REOC-10-283 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 136223 Permit Number: REOC -2 -10 -283
Scheduled Inspection Date: February 25, 2010 Permit Type: Re- Occupancy
Inspector: Bruhn, Norman Inspection Type: Re Occupancy
Owner: MARTINON, JULIAN Work Classification: Re- Occupancy
Job Address: 145 NE 94 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060132920
Project: <NONE>
Contractor:
Building Department Comments
z .
Inspector Comments
Passed PLEASE CALL KIRK WAGARD
305- 804 -7772
Failed
C,
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 25, 2010 For Inspections please call: (305)7624949 Page 20 of 25
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33I38
Tel: (305) 795 -2204
RE- OCCTPANC'Y 1 4 ,2Q161 Fax: (305) 756 -8972
--A PI' L ICATJ0N
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Date ��- -� ®1C� LocID
Te a C&14toj 4� .the �� �Yo k• °�K Wa
Contact Name ��� ��2 ND /✓ •74'- 5T4 - 0 14 1 ,S Phone # rr,
Buyer ell�e�r Realtor Company Name
S
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 AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant Name /l/�/✓
Signature
4k
The foregoing instrume t was acknowledged before me this day of 20
by �' Gk- e e J iA&f0-As personally known to me or who has
produced C-k _ t T:> as identification and who did take an oath.
01 o%� 0 i�Q�TARY PUBLIC:
s ,
C J
Si u ass.
Re -Occ. $60.00
P t: = Notary $5.00
My oral ids s: CCF $0.60
u,,,W\\ Total to5 .6
Building Officials Approval:
(Rev. 10/02/03)