REOC-07-20-1407ORES Ali IAM I SHORES VILLAGE
`may F Building Department
�T 90ti6 10050 N.E. 2nd Ave, Miami Shores, Florida 33138
�XOR11D Tel: 305-795-2204 Fax: 305-756-8972
Permit No. REOCC-07-20-1407
Certificate of Re -Occupancy
Address
91 NE 91ST 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, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
RE -OCCUPANCY
APPLICATION
Contact Name: Tyler Sieswerda
Buyer: Tyler Sieswerda & Manuel Bojorquez
Realtor: Jennifer Brilliant
Property Address: 91 NE 91st St.
AL 0 L02.
1%
Permit No. �=�\ b i J ZU - f` G
• 512-905-3184
Seller: Susan Garrett
Company Name: ONE Sotheby's International Realty
City: Miami Shares State: Florida Zip: 33138
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 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:
Tyler Sieswerda & Manuel Bojorquez
Sieswerda (Jul 7, 2020 09 38 EDT)
Manuel Bojorquez (Jul 7,
The foregoing instrument was acknowledged before me this 7th
day of July . 20 _, by Tyler Kirk Sieswerda & Manuel Alberto Bojorquez
who is personally known to me or who has produced Florida Drivers License
As identification and who did take an oath
NOTARY PUBLIC:
Sign: o -
Print: Tricia Najla NiC0l051
My Commission Expires: September 30, 2021
Building Officials Approval:=
REV 4-10
Tricia Najla Nicolosi
Electronic Notary - Commonwealth of Virginia
bly Commission Espiree on September 30 2021
Notary Registration # 7756550
Re-Occ $60.00
Notary $5.00
Total $ 65.00