REOCC-06-21-1586Miami Shores Village
Building Department to
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949 9�__o
RE-OCCUPANCY Permit No.l -0-1
APPLICATION
Contact Name: Patrick L. D
Buyer: Samantha & Aaron Mandel
Phone#: 305-904-4803
Seller: Michael Herrera & Mauricio Martinez
Realtor: Patrick L. Du Company Name: Duffy Realty
Property Address:_
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 Name: ,trick L. Du aspentsellers
Signature: i , 1
The foregoing instrument was acknowledged fore me this 17tl-
day of june 201., by
wh i_s personally know to me or who has produced
As identification and who did take an oath
NOTARY PUBLIC:
Sign:
L S cL -, ✓. S-i-�
Print: CG 1
My Commission Expires: I I D, 91 -), 3
Building Officials Approval:
RES
LISA CHR:State
�4[ Notary PubliFlorida
Commissi706tky Cornrn. EB, 2023ded through Nry Assn.
Re-Occ $60.00
Notary $5.00
Total s 60.00
REV 4-10
•�H° `f MIAMI SHORES VILLAGE
V" ,gt" Building Department
10050 N.E. 2ndAve, Miami Shores, Florida 33138
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Tel: 305-795-2204 Fax: 305-756-8972
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Certificate of Re -Occupancy
Address: 164 NW 92ND ST
City: Miami Shores
State: FL
Zip: 33150
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.
Please avoid unnecessary expenses.
As per section 6-4 of Miami Shores Village Code of Ordinances and section 105.1 of the 2020 Florida Building
Code, Permits are required for New, Alteration, Modification and Renovations. Please visit our web site or contact
the Miami Shores Building Department at 305-795-2204 for requirements before you start a project. Buildings and
structures located in a flood hazard areas may be subject to higher standards.
Building Approval