429 NE 102 St (10)I,
Legal Description:
Lot:
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
P A-741e CP, L
`to re- occupy the single family residence known as (address)
g /NI / d 2 Ste'
Block
I 1 "P
, Miami Shores, Florida.
, hereby apply for a certificate
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.
Print Name {
* * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * ** ********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Applicant
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
(d al MS LL/N Gt-�
Contact Name:
Buyer _� Seller Realtor Company Name
Application Fee ($50) paid: Cash
Inspected by: (-H r i PS P. c h a r Approved X Denied Date3 - 27 - 01
Comments:
Check No. //6.3
PAGE 1 OF 2
Date�,2‘1t; 9
Telephone: 7S 7 g-9 0
CERTIFICATE 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.
SHORES VILLAGE, FLORIDA
Date of Certification: 3 - 27 - 01
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
MIAMI 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 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.
PAGE 2 OF 2
Owner's Name and Address ____ /4 2
Registered Architect and /or Engineer eatAge °
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block 4ee Subdivision
Disapproved
(Signed)
Building Inspector
MIAMI SHORES VILLAGE
• BUILDING INSPECTION DEPARTMENT
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.
Street and Number where work is to be done
State work to be done and purpose of building (by floors)
and who, being by me first duly sworn, upon oath deposes and s
of the above described construction, that he has carefully'read
therein by him stated are true. ')
Permit No._ Z __Q f ____ Date
Date
Chairman r
Member
Member
Council Approved Date
Date
_ __ No
PLANNING BOARD DATE
Street___
-------------------------------------
New Building Remodeling Addition Repairs No. of Stories
To be constructed of Kind of foundation _ _ ________ Roof Covering
Estimated Total cost of improvements $ __®A of Permit $ 4 _�,
Zone cubage required ______flan 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 wit(t 'reference to the building and its construction may
be sent to
and for no other purpose.
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 ins ection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such con actors, on work to be performed under this
permit, as are c nsed by Miami Shores Village. 'o
Remarks jj /4-a° (Signed)
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-
peared -
to me well known,
y s that he is the
foregoing application, and that he did sign the same, and that all facts
(A Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
Member
Member
Member
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.
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.
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
State work to be, done and purpose of 'building (by floors)
■e _ fx _ v
Street and Number where work is to be done
STATE OF FLORIDA, I
COUNTY OF DADE. ss
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date
Member Member
Council Approved
PLANNING BOARD DATE
Chairman . 7 Member
Member Member
A
and for no other purpose.
New Building .. Remodeling. Addition Repairs No. of Stories
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $ G 1 ') 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 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)
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 '2 0 -2- Date '� ,� Read, Sworn to and Subscribed before me.
Disapproved D
'� Notary Public, State of Florida
(Signed) C.t�
to me well known,
Building Inss • My Commission Expires
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.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Legal
Description
Address of
Building
Lot
MIAMI SHORES VILLAGE. FLORIDA
o PERMIT N? 5602
Owner of
Building + • r y
Architect
Contractor
or Builder /
fon 4
"
I' Bl
Work to be performed under this Permit
Signed.
d ,
Subdi-
vision
Value of
Project $
•r'
INSPECTOR
Amount of
Permit $
DATE - 19
Contractor's
License No.
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or darice,described in the application
heref or 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 staments or specificatigfts and that assumes responsibility for work
done by his agents, servants or employees. o sf
In consideration of the issuance to me of this permit I agree to perform the work covered he>nder in compliance with all ordinance nd regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submifl'ed to the proper authorities of Miami Shores loge. In ac-
cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
` y f�
CONTRACTOR OR BUILDER By
AUTHORITY
4 "
E
In consideration of the issuance by MIAMI SHORES VILLAGE
to the undersigned of a permit to construct improvements upon the
property hereinafter referred to, the undersigned hereby agree that
no part of the premises will be used for rental purposes, or for any
purpose which is in violation of any of the ordinances of Miami. Shores
Village.. -
It: is further agreed that if the premises are used for a
purpose contrary to the terms of said ordinances that an injunction may
be applied for and granted forthwith and without notice to us, or those
claiming under us.
The said property is described as follows
'' 27/4 4 e/60 % 0
e< 7 7 g /Prat 71#°"ii211)
STATE OF FLORIDA )
) SS:
COUNTY OF DADE )
195
BOOK 161 FAGE225
MIAMI SHORES VILLAGE
Florida
State of Florida, County of Dade.
This Instrument was filed for record the
Before me, the subscriber, a Notary Public in and for said
State and County personally appeared the persons who signed the above
agreement, who are well known to me and known to me to be the persons
described in said agreement and each of said subscribers acknowledged
to and before.me that -t he executed the same freely and voluntarily
for the purposes therein eressed.
WITNESS my hand and seal this .,26 day of
Notary P
My Com
oZ
1957 at 9 °,T .M. and duly recorded in
o°; /G/ on Page `File
E. R. 1...7..7A
...... ^ �i r! Circuit
By
•
li.c, State o lord.. at Large
' ' ublic, State of Florida at large.
My Commis inn PxpirP4 Jan. 17, 1958.
Qopded by American Flre and Casualty Ca.
OFFICIAL RECORDS
No. GG
>_ R M A N
Court
day
/‘
.-Z.„ _day of .
•
f
ff. ,
j ^ ,
1 . 6 • S • .
7"1
COUNTY OF DADE }
STATE OF FLORIDA
This in5truntent was filed for reeorff
57
and duly recorded h OFFICIAL RECORDS
BOOK ZdV on PAGE
1Eleeord verified.
E. B. LEATHERMAN, Clerk Circuit Court
°
ad.
awe!.
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