REOC-4-19-738Inspection Worksheet
Miami Shores Village
10050 N. E. 2nd Ave, Miami Shores, Florida 33138
Tel: 305 - 795 -2204 Fax: 305 - 756 -8972
Inspection Number: INSP- 005326 -2019
Scheduled Inspection Date: April 05, 2019
Inspector: Naranjo, Ismael
Owner: EVAN AND MARIKA PINE
Address:
90 NE 104TH ST
Miami Shores, FL 33138
Project:
Contractor: HOME OWNER
HOME OWNER
Building Department Comments
REOCC
Checklist Item Passed Comments
General Comments False
Inspector Comments
ROBERT BOURNE 786 - 281 -8376
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Permit Number: REOCC -04 -19 -738
Permit Type: Re- Occupancy
Inspection Type: Building Final
Work Classification: Residential
Phone Number:
Parcel Number: 1121360130860
Phone Number:
April 05, 2019 For Inspections please call: 305 - 762 -4949 Page 17 of 25
Miami Shores Village APR 0 4 2019
Building Department
10050 N.E 2nd Avenue. Miami Shores. Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
RE- OCCUPANCY Permit No. 3g
APPLICATION
Q
Contact Name: e 'l,� - Plt,one #: __7 u Z9 -7
Buyer: Ac� Seller: CL,. k
Realtor: (` C'V� Coral my Name:
Property Address:
City: _ Miami Shores State: ,Florida Z
I hereby certify that I understand that the zoning for this property is for single - family residential use and that it is
unlawful for more than one famlly 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 dwellin�t, or other structureS on the property.
APPLICANT'S AFFIDAVIT: I eertify that all the foregoing information is accurate.
.applicant
Signature:
re- \ r \-�)d�_c c- V-�--e
The Foregoing instaunis, was acknowledged before me
day oF�� 20 by i � .
who is personally known to me or who has produced_ T!_
l� t 0 n -e As identification and who did take an oath
NOTARIt' PUBLIC:
Print: I l
My Cantmi. Sinn Expires;
Building Officials Approval:
REV 4- 10
(NA_
WA
MAHARAI K GONr AL ET
* C.Y '01V' 1SS'0V # GG 844602
a" E? PiRES: Nouemblr 2, 2020
Thru Natary Pubtle un
cltnvriiars �
Re -Occ $60.00
Notary $5.00
Total $ �0 S
°RES MIAMI SHORES VILLAGE
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Building Department
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Yw 10050 N.E. 2nd Ave, Miami Shores, Florida 33138
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Tel: 305 - 795 -2204 Fax: 305 - 756 -8972
Certificate of Fie- Occupancy
Address: 90 NE 104TH ST
City: Miami Shores
State: FL
Zip: 33138
Permit No. REOCC -04 -19 -738
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.
Building Approval