RE-OCCUPANCYAPPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
I, Edy GLootow
hereby apply for a certificate to re- occupy the single family residence known as: (address)
3
&O NE 9( CT , Miami Shores, Florida.
Legal description:
Lot: 1 4' & E i o 1- 1 5,Block: ,PB&PG: E L 'Port 9- 10 1
4-5
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, Florida, certifies only
that the referenced property is being used for single -fly 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.
Applicant: 4 ,€ , . � / 1 11...J. % Date:
P /-t','4rh 1 dt
P r i n t Name: ni;fdh e i 1 G 1 oclow k i
* *** **** ************************** * * * * * * * * * * * * * ** ** * * * * * * * **f * * **
For the purposes of conducting the inspection required by Section 902 of the Miami Shores
Development and Zoning Code, contact
Contact Name: ( i) Z A L-K) ' • Telephone: I - 60 E4 319
Buyer. Seiler: Realtor: Company Name: Najd' (� S'I i i✓ p to Gry
Application Fee (S50) Paid: Cash: lcZ Number. D 5 7 &
Comments:
Inspection: By Approved: Denied: Date-
On behalf of Mani Shores Village, Florida, the undersigned certifies that the - property ' described •
in the application has been inspected for the 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 applicant for single- family residential purposes.
CERTIFICATE OF RE- OCCUPANCY -
THIS CERTIFICATE VERIFIES THAT THE REFERENCED PROPERTY
HAS BEEN INSPECTED.BY MIAMI SHORES'VIELAGEAND HAS'BEEN -
DETERMINED "TO PRESENTLY CO1\LPLY'WITH THE' SCHEDULE
REGULATIONS OF THE MIAMI SHORES LAND AND DEVELOPMENTS
CODE PERTAINING SOLELY TO.THE THAT EACH -;
ONE - FAMILY DWELLING IS USED AND INTENDED TO FOR
A ONE-FAMILY DWELLING - PURPOSE ONLY; HOWEVER,.THIS
CERTIFICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR
WARRANTY AS TO THE CONDTTION OF THE DWELLING OR OTHER
STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY _...
ASPECTOF SUCH CONDITION, AND INTERESTED PARTIES ARE
ADVISED AND ENCOURAGED TO MAKE THEIR OWN INSPECTION
OF THE.PREMISES IN ORDER TO DETERMLNE THE CONDITION
THEREOF. _ -
I,
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY..
to re- occupy the single family residence known as : (address)
sT
3 Go �m E-E , Miami Shores, Florida.
Legal Description:
Lot: t BIock PB & PG: c' 1_ I 61
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.
Applicant ---Q/ c- Date
Print Name 6 NIAvb C. �2 Edz «_
**************************************_******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Contact Name: Telephone:
Buyer Seller Realtor Company Name
Application Fee ($S0) paid: Cash Check Ixo.
r
Inspected b Approved Denied Dat
Comments:
PAGE I OF 2
, hereby apply for a certificate
CERTIFICATE OF RE- OCCUPANCY.
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has been 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:
PAGE2 OF2
Date of Certification:
ORES VILLAGE, FLORIDA
THIS CER I UHCATE 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 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 INSPECTION OF THE
PREMISES IN ORDER TO DETERMENE THE CONDITION,
THEREOF.