REOC-10-444Inspection Number: INSP - 138327 Permit Number: REOC -3- 10-444
Scheduled Inspection Date: March 22, 2010
Inspector: Bruhn, Norman
Owner:
Job Address: 10650 NE 10 Court
Project: <NONE>
Contractor:
Building Department Comments
Sis
Passe
Failed
Correction
Needed
Re- Inspection
Fee
March 19, 2010
Miami Shores, FL 33138-
21/19-
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspector Comments
PLEASE CALL BEFORE GO
TOBY SPILL 305.790.7774
For Inspections please call: (305)762 -4949
Permit Type: Re- Occupancy
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number
Parcel Number 1122320280930
Page 13 of 26
(Rev. 10/02/03)
RE- OCCUPANCY
APPLICATION
D Y A
Contact Name
Toby Spill
Buyer Seller Realtor X Company Name Exquisite Homes
Property Address
10650 NE 10th Ct
City Miami Shores State
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 Litton Loan Servicing
Real Estate
rc, .
Signature AS .
f k)
The foregoing instrument was acknowledg - d before me this .1 1P day of Ma•re../VA , 20 1
: i . .VV.■fl , who is personally known to me or who has
produced as identification and who did take an oath.
'Print:
NOTARY PUBLIC:
My Commission Expires: I - SO -2-Ot
Miami Shores Village
Building Department
'IAR
BY: ...................... .
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
Permit No. P J )0
Loc ID
Phone # 305 - 790 -7774
33138
Fl Zip
_Building Officials Approval:
CALLE JEFSEN
NOTARY PUBLIC. STATE OF UTAH
350 E. 500 S. #200
SALT LAKE CITY, UT 04111
COMM. EXP. 01 -30 -2012
Re -Occ. $60.00
Notary $5.00
CCF $0.60
Total