REOCC-07-24-1913Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.9972
INSPECTION'S PHONE NUMBER: (305) 762.4949
RE —OCCUPANCY APPLICATION
ZACHARYLAWRENCE
Contact Name:
Buyer:
JESSE STAMLER
Permit No. PC-6CG--6_7-ZLl — I i 13
OZ-1) 713.725.8498
Seller:
ZACHARY LAWRENCE
Realtor: MEREDITH LEVY Company Name:
Property Address: 1420 NE 102NO ST
DETTMEN REALTY GROUP
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. 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: 1 mrtity that all the foregoing Information Is accurate.
Applicant
Signature: — - /
The foregoing instru ent was acknZoow�,ledged before me this �^JrI1d
day of 20., Uy Z'tG1v 'SLtA% YP yl.l.J''
who Is personaff known to me or who has produced Fl o Yolk, �) wvet L I cD-/UJL
L As identification and who did take an oath
NOTARY PQBUC:
Print: t1 0�,. • LINHUA DRISCOLL
�q Notary ID 013H55203
My Commission Expires: 7113 /a 7-/ a � : My Cwnmission Expires
July 7 3, 2027
Building Officials Approval:
� at
Z%f; 12 is5j2u2I-.
RE-Occ: $60.00
Notary: $5.00
Total:
2;17TT ERED
JUL 2 4 ENT'D
By: