REOCC-.08-20-1649°REs MIAMI SHORES VILLAGE
Building Department
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
Div Riot+
Tel: 305-795-2204 Fax: 305-756-8972
Permit No. REOCC-08-20-1649
Certificate of Re -Occupancy
Address: 164 NE 105TH 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
I o050 N.F.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: Kendra Campbell Borja 0--�
Seller: Glen Ford & Catherine Habermann
/D � I �G
Permit No. O 0 �2 � I
Buyer: Brian and Ariela Kronberg
Realtor: Kendra Campbell Borja
Property Address:104 NE 105th St.
Phone#: 703-945-3172
Company Name: Robert Bourne Real Estate LLC
City: Miami Shares State: Florida TSip:
33138
I hereby certify that I understand that the zoning for this property is for single -.Family residential use and that
it s
unlawful for more than one family to reside therein. I also understand that any Certificate of Re -Occupancy t
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 ar certification as to the
condition of the dwelling or other structures on the property.
APPLICANT'S AFFIDAVIT: I certify that ail the foregoing infornxation is acturate.
Applicant ]
Signature:
The forego
day
who �J�e)r
NOTARY
Campbell,
instrunaent was acknowied�ed beforeir+e this l ,u by
u.l n ti,n cant or who has produced
sign"
Print:
N4y Cosnxnission
As .identification and wwid take an oath
Buiidi.g oMcliais Approval:
REV 4-10
KERRY DIAZ
MY GaMMESsI()N # GG 111255
EXPIRES: dune 17, 2D21
liki0rweft 6
BDMd Theo Notary
Re-occ $60.00
N 0 Itaq .0❑
Total $