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REOC-10-527Address: 10516 NE 4 Avenue City: Miami Shores Village State: Florida 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. Building Officials Approval: ��. CBo K1. 6. 3131Io MIAMI SHORES VILLAGE Building Department 10050 NE 2 Ave, Miami Shores FI, 33138 Tel: 305 - 795 -2204• Fax: 305 - 756 -8972 Certificate of Re- Occupancy 5 (p I - a7s - Permit No. REOC -3 -10 -527 I nspection Number: INSP - 139281 Inspection Date: March 31, 2010 Inspector: Rodriguez, Jorge Owner: Job Address: 10516 NE 4 Avenue Project: <NONE> Contractor: Building Department Comments March 30, 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 Number: REOC -3 -10 -527 J Permit Type: Re- Occupancy Inspection Type: Re Occupancy Work Classification: Re- Occupancy Phone Number Parcel Number 1122310130190 Page 1 of 1 Passed Inspector Comments PLEASE CALL CESAR DIAZ 786 - 286 -1665 e Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until I nspection Number: INSP - 139281 Inspection Date: March 31, 2010 Inspector: Rodriguez, Jorge Owner: Job Address: 10516 NE 4 Avenue Project: <NONE> Contractor: Building Department Comments March 30, 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 Number: REOC -3 -10 -527 J Permit Type: Re- Occupancy Inspection Type: Re Occupancy Work Classification: Re- Occupancy Phone Number Parcel Number 1122310130190 Page 1 of 1 (Rev. 10 /02/03) RE- OCCUPANCY APPLICATION Loc ID Date 3 30/ .0 A _ i 4 5 Contact Name G" (iC WP(? ` i) 0 ,, Phone # g / '-' 11 J f Buyer Seller Realtor X Company Name ( e P�/'A -, ' I/ �c c Property Address /©r /6 1U s� V' 4v City Miami Shores State Fl Zip 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: ApplicaittjN me - Signa Sign: I certify that all the foregoing information is accurate. The foregoing instrument was acknowledged before me this day of Pa02/4- I , 20 ) 0 , bytes , who is personally known to me or who has producedT tr f Ii'? Vt N,e r Rt.il.f1 dentification and who did take an oath. NOTARY PUBLIC:1* .' p ,leni s s' , ,, .. . Exp jei co, Print: a r �4 47/91:1;/. '10� 0 • My Commission Expires: % �..• B6g ' ' �O�FL0 . ` Building Officials Approval: /�' " " " " �� Miami Shores Village Building Department ppgaMgVIEn MAR 0 7.91 1111 BY: gecl fek. cicedD, 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 Permit No. ::)C. 10—a S 7 Total Re -Occ. $60.00 ✓ Notary $5.00 Qf -16768