REOC-10-685 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 141213 Permit Number: REOC -4 -10 -685
Scheduled Inspection Date: April 26, 2010 Permit Type: Re- Occupancy
Inspector: Bruhn, Norman
Inspection Type: Re Occupancy
Owner: KREUZ, JOHN Work Classification: Re- Occupancy
Job Address: 988 NE 93 Street
Miami Shores, FL Phone Number
Parcel Number 1132060350080
Project: <NONE>
Contractor:
Building Department Comments
RE -OCC
Inspector Comments
Passe PLEASE CALL BEFORE GO
EMILIO VEGA 786.287.4288
305.694.3818
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
April 23, 2010 For Inspections please call: (305)762 -4949 Page 12 of 27
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
t� V Miami Shores, Florida 33138
O �►�! Tel: (305) 795 -2204
RE- OCCUPANCY �� 1, K'" '�ll1 Fax: (30 + 5) 756 -8972
APPLICATION ., Permit No.
. Loc ID
Date
Contact Name I
' Phone # C14- 3 9 1 6
Buyer Seller Realtor Company Nam e P,�e( W � 111 Ct�'1
Y _
Property Address
City Miami Shores State Fl Zip
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 -the property:
OWNER'S AFF I certify that all the foregoing information is accurate.
Applicant Na �� v
Si ture
The foregoing instrument was acknowledged before me this day of 20 ,
by who is personally known to me or who h
produced as identification and who did take an oath.
NOTARY
• s r. KUM
� • yr i►A�e • of ley Re -Occ. $60.00
,
Sign
Print: Notary $5.00
My Commission Expires: CCF $0.60
Total
Building Officials Approval:
Rev.101OV03)