REOC-10-915 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: I NSP- 144105 Permit Number: REOC -5 -10 -915
Scheduled Inspection Date: May 24, 2010 Permit Type: Re- Occupancy
Inspector: Bruhn, Norman Inspection Type: Re Occupancy
Owner: GRIECO, BETTY Work Classification: Re- Occupancy
Job Address: 1251 NE 94 Street
Miami Shores, FL
Phone Number
Parcel Number 1132050100050
Project: <NONE>
Contractor:
Building Department Comments
Inspector Comments
Passed PLEASE CALL
r JIM PETERS
305 - 302 -4795
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
May 21, 2010 For Inspections please call: (305)762 -4949 Page 31 of 39
M i ami Shores Villag PAY 2 1 2010
.10050 NY-2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
RE -OCCUPANCY Fax: (305) 756
AP PLICATION N : Permit No I C'�� .
Date 5— 1� oc I�
Contact Name vel"t � L-- 1 �� Phone-# � �C�� 4 -- t ci i s
Buyer ' Seller Realto Company Name OIQ L
Property Address
City Miami Shores State Fl Zip E8
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 o f R
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 AVIT: I certify that all the foregoing information is accurate.
Applicant Name (/vim Pf�_T�
C ' V 32c
Signature
The foregoing instrument was acknowledged before me this day of h' 20
by who is personally known to me or who has
produced as identification and who did take an oath.
NOTARY PUBLIC:
Sign: _ o %. Re -Occ. $60.00
�2 a
Print: - Notary $5.00
'•., r
My Commission Expire�,o, �. ��.� CCF $0.60
Total
Building Officials Approval:
WV03)