REOCC-06-20-1099ORES;.�� MIAMI SHORES VILLAGE
Building Department
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
�oRty� Tel: 305-795-2204 Fax: 305-756-8972
Permit No. REOCC-06-20-1099
Certificate of Re -Occupancy
Address: 1158 NE 99TH 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.
Building Approval
Miami Shares Village
Building Department
I0050 N.E.2nd Avenue, Miami Shores, Florida 33.138
Tel: (305) 795.2204 Fax: (305) 756,8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
RE -OCCUPANCY
APPLICATION
Contact Name: SHANE GRASER
Buyer: JACKSON COHEN & AMANDA ALLADIN
Realtor: SHANE GRABER
Property Address: 115E NE 99th STREET
RECEIVED
J i4 0 1 '.01?
BY:
Permit No. �e -a6- zo -10 I
I'llone#: 786-661-0817
Seller: SUSAN PINNAS
Company Name: GRABER REALTY GROUP
City: Miami Shores State: Florida Zip: 33138
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 faDlily
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 i° saurate.
E GRABER
T&.fdregoing instrument was acknowledged before me this
day of 1 2a _, by Shane Graber
who is personally known to rill or who bus fIor da ❑L
As identification and who did take an oath
N
OT
r. RYAN AMA A ' /
My Commission Expires, �_ -e! o -2oZ C1
Building Officials Approval: _____
REV 4-10
IA
°t°=1islor+ 0 c3G $P is
Comm Camn']n�l 202-4----
Re-Occ $60.00
Notary $5.00
Total $