORES V LLAGE
BUILDING INSPECTION EPARTMENT
APPLICATION FOR BUILDING PERMIT
Date
1
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.
, 19-16
No. . A 2 cS street 71 4 - r /4%
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block Subdivision
Street and Number where work is to be done 2 c. l
State work to be done and purpose of building by flocs)
3J via � D.1& l
New Building Remodeling. Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ g 4 Amount of Permit $ ,r--- Zone cubage required plan Cubage
Distance to next nearest building Size of Building Lot
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 t work such u c notice
or notices as are required by the Act. The undersigned agrees to employ only such contr tors, rk t e o r this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
and for no other purpose.
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,
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 / Date. .__/ " 7 — & 0 Read, Sworn to and Subscribed before me.
Disapproved Date ;
Notary Public, State of Florida
(Signed) � L *�' -
ufldfng Inspector l 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.
I