REOC-07-20-1412OREs MIAMI SHORES VILLAGE
�ili• _ lip Building Department
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
ORION
Tel: 305-795-2204 Fax: 305-756-8972
Permit No. REOCC-07-20-1412
Certificate of Re -Occupancy
Address: 1041 NE 94TH 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 ,Shores Village
Building Department
10050 N.E.2nd Avenue, Muni Shares, Florida 33138
Tel: (305) 795,2204 Fax, (305) 756.8972
INSPECTION'S PLIO E NUMBER: (305) 762- 4949
RE -OCCUPANCY Ferlinit No,
A PPLIC.ATI
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7Contact Name. ] D `l�Q: . r-- V\wp
Buyer: Seller:
Realtor`: E 3 Lt v� C
a Copp y Name -
Property
�-- ZR1 R3 l
City: Miami Shares Mate: Fiorida Ar.}ip; ` )S �
I hereby certify that l understand chat the zoning for this property is for singe -family rmidejidal use and that it is
unlawftil for more diaaa one faniilY 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 constiture auy representation, warranty or cerliiication as to the
condition of the dwelling or other structures on the property.
APPLICANT'S AFFWA-VIT: I eei7ify that all the foregoing znfoa•mation is accurate.
Applicant Name • C_}�-� ` �Cnt L t' V-�-p
Signatare.
The forego' Lstn"n,Cee�"tWas-se
as _ew11P9ebeore r e
day '(�)
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whoisIona€lkflOwrto i r wbo bas produced
As identirl tu'. and who did tale ail oath
NOTA - BLIC:
Sig
Paint r _:ems-. KERRY I]IAZ
MY COMMISSION # GG 111255
'AY Comtxrission Expires: =" 'Y` EXPIRES: June 17, 2021
':-l.... .t
t3,mdedThruNotary Public Underwriters
Building Officials Approvai:
Re-Occ S60.00
Notary S5.00
Total .$
REV 4-10