REOC-04-19-842Miami Shores Village -.L " Y
Building Department PR Z�
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: ��) .
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
:E- OCCUPANCY Permit No. t - 6,4 I 1 � +7
APPLICATION
Contact Name: Jennifer Thornton
Buyer: John E. Thornton Jr. & Jennifer Thornton
Realtor: Les Dorn
Seller: Alexander Allen - Tunsil
Company Name: Keyes
973 - 867 -8878
Property Address: 10326 NW 1 st Avenue
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 structures on the property.
APPLICANT'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant
The forego instrument was acknowledged before me this
day of , 20 1$, by,ywn+rn��tr'Yvb„
who i nalg11 me or has produced
e on and who did take an oath
NOT 9 .per
Sign: A Ln
Print:
My Commission Expires:
Building Officials Approval:
REV 4 -10
OFFI ASLEEMM
00WISSi0N # FF 992982
EXPIRES: May 16, 2MO
bl TM PO4M NMIEYSWM
Re -Occ $60.00
Notary $5.00
Total $ � V
MIAMI SHORES VILLAGE
ppgg Building Department
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
v Rive`
Tel: 305 - 795 -2204 Fax: 305 - 756 -8972
Permit No. REOCC -04 -19 -842
Certificate of Re- Occupancy
Address: 10326 NW 1 ST AVE
City: Miami Shores
State: FL
Zip: 33150
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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