REOC-07-20-1423°REs
eA M IAM I SHORES VILLAGE
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==s Building Department
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
Rio Tel: 305-795-2204 Fax: 305-756-8972
Permit No. REOCC-07-20-1423
Certificate of Re -Occupancy
Address: 150 NE 111TH ST
City: Miami Shores
State: FL
Zip: 33161
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, Miami Shores, Florida 33138
T+eh (305) 795,2204 Fax: (305) 756,8972
INSPECTION'S PHONE NIIMBF.R: (305) 7614949
R.E-OCCUPANCY
APPLICATION
Contact Name: Rafael Tobias Barrios
Buyer: Christopher Ha
Permit No — I H 25
Phone#.786-230-4841
Seder. Heidi Marie Carr
Realtor: Rafael Tobias Barrios Company Name: Graber Realty Group LLC
Property Address:150 NE 111 Street Miami Share, 33161
City: Miami Snores State: Florida Zip: 33161
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 family 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 sloes not constitute any representation, warranty or certification as to the
condition of the dwelling or other structures on the property.
APPLICANT'S AFFE DAVIT: 1 cer it`y that all the foregoing information is accurate.
P_�
Applicant Name:
Siguaturre:
The foregoing inetrument. was acknowledged before me this 0
dM o��. ZQ. by J—POL64-51sc.rrCa
n
who isgr ana ly known to r who has p
As identification and who did take an oath
My Commission Expires: �, �%� Z�.t I/
Building Officials
REV 4-10
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Re-Occ $60.00
NotmT $5.00
Total $