REOC-2-19-458RE- OCCUPANCY
APPLICATION
Miami Shores Village J��
'wilding Department sal
10050 N.L' M Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PIIONR NUMBER: (30S) 762A949
Permit No. V2 I q Q-S8
Name: Jose L. Cchevarria Phonet 305 - 403 -6430
Buyer: "fort° s. flcdAguez Porex and sondes veronica Bull mnvolaaquez Seller: THR Florida LP
Realtor: Lori Lopez Company Name: The Home Boutique Realty
Property Address; 58 NW 98 ST
City: Miami Shores State: Florida zip: 33150
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 stiuctures on the property.
APPLICANT'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant Name.- Alberto I Rodriguez Perez ,& Sandra Veronica Buitron Velasquez
Signature:
The foregoi g jastnunerntt was acknjow`ledgedcc1 11:4, AS
day ❑f � ... 20 L� , 6y , '`!d!! [f�TL` QL tI Z:� Gt ✓ �V I✓° �a vC�1 1 l eS, 06 2—
who is personally known w me or who has produced
�i �� .. As identykation and who did take an oath
NOTAR P
"'�F'• LORIMAQPEZ
Sign Notary Public -State ofFlorlda
Commission d GG 112669
Print: ` i' .ors MyComm.sExpiresMar21,2019
My Commission Expires:
Iluilding Offieiais Approval:
Re -Occ $60.00
Notary 5.
Total
REV 4-10
MIAMI SHORES VILLAGE
Building Department
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
LURID
Tel: 305 - 795 -2204 Fax: 305 - 756 -8972
Certificate of Re- Occupancy
Address-. 58 NW 98TH ST
City: Miami Shores
State: FL
Zip: 33150
Permit No. REOCC -02 -19 -458
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:
Al IIAAg-;'l