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REOC-06-20-1312°'ES MIAMI SHORES VILLAGE -Tilt ili Building Department - 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 x�o R11DN Tel: 305-795-2204 Fax: 305-756-8972 Permit No. REOCC-06-20-1312 Certificate of Re -Occupancy Address: 731 NE 95TH 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 ��' �/74 ltd Miami Shores Village 06/23/2020 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 RE-OCC06-20-1312 RE -OCCUPANCY Permit No. APPLICATION Contact Name: ate, P h o n A ?0� - �G-:� S��a Buyer: lU NAL go-h-o5 Seller: cI .lCr s y Realtor: Y r C,P�� CompanyName; ha r 141 KAt" &,rXtJ lt- Property Address: - - 3 / E qS" T� S T C/ City: Miami Shores State: Florida zip: I 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 fatnily 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 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 Name: (f':5gT Signature: The foregoing AErument wax�reknowlcdgcd before me this /& �day of J� i �iC.tf ho is personally known to me or o has produced s fdentircation and who did take an oath NO, TARY LIC: Sign: Print: c P e of Florida �4y Commission Expires: My Commission GG 176706 -gyp:,. Expires 0111812022 Building Officials Approval: Re-Occ $60.00 Notary $5.00 Total $ REV 4-10