Re-Occupancy Application REOCC-03-23-675T��, b\Z� Miami 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
Permit No. 2 3 — (01 S
Contact Name: Emily M. Bradfute Phone#:786.837.3333
Buyer: Aviran Shelley and Megan Haddad Seller: Emily M. Bradfute and Jeffrey M. Kolokoff
Realtor: Georgee Kluck Company Name: Keller Williams Realty
Property Address: 150 NE 108th Street
City: Miami Shores State: Florida zip: 33161
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
The foregoing tru ent was acknowledged before me this
day of March o Z5 , by Emily M. Bradfute
who i ersonally known toter who has produced
As identification and who did take an oath
NOTARY LIC:
Sig
Prir.
My Commission Expires: 7_ i Cr _ Zq
Building Officials Approval:
LAURA M. REICH
QF - Notary Public -State of Florida
�� Commission N HH 2O783
'� ,dt' My Commission Expires
July 19, 2024
Re-Occ $60.00
Notary $S-W
Total $ 00 . Do
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