REOCC-12-20-2758"ORs�f�� MIAMI SHORES VILLAGE
'T 6 Building Department
10050 N.E. 2nd Ave, Miami Shores, Florida 33138
FtO RI P'
Tel: 305-795-2204 Fax: 305-756-8972
Permit No. REOCC-12-20-2758
Certificate of Re -Occupancy
Address: 1263 NE 92ND 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
RE -OCCUPANCY
APPLICATION
Miami Shores Village
Building Department
0050 N.E.2nd Avenue, Miami Shores. Florida 33138
Tel: (305) 795,2204 Fax: (105) 756.8972
INSPECTION'S .PHONE NUMBER: (305) 762.4949
RJECU, I-V F,1D
BY -
Permit No. 2ED CC-
) 2;7
Contact Name: Patrick L. Duffy Phone#:305-904-48C3
Buyer.- �}I< Al'..,Ici P-0-1 kj--r Seller: r4Ar12--i f- � 14j&-Q '-2-q-AC;Cq 1�-
Realtor: Patrick L. Duffy Company Name: Duffy Realty
Property Address: 1263 NE 92 Street
City: — 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. N. ,:Patrick L. Duffy, as agent for Seller
Signature:-__
The foregoing instrument was acknowledged bed rAme this
day of '=6� 20 0 . by
who is personaliy
known to me or who has produced
As identification and who did take an oath
NOTARY PUBLIC:
Sign: '�.� �', (- i 1'.= -
Print: I—Sa-
MyCommission Expires:
Building Officials Approval:
LISA CHRISTINA FLOES
A Nulary Public • Stitt Of FIGOds
" fl Q'I'll
Commission Dn 0 GG 28 6 70k
My Comm. Expires J&n 71. 2023
Sanded Dqh N it 141-1 m i Notary ry A11"11.
Re-Oce $60.00
Notary S*PW
Total S 6o.t2&3
REV 4-10