REOCC-11-23-2761 466 NE 101 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 APPLICATION
Contact Name: Diana Ontiveros
Buyer:
Jonathan Goldman & Stephanie Nihamin
Realtor: Ana Cuan
Property Address:
466 N E 101 st Street
City: Miami Shores State
Permit No. "- 11- Z3 -. Z-7(a 1
C)'r C-�k
(��5) ,3 �Zg.g Phone#: 786.942.3153
Seller: Gloria Marie Zomerfeld Revocable Trust
Company Name:
Florida
Compass Florida LLC
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 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. In addition, I acknowledge the requirement
for a swimming pool barrier to be in place and in compliance with code requirements at the time the pool was
constructed, repair and or re -surface.
APPLICANT'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant Name: Joseph C. Frechettg, Jr.
Signature:
The foregoin nt w
as a dge n d before me this
dayof November20 23, by_ Joseph C. Frechette, Jr.
who Is persona y cnow " or who has produced__
As identification and who did take an oath
NOTARY PUBLIC:
Sign: ERICA J. JUNCA RE-Occ: $60.00
g r Notary Public
Print:�� ��'1 ` State of Florida Notary:
/ Commit HH238842
My Commission Expires: oo / Z Expires3/20/2026 Total:
-7/Building Officials Approva . (i�