RE-OCC-06-20-1254°s MIAMI SHORES VILLAGE
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Building Department
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Rsv�` 10050 N.E. 2nd Ave, Miami Shores, Florida 33138
Tel: 305-795-2204 Fax: 305-756-8972
Permit No. REOCC-06-20-1254
Certificate of Re -Occupancy
Address.
45 NE 96TH 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
1'ft71
RE -OCCUPANCY
APPLICATION
Coiatact Name: t
Miami Shares Village 06/16/2020
Building Department
N T-0050-E,2nd—A eiiue; W'l aiiii Slv Iwes,-Finridn� 3138
Tcl: (305) 795.2204 Fax: (305) 756.8972
INSPEC'TION'S PHONE NUMBER: (305) 762,4949
Permit No.
REOCC-06-20-1254
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Buyer: Lk� `� Seller.
Reaftot•: Comp ny Name- ^
Property Address: iJ S-
City: Miami shores M� State: Florida
I hereby certify that I understand that the zoning for this property is fol• 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 Mianti 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 otht:r structw es on the properly.
APPLICANT'S AFFIDAVIT: i ecrtily that all theforegoing information is accurate.
Applicant Name:
Signature'
The Fore ing instrument was cd ed before me this _
day
who is to or who has produced_ _
As identification ; %aho tliti take an oath
NOTAR P BLIC: KERRYDIAZ
Sign: ,= MY COMMISSION # GG 111255
Print _� l s fLa-'� EXPIRES: June 17, 2021
My Commission Expires:
Building Officials Approval,
Re-Occ $60.00
Notary S5.00
Total $
REV 4-10