Loading...
400 NE 102 St (2)INFORMATION REQUESTED: Acknowledged by: Miami Shores Village Building Department 10050 NE 2 Ave, Miami Shores, Fl 33138 Tel: (305)795 -2204 - Fax; (305)756 -8972 PLEASE PRINT DATE: 6/ a d TIME: / / • 1 NAME OF PERSON REQUESTING FILE: /1647 F4 Ogcc, PHONE #: 30r' '(S /e CYOUR ADDRESS: L/0O Je /CZ �"g ADDRESS OF FILE REQUESTED: 1/0 /■_) & /o Z S I understand that all documents in this file are property of Miami Shores Village and that NO documents may be removed from this file. You may get 4 complementary copies (8x11) size, additional copies will be furnished at 0.15 cents per page, not including any blue prints. If blue prints are order please be aware that we are not responsible for the quality of the printed documents. 1,0„ - FILE RETURNED TO: : O. INITIAL APPLICATION FOR CER' OF RE- OCCUPANCY L c Zee" hereby apply for a certificate to re- occupy the single family residence known as: (address) , Miami Shores, Florida. 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 Mani Shores Village, Florida, 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: 4 P ziJ3E LL1 Date: Print Name: Comments: For the purposes of conducting the inspection required by Section 902 of the Miami Shores Development and Zoning Code, contact: C Contact Name: 7 1 0 1( C ,- (�i n �`--j Telephone: 7 S ci Oa 7 7 —Co 7-D- ** ::** * *.*** *** ****** i ** * ***** *** ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Buyer. Seller. ✓Realtor. Company Name: Application Fee ($50) Paid: Cash: Check_ Number. Inspection: By: Approved: ✓Denied:Date: CERI IHCATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the application has been inspected for the 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 applicant for single - family residential purposes. MIAMI SH S VILLAGE, FLORIDA By: Date of Certification:, 17 THIS CERTIFICATE 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 THE MIA1MI SHORES LAND AND DEVELOPMENT CODE PERTALNING SOLELY TO THE REQUIREMENT THAT EACH ONE-FAMILY DWELLING IS USED AlND 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 PARTIES ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DETERMINE THE CONDITION THEREOF. 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. APPLICATION FOR BUILDING PERMIT bovi< Date..._..._ . CO 22' _ /. U — _.... ,9 ,� _ No 14 ° ... ._... Street._...N _. L 2 �! 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 Subdivision Street and Number where work is to be done State work to be done and pu se of building (by floors) STATE OF FLORIDA, COUNTY OF DADE. j ss MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT 14,T o ... ...........Su s „ 6 /0.3 050 .15114^1 tiv (C7 4fito i owes "= s-" 2a oovies and for no other purpose. New Building Remodeling Addition Repairs we No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 40 Amount of Permit $. 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 u of labor under the "Florida Workmen's Compensation Act, being Section 5966, C and has complied with the provisions thereof, and will require similar coi in the work to be performed under this permit; and will post or cause to be p or notices as are required by the Act. The undersigned agrees to employ only pennit, as are licensed by Miami Shores Village. Remarks._._ (Sign and acre is obligations as an employer ral Laws . , ida, Permanent Supplement, trac ors or . , ntractors employed by him h site . the work such public notice be performed under this 'Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared 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. __ 0 ? Date Disapproved w V _ Dat (Signed) Building Inspcc ,r Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires ANNINC BOARD DATE to me well known, Chairman Member \fernber Member Member ...... r 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 hoard. A re-inspection fce of S1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials anti /or workmanship.