REOC-3-19-556Miami Shores Village
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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 Permi
APPLICATION
Contact Name: 1� C �tA 0 �1Q_
Buyer: 'b VV L L. L
RECEIVED
R 13 2019
BY. . w
t No. 6 CC _��j
Phone#• 1 F S_ I g L l
Seller: LLC.
Realtor: 10 vQ_ Company Name:
Property Address: '', �"� � S+ � e+
City:
Miami Shares
State: Florida Zip: ?_-, `
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 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.
APPLICANT'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant Name: `' C" '" r
Signature:
The foregoi g instrument was ackn wl j ed bel me thi i I A
day of , 20 -,IfiL, by Y► UC►�
who is personally known to me or who has produced �0
As identi fica 'on and who did take an oath
YOUNG IHLSON
NOTARY PUBLIC: Notary Public — State of New York
NO. 01SOS2as4a1
Sign: Qualified in Queens County
My Commis9ian Expires Dec 7. 2021
Print:
My Commission Expires' v'11 A, t
Building Officials Approval:
Re -Occ $60.00
Notary $5.00
Total $ (00,
REV 4 -10
ORES
MIAMI SHORES VILLAGE
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:E Building Department
� � . I! si ..
'`�A,rLS,u °` 10050 N.E. 2nd Ave, Miami Shores, Florida 33138
�toMID Tel: 305 - 795 -2204 Fax: 305 - 756 -8972
Certificate of Re- Occupancy
Address: 144 NE 91ST ST
City: Miami Shores
State: FL
Zip: 33138
Permit No. REOCC -03 -19 -556
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
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