REOCC-05-20-1020ORES MIAMI SHORES VILLAGE
Xiil !I'II. I, Building Department
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
Tel: 305-795-2204 Fax: 305-756-8972
Permit No. REOCC-05-20-1020
Certificate of Re -Occupancy
Address:
54 NE 95TH 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
cs� /s36
C/ 2- z� .
R_Me rlivED
MAY 2 1 Z020
BY:
RE -OCCUPANCY
APPLICATION
Contact Name:
2NeL
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 NUMBER: (305) 762.4949
Permit No. EOCL -0s - W - 10 20
t� Phone#: -3Dq 3'3
:kmLSeller: i U O ►Tt# • W LL444-A S )k
Realtor: � �Ef —10(y16,136tj _Company Name: — ..lkSo\'i ) GSM
Property Address: WE- q 5W,
City: Miami Shores State: Florida Zip: a51 .
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
Signature:
The forego
day of 20 by''t 1Cf f1��
•AjS
who is person known to me or who has produced AlM MA R11B1itillS
L As i entif an who did take an oath NOTI ll'11�Lif� w
8TATI1Wla;N! E1Elr
J'�f,iRo 7t
NOTAI $L My oow'aseok VWWs duly 29, =3
Print:
My Commission
Building Officials Approval:
Re-Occ $60.00
Notary $5.00
Total $
REV 4-10