246 NE 102 St (10)CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 30
Owner, Agent or Tenant of Building
Lot 6- Bloc Subdivision
Street Address
Approved use
by occupancy
Remarks•
4L •\ %, to
This Certificate of Occupancy is issued to the above named ����►
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.
\ UILDING DIVISION
Miami Shores Village, Florida, % 1' - S
CA
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Owner's Name and Address _-
Street and Number where work is to be done
STATE OF FLORIDA,
COUNTY OF DADE.
Disapproved
(Signed)
} ss.
Date_
Date_
in Spector
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMEN'
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 contormity with the Building Ordinance of Miami
Shores Village, Florida, and all provisions of the Laws cf the State of Florida. all ordinances of Miami Shores Village and all rules and
regulations of the Building Divicinn of Nlianu Shorc, Village shot be complied with, whether herein specified or not. A copy of approved
plans and specifications must be kepi at building durinz. progress of the work.
Registered Architect and /or Engineer �C/L. _:_ '. Y a`d
Name and address of licensed contractor
Location and legal description of lot to be built o
Lot Block.._ ___ . Subdivision
State work to be done and purpose of building (by floors) _ -
4 )4 .3-4.1%..* O- �^--- - - - - -- and for no other purpose.
New Building Remodeling__ Addition___ __ ___ Repairs_. _ .. ..._ . - No. of Stories
To be constructed of Kind of oundation. Roof Covering_
Estimated ;tal cost of improvements $ _ . /__ Amount of Permit $____ ... _...
Zone cubage required __._ p ___
_Plan Cubage____2. _ 2 3 j� . 4�/ 14_ L
Distance to next near?st building__. _.._ . Size of Building Lot t/
Maximum live load to be borne by each floor _
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 chat he understands and accepts his obligations as an employer
of l: bor under the Florida Workmen's Compensation Act. being S: rtion 5968, Compiled Gen: ral Laws of Florida. Prrinan m ■ Snppltnient,
and h s complied with the prov';ions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the wok to be p: rf ;' med under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or ,:otites as are required by the Act. The undersigned agrees to employ only such subcontractors, . • wow to be urform .1 rd � er this
permit as are licensed-by M :ami Shores ihage. )
Remarks_ - (Signed)
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Before me, the undersigned authority, a notary pu duly authorized to admini oaths and take acknowledgments, personally : p-
peared
and who, being by me first ddly sworn, upon oath deposes and says that he is the
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of th abov. de •l. ibed instruction. t:, is h: ha: carefully read the foregoing
therein by him stat true. I
Permit No C/
Read, Sworn to and Subscribed before me.
Notary Public. State of Florida
My Com:nission Expires.
PLANNING BOARD DATE
Chairman Member
Member Member
Member ._ __ Member
Council Approved _Date Disapproved ..
NOTE: A charge of $1.00 will be made for making corrections cr changes to this application after approval h -is been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is ma: fe necessary by improper notice for inspection or faulty
materials and /or workmanship.
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