REOCC-04-20-723 43 NW 110 STµ°REs MIAMI SHORES VILLAGE
il`�} Building Department
In..: 1, fir_ Il
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
Aj0R1Tel: 305-795-2204 Fax: 305-756-8972
Permit No. REOCC-04-20-728
Certificate of Re -Occupancy
Address: 43 NW 110TH ST
City: Miami Shores
State: FL
Zip: 33168
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
�s��i�i�- ���".-✓�j U2J � J
g�C,EIVED
RE -OCCUPANCY
APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMEBER: (305) 762.4949
APR 0 7 Z020
BY:
Permit No e 4 - 20 - i
Contact Name: Danny Crespo phone#; 786-231-7789
Buyer: Garly Saint Croix and Estavelie M Saint Cr(Seller: Euclides J Jimenez Jr
Realtor: Danny Crespo
Property Addrm:43 NW 110 St
Company Name: Rejoice Really Group
City: Miami Shores State: Florida Zip: 33168
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
Euclides J Jimenez Jr
The foregoing inas a owe ore me this 06
day of `'� by C) i Zwhoispersoname or who has produced_
C.>?.Y\-6 °-- As identification and who did take an
NOTARY PUBLIC Ir.4N gRcx rte; JLsu:s �-G nez
Sign;
Print: 4 it c-) DWS V
My Comtnission Expires: U s. %,'5/2 O 2Z
Building Officials Approval
Re-Occ $60.00
Notary $5.00
Total $
REV 4-10