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590 NE 102 St (4)N° 1413 Owner, Agent or Tenant of Building Lot 1 Street Address CERTIFICATE OF OCCUPANCY MIAMI SHORES VILLAGE, FLORIDA BUILDING DIVISION Approved use by occupancy Remarks 3591 Miami Shores Village, Florida, 5/3/63 CARL JOHNSON Block 9 4 Subdivision MIAMI SHORES SECT # 4 3 bedroom — 2 bath reg This Certificate of Occupancy is issued to the above named owner for 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 build'. gs or structures. PL.4NCUBE * 24,421 TAX VAEUE — 12,210.50 BUILDING DIVISION WNER'S AME Ott . kw, 11t. . C L. D K ►s S a AZ PRESENT ADDRESS - n L Ci (d "S D..) . 4 .4 - , . ( o .•• — -A- LICENSE NO. PHONE NO. JOB LO ATION ( T. OR AVE.) . , - "`'' S � . S 1 d tJ . z" d L LOT I BLOCK 14 SUBDIVISION 1� ► fk,�,,.'. 5 .. � =s ' 4- .. 1 NSE '' 11 GENERAL C NTRACTOR 4 tsc Zr. Z. fL.. C Ois . CAN. 1$. c ADDRESS 8110 c $is.. * �..., D - PHONE NO. BUIL NO. 2 S1 O NO. BOND DATE 12 - 4 1 q BUILDING PERMIT NO. 3 L 1 • / DATE 17. 10- 42. 00 PERMIT FEE $ 5Z e..06S- ZONE REQUIREMENTS I �p O CU. FT. Tv /2, 2/o s' PLAN CUBE 2 4. / 41.1 CU. FT. 4-c, I* EST. COST $ Z..4 ,11 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY:C 1 . 4. 4 (L1f�, Gam. . , DATE NEW CONSTRUCTION TYPE G 15 5 STORIES I. ROOF CONSTRUCTION - Kit AC cP. INTERIOR CONSTRUCTION 3 3 m et ro ©.r. Z i. R.-4-4...... REPAIRS , DESCCRIPTION - - at. y . 'f s / i �sLO l+..Y n Auk. SA...; T /en /- ja'L1 �Q. /t1 c n (s CA/ !! ice ALTERATION L DESCRIP O ADDITION s L �. % )L, 1 .•� .. SUBMITTED TO PLANNING BOARD APPROVED REJECTED SL 6"), REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD /J. 7.0.-6v ✓1IAA►' L <..... 4 • a. 0..., 61- /44 G • SUBMITTFr) TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. )4I 3 ISSUEDv� 3.-C? BY 4 ^ -S / TO Ca/LL ✓o N Nao .J .r-3 -G. BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE INSPECTIONS DATE BY INSPECTIONS DATE BY FOUNDATION �+ SEPTIC TANK 'c_r.+;. S6A"‘.0 3.4. & ROOF SEWER I BEAMS & LINTELS I SOLAR HEATER POOL $ GAS FRAMING $ - ( t.)t.,- ieek-t- (L.. s6,:., 0 ?L.,...... ace ...I AIR COND. INSPECTIONS DATE FINAL RE- INSPECT BY CLEAN UP BY ROUGHING SLAB FIXTURES $ SLAB FIXTURES & FINAL S SPECIALS PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE FEE $ 3 °rte $ �+ SEPTIC TANK 'c_r.+;. S6A"‘.0 3.4. & $ Ia - ( ^✓ SEWER I $ SOLAR HEATER I $ GAS I $ - ( t.)t.,- ieek-t- (L.. s6,:., 0 ?L.,...... ace ...I s .6 3V3 3 INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING $ FIXTURES $ TUB & TOP OUT FIXTURES & FINAL S SEWER SEPTIC TANK SOLAR HEATER • FIXTURES GAS CONTRACTOR -.a+. 2 / „ ('- z (z—c.. co...) ( PHONE BY PERMIT NO. � o5" 1 DATE 12.-3( C-�7s FEE $ 3 °rte NEW BLDG. v 1 ALTERATION 1 ADDITION REPAIRS SPECIAL PERMITS PERMIT NO. DATE FEE II TEMPORARY SERVICE ate_ E. Je+Lx .y ce.,.ye -a e"- 1 $ 3 cob' H. W. HEATER CONN. H. W. HEATER CONN RANGE CONN. $ RANGE CONN. MOTORS $ FIXTURES $ FIXTURES & FINAL S INSPECTIONS DATE BY RE- INSPECT BY RE- (NSPECTI BY TFMP SERVICE ROUGHING H. W. HEATER CONN RANGE CONN. FIXTURES & FINAL • i CONTRACTOR ‚ D PLUMBING PERMITS & INSPECTIONS PERMIT NO. 3 4. I DATE NEW BLDG. 1 ALTERATION APPROVAL TO POWER CO. FOR SERVICE DATE 12-CV '- 5 BUILDING INSPECTIONS �. »' C�c�T 37 wa- I ADDITION ELECTRICAL PERMITS & INSPECTIONS t - 3 < • - PHONE FEE$ REPAIRS BY 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. Disapproved LCO1L (Signed) Z te i MIAMI SHORES VILLAGE BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Building Inspj tor be sent to._4 670 Chairman Member Member Member Date J '- 6- 'Z ._. (S_ A-1''°� 1�� � ©� _ _ No..__. /� _ Street_ Owner's Name and Address Registered Architect and /or Engineer......'.QC-ap..p p 7; Name and address of licensed contractor. 4 �,Q O "a K ,rQ • 2 Q , O t 1,,cv Location and legal description of lot to be built on: • Lot de Block 91 Subdivision. _ 4Q _..17 _ ' G, Street and Number where work is to be done 7'Ct 0 L- < t d Z ` j"7` State work to be done and purpose of building (by floors) New Building To be constructed of Kind of foundation -.„ Roof Coering Estimated Total cost of improveme s $ * _ Amount of Permit $_. 4 ry Zone Cuba arequired__ ../ _ �0 �� n '% g plan Cubage- 7 �C2 2 , Distance to next nearest building re Size of Building Lot o /Q. 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 s its construction may Remodeling. Addition Repairs No. of Stories PLANNING BOARD DATE 6 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 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) ,19 OQ 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 ! Date l z' 0 Read, Sworn to and Subscribed before me. Notary Public, State of Florida My Commission Expires Member 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 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. / ) ) - •, • 2 y? r / „? ----, Y /7. 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