REOCC-09-25-2168Miami 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. WEneC _ 6 9- 2S - 21 & c
Contact Name: Jeffrey Mowers Phone#• (305) 7994717
Buyer: Jordan Argiz & Caitlin Argiz Seller: Jeffrey Mowers & Katherine Brown -Mowers
Realtor: Georges Ktuck Company Name: Keller Williams Realty
Property Address: 1175 NE foist 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. 1 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 certify that all the foregoing information is accurate.
Applicant Name: Jeffrey Mowers
The foregoing initrumendwas acknowledged before me
dayof\'20 by111( QrS
who is personally known tome or who has produced 2(5
(_i CtnSt,_ As identification and who did take an oath
NOTARY P LIC* U
F �aUuugii
Sign:
My Commission Expires: / Cy-" 31 SF r��JaiiL""'�mnuo"
Building Officials Approval- lr�3
Kelly A. Bischof
Notary Public
Commonwealth of Virginia
Reg a 8026788
Commission Expires: October 31, 2026
Vivienne Yao RE-Occ:$60.00
Comm.:HH222410 Notary:$5�00
Expires: Jan. 31, 2026
NotaryPublic- StateofFlorida Total: GU Cz'
,SHOR MIAMI SHORES VILLAGE
;r Building Department
N E 10050 N.E. 2nd Ave, Miami Shores, Florida 33138
°<onroA Tel: 305-795-2204 Fax: 305-756-8972
Permit No. REOCC-09-25-2168
Certificate of Re -Occupancy
Address:
1175 NE 101ST ST
City:
Miami Shores
State:
FL
Zip:
33138
This certificate verifies that the reference property has been inspected by Miami Shores Village and has
been determined to presently comply with schedule of regulations of Miami Shores Land and
Development Code pertaining solely to the requirement that each one -family dwelling is used and
intended to be used for a one -family dwelling purpose only; however, this certificate does not constitute
any representation or warranty as to the condition of the dwelling or other structures on the premises
described herein, or any aspect of such condition, and interested persons are advised and encouraged to
make their own inspections of the premises in order to determine the condition thereof.
Please avoid unnecessary expenses.
As per section 6-4 of Miami Shores Village Code of Ordinances and section 105.1 of the 2020 Florida Building
Code, Permits are required for New, Alteration, Modification and Renovations. Please visit our web site or contact
the Miami Shores Building Department at 305-795-2204 for requirements before you start a project. Buildings and
structures located in a flood hazard areas may be subject to higher standards.
Building Approval:.