Re-Occupancy Application REOCC-02-23-3131 •� '.
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_ ENTERED
Building Department FEB 0 7 Z023
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 BY:
INSPECTION'S PHONE NUMBER: (305) 762.4949
RE -OCCUPANCY
APPLICATION
Contact Name: DARKEN OCKERT
Buyer: PAVEL L'VOV & NICHOLE R. UVOV
Realtor: JUAN SALAS
POOO
Permit No.
81iDt—az
-5-+3-9o2_2_
Seller: DARKEN OCKERT & ARMANDO ORTIZ
Company Name: COMPASS
Property Address•445 NE 94TH 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.
Applicant
Signature:
The foregoing instrument was acknowledged before me this 1
day of7S11[1—w20 a, by I k.1 r(& 6 ,kDill,_
who is personally known to me or who has produced ®n r'/
' 1 cmg As identification and who did take an oath
C „ ■�1%/IJP��'
MERLINE CHERY
MY COMMISSION / HH 252206
EVIRES: Apd t$ 2026
Building Officials
Re-Occ $60.00
Notary
Total $
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