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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