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REOCC-11-20-2653
H°"5 MIAMI SHORES VILLAGE Building Department -4� 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 R1 Tel: 305-795-2204 Fax: 305-756-8972 Permit No. REOCC-11-20-2653 Certificate of Re -Occupancy Address: 260 NE 102ND 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 Isms .� Miami Shores Village 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 APPLICATION Contact Name: �Cu �� y Buyer' p f Seller: Realtor`: f� Corn any Name: Property Address; �2— IZECEIVEI~ NOV 1 6 BY: (f!�_ Permit No. V enT- I 'I -'20 -) CpE-53 pb one#:_7'�?G '2$l '?3 7 G City: Miami Shores State: Florida 'Zip. `� 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 maybe issued by Miami Shores Village certifies only that the referenced property is being used for single family purposes and that such ceitfficate does nOt constitute any representation, warranty orcertiiication as to the conditiQrr of the dwelling or other structures on the property, APPLICANT'S AFT VIT' I certify that all the foreg©ingiptormation isacewate. Applicant Name:---'1 Signature: The f e ing ins merit \v s ackn ► 3edRed Wore me this day of Nhj?) I I10-0A)�� y714Li who is soriati) known ts� me who has produced As identification Ad Nho did take an oath NOTARY Sign: __�; Print: My Commission Expires: Building OffIclals Approval; REV 44 0 bLA('(% �e ., KERRY DIAZ :._ MY COMMISSION # GO 11125s EXPIRES: June 17, 2021 Bonded T "Notary Publfo Urdar"Io;a Re-Oce $60.00 Notary $5.00 Total $