REOC -06-19-1348RE- OCCUPANCY
APPLICATION
Building Department
) o050 N+,,2ncl Awnuc•. kkinli Shklrc,. Hoilda 1.11 tS A N 1 1 2019
Tel: (30 1 70.21204 Fax: 00( 1 750 5972
INSPECTION'S 11HONF NUNIRFR: (3115) 762.4949
Permit No.
Contact Name: Phone#:
Buyer:a va C -COY► �£'.� �"� 1 t F � _!`$cy - -- �' �r vl rt t.I-�
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Realtor: ;' A- it -- p ' :� j 4• u r V��cL�
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(1)111 )filly Ni1me.
Property ,address: -_ I CA..
Citt•: !+IM1111 Shows
State: Flonda
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zip:
herchy Certify that I I-III&rstand that the zollillu fol this i4 Ior tiin,,lr. I,Illlil�• I idr Ilti;tl use and that it iti
u III a\�Cul Iur more than one fillil)' to reside therein. 1 alsu understand that am CCI-11ficate of RC -O c:ulmlicy that
lua\' he issuc;d hv Miami Shores VillauC CCI-1111cti oIdy that the rC1'C1_ IICCd Imlllcrk IS hrin'_' used fur sill"I C 1'111ni1y
hurhuses and that such ccrlil icatr (toes nut constitute any representation. cti luranty oI certification as to the
coIlditiclrl of the dwelling or utter S1111dures un tile prof)crty.
ki'MIC'ANT S AFFIDAVIT: 1 certilj Thal all the I•nregoing infornialion is accurate.
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NOTA 'Y PUBLIC:
Print,
Building Officials Approval:- _
RFV 4 -10
IRENE t; DAKOTA
MY CowSSION t FF 927374
gas EXPIRES: October 17 2019
° 4 ,Sh ' Borldd Thru Notary Pubic Order ,b.
Notary $44* -_
Total .`�Q �, c
5 MIAMI SHORES VILLAGE
Building Department
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
Tel: 305 - 795 -2204 Fax: 305 - 756 -8972
Permit No. REOCC -06 -19 -1348
Certificate of Re- Occupancy
Address: 113 NE 101ST ST
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.
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Building Approval: