574 NE 102 St (2)Applicant
APPLICATION FOR CERTIFICATE OF RE OCCUPANCY
I, -7- L � `° , hereby apply i Y for a certificate
to re- occupy the single family residence known as : (address)
7c6 NL^ / O _S , Miami Shores, Florida.
. Legal Description:
Lot: BIock PB & PG:
I hereby certify that I understand that the zoning of the ro e
p p rty 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 1+r QtCJJ / ;�, Q ,rte, _ 11: S –7Er R
******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Codeglease� act
Contact Name:
Date /? 73/0/
9.1 Telephone:
Buyer Realtor Company Name
Application Fee (S50) paid: Cash
Check No. /_
- 75"x -- Pore
Inspected by: Approved V" Denied
Date PA /ID 1
Comments: � 6- a 0544/
PAGE 1 OF 2
CERTIFICATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the pro e
described in the above application has been inspected for purposes p rtY
Sections 901 and 902 of the Miami Shores Land Development o and Zoning Code an d that su to
property may be re- occupied by the above applicant for single-family Code anch
esidential purposes
su
PAGE 2 OF 2
Date of Certification:
THIS CERTIFICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY MIA.VII 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 RE
ONE-FAMILY DWELLING IS USED AND MINT THAT EACH
USED FOR A ONE- FAMILY DWELLING PURPOSE TO BE
HOWEVER, THIS CERTIFICATE DOES NOT CONSTIITUT
REPRESENTATION OR �V E ANY
WARRANTY AS TO THE CONDITION
OF THE DWELLING OR OTHER STRUCTURES ON T_rEE
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 DETERM THE CONDITION,
THEREOF.
MIAMI SHORES VILLAGE, FLA. No 5968
JOB DI-a S G !4-ek r D
T
ADDRESS C7 4 4.t it, 7,
INSPECTION fl 11 a C
TIME READY 4- g"
REMARKS:
INSPECTOR --- DATE
ITEMS
NAME CONTRACTORS & SUPPLIERS
NAME & ADDRESS
AMOUNT
1. Architectural Fee plans
�J �
2. As•halt .walks drives etc,
3. Cabinets - Bath Vanity
_�
il.`.' >� ;�
4, Cabinets - Kitchen
5. Cabinets - Medicine
,�_ ��„.
6, Cabinets - Unit Closet
7. Cleanin:
`4.
8. Clearing Site
, r
9. Concrete - Foundation Slabs,Beams
. n t -
10. Concrete - Walks , drives, etc.
6i
11. Contractors Fee
t << -- ' VIEVIII
12. Electric Fixtures
`�7���E
13. Electric Z•lirin:
//
14. E.ui.ment Rental
'
15. Excavation
110 riff ri I PM111111111111
16. Fill for Sl~
17. Floors - Finish wood & kitche )'
18. Floors - Terrazzo 111111
.
19. Garag' :..00rs 11
�j' ,,,,., ��
20. Glass Sliding Doors
� �i�..r ,
111311174 PIM It 1 1 1
21. Hardware - Finish
22. Hardware - Rou_h
23. Heatin:
ice.., ..... . _ _ / .� __,_ 1110105.3
IIKMAT�
24. Insurance - Liabilit com.. -bond
25. Labor - Pa oll
26. Labor - Contract
We" .. :�_�
27. Labor - Contract 11111
'/
ii
28. Landsca in Fill Gradin:
29. Lath. Plaster Stucco
rV mmwm nezt i
30. Lumber All
. _.. _ _ IrfifrAlli
31. Masonr Labor
>_ _ 42 �_ P'
32. Masonr Materials Block
r
33. Millwork
- /_
34. Miscellaneous
35. Ornamental Iron Work
36. Oven & Plate - Built -in
111. I ►s Pi 7
37. Overhead
38. Paintin:
Irr i i _ i
39. Permits. Tem.orar Power
40. Pilin: Foundation
_ '
41. Plumbin• Com.lete
42. Pool - Swimmin•
IFL...L� _mil f_M2
All
43. Roofin• & Sheet Metal Work
ice' ,
44. Roof Trusses - Pre - fab. inrill
45. Screen Enclosures
,/ \ .------
46 Se tic Tank or Sewerage
IL,1_ .i O , r
47. Shower or Tub Enclosures
:ri=" . _� , , � ! 1, nim
48. Steel - Reinforcin: & strl.
, %:
49. Supervision
,
50. Surveys
9 i /rl�,
d :w ~`
51. Tile & Marble
52. Water - Public
53. Water - Well & Puin.
,
54. Windows - Glazin• & Screens
orolmmim
55. Window Frames - Concrete
Miami dres Village
APPLICATION FOR FINAL INSPECTION
Prior to a final inspection this application must be filled out; if sub contractors have
failed to take out permits the general contractor shall be responsible for the permit and
fee. A final :i must be made prior to the release to Florida Power and Light Co,
and the issueance of a certificate of occupancy.
OWNER A rT-- L 5•'C /4- /L/ / t1 } JOB ADDRESS PLY /U� /2
a411Ls..0 4 `7
BUILDER (Pa L.tp,, �4.1 4.eit, DAY LABOR CONTRACT / DATE
LOT 25 BLOCK
SIGNED ?*t tz Si P __
SUB.
;) TOTAL
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