56 NW 102 STREs MIAMI SHORES VILLAGE
Building Department
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
ORiv�'
Tel: 305-795-2204 Fax: 305-756-8972
Permit No. REOCC-07-20-1546
Certificate of Re -Occupancy
Address: 56 NW 102ND ST
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.
RE -OCCUPANCY
APPLICATION
Miami Shores Village
Building Department
10050 N.la and Avenue. Miami Shorts, Florida 33138
Tel: (305) 795.2.204 Fats: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
MI
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Permit No.p�tcc—u'�
Contact Name: M. Phone#: _TJ6) R,6• g7dl
Buyer: Ruyagtt PReP ri S LLC Seller: :hsfti. 6apozo9l
Realtor: N 4 Company Name. aU
Property Address:
City: Miami Shores State: Florida Zip: ISO
I hereby certify that I understand that the coning for this property is for single-family residential usc 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 Shares Village certifies only that the refereed 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 No
Signature: A
Z
The Foregoing it sument was acknowledged be%re me this
day of 20 20, by
who is personally ,known to me or who hie produced
As identification and who dill take an oath
NOTARY )]PLIC:
Sign: I v '
t
print
My Commission Expires:
Building Officials- Approval:
FERwwno A. SUEWRATS
.,+ My CtxQM3M $ 0G U501t1 EXPIRES: Jlna 15,2D29
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Re-OcC $60.LO