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70 NE 94 St (12)Inspection Date: 01/31/2007 Inspector: Grande, Claudio Owner: TOTTEN, GREGORY Job Address: 70 94 Street NE Miami Shores Village, FL Project: <NONE> Contractor: Building Department Comments Tuesday, January 30, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Re Occupancy Work Classification: Re- Occupancy Phone Number Parcel Number 1132060130310 Lot: Page 1 of 1 FEB 01 ( Passed d 1 / lnspector Comments 11 -12 as per Claudio Grande Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 01/31/2007 Inspector: Grande, Claudio Owner: TOTTEN, GREGORY Job Address: 70 94 Street NE Miami Shores Village, FL Project: <NONE> Contractor: Building Department Comments Tuesday, January 30, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Residential Construction Inspection Type: Re Occupancy Work Classification: Re- Occupancy Phone Number Parcel Number 1132060130310 Lot: Page 1 of 1 (Rev. 10/02/03) RE- OCCUPANCY A-PP-v-ICA -T -ION -- Date e) 7 Contact Name Buyer Seller Realtor Property Address City Miami Shores Signature Building Officials Approval: Miami Shores Village Building Department 7� xzz 7=/ 77 State i• Fl 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. 1 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 - -- I ������ Loc ID X Company Name Sign: Print: My Commission Expires: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795 -2204 Fax: (305) 756 -8972 -1?ermi . C_ 7 .2 7 Szz/ Phone # Zip '3i3f The foregoing instrument was acknowledged before me this day of c iGLt by rNY" , who is personally known to me or who has producedve/ L_ /< NOTARY PUBLIC: as identification and who did take an oath. , 20 0 , Re -Occ. $60.00 7/ Notary $5.00 77 CCF $0.60 Total Bill To GREGORY TOTTEN 70 NE 94 ST MIAMI SHORES, FL 33138 -2820 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Date 01/30/2007 01/30/2007 01/30/2007 Tuesday, January 30, 2007 Fee Name CCF Notary Fee Re- Occupancy Fee Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795-2204 Fax: (305)756-8972 Invoice Number: RC -1 -07 -27352 Invoice Date: January 30, 2007 Permit Number: RC -1 -07 -180 Fee Type Calculated Fixed Fixed Total Fees Due: Fee Amount $0.60 $5.00 $60.00 $65.60 Payments Date Pay Type Check Number Amount Paid Change 01/30/2007 Credit Card $65.60 $0.00 Total Paid: $65.60 Total Due: $0.00 11