REOCC-11-23-2814 297 NE 97 StRE -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 NUMBER: (305) 762.4949
ENTZRRD
NO V 0 8 2023 �1
B'n
Permit No. �Fo v—_ i f )- O" 0 1 T
Contact Name: Juan Zuluaga Phone#. 850-803-1383
Buyer: LIA B. YAFFAR-PENA
Realtor: Juan Zuluaga
Property Address: 297 NE 97th St
City: Miami Shores
Seller: JUSTUS HANNA and SUSANNA HANNA
Company Name: Graber Group Realty
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 fur 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: Justus
Signature: C
na
• .a
The foregoing instrument was acknowledged before me this 08
day of November 20 23 , by Justus Hanna
y
who is personally known to me or who has produced Y
lf li
1 � � n s ( As identification and who did take an oath
NOTARY PUBLIC: _
Sign: _
Print:
My Commission Expires:
Building Officials Approval:
z�*,a PAOLA ZULUAGA
MY COMMISSION #HH296426
(� (�
EXPIRES: AUG 02, 2026
Bonded through 1 st State Insurance
Re-Occ $60.00
Notary $5.00
Total $
REV 4-10