REOCC-06-24-1621Miami 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: Akiesha Gilcrist Sainvil
Buyer: Akiesha Gilcrist Sainvil & Reginald Sainvil
Permit No.
C'im7-�lZCo -(off-oCo�
Phone#:717-829-6820
Seller: Anthony and Lorraine Nowakowski
Realtor: Phillip Calloway Company Name: Influencers Realty Group, LLC
Property Address:1238 N.E. 98th Street
City: Miami Shores 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 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: 1 certify that all the foregoing information is accurate.
Applicant Na e: Akiesha Gilcrist Sainvil
Signature:
The foregoing nst ent was acknowledged before me this
day of by
who' personally known to a or who has produced
entification and who did take an oath
NOTARY
Sign:
Print: VSCi/`�
My Commission Expires:
Building Officials
tsTONWILSON.JR.
493755
EXPIRES'IJJune 9 2028
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':POFFV.'
1 RELY
Re-Occ $60.00
Notary$5-6b'
Total $
REV 4-10 JUN 21 2024
BY: