REOC-10-326Inspection Number: INSP- 136888 Permit Number: REOC -3 -10 -326
Scheduled Inspection Date: March 04, 2010
Inspector: Bruhn, Norman
Owner: LIVINGSTONE, DAVID AND KAREN
Job Address: 10560 NE 2 Court
Project: <NONE>
Contractor:
Building Department Comments
Passe "�!
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
PLEASE CALL
DAN MILLER
305 - 776 -7863
March 03, 2010
Miami Shores, FL 33138-
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Type: Re- Occupancy
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number
Parcel Number 1122310130660
Page 14 of 18
:ev. 10 /02/03)
RE-OCCUPANCY
APPLICATION
Date 3 "'2.^ 20t0
Contact Name ► t` cc- Phone # O5 -
Company Name Kc(' ec � J�� l1tar►s
Buyer Seller Realtor
Property Address 1•n.6 top A A. , �,-E-
City Miami Shores State
Sign:
Print: jtc viuk. tilkovvitiltt
My Commission Expires: (, I .t 1 2.ot3
Miami Shores Village
Building Department
Fl
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant Name O l c -e d''
Signature,
°4i Notary Public State of Florida
' Joanne Moreno
My Commission DD900938
or M1 Expires 08/21/2013
Building Officials Approval:
Zip 3313$
g �
The foregoing instrument was acknowledged before me this 2" day of AkO- 0 , 20
by 'M E-C. l\ , ✓,/L , who is personally known to me or who has
produced P1.erada On viers eic.2 as identification and who did take an oath.
NOTARY PUBLIC:
Re -Occ. $60.00
Notary $5.00
CCF $0.60
Total
MAR 0 S 201C
BY: "C--
. 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
. Permit No. Q 1. o C. (0 — < 9 7)2. cc:,
LocID
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: