Loading...
REOC-10-833 f Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 143069 Permit Number: REOC -5 -10 -833 Scheduled Inspection Date: May 13, 2010 Permit Type: Re- Occupancy Inspector: Bruhn, Norman Inspection Type: Re Occupancy Owner: SHUSHTAR, MOJDEH Work Classification: Re- Occupancy Job Address: 848 NE 91 Terrace Miami Shores, FL 33138- Phone Number Parcel Number 113206005035 Project: <NONE> Contractor: Building Department Comments Inspector Comments Passed PLEASE CALL ` NANCY DOWSON 305- 757 -0140 Failed ec__ Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 12, 2010 For Inspections please call: (305)762 -4949 Page 17 of 25 MIAMI SHORES VILLAGE Building Department 10050 NE 2 Ave, Miami Shores Fl, 33138 Tel: 305 - 795 -2204- Fax: 305 - 756 -8972 Permit No. REOC -5 -10 -833 Certificate of Re- Occupancy Address: 848 NE 91 Terrace 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: ✓KiuiniB". CBO p (9�4I' Miami Shores Village MAY I f Buildin g Department artment 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 RE- OCCUPANCY Fax (305) 756 -8972 APPLICATION Permit No. q2f_ 0CM1 — Sag Loc ID Date 51 11 Contact Name Phone # Buyer Seller Realtor y Company Name IA)J04M Property Address City Miami Shores State Fl zip :5D L!!�)y F 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 t 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. j E OWNER'S AFFIDAVIT: I certify that al the foregoing information is accurate. Applicant a °rat �t is C Itr� ® Signature G The foregoing instrument was acknowledged before me this day of , 20 (U , by fib �G IC (-�' who is personally known tome or who has produced l l� as identification and who did take an oath. NOTARY PUBLIC: R - 60.00 Sign: a Occ $ ' %, Print: •�`�, .mss ; Notary $5.00 �_ ® `' " CCF $0.60 My Commission Expires _ 'I 3 ��: ® ©� _c v CO _ Total Building Officials ApproW • •....... •i (Rev. 10!02/03) (111111111 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 143148 Permit Number: REOC -5 -10 -838 Scheduled Inspection Date: May 13, 2010 Permit Type: Re- Occupancy Inspector: Bruhn, Norman Inspection Type: Re Occupancy Owner: WILLENBORG, IRMA Work Classification: Re- Occupancy Job Address: 650 NE 97 Street Miami Shores, FL Phone Number Parcel Number 113206017164 Project: <NONE> Contractor: Building Department Comments re -occ Inspector Comments Passe PLEASE CALL BEFORE GO MICHAEL SAHLAM 786.553.0697 Failed Correction ❑ Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 12, 2010 For Inspections please call: (305)762 -4949 Page 20 of 25 Miami Shores Village o z p a yg nv z Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 $Y ,••• Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 RE- OCCUPANCY Permit No. � F_ APPLICATION Contact Name: G'le �e Gi Phone #: Buyer: Seller: Realtor: , - Company Name: erty Address: City: Miami Shores State: Florida Zip: - 3 3 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 cerft that all the foregoing information is accurate. i Applicant Nam ek Signature:' "" The fore ing instrument was ac wled ed befo a me is day of �n , 20Q by 74 t�YY who is ver me o r who has produced entification and who did take an oath T"ft Sign: Print: 6 ,, }.1. My Commission Expires: Bo Building Officials Approval: Re -Occ $60.00 Notary $5.00 Total) , REV 4 -10