REOC-07-20-1405HQRs
MIAMI SHORES VILLAGE
.011 Building Department
artment
esIN 10050 N.E. 2nd Ave, Miami Shores, Florida 33138
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Tel: 305-795-2204 Fax: 305-756-8972
Permit No. REOCC-07-20-1405
Certificate of Re -Occupancy
Address: 82 NW 98TH 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:
,o��
Miami Shores Village
6uildi=ng Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305).795.2204 Fax: (305) 756.8972
IN5PEcnON'S PHONE NUMBER: (305) 762.4949
RE -OCCUPANCY Permit No. oq — "q,- '
APPLICATION
Contact Name. Phone#:��
�i Gam_ �� C;6f��
Buyer, Lar<er f�p+c�G�s . `%s Iddv � _ d er :2LF�2� Seller: e;
-
Realtor: Company Name;_ �l_� .��v�-'� � fi�t'•s• -
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Property Address: c
City: Miarni Shares - state: Florida Tip'
I hereby certify that I understand that the zoning for th,s property is for single-family retidentiai usF, and ttrat it
is unlawful for more than one family to reside therein. 1 also understand that any Certificate 0Re C ccuparcy
that may be issued by Miami Shores Village certi`,es only that the refe! enced property is being taec 'ar s'ingie
family purposes and that such certificate does nor constitute any representation, warranty ut certification to
the condition of the dwelling or other structures on the property
APPLICANT'S AFFIDAVIT: I certify that all the foregoing inforrnatForr is accurate.
App!ltant Nante:�Qiw.; nt2 r�?n ��.RA •--
V
sSignature,A
The fa+egoin rrutr:srrient was acknowledged before me this • 'E-.
day of i 20�, by -
who �G
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is personally known to me or who has produced__ ,_
0_bi< ys identification and who did take an oa-h
AIakn C
etu
NOTARY PUBLIC:
Sign: +
Print: t�lt1 {^�
rvly Commission Expires:
Building Officials APProval: —
REV 4-E0
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NOTARY PUBLIC.
o ESTATE OF FLOR1110A
comno GG183001
r Expires 215/2022
Re-acc Eia.an
Notary $5.00
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