RE-OCCUPANCYI,
Buyer Seller
Application Fee ($50) paid: Cash
Inspected by:
Comments:
APPLICATION FOR CERTIFICATE OF RE OCCUPANCY
to re- occupy the single family residence known as : (address)
/a-be J E
Legal Description:
Lot: BIock PB & PG:
, Miami Shores, Florida.
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 single - family purposes and that such Certificate does not
constitute any representat • warranty or certification as to the condition of the dwelling or other
structures on such property.
Applicant m- / Date c7i9 Z.
Print Name PA-TP1c4)4- e- `T
********** * * * * * * * * * * * * * * * * * * * * * * * * * * * *_i* ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Muni Shores Land
Development and Zoning Code, please contact:
Contact Name: /9 - Tax14 t
Approved
Company Name
Telephone:
Check No. l c. ) '‘ D-, •
PAGE 1 OF 2
, hereby apply for a certificate
Denied Date S / 71°
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.-
PAGE 2 OF 2
MIAMI SHORE `, . , FLORIDA
By-
Date of Certification:
THIS CER11FICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY MiIA1vII 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 INTERES1hll PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DE thRME E THE CONDITION,
THEREOF.
I,
Legal Description:
Lot:
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
1 I� e
to re- occupy the single family residence known as : (address)
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 representatio ' warranty or certification as to the condition of the dwelling or other
structures on such prop
Applicant �� l
Contact Name:
Buyer
Block
TCSTL
n
Seller Realtor
PAGE 1 OF 2
Miami Shores, Florida.
, hereby apply for a certificate
PB & PG:
Date �-1 1 (Ct -
t
Print Name
*********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Telephone: 3GC - � - �� CC)
V Company Name bOI iT
Application Fee ($50) paid: Cash Check No. ae 9
Inspected by: F . LUB I EN f� Approved X Denied Date2 /22/00
Comments: . ?eil°.es1 re &
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.
PAGE 2 OF 2
MIAMI SHORES t/LLAGE, FLORIDA
By: r�,'
Date of Certification: 2 / 22 / 00
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 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 DETERMINE THE CONDITION,
THEREOF.