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RE-OCCUPANCYI, 6 Q .ors / tack Z.- 74Q,. , hereby apply for a certificate to re- occupy the single family residence known as : (address) c 3 (' )9 C 9/ S t e-f , Miami Shores, Florida. Legal Description: Lot: ` Block PB & PG: q 0 / 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 such property. A Applicant { �rgP_e c Dat c91O Print Name * * * * * * * * * ** 3 //k/ APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY * * ** ** * * * * * * * * * * * * * * * * * * * * * * **___* * ** * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: / / Contact Name: t���'1 e�' Telephone: 7J7' '5552 Realtor < Company Name 79/'v Buyer Seller Application Fee (S50) paid: Cash Check No. /S 7 Inspected by: Comments: . LUBIEN Approved X Denied Date PAGE 1 OF 2 2/23/01 CERTIFICATE OF RE- OCCUPANCY On behalf of Miami Shores Village, Florida, the undersigned certifies that the property described in the above application has bee inspected for purposes of re- occupancy pursuant to Sections 901 . and 902 of the Miami Shores Land Development and Zoning Code and that such property may be re- occupied by the above applicant for single - family residential purposes. PAGE 2OF2 Date of Certification: 2/23/01 THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE PERTAINING SOJ.FT,Y 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 INTERES 1ED PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES T ORDER TO DETERMINE THE CONDITION, THEREOF. STATE OF FLORIDA) SS COUNTY OF DADE And further this Deponent says not. SUBSCRIBED AND SWORN TO BEFORE ME THIS 1. 1. Signature of Applicant. 2. Signaturo of Officer administering oath. A F F 1 , A Z T of the Village of Miami Shores, County of Dade and State of Florida, being duly sworn, doth depose and say: that under the provisions of Section B -368, Sub - section (d), of the Building Code of Miami Shores Village he desires to build IEN /1, Z./e - --1 ) % �' on Lot y Block - of � '� -- =/+94! _ subdivision; that he is the owner of said property, and will do the work personally, and that he will, at such times as are required by the Zoning and Building Director: - 1. File plans and specifications and obtain approval of Village Planning Board and of the Building Inspector. 2. Apply for and secure a permit. 3. Pay the required fees for license and for pertnit. 4. Execute the work in accordance with the provisions of the Zoning, Building, and Electrical Codes of Miami Shores Village. 5. Apply for inspections. 6. File with the Building Inspector certificates that provision has been made to carry the necessary Workman's Compensation, Public Liability and froperty Damage Insurance. 7. File with the Building Inspector as the job progresses certificates showing the payment required by the Foderal Social Security Act to tho State of Florida or the United States of America. 8. Assume the responsibility of not employing contractors or sub - contractors other than those proporly licensed by Miami Shores Village or any part or portion of the work including, but not limited to, gonoral contracting, plumbing, heating, olectrical, septic tank, solar system, lathing, tile, terrazo, painting, roofing and sheet motal work or installation. 9. Not set himself up as a "Contractor". 10. Exocute Builder's Bond. DAY of A. D., 19 2. Jan -31 -01 13:25 From- Date: January 31, 2001 TO: CITY OF MIAMI SHORES BUILDING AND ZONING DEPT. Tel No (305) 795 - 2207 Fax No. (305) 756 -8972 Thank you for your assistance. Sincerely, awa 2 0 Branch Manager SUNBELT T/TLE AGENCY 9700 N.E. 2ro Avenue Miami Shores, Florida 33138 Tel. No. (305) 754.6177 Fax No. (305) 754 -5151 ATTN: PERMITS RECORDS SECTION RE. OWNER(S): PROPERTY ADDRESS: CITY, STATE: FOLIO NO.: '`OPEN PERMIT REQUEST LETTER" ALEJANDRO & CANDICE FEINSTEIN 236 NE 91 ST. MIAMI SHORES, FL 33138 11- 3206 - 019 -0440 T - 059 P.01 /01 F - 981 Dear Sir or Madam: We are in the process of closing a transaction involving the captioned property. Please fax to us your OPEN PERMIT REPORT or provide us with information as to any open work permits for the captioned property. Please send your fax to us at (305) 754-5151. n o 7)-)io 1- -