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RE-OCCUPANCY
to re- occupy the single family residence known as : (address) 2. EJ g 1 , Miami Shores, Florida. Legal Description: Lot: 1 G.v' Z. Block 3 PB & PG: "l 1 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'tiat Thy Certificate of Re= Occupancy that may be issued by Miami Shores Village, certifies only that the referenced property is being used for single- faraily purposes and that such Certificate does not constitute any representation, warranty or cercation as to the condition of the dwelling or other structures on such property. Applicant Print Name * * * * * * * * ** Buyer Comments: APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY O '' onz�( Sei�' nG� • ��.._ Date c 30 02— se • r - G� / o nza.(gZ , hereby apply for a certificate ** ** s* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** For purposes of conducting the inspection required by Section 902 of the Miarni Shores Land Development and Zoning Code, please contact: Contact Name: Telephone: Seller Realtor Company Name Application Fee (S50) paid: Cash Check No. PAGE 1 OF 2 Inspecte b • _ L ,, / Approved 22 Denied Date CERII HCATE OF RE-OCCUPANCY On behalf of Miami Shores 'Village, Florida, the undersimed certifies that the property • descr in the above application has been inspected for purposes of re- occupancy pursuant ro Sections 901 and 902 of the Miami Shores Land Development and Zoning Code that such property may be re- occupied by the above applicant for single- farni`ty residential .purposes. • • PAGE 2 OF 2 HORES VILLAGE, FLORIDA ate of Certification: THIS CER 11±1CATE VERIFIES THAT THE REFERENCED • PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES_ VILLAGE AND HAS BEEN DETERiMR'TED TO PRESENT :Y- COMPLY WITH_THE SCHEDULE OF REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENT CODE • • PERTAINING SOLELY TO THE REQUIREMENT THAT EACH ONE-FAMILY Y DWELLING IS USED AND INTENDED TO BE USED FORA 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 T_ E PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION, AND INTERES 1 Ell PERSONS ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DE i ERMINE THE CONDITION, • THEREOF. MIAMI SHORES VILLAGE BUILDING DEPARTMENT 305- 795 -2204 Building Inspection Request Permit No. 4, © Name &te Date Type Insp'n Company Phone # Re- Insp'n Fee Address 913 AJE- q ` $ r Inspection Date car Approved 44 Correction ❑ 11 cic17