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REOC-07-20-1411ORES MIAMI SHORES VILLAGE Building Department " �IV 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 '�t�s ess ya RI'D Tel: 305-795-2204 Fax: 305-756-8972 Permit No. REOCC-07-20-1411 Certificate of Re -Occupancy Address: 1290 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 7/d/ZSIQ Miami Shores Village Building Deputment 10050 N.E,2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 rax. (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762,4949 RE -OCCUPANCY Y Permit No, APPLICATION Contact Marne:1r�� �. v�? 1Pbnne#• Buyer: On SQ. C ,Seller: �r Re �ituir: - �' ►I� Compact Narne: Property Address: 2-TO JJ 3 ` �C) T_n City: Miami Shores State: Florida Zip: I I I ( -Z"� q--:- �4a( ( --7-9 l hereby certify that I understand that the zoning for this property .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 naay be issued by Miatni Shores Village certifies only that the referenced ,property is being used for single. farnily ,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 Signature; TheG5W W.Icdg before rue this ` day L' r Yl -�vhowho has produced AS identification and who did take an oath N©TA6 PLMLIC: /_"Z k- Sian: Print: My Commission Expires: Building Of€icials Approval: REV 4-I0 KERRY DIAZ My COMMISSION # GG 111255 EXPIRES: June 17, 2021 Eonded , hru Notary Public Underwriters Re -®cc $60.00 Notary $5.00 Total S