REOCC-08-23-2102 187 NW 95 StreetRE -OCCUPANCY
APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NU-MBER: (305) 762.4949
Permit
Contact Name: Estrella Martin Phone#: 305-207-7356
Buyer: Barr Holdings
Realtor: Estrella Martin
Property Address: 187 NW 95th ST
City: Miami Shores
Seller: Estate of Jay Newman
Company Name' Nufront International Realty Corp
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.
artin
Sign atuliz—&Srx"s
The foregoing instrument was acknow edged before me this 23rd
day of August 20 _ by Estrella Martin
who is personally known to me or who has produced Florida DL
M635-200-64-563- As identification and who did take an oath
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NOTARY PUBLIC: 1rA••••!!Br'%
Sign:
Print: I! V l t° Yl VLt ��J '' nWO',�
My Commission Expires: I j
Building Officials Approval:
Viviennelao
COMM.0 222410
Expires: Jan. 31.2026
N011ty Public, Slate of Florida
Re-Occ $60.00
Notary $5.00
Total $ &S-. c"
REV 4-10