REOC-2-18-337RE- OCCUPANCY
APPLICATION
Contact Name:
Miami Shores 'pillage
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
Permit NoZECLL8
Phone#: '� 14 - - OTXT
Buyer: ft '�'' ~.�C�3L' �1 'lJ > myi��- �e�r�er�����
Realtor:
1 iC eat mar" kS Company Name: ����'�r W1
Property Address:
City: Miami Shores State: Florida Zip:
35i`3C_s
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.
ri
Applicant Name:
'ta } =d',re v"✓14..' `� C i1��`��I'��1 �'+' '�
Signature:
The foregoing l }i1! ent was acknowledged before me this �1 y
day of Ff, 20 L, by 0 q 's c
who is personally known to me or who has produced, -- �
As identification and who did take an oath
NOTAI PUBLIC:
Print:
My Commission Expires:
Building Officials Approval:
REV 4 -10
MAHARAI K. GONMEZ
EXPIRES: November 2, 2020
Bonded Thru Notary Public Underwriters
Re -Occ $60.00
Notary $5.00
Total $ L 7
MIAMI SHORES VILLAGE
Building Department
10050 NE 2 Ave, Miami Shores Fl, 33138
Tel: 305 - 795 -2204• Fax: 305 - 756 -8972
Permit No. REOC -2 -18 -337
Certificate of Re- Occupancy
Address: 10610 NE 11 Avenue
City: Miami Shores
State: FL
Zip: 33138-
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:
.� 1 1212b1�