REOCC-07-20-1633Miami Shores Village
Building Department
1 ot15O N.E.2nd Avenue. Nliarni Shores. Florida 33138 =----
Tel: (305) 795.2204 Fax- (305) 756.8972 BY
INSPECTION'S PHONE NUMBER, (305) 762.4949
RE -OCCUPANCY
APPLICATION
Contact dame: Carlos Antonio Viera
Buyer:
Realtor: Chris Camacho
Pr,perty Addr .: 15 NE 95th Street
Permit Nu. -�77 2-0 - ! � 33
786-805-7309
Seller: Carlos Antonio Viera
Company Name: Keller Williams
City: NliWili Shores State: Florida Zip; 33138
I hereby certify that I understand that the zoning for this property is for single -fatuity 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
Si!,nature-
Viera - -
PAM
5 Lr
The forcgoing irnsuutnant was acknowledged before me [his, I�Q
day of
who is personally known to Ate or w1w has produced L �__, C(%
t-r,e r L, c e, �,e As identification and who did take an oath
NOTARY PUBLIC -
sign:
Print: i ) 0 L S
,j
My Commission Expires. l
Building officials Approval:
REV 4-10
1'���ettsM0
, Rq
sMy Comm. Expires
May 17 2423
No. CIO 318964
+rl�' 0 It F 0��`�
Ike-Occ $60 00
Notary $ DO
Total $
RE
MIAMI SHORES VILLAGE
Building Department
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
�C11) Tel: 305-795-2204 Fax: 305-756-8972
Permit No. REOCC-07-20-1633
Certificate of Re -Occupancy
Address:
15 NE 95TH 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.
(:::� efor/-?'s 910