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1077 ne 98 stMIAMI SHORES VILLAGE �ti� .. ivS off Building Department 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Permit No. REOCC-06-20-1326 Certificate of Re -Occupancy Address: 1077 NE 98TH 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 Shares Village RE:cpzvEr., RE -OCCUPANCY APPLICATION Contact Name: Buyer: Building Department Uu 2 5 M20 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795,2204 Fax: (305) 756.8972 BY: INSPECTION'S PHONE NUMBER: (305) 762.4949 Jamie DeRosa Fablana C Arvelo-Prejol Jose Nvarado-Baquero Seller: Realtor: Alex Miranda Property Address:1077 NE 98th Street Permit No. C-eccc- Q(o - 20-1321(a Phone#: 5626992428 Jamie Derosa c/o One Potato Two Potato LLC Company Name: Compass City: Miami Shores 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. AppiicantName• ie Derosa Signature: The Ioregoing' s ent was acknowledged before me this Z5zL)?- day of , 20Z!, by TA 05 who is personally known to me or who has produced I A Dggin L,tgt c _ As iden ' 'on and who did take an oath :L 5__ NOTARY PUBLIC: Sign: My tqrna-ission Expires: Banding Officials Approval: REV 4-10 ARMOGAN MANIKUM Notary Public, Slate o1 Florida CommissiorW GG 277569 My Comm Wores Dec. 5, 2022 Re-Occ $60.00 Notary $5.00 Total $