REOCC-08-23-2082 9357 NE 9 PlMiami Shores Village
DIVED
3 - b 3 3 cl Building Department
�C', 10050 N.E.2nd Avenue, Miami Shores, Florida 33138
3 c, Z q — ?3 Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
RE -OCCUPANCY
APPLICATION
Contact Name: Catherine McCulloch
Buyer: Catherine McCulloch
Realtor: Fernanda Moreno
Property Address: 9357 NE 9th PL.
City: Miami Shores State:
AU6 2 12023
BY:
Permit No. PLC oec ce —23- 268 z
Phone#: 5618189952
Seller: Enrique Juarez & Guilherme Gatti
Company Name: Douglas Elliman
Florida
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: 1 't£ Q- 1J S eM e l '' L i_ 10 c H
Signature:
The foregoing instrument was acknowledged before me this 02
day of l-+ U��� 20 ?3 , by i}��—k-%.,r
who is personally known to me or who has produced F
L' L— As identification and who did take an oath.
NOTARY PUBLIC:
Sign
Print:
My Commission Expires:
Building Officials
Vivienne Yao
Comm.:HH 22200
Expires: Jan. 31.2026
Notary Public - State of Florida
Re-Occ $60.00
Notary $5.00
Total $ & S- Oe'
REV 4-10