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REOC-01-20-107Miami Shores Village RE e EI VED 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 RE -OCCUPANCY APPLICATION Contact Name: li l T') �f,c® Buyer: C D 1 Seller: Realtor: � �C1Y �© C�C� �C® Compz Property Address: �L) I: -- City: Miami Shores State: Permit No. JA ,1 16 2020 BY: zu-oCc­ b -a -I o Phone#: N"\ e' k i 'v �_"( y Name: 1 ,e U.) � i1k C7�JNIs . Florida Zip: 3 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 Name: Signature: a"� o ., o'cve- cv The foregoing instrument was acknowledged before me this 16 day of I L t,I, 20�,, by i`4JC r (7 P-L RL 0b'p"Al-'ab 1 who is personally known to me or who has produced FL fl (1_ (�) As identification and who did take an oath NOTARK PUBLIC: Sign: AWAREZ MY COMMISSION # GG 238273 Print: <-f 1l� �� =si a�" ep1em6er 3, 2022 or rL . Bonded Th- Nolsry Public UndenNrilers My Commission Expires: Building Officials Approval: Re-Occ 560.00 Notary $5„00 Total UL, REV 4-10 MIAMI SHORES VILLAGE Building Department L Nrzis W5 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 R1 ?- Tel: 305-795-2204 Fax: 305-756-8972 Certificate of Re -Occupancy Address: 501 NE 96TH ST City: Miami Shores State: FL Zip: 33138 Permit No. REOCC-01-20-107 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