REOCC-06-20-1325H�REftl
s MIAMI SHORES VILLAGE
.111,. NP. Building Department
y��re$-; o4ti 10050 N.E. 2nd Ave, Miami Shores, Florida 33138
�ioRtiv� Tel: 305-795-2204 Fax: 305-756-8972
Permit No. REOCC-06-20-1325
Certificate of Re -Occupancy
Address: 1501 NE 103RD 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
(��- oxilgwi-0 I
Mianil 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) 76L4949
RE -OCCUPANCY
APPLICATION
Contact Name: FRANCISCO N ZELEDON
Buyer: DANIEL FINOL
Realtor: FRANCISCO N ZELEDON
Property Addresc:1501 NE 103 ST
City: _ Miami Shores
=EIT rEj ,
Permit No.
C — 2,0 -13 Z5
p}tmye#: 305-926-0425
Seller: ROXANA MEDINA / MARTIN MEDINA
Company Name: ANTON AGENCY
State: Florida Vp:33138
1 herchy certify that I understand that the zoning for this properly 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 he 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 Nznw: FRANCI ZELEDON
Signature:
The foregoing jwi rot was acknowledged before me this `lam
dayof_Tv%�C 20�20.by r- AniCiSCC "CL-:.,"J !'C_LGr)O.J
who is pcmnally known to me or who has produced FL i7Q VER'5 LZC ,,,.%SC
-4As)dentificafion and who did take an oath
NOTARY F'[]
Sign: _
j -
Print: Q i A L .r''yr : VANESSA ANDRIAL
MY 00 WIS91AI / GG 218M
My G,mmission Expires: 9' 9 , EXPIRES SeplwntMr8,2t12Z
Building Officials Approval:. _
Re-Occ S60.00
Notary 15.00
Total $
REV 4-10