REOC-10-1277Inspection Number: INSP- 148414 Permit Number: REOC -7 -10 -1277
Scheduled Inspection Date: July 14, 2010
Inspector: Bruhn, Norman
Owner: LIVINGSTONE, KERI
Job Address: 10666 NE 11 Avenue
Miami Shores, FL
Project: <NONE>
Contractor:
Building Department Comments
July 13, 2010
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 (786)218 -0080
Parcel Number 1122320280690
RE -OCC
seeit
Passed
7 -1540
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
PLEASE CALL
EMILIO VEGA 786.287.4288
Page 19 of 20
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
RE- OCCUPANCY
APPLICATION
Contact Name: � I b \Iec
Buyer: Wfl( l ? C AQ 0 CA S - Seller:
Realtor: fly_e t1 LX L. Company Name:
Property Address: b(do O 1\\E I l Pkvc
City: Miami Shores State: Florida
I hereby certify that I understand that the zoning for this 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.
APPLICANT'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant Nam ^ 11 1tO \3
Si 794Ar
The forego trum nt was acknowledged before me this
day of , 20 _, by
who is personally known to me or who has produced
NOTARY P
REV 4-10
LIC:
Sign:
Print:
My Commission Expires:
As identificatio
ty
take an oath
Building Officials Approval:
Permit No.
13 EWER
3 2010
Zip: `J J 313S
Re -Occ $60.00
Notary $5.00
Total $
err in -i��
s ,c --381$ do
Phone#:'l% 281-- utr2S9 Ca 11
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