Re-Occupancy Application REOCC-02-23-343Miami 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 Permit No.&�-b2-23
APPLICATION
Contact Name: Luis Aguirre Phone#: 305-609-5387
Buyer: David Restrepo & Daniel Iribarren Seller: 790 Shores, LLC
Realtor: Luis Aguirre Company Name: Stone -Miller Miami, LLC
Property Address: 790 NE 96 St
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: I certify that all the foregoing information is accurate.
Applicant Name: Luis Aguirre
Signature: rR
The foregoing instrument was acknowledged befor a this
day of , 20 Z&, by�12� (t
whois er known or who has produced
R i C+ �i As dentn[if anon and who did take an oath
NOTARY PUBLIC:
Sign: — 1 4
Print: A ru T .)aT -9G I
My Commission Expires
Building Officials Approval:
REV 4-10
HEBERTMARTINEZ
MY COMMISSION# HH 323276
" �.•..• W, EXPIRES: October 18, 2026
orn„•
Re-Occ $60.00
Notary $5.00
Total $ 65.00