REOCC-07-23-1721 1035 NE 99 STmiam hhores W inage
Building Department
? 0050 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 Permit No. RFDeC 47- Z3 -17z i
APPLICATION
Contact Name: Nina Romero Phone#:305.834.2312
Buyer: Rodrigo Cabrera & Sara Patinc seller: Will Gearin & Nicole Gearin
Realtor: Shane Graber Company Name: Graber Realty Group
Property Address:1035 NE 99th 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
i
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: N l NA RO M E R
Signature: — �~
The foregoing instrument was acknowledged before me this 1
day of JulV , 20 L, by Nina Romero
ho is ersonally known to me who has produced
As identification and who did take an oath
NOT4BRcAMAYA
:
Sign:
Print:
My Commission Expires:' `1 t
Building Officials
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Re-Occ $60.00
Notary
Total $ el, G • <f-b
REV 4-10