REOCC-08-23-2064 9338 NW 2 AveMiami 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
ICE -OCCUPANCY
APPLIC'ArTION
Contact Name: Michael Antkowiak
Buyer: Alfonso Miranda Londono
Realtor: Sam Chute
Property Address:9338 NW 2nd Avenue
Permit No. ��-�•'-�3- /
Phone#:832 483 5244
Seller: Michael Antkowiak & Dalvane Pires
Company Name: Redfin
City: Miami Shores 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.
Applicant Name: Michael Antkowiak
Signature:
The foregoing ins rument was acknowledged before me this t
day of Ash_, 20 Z-7 , by iNl (Gd A(t
who is personally known to me or who has produced tv,ti
As identification and who did take an oath
NOTARY PUBLIC: ��
Sign:
Print:
My Commission Expires:
Building Officials A
REV 4-10
* MY COMMISSION # GG 950477
EXPIRES: March 6, 2024
BIided Thal Notary Public Undenxdters
Re-Occ $60.00
Notary $5.00
Total $