REOC-10-280 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 136155 Permit Number: REOC -2 -10 -280
Scheduled Inspection Date: February 24, 2010 Permit Type: Re- Occupancy
Inspector: Bruhn, Norman
Inspection Type: Re Occupancy
Owner: FRENCH, PATRICIA Work Classification: Re- Occupancy
Job Address: 10050 NE 12 Avenue
Miami Shores, FL
Phone Number
Parcel Number 113205019037
Project: <NONE>
Contractor:
Building Department Comments
Inspector Comments
Passe CALL PATRIC DUFFY
305 - 904 -4803
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 23, 2010 For Inspections please call: (305)762 -4949 Page 26 of 34
Miami Shores Village
Building Department
10050 N E.2nd Avenue
Miami Shores, Florida 33138
Tel: (30) 795 -2204
RE- OCCUPANCY Fax (305) 756 -8972
APPLICATION Permit No.
Loc ID
Date �-
3�
Contact Name D A--rAp C Phone # ( 7 0 4-
Buyer Seller R ealtor; Company Nam 5e
Property Address ( cos(D t
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: I certify that all the foregoing informatiodis accurate.
Applicant Name 2&,,04G4 L ` � -�'�( k"
Signature
1
The foregoing instrument was acknowledged before me this day of ^� , 20 ,
by - L loai R/ , who is p known me or who has
produced as identification and who did take an oath.
NOTARY PUBLIC:
I
Sign: 2 , Re -Occ. $60.00
Print: L b 1 Notary She
,I
My Commission Expires: a I,�I� E LINDLLY CCF $6�6E}
' MY COMMISSION # OD838034 TOtal
'�oFw;,•' EXPIRES December 15, 2012
Building Officials Approval (407} 39 &0153 Fjorid.N
Rev. 10/02103)
MIAMI SHORES VILLAGE
Building Department
10050 NE 2 Ave, Miami Shores Fl, 33138
Tel: 305 - 795 -2204- Fax: 305 - 756 -8972
Permit No. REOC -2 -10 -280
Certificate of Re- Occupant
Address: 10050 NE 12 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: