REOC-10-279 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 136148 Permit Number: REOC -2 -10 -279
Scheduled Inspection Date: February 24, 2010 Permit Type: Re- Occupancy
Inspector: Bruhn, Norman Inspection Type: Re Occupancy
Owner: ALLISON, ERIC Work Classification: Re- Occupancy
Job Address: 766 NE 95 Street
Miami Shores, FL Phone Number
Parcel Number 1132060141880
Project: <NONE>
Contractor:
Building Department Comments
Inspector Comments
Passed n P CALL JIM PETERS
Q/ 305- 302 5-302 -4795
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 23, 2010 For Inspections please call: (305)762 -4949 Page 23 of 34
M iami Shores Village
B uilding Department
.10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
RE -OCCUPANCY Fax: (305) 756 -8972
PLICATION : P ermIt No. R F- o c. 10
Date �`Z I Loc ID
Contact Name Phone -# J ? O 5
Buyer Seller Realtor e� Company Name KW
Properly Address
City Miami Shores State Fl
I hereby certify that I understand that the zoning of the properly 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 Vv'
Signature
C�j
The foregoing instrument was acknowledged before me this day of 20
by -Vj,rA l n4(I- who is personally known to me or who has
produced '�_ L- L 7 - as identification and who did take an oath.
NOTARY PUBLIC:
Sign: `````���unnu// /����� Re -Occ. $60.00
Print: c'��`a =_ ��do Notary $5.00
My Commission Expires: T y CCF $0.60_
;F g, ~
~ ° ' ' Total
Building Officials Approval: ' %, / ✓�;• ..... •'S'�P?
:ev. 10/02/03} I ,', ���ll►ll i I Ii i4������\,
MIAMI SHORES VILLAGE
Building Department
10050 NE 2 Ave, Miami Shores Fl, 33138
Tel: 305- 795 -2204- Fax: 305 - 756 -8972
Permit No. REOC -2 -10 -279
Certificate of Re- Occupancy
Address: 766 NE 95 Street
City: Miami Shores Village
State: Florida
Zip: 33138
This certificate verifies that the reference property has been inspected by Miami Shores
Village and has been determined to presently comply with schedule of regulations of
Miami Shores Land and Development Code pertaining solely to the requirement that
each one - family dwelling is used and intended to be used for a one- family dwelling
purpose only; however, this certificate does not constitute any representation or
warranty as to the condition of the dwelling or other structures on the premises
described herein, or any aspect of such condition, and interested persons are advised
and encouraged to make their own inspections of the premises in order to determine the
condition thereof.
Building Officials Approval:
& ,,13".CB0