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REOCC-09-20-2182MIAMI SHORES VILLAGE Building Department `'t-FtirsL 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Permit No. REOCC-09-20-2182 Certificate of Re -Occupancy Address. 137 NW 107TH ST City: Miami Shores State: FL Zip: 33168 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 0050 N,F,.2nd Avenue:, Miatni Shores. Florida 33138 Tel: (305) 795.2204 Fun: (305) 756.9972 LNSFE+CTION'S PHONE NUMBER: (305) 762.4949 RE -OCCUPANCY APPLICATION Contact Name: Angelica Lopez-Couto Buyer: Alfredo Leons and Candice Nestel Realtor. Juan Zuluaga Properq Address:137 NW 107th Street Permit No. P_CCCC _ Q� - 2q- 2� S 2- (786) 537 4721 Seller: Luis Morales and Angelica Lopez-Couto Company Name: Graber Realty Group City: Miami Shares State: Florida Zip: 33161 I hereby certify that I understated 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 issuers 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. APPLiC:A. 'S AFFIDAVIT, I certify that ail the foregoing iinforrmtion is accurate_ Applicant Signature: Angelica Lopez-Couto The foregoing instrument %,as aclnow dged before me this 2L'1_ Clay of�?0:3s0_. by r i� zz who is otiali known. to me or who has produced - As identification and who did take an oath Sign: 1 Print. d&9-dA My Commission Expires: BuRding Off dials Approval:_ al: AARIA STRA111 Notary Public - StateofFlorida V"'ll!"ded Commission#My Comm. Expires Aug 20 2023 through National Notary Assn. Re -Om $60.00 Notary $5.00 Total REV 4-10