REOC-10-153 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 134560 Permit Number: REOC -2 -10 -153
Scheduled Inspection Date: February 02, 2010 Permit Type: Re- Occupancy
Inspector: Bruhn, Norman Inspection Type: Re Occupancy
Owner: MUNIVE, STEPHEN Work Classification: Re- Occupancy
Job Address: 9120 NE 10 Avenue
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060030010
Project: <NONE>
Contractor:
Building Department Comments
Inspector Comments
Passed % PATRIC DUFFY
305 - 904 -4803
r
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 01, 2010 For Inspections please call: (305)762 -4949 Page 2 of 4
T1 Jami Shores )V *11 e
Building Dep�6
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
—O I FEB T�eh• 30 � 795 2204
CCUPANCY 0 1 2010 • c 5) 756
APPLICATION :. Permit No. 117 -1��
BY: 1Ac ID
I Date i o
-
Contact Name Phone #
Buyer Seller ealtor Company Name "b'.j
Property Address q Ia 1 d
City Nami Shores State Fl Zip ?X �
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 certi that all the fore oin informati
fY g g a a % e.
Applicant Name A , F3 0 12010
If
Signature S Air a MIAMI SHORES VILLAGE
� Fes. Hr Mun91r�E
The foregoing instrument was acknowledged before me this 14— day of : 1 e k _ 2 20 f j)
by r c1 Q,�-. bu � Vt., .
who is personally known tome or who has
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produced as identification and who did take an oath.
NOTARY PUBLIC:
Sign: Re -Occ. $60.00
Print: 01S k . �.� (N �Ll Ne 80
My Commission Expires:g ---- -0
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L ®IS E LI�It LEY
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Building Officials Approval: EXPIRES December 1 FlondaNOtaryServica.COm
Rev. 10/02/03)
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