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.
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