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REOCC-08-23-1925 265 NW 91 STMiami Shores Village Building Department 10050 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. ZEOCG - OB =2?' - kqz APPLICATION Contact Name: Lori Brandt Phone#: 786-553-1962 Buyer: Rafael Prado and Taylr Czajkowski Seller: Jacob and Sharon Bichachi Realtor: Lori Brandt Company Name: Compass FL LLC Property Address: 265 NW 91 Street City: Miami Shores State: Florida Zip: 33150 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: Z"0 rr Signature: The Forf ing instrument was acknowledged belbre me this `'t day of V , 20, by (—W y 1� who is personally known to me or who has produced As id4tiFicAon angwho did take an oath NOTARY PUBLIC: Sign: Print: My Commission Expires: Building Officials NESERI MARTINET MY COMMISSION 11 HH 323276 EVIRES: OclaWr 18, 2026 Re-Occ $60.00 Notary $5.00 Total ©s—'h REV 4-10