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5 NE 102 St (13)I, Rbk 14' ,q l <z qty (/ /� ?/v/Y d lP Aike i hereb a 1 for a certific � �. Y apply certificate to re- occupy the single family residence known as : (address) /t/E /0 2 SS k;24 1,60 !v key ja /1/6 /O 2 57 /�c u, Legal Description: Lot: 7itT/io * ii 3Z - o6-- 0 00 — /4 4 /o 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 pr y. Applicant Print Name * * * * * * * * ** Comments: APPLICATION FOR CERTIFICATE OF RE OCCUPANCY Block Miami Shores, Florida. PB & PG: Date .2//°/69 / °/(9 (J c 93 * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Contact Name: R 3 l e Telephone: C 3 .9- 7N3--yo L (� Buyer N Seller Realtor / Company Name �� P yes (/ypcli y - Application Fee ($50) paid: Cash Check No. Inspected by: F . LUB I EN iti Approved X Denied PAGE 1 OF 2 Date 8711/00 '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... MIAMI SHORES VILLAGE, FLORIDA By: t Date of Certification: 8 / 11 / 00 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 MIAMI SHORES VILLAGE, FLORIDA BUILDING 0 ELECTRICAL 0 PLUMBING 0 PERMIT N9 5308 Contractor's / License No. lel xr ROOFING Owner of Building T '.• I ; Architect Contractor or Builder ;6 IN ee,„ Legal Lot Description B1 CONTRACTOR OR BUILDER Work to be performed under this Permit_ 1 4/ L) 1 6_4;•• 4.:174! . Address of Value of Building Project - .4" DATE 19 ..." • , ; 1 :1 = , ,,b' „-•°,,f •-,-,/,.-.,-, -' Signed' ' 1 - ' - -' , INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complienice with all oidinaricea regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In as cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. Subdi- vision 1 Amount of z -. 4. . r 11 Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica- tion 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 or in the statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. BY AUTHORITY ABBOT 44M°' 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. Owner's Name and Address J •Sutt y Registered Architect and /or Engineer Name and address of licensed contractor __ _____________________ Location and legal description of lot to be built on: Lot Block Date May 25 19 6 4 6 N.E. 102 St.Miami Shores No � street° /Da s T Orkin Exterminating Co.Inc. (040 1960 N.W.27th Ave.Miami Subdivision Street and Number where work is to be done 5 N.E. 102 St. Miami Shores State work to be done and purpose of building (by floors ) _ 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 $ 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 subcontr . ors 'n work to be performed under this permit, as are licensed by Miami Shores Village. Remarks (Signed) _ 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 3 0 1' Date - 2 lP Z Read, Sworn to and Subscribed before me. Disapproved Date (Signed) ector Building Chairman Member Member PLANNING BOARD DATE Member Member Member Nylon Tent Fumigation - Vikane 18 to 24 hours. 29# x$260.00 Notary Public, State of Florida My Commission Expires 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. APPLICATION FOP PF,RMIT TO FUMIGATE I WITH VIKANE METHYL BROMIDE ACRITET A Date 1. Location of building to be fumigated a;:[C.P is -� 4 et 5 .R,. v . 4 Q 9. Chbi ,ti 2. Name and address of owner of premises,- . 3. Type, size and construction of buildin 4. Is entire building to be fumigated ? �� 5. If not, what portion? 6. Approximate number of cubic feet of space in building or in portion to be fumigated �dreuv Ursa = t v„ 7. Kind and quantity of fumigant to be used and manner of application and length of fumigation period 8. Distance of nearest building and direction from building to be fumigated 9. In what manner will vents to exterior of building to be sealed • yU to when fumigation will begin tw 27, i96t3 Time AAA* 11. It is hereby agreed to station a guard on the premises to be fumigated during the fumigation period and to post suitable placards at each entrance to the building bearing the following words in letters at least two inches by one inch in size: "DANGER, THIS BUILDING UNDER FUMIGATION vITH DEADLY GAS." 12. It is hereby agreed to make such provisions that all openings into the building may be opened from the outside after the period of fumigation is over and to take such other precautions as may be necessary to insure that all of the fumigant is removed from the building before anyone is permitted to enter. 13. It is hereby agreed to notify the County Health Department when the building has been prepared for fumigation. FIRM NAME ORKIN EXTERMINATING COMPANY, INC. ADDRESS 1960 N. W. 27 Avenue, Miami, Florida Signature of Certified Pest Control Operator in charge of this fumigation Job.