REOC-10-895Inspection Number: INSP - 143908
Scheduled Inspection Date: May 24, 2010
Inspector: Bruhn, Norman
Owner: ALCE, LOUISIANA
Job Address: 1275 NE 94 Street
Miami Shores, FL 33138 -2946
Project: <NONE>
Contractor:
Building Department Comments
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
PLEASE CALL
MICHELLE 561 - 346 -1153
OR
CESAR 786 - 286 -1665
May 21, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Number: REOC -5 -10 -895
Permit Type: Re- Occupancy
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number
Parcel Number 1132050100090
Page 20 of 39
(Rev. 10/02/03)
RE- OCCUPANCY
APPLICATION
Date 5/11/10
Contact Name CESAR DIAZ/MICHELLE DANIELS
Sign: n
Print: Arm( Erns
My Commission Expires:
Miami Shores Village
Building Department
L [IA min
BY:...
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant MICHELL!, DANIE r /owner, T,;i,Real Estate Office Co
Signature J / 1 J j/
panseneammtemiew
AMY ERNST
MY COMMIIGION # DD 909784
EXPIRES: August 15, 2013
Bonded Thro Notary Public Undervrite s
Building Officials Approval:
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
Permit No. .6-6G 40 — sl
Loc ID
561.346.1153 Michelle (cell)
Phone # 786.286.1665 Cesar (cell)
Buyer Seller Realtor xx Company Name The Real Estate Office Co
Property Address 1275 NE 94 STREET
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.
The foregoing instrument was acknowledged before me this 1 day of (no—NI , 20 ► t)
by Mt c he,k1 Q i.r \ e. 3 , who is personally known to me or who has
produced Dt-- as identification and who did take an oath.
NOTARY PUBLIC:
Re -Occ. $60.00
Notary $5.00
CCF $0.6
Total L (0O, (D
?Pr (1 )
C)1006,.°19
ACT$Y$
GARAGE DOORS, INC'
Our o is your garage!'
8370 SW 32 Terrace
Miami, Florida 33155
Smith A. Dawson 111
PRESIDENT
DADE: 305.229.4007
BWD: 954.491.1003
FAX: 305.225.7763
actsysdoors @belisnuth
actsysgaragedoors.com
D CC f o < -r1 166 r- -x • Dade CC - ' 02 8 80072 "
MIL' CC:: SPfi)BOp
ACTSYS
2000
GARAGE DOORS, INC
January February March
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511'6(0
(Rev. 10/02/03)
RE- OCCUPANCY
APPLICATION
Date 5/11/10
Contact Name CESAR DIAZ /MICHELLE DANIELS
Buyer Seller Realtor )0 Company Name The Real Estate Office Co
Property Address 1275 NE 94 STREET
City Miami Shores State Fl Zip 33138
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 AFFIDAVIT: I certify that all the foregoing information is accurate.
Applica N me Michell ° Daniels
Signature
Miami Shores Village
Building Department
i 1 6 ail
aim ner, The Office Co
The foregoing instrument was acknowledged before me this day of , 20
b , who is personally known to me or who has
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
Permit No.
Loc ID
786.286.1665 Cesar
Phone # 561.346.1153 Michelle
produced as identification and who did take an oath.
NOTARY PUBLIC:
Sign: — Re -Occ. $60.00
Print: Notary $5.00
CCF $0.60
My Commission Expires:
Building Officials Approval:
Total
THE REAL. ESTATE ,OFFICE, CO.
Miami Shores Village
Accounts Receivable :SELECT PORTFO certificate of reoccupancy.
Vendor
1275 NE 94 St - certificate of re occupancy 60.00
5/12/2010
5294
60.00