2001 RE-OCCUPANCY APPLICATION FOR CERTIFICATE OF RE-OCCUPANCY
I, v
6;e_4 7-r p RitJ L S TEe- hereby apply for a certificate .
to re-occupythe sin a famil' residence known as :..address
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j/07 0 0 /V E 10 3 Sr. . Miami Shores, Florida.
Legal Description:
Lot: Block PB &PG:
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 such property..
Applicant IN Date 3// 9/v /
Print Name d tinJz rH ,J
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Contact Name: �_c� 6-,C y41'T-144 2 A Telephone:30 5 - 7S ?--q 3 0
Buyer Seller Realtor Company Name
Application Fee($50)paid: Cash Check No.J/ Sop
Inspected by _i PQ A (�a 9.4 / Approved L,-' Denied Data i
Comments:
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CERTIFICATE OF RE-OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies 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 Gode and that such
property may be re-occupied by the above applicant for single-family residential purposes.
MIAMI SHORES VILLAGE, FLORIDA
By:
Date of Certification: 3/22/01_
THIS CERTIFICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY M[IAMI SHORES
VILLAGE AND HAS BEEN DETER.NIlNED TO PRESENTLY
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
NflAMI 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 ASPECTOF SUCH
CONDITION, AND INTERESTED PERSONS ARE':�VISED AND
ENCOURAGED TO MADE THEIR OWN INSPECT0ON-OF THE
PREMISES IN ORDER TO DETERMINE THE CONDITION,
THEREOF.
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