REOCC-08-23-2065 9326 NW 2 AveRE -OCCUPANCY
APPLICATION
Contact Name:
Miami Shores Village
Building Department
10-050 N.E,2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795,2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
lleana Gagliardi
Buyer: Lizette Bemadin
Realtor: Cynthia S. Palmer
Property Address•9326 NW 2nd Ave
City: Miami Shores State:
Permit No./1 Oee op,— 23 -- 26b5_
Phone#: 305-710-5417
Seller: lleana Gagliardi
Company Name: Berkshire Kathaway Home Services Florida Realty
Florida
. 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: l!qp& Gagliardi
Signature. V•
The foregoing i ru4s acknowledged before me this -12L
day of A,5e,5L. 20.& , by
who is personally known to me or who has produced
124�9 D L As identification and who did takc an oath
NOTARY PUBLIC:
Sign:
Print:. �S-e,2 (C�a--
My Commission Expires: ! i / A
Building Officials Apprriv
5waiz Khan
PRINCE GEORGE SCaUNry
MYC0MMI5510NEXPJR S 11/16/2028
Re-Occ $60.(K)
Notary $5.00
Total
REV 4-10