REOCC-09-20-2186S.°DES MIAMI SHORES VILLAGE
1z�. Building Department
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10 10050 N.E. 2nd Ave, Miami Shores, Florida 33138
Tel: 305-795-2204 Fax: 305-756-8972
Permit -No. REOCC-09-20-2186
Certificate of Re -Occupancy
Address: 10616 NW 2ND AVE
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
ivxia n v n_ta8G
Building Department
10050 N.E,2nd Avemic, Miami Shores, Florida 33138
Tel: (305) 795,2204 Fax: (305) 756.8972
INSPECTION'S PHONE, NUMBER: (305) 762.4949
RE -OCCUPANCY
APPLICATION
Contact Name: LltzlQrj_
RECEI` F,D
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Permit Nw fto}.r-0_q-..�810-.
Phone#:
Buyer: Q � H nf-'C, .��5� IillIer O1 LJt► _ ka�
Realtor: UM Company Name:
Property Address:!0 Nw -zn(l A\Wl I hiCL011 'Sxdl�� U,1,._
City: Miami Shores_ imitate: Florida lip:�a[1 .
I hereby certify that: I understand that the zoning for this property is'for single --family residential use and that it rti
unlawful for more than one f roily 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 tier 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.
Signature.
The foregoing instrument was acknowledged beforc ine this
who is pen;onally known to me or who has produced ._..____.___
As identification and who did take, an oath
NOTA 1LTC
Sign;
Print. MA hxr .-s r r N
My Commission Lxpire/s:
M RABOCCOLINI
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t�(PM; November 5, 2023
Building Officials Approval:
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REV 4-10 (:�D i
Re-Occ $60.00
Notary $5,00
Total S . CAD