reoc-05-19-1080RE- OCCUPANCY
APPLICATION
Contact Name: Karen Alvarez
RECEIVED
Miami Shores Village M y 14 2019
Building Department BY;
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 r
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit No.
Buyer: Rodrigo Barros de Paula
Realtor: Karen Alvarez
Property Address: 84 NW 104 ST
City: Miami Shores
I'110110: 305 505 1286
Seller: Alykay Investments LLC
Company Name: Metro One
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 alWe fni�egoing information is accurate.
Applicant Name:Alyk y- vestrfien Reinaldo D. Hernandez
Signature: _
i
The foregoing instrume t was ow edged before me this r
day of N 20 (9, b ac �1 rd ����l�Vi ��PC�r� t
who is personally known to me or who has produced
L-"'c�-- Kl�l As identification and who did take an oath
NOTA ',PUBLIC:
Sign:
Print: i rf
My Commission Expires:
Building Officials Approval:
SINDIA ALVAREZ
_My COMMISSION # GG 238273
EXPIRES: September 3, 2022
,,dad Thru Natadr Public Undenvrilers
Re -Occ $60.00
Notary $5.00
Total $ �OGJ
REV 4 -10 1
��I r 1161�d�`
°��� MIAMI SHORES VILLAGE
11
E EE ` Building Department
���ca i1��
rC"$ti 10050 N. E. 2nd Ave, Miami Shores, Florida 33138
ORt Tel: 305 - 795 -2204 Fax: 305 - 756 -8972
Permit No. REOCC -05 -19 -1080
Certificate of Re- Occupancy
Address: 84 NW 104TH ST
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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