RC-06-2234BETWEEN 11 -12 AS PER CLAUDIO
Inspector Comments
Passed
c/
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Contractor:
nmm
';.. '
Inspection Date: 09/05/2006
Inspector: Grande, Claudio
Owner: JANOCKO, MIKE
Job Address: 1027612 Avenue NE
Project: <NONE>
Miami Shores Village, FL 33138-
Building Department Comments
Thursday, August 31, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
SEP 0 6 RECD
Block:
Permit Type: Residential Construction
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number 305/758 -9065
Parcel Number 1132050190020
Lot:
Page 2 of 2
RE- OCCUPANCY 1MOMEVElli
a 1 2 006 `? r b�
_ i, Permit No I \l
(Rev. 10/02/03)
Date g3L 0(„0 BY:
t O) ALID
0 Phone # '1 4 321 q_ C `I-
Buyer Seller Realtor Company Name €j J NA f
Property Address t 2 C {�� \2_ A r
City Miami Shores State Fl Zip
Contact Name
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
Signature
Sign:
Print:
Miami Shores Village
Building Department
V-0 4A,0,43
O ttc\A-1,
The foregoing instrument was acknowledged before me this i/ day of Qups7 , 20 a ,
bi C/061 d 0 A f i i , who is personally known to me or who has
produced te LIC • as identification and who did take an oath.
NOTARY PUBLIC:
MO tt0°40
4 11 1
Building Officials Approval:
My Commission Expires:
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -$972
Re -Occ. $60.00 V
Notary $5.00
CCF $0.60
Total 65, 60