REOCC-06-24-1576Miami 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: Luis Romero
Buyer: Jose Eduardo Zamora Vaca &Corina Elena Rodriguez
Permit No.^ 0a - 06--2(1-15—A,
Phone#: 786-862-3029
Seller: Red Cedar Development LLC
Realtor: Leopoldo Partidas Company Name:
Property Address: 30 NW 107Th St
The Keyes Company
City: Miami Shores State: Florida Zip:
33168
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: 0 6
Signature: �� �S E
The foregoing instrument was ac owledged before me this
day 20� m f
who personally known to me or who has produced��
AN ipentification and who did take an oath
MM NOTARY PUBLI --- — —
Sign:
JOSUE DEL VILLIR rEREZ
Notary %Olic - State of Florida
Commissiso r HH 422747
,ay Comm. Lames Jul 2e, 2027
My Commission plre/s-,,, "
�4
Building Officials Approval:
� � T.Y
. �20231. Re occupancy Application
ion
$60.00
Notary:
TotaI:' CYJ
EN''']IFF;RED
PaWl 1412024
.t +'- is • -i�i( _ - - ;c �i t •i } - 'e � _ c i i
i
_ i... _ pit• _ � t � ,•3 ���� ��i � � ._ "J�. _ :t� � ...... ! i .t .. ''. =�i :1�.. ,. ' _ . � - t• - � �_.
7-s''-i1i. :f.. tr• l�i,'I.iI ••. ��