REOCC-08-20-1822S�rl MIAMI SHORES VILLAGE
Building Department
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10050 N.E. 2nd Ave, Miami Shores, Florida 33138
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Tel: 305-795-2204 Fax: 305-756-8972
Permit No. REOCC-08-20-1822
Certificate of Re -Occupancy
Address: 488 NE 101 ST 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:
,�J�YO ��
1vlicil 1 II J1 IUI CJ V 111d61=
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
RE -OCCUPANCY Permit No. REOCC-08-20-1822
APPLICATION
Contact Name: _ 1 $ � Ut �] _Phone#: -7 3 ] �' 0 16 L•
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Buyer: I�' '�>I L Seller: A it tE)<L
Realtor: ) ' rWCV '?i. Company Name: i r"LCEXL
Property Address: 4 sy, vl;l r0; _S T
City:
Miami Shores
State: Florid
1p: 1 `"
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.
Applicant Name:
Signature:
d0 1_�&' � �)'n G
The foregoing instrument was acknowledgr(d before me
this
day of 20 by
who is personally known to me or who has produced
-, ,o� '* As identification and who did take an oath
NOTARY PUBLIC: ? GHRISTOPNERR KELLEY
Sign: . J ,r mr i�aloe�kGogW756
eXPfW 1Mfy 21, 2024
Print:
My Commission Expires:
Building Officials Approval:
Re-Occ $60.00
Notary $5.00
Total
REV 4-10