565 NE 102 St (6)N9 166
Miai Sho Village, Fla ,
Owner, Agent or Tenant of Building It
Lob .//' t a' Block f t* Subdivision
7
Street Address
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Approved use by occupancy • Rem arks:
ertificate of Occupancy is issued to the above named ' ' °✓``� ''';
fo 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.
BUILDING DIVISION
Owners
General
Plans 4.Spec. checked by
To Counc '
Misc'l
New Const. .
L.
- name
Bldg.Terinit - t u
- Fee
_Atteratlan_
• - ••
.•
• • .•-■• •-
•
• _ • •
• - • • •
• • . • .•• ---• • - .•••••
Blo u . Vumter Strait
Lic:No. Address OF - Phone
Cont-Tator Addre
Zdne CubCorit.2/7g.
Fiat Restriction Ohkel. By
To Planning Board _3-,Zd- Approved: Rejected
Re-Submitted to P.B. A Approved Rejected
fir
/
- c204
Approvpd 4 RejeCed
rn:ii :Coist
Type e..1 St — Roof
New Construction. ,
Alteratie_ns.
Plumbi ng Permit No.-:;4 ;'.:Y Date a: •"ee
aeptic Ta k
Sewer ol
9
11
••■■•...."
9
•-•-■•••••■•••••■■■■■•■•••,-
Electrical Permit - Fee
Fixturos
Heater 11
Motors
Nisc
New Construction
51111ding
Foundation
Beams & Lintels
Final
Final Clean-Up
?lumbing Insp.
Roughing'.
Fixtures
Sewer
Septic Tank *-",'
Zo-lar Heater
Final Certif rt
7.1c:ctrica1 Insp.
Roughing
Fixtures
Final
Illteration Repairs
By Re-insp, By Re-Insp, By
Date
Tervice 0. K. to Power Co... . /
It
- X I
..,' ..d. .14.-
tor ,,fir .7741r Tv
VIZItilla
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o ff -dr - ,
/ 10
11
-Insp. By Re-Insp. By
D e-Insp. By Re-Insp. By
iagra.0e.
monammarnevey
Cert:Of Occup.Issued
BUILDING
ELECTRICAL
PLUMBING
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N9 2056
Work to be perfopudaggr this Permit
Owner of
Building
Architect ,..�j5 iA
Contractor
or Builder
Legal Lot Bl.
Description
Address of
Building
Subdi-
vision
Value of
Project
DATE
194
Contractor's
License No.
Amt. of
Permit
he equipment or device described in the
the work will be performed in compliance
per municipal authorities. This Permit may
*hour agtorization. A further condition
responsibility for a thorough knowledge of
q e statements or specifications and
This permit is granted to the contractor or builder named above to construct the building or to install t
application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that
with any plans, drawings, statements or specifications that may have been submitted to and approved by the pr o
be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed
upon which this permit is granted is the understanding that the contractor or builder named above assumes the
the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawing
that he assumes responsibility for work done by his agents, servants or employees.
Signed• By
INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula-
tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
BY AUTHORITY
PAID BY
YEAR
ANNUAL TAX
PERIOD USED
AMOUNT PAID
DATE PAID
RECEIPT
NUMBER
�
1940
r "'
1941
1942
/Z$ //Y
t7
�'�
6 r
/ 2 54if
(- .22
/j
s
, 4 C2
ga 73
)—
8. e:
- /`i
r. .. .
1943
_
1G0
/ " / y__3
4. 34 -...4.1
L D•�
�. "�
S' - e -o
` '7. Zi 4.4-2A -z-t2)
1944
1945
�1 A.F4 Jp o zi 1,4Q /Mr.. n _.
g ��}} � � � �
1 Q C
/ If If i I
1946
T a.30
�
- 6- - �6
. - 3 44
•d-)
.r. ,,—,,---
/ '- - '
c — vS- ./6,
■ /
1947
. ..0
/D
aa...a N
(Q¢t 3/ '((7
6 vo
3 '�
6 Z �I-Qd f eY,r
• I ( i 1 I,
, < < <<
''
`'
`'
1948
1949
/ 2.0 r/
//
/ 2 - S/- '2
a- ,,iv'if
¢
-
04 -/- SZ
S–T
,4 � r
A / f ( 3.
I/ // /i
ii 1'
1950
I r
/ �' 2 /'S-0
. '
LOCATION 565 N.E. 102nd Street
GARBAGE TAX RECORD
565 N. E. 102nd St.
by J //F .
-143. E. Davy f'
r/ y-
year annual tax
/ 9 5 7 / ?.
period used amount paid date paid receipt
/a• 3 /•s/ 1/ :5 f /
/o 5';
Owner's Name and Address
Registered Architect and/or Engineer
Date
Disapproved __________________ Date
(Signed)
Chairma
Me
Member
Council Approved
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 building
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 regula-
tions of the Building Division of Miami Shores Village shall be complied with, whether herein speci ed or not. A copy of approved plans
and specifications must be kept at Rilding d ing progress of the work.
_ 19
Name and address of licensed contractor \ 4. "
Location and legal de)
t_ criptioi; f lot to be built on: 1
Lo J____‘....41%1_2*e! ock,;_ ,,_ c _ ... p division /9
_
/ g
9
-', ,f.
■
4 (.? / (,-
7 1 " t) f:
Street and Number where work i, to be done 0 ----to-
State work to be done and purpose of building (by floors)
and for no other purpose.
New Building__ _ _________ Remodeling_ Addition__ No. of Stories______
To be constructed of Kind of foundation_ _ Roof Covering
A CO.
Estimated Total cost of improvements of Permit $ 3
Zone cubage required__ _Plan Cubage__ 7 ; 6
Distance to next nearest building__________________ _______Size of Building Lot 7 k5'/V ///t.r
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 subcontrictora, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) V i.
STATE OF FLORIDA,
ss.
COUNTY OF DADE.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
Building Inspector
3-2, 7- lit
PLflNNING BOARD
Date
t '1(
Member
Member
Member
Disapproved
Street__________
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 que.
Permit No. 0 41
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
DATE
__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.
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