Re-Occupancy Application REOCC-02-23-450RE -OCCUPANCY
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
FEB_..
Permit No. t;E'EOCC - 02 - 23 - 4 97D
Contact Name: Enrique Garcia phone#:305-986-2224
Buyer: 1010 Development LLC gee.: Paul Cauchi & Magdalena Cauchi
Realtor: Ines Hegedus -Garcia Company Name: Avanti Way Realty
Property Address: 131 N E 96th 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: I certify that all the foregoing information is accurate.
The foregoing instrument was acknowledged before me this -24
day of r-e�b 20.L3 by
who is personally known to me or who has produced
As identification and who did take an oath
NOTARY PUBLIC:
Sign: U`
Print: V V l -e.vtr�_ y cto
My Commission Expires: I I3I (7p02-6
Building Officials
Vivienneft
Comm.0 222410
Expires: Jan. 31, 2026
Notary Public - State of Fbride
Re-Occ $60.00
Notary-S"0
Total $ (00 - M
REV 4-10