REOC-10-955I nspection Number: INSP - 144536
Permit Number: REOC -5 -10 -955 I
Inspection Date: May 27, 2010
Inspector: Bruhn, Norman
Owner: VERDES, IVAN
Job Address: 10010 NE 1 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Deuartment Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
May 27, 2010
For Inspections please call: (305)762 -4949
Permit Type: Re- Occupancy
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number
Parcel Number 1132060131441
Page 1 of 1
Passe q
Inspector Comments
PLEASE CALL PAUL VIERA
305 - 753 -6736
( l
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
I nspection Number: INSP - 144536
Permit Number: REOC -5 -10 -955 I
Inspection Date: May 27, 2010
Inspector: Bruhn, Norman
Owner: VERDES, IVAN
Job Address: 10010 NE 1 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
Building Deuartment Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
May 27, 2010
For Inspections please call: (305)762 -4949
Permit Type: Re- Occupancy
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number
Parcel Number 1132060131441
Page 1 of 1
(Rev. 10102/03)
RE- OCCUPANCY
APPLICATION
Miami Shores Village = r
Building Department
BY:
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
Permit No. 1E-0 - cr-s
Loc ID
Date 2( ■ 1 2 l o
Contact Name ?AU L- v 6 G RA Phone # 30c 7536 86
Buyer / Seller Realtor Company Name
Property Address 100 IC) NC.' l ITV('
City Miami Shores State FI Zip %S1.5
I hereby certify that I understand that the zoning of the 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.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant Name C +I etS ftCtZ ` J i t z a ,,,,✓✓ CE J LEU
Signature L ZT $ -- �amic.c - Ut .A;-''r
The foregoing instrument was acknowledged before me this day of t l , 24 10
by TOOL N��9,,1 EA 4 _ , who is personally known to me or who has
'V PP,
produced�..7 ° % 4- l * 9 1 0 as identification and who did take an oath.
OlitMa lath/
NOTARY ' a r t, ` /// „,,*;*--, A.
Sign: - '� . � e_ = Re -Occ. $64.44
Print: ? .� , `'� , °' Notary $5.44 V
My Commission Expires' %,''' CCF $4.64
.,, i �t�` Total ( . 6
////in n i�l`”
Building Officials Approval: