REOC-10-291 i
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- 136309 Permit Number: REOC -2 -10 -291
Scheduled Inspection Date: February 25, 2010 Permit Type: Re- Occupancy
Inspector: Bruhn, Norman Inspection Type: Re Occupancy
Owner: SHEAHAN, TERRENCE Work Classification: Re- Occupancy
Job Address: 326 NE 94 Street
Miami Shores, FL
Phone Number (305)751 -4918
Parcel Number 1132060136180
Project: <NONE>
Contractor:
Building Department Comments
Inspector Comments
Passed PLEASE CALL 786 - 247 -5036
� r
Failed
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)762 -4949 Page 22 of 25
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
RE- OCCUPANCY Fax: (305) 756 -
APPLICATION Permit No. — 2,q I
Loc ID
Date a-a?V - dQtt?
Contact Name 60_''KC_b o' yot Phone # kJ
Buyer `6ves&- Seller C a Realtor / Company Name /
Property Address 32-& NE: clY 5 Free
City Miami Shores State Fl Zip 53
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 rtti2 , a �o
Signature a
The foregoing instrument was acknowledged before me this `� day of Fkl�S --.
by C0(Zr49kA4A/06Y , who is personally known to me or who has
produced Ck 1 5") as identification and who did take an oath.
NOTARY PUBLIC: l
/ .��aiuuur
Sign: 8 5 ''�® Re -Occ. $60.00
Print: r` �031grr9,,.,, = Notary $5.00
My Commission Expires: _ RARY RRRl /R , = CCF $0.60
Com
%` Total
Building Officials Approval: " , C%
(Rev. 10102103)