REOCC-04-20-7770 RE
-t' MIAMI SHORES VILLAGE
g� Building Department
LyV4
�ti��s,y5o 10050 N.E. 2nd Ave, Miami Shores, Florida 33138
�ORiv Tel: 305-795-2204 Fax: 305-756-8972
Certificate of Re -Occupancy
Address: 373 NE 91ST ST
City: Miami Shores
State: FL
Zip: 33138
Permit No. REOCC-04-20-777
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��zo
Miami Shores Village
building Department
_-iliiFi�i.L'-'_nd A.rnuc_ �liatni Slt�res, ll�rida �3135
Tel: CIO) . 95.2'C4 Yax: r 1051 ?.5 gy„
LNSPECTiO\'S PRONE %AfN BF.R:13H5i'ti2A949
RE -OCCUPANCY Permit No. RE r-"cY,. j-
APPLICATION
Contact lame. ZdtPhone#. ,�� 1,10/22,0
Buyer: -- SOler: jjff&& IM11a 0,076A & CAOcP Lt.L
Realtor: LA /NI A-1 comp my Name: L*Ayris amt, raw—h
Propert3' Address: 341R0.
Gilt': Miami Sq-'orcs' State: Florida Zip: �Ji 14
I here -by ccrtifv that 1 understattd that the zonine t'ar thi.; prioperiy Is for tii3oglc-famliy residential use. and that it is
unlawful foT mere than «n4: family to reside thercin- I also uiidersuiiid dial any Certiticatc of tic -Occupancy tliat
Irtay [,c 11v Miami Shores Village certifies only that the reterernrd nn,Prrty 3( hrmy, uwd for single fanWy
purpose; and that such certahcatc does not constitute any representation. or certification as to the
condition of the dwelling or r>thei Ar ictures on Ilse pruprri�.
APPLICANT'S AFFIDAVIT: t curlify Mutt A the fnirgirtg Infarntstiou is uccurale,
A PPhcan1 '.%*W:--4-L-0ra-A. It1►if1'� S
S1211ArIrrP: ��Ij Ate _
The rccegoin,, inslnirronr Am ocknoulc4-t�,ib l is Hit:lhrs i'{.=
l:F��wL-
' yr i
who is Wiso dly km)y n it, nve or v hc. Ms pintdWcd {�- :/ � •.r,� _-�� .. - � ,
As idendticuion and ,chi did race, an rwtl-
NOTARl' I AT IC:
If
ft Widing UReiide Approvid:
REV 4 :u
J_'� MORA[iM JINtNti
_ c :T• httlarr PLO t • SCKt r t'IG(lae
Cirmi;:r r a GG IC9631
a.n M.y :aem bViret Mar 16, ZC2]
!i`W-W 111(v-0 W00fill NOW, Am
NoWni Jo ,+ Ala f�F
'row 5