REOCC-06-23-1434RE -OCCUPANCY
APPLICATION
Miami Shores e Villa
g JUN 0 6 Z023
Building Department t
10050 N.E.2nd Avenue, Miami Shores, Florida 3313E
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit No. P Ucc - 0�0 -Z3 --I L(3Ll
Contact Name:
Buyer: Ramzi and Elina Gedoun
Realtor: Lori Brandt
Property Address•9312 NE 9 Place
one#: �0.3 y7// Z, 7/
Seller: Arthur J. Fay and Danielle Lee Fay
Company Name: Compass FL
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:
Signature: —L
'Cd N/i e'/
The foregoing/A<t��—Men�+as acknowledged before me thisp
day of 4u , 20 , , by -n t �(�
who is personally known to me or who ha�ed -
=�r As identification and did d take an oath
NOTARY PUBLIC:
Sign:
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Print: `I
My Commission Expires: 113 i I �L4
Building Officals Approval:
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Notary public. State of Florida
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Re-Occ $60.00
Notary SM
Total i & Q - 60