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RC06-3050Inspection Number: INSP -36018 Permit Number: RC -12 -06 -3050 Inspection Date: 12/28/2006 Inspector: Grande, Claudio Owner: DUNN - GLISPIN, LAURAINE Job Address: 50 91 Street NE Miami Shores Village, FL Project: <NONE> Contractor: Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ej JAN 0 2 2001 Block: Permit Type: Residential Construction Inspection Type: Re Occupancy Work Classification: Re- Occupancy Phone Number Parcel Number 1131010200030 Lot: 305 - 981 -3117 anna Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. 9 Inspector Comments Wednesday, December 27, 2006 Page 1 of 2 (Rev. 10/02/03) 10050 N.E.2nd Avenue 1"53� v'I Miami Shores, Florida 33138 Tel: (305) 795 -2204 RE- OCCUPANCY pC 2 0 2006 Fax: (305 756 -8972 Pe : 06 - 5b A-PPLICAT -IOJ L Loc ID Date / (O Contact Name fanou) )Q.rlajr,n J5j( -��os-r Phone 30.E qp //6 a Buyer Seller x Realtor Company Name Property Address .-Q Az= City Miami Shores State Fl Zip 33008 Applicant Name Sign: Print: My Commission Expires: Building Officials Approval: 1Vhami Shores Village Building Department 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 the property. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate. The foregoing instrument was acknowledged before me this 26 day of ,Der- , 20 (Z by 14(4 ZROWt 9)11117 15poi who is personally known to me or who has produced f. PM) Itt as identification and who did take an oath. NOTARY PUBLIC: 3 ; ,,, • " MICA USSETH DIAZ *= MY COMMISSION # e0483995 - a EXPIRES: r2 009 +en F r- Na is Lc . , Re -Occ. $60.00 Notary $5.00 CCF $0.60 Total GS • �d 2 oPAID ..................... . (� !! II . tt .. // ! . y� ../! �� ...... ]� , . �♦ . y) IVx�RI:[�I:::Nti1 ............... .. ......: i1{ /W:� iYFI\Mi Inspection Date: 12/26/2006 Inspector: Grande, Claudio Owner: DUNN - GLISPIN, LAURAINE Job Address: 50 91 Street NE Miami Shores Village, FL Project: <NONE> Contractor: Building Department Comments Wednesday, December 20, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Re Occupancy Work Classification: Re- Occupancy Phone Number Parcel Number 1131010200030 Lot: Page 1 of 2 DEC 2 8 HO Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until ..................... . (� !! II . tt .. // ! . y� ../! �� ...... ]� , . �♦ . y) IVx�RI:[�I:::Nti1 ............... .. ......: i1{ /W:� iYFI\Mi Inspection Date: 12/26/2006 Inspector: Grande, Claudio Owner: DUNN - GLISPIN, LAURAINE Job Address: 50 91 Street NE Miami Shores Village, FL Project: <NONE> Contractor: Building Department Comments Wednesday, December 20, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Re Occupancy Work Classification: Re- Occupancy Phone Number Parcel Number 1131010200030 Lot: Page 1 of 2 Contractor: Inspection Date: 12/26/2006 Inspector: Grande, Claudio Owner: DUNN - GLISPIN, LAURAINE Job Address: 50 91 Street NE Miami Shores Village, FL Project: <NONE> Building Department Comments Wednesday, December 20, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Re Occupancy Work Classification: Re- Occupancy Phone Number Parcel Number 1131010200030 Lot: Page 2 of 2 Passed Inspector Comments Failed Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until Contractor: Inspection Date: 12/26/2006 Inspector: Grande, Claudio Owner: DUNN - GLISPIN, LAURAINE Job Address: 50 91 Street NE Miami Shores Village, FL Project: <NONE> Building Department Comments Wednesday, December 20, 2006 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Re Occupancy Work Classification: Re- Occupancy Phone Number Parcel Number 1131010200030 Lot: Page 2 of 2 Address: 50 NE 91 Street City: Miami Shores Village State: Florida Zip: 33138 This certificate verifies that the reference property has been inspected by Miami Shores Village and has been determined to presently comply with schedule of regulations of 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 inspections of the premises in order to determine the condition thereof. Cla dio Gran MIAMI SHORES VILLAGE Building Department 10050 NE 2 Ave, Miami Shores Fl, 33138 Tel: 305- 795 -2204• Fax: 305- 756 -8972 Certificate of Re- Occupancy Permit No. RC -12 -06 -3050