REOCC-11-20-2554H°Rs MIAMI SHORES VILLAGE
Z'�i::. ' �� 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-1 1 -20-2554
Certificate of Re -Occupancy
Address: 672 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
iviianu 6nores v iliage
R&OCCUPANCY
APPLICATION
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) *6.8972
INSPECTION'S PHONE NUMBER: f305) 762.4949
> ��CEIVEI_,
Permit No. _ t ` 20.
Contact Name: Santiago Martinez Phone#; 773-793-0782
Buyer: Santiago Martinez
Realtor: Eric Periu
Property Address:672 NE 98th Street
Seller: Carol Invest USA Inc.
Company Name: Coldwell Banker
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.
Applicant Name: Santiago Martinez
Signature:
The fare oing instrumen as ac owledged before in this
day of..o�, _
who is personally known to me or who has produceddb
tbhlkekGCPa�' As identification and who did take an oath WNW181AV
NOTARY PUBLIC: Mate ofRorft
MY Comnihdm &Phs 12l182O
Sign: CWHi mbnNo.060347M
Print:
My Commission Expires:
Building Officials Approval:
Re-Occ $60.00
Notary $5.00
Total $
REV 4-10