REOCC-06-20-1243ps MIAMI SHORES VILLAGE
Building Department
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
f�ORION Tel: 305-795-2204 Fax: 305-756-8972
Permit No. REOCC-06-20-1243
Certificate of Re -Occupancy
Address. 54 NW 94TH ST
City: Miami Shores
State: FL
Zip: 33150
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
J
0 ell 6i I Xj1,J
RIECF�IVF�L)
Miami Shores Village H
Building Department
0050 N.F.21ld Avenue, Miami Shores. Florida 33138
Tcl: (305) 795.2204 Fax: (305) 750.9972
INSPF,C'nON'S PHONE NUMBER: (305) 762.4949
RE -OCCUPANCY Permit No. 2n��'� 2� ' 12�
APPLICATION
Contact Name: '0-C� IZiL�-Ct?��A ` Phone#:'i1 - -C3
Buyer: ,L rC H �—
Realtor: ___ DCJC_ .• _ _ Company Name:
Property Address:"
E�..evds
City: __ Miami Shores State: Florida __/.ip:L
I hereby certify that I understand that the zoning for this property is for single-family residential use and that it is
unlawful for snore 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 cerlifv that all the foregoing information is accurate.
Applicant Name:
Signature:
The foregoing instrument was = owfctl��al etitrc me this _
day of >� 202-0 . by-rDCe- �nao-AL
who is personally known to nie or who has produced _ U< ,.G`q DC we- C
(�,k.cgsL� As identification and who did take an oath
NOTARY I'UBLIIC
Sign: _
Print:
My Commission Expires: �C(1 -Z C 2
Building Officials Approval:
RFV 4-10
go 0t� • SANDRA GARCIA
Notary Public State of Florida
a"v J Commission # GG 945040
orn My Comm. Expires Jan 7, 2024
Banded through National Notary Assn.
Re-Occ $60.00
Notary $5.00
Total $ ___ ___