1999 RE-OCCUPANCY APPLICATION FOR CERTIFICATE OF RE-OCCUPANCY
L, hereby apply for a certificate
to re-occupy the single family residence known as : (address)
A)G- l�JJ3
- - ,Nfiami Shores,Florida.
Ste" _-
Legal Description:
Lot: Block �` PB&P0:=73.
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\Nfiami 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.
Applicant Date
Print Name
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code,please
Contact Name:
PArA C g .4, �� Telephone. 30 75'8 -- 1
Buyer Seller Realtor Company Name
Application Fee($50)paid: Cash �No �/
Inspected by.
F. LUB I EN A4-.--Approved X Denied Date2"422-
Comments:
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CERTINCATE OF RE-OCCUPANCY
On behalf of Mami Shores Village,Florida,the undersigned comes 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-fan*residential purposes.
U AMI WORES MI AGE.,FLORIDA
r
Date of Ca ficaxion: 2/4/99
THIS CERTIFICATE VERIFIES THAT TIS ACED
PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES
VILLAGE AND HAS BEEN DETE llMRgI D TO PRESENTLY
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
MIAiVII SHORES LAND AND DEVELOPNIENT CODE
PERTAINING SOLELY TO 711E REQLMUMENT THAT EACH
ONE FAMILY DWELLING IS USED AND INTENDED TO BE
USED FOR A ONE FAMILY DWEUJNG PURPOSE ONLY;
HOWEVER,THIS CERTIFICATE DOES NOT CONSTITUTE ANY
REPRESENTATION OR WARRANTY AS TO TSE*CONDMON
OF THE DWELLING OR OTHER STRUCTURES ON TSE
PREMIISES DESCRIBED HEREIN,OR ANY ASPECT OF SUCH
CONDITION,AND INTERESTED PERSONS ARE ADVISED AND
ENCOURAGED TO MAIC T OWN INSPECTION OF TSE
PRENIISES IN ORDER TO DETERMINE THE CONDITION,
THEREOF.
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