BP-04-89 Inspection History
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
%r Y jr
Project: <NONE>
Owner: IMPORT IMPORT
Phone:
Job Address: 173 94 Street Parcel: 1131010330680
Miami Shores, FL Block: Lot:
_Scheduled lnsD # Inspection Type Inspection Status Inspector Date Completed
01/29/2004 INSP2004 -430 Final Building APPROVED None None 1/29/2004
NOT READY
Tuesday, May 25, 2010 Page 1 of 1
Building Department
10050 NX.2nd Avenue
k T l�riiami Shons(305) 795 -21204
RE- OCCUPANCY F= (305) 756' -8972
APPLICATION Permit N o. 0- Z4
IAc ID
Date
Contact Name Phone #
Buyer Seller Realtor J f _ Company Name
Property Address OA 1� E
City M_ ami 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 Mami 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.
Applican e_ l Pa4 ,
Signature
4
The foregoing instrument was acknowledged before me this day of , 20
by who is personally known to me or who has
produced as identification and who did take an oath.
NOTARY PUBLIC:
Sign: Re -Occ. $60.00
Print: �_O CS k i I-0 Notary $5.00
My Commission Expires: CCF $0.60
Tota
Building Officials Approval:
Rev. ioioros) LOtS E. ltNt)lEY tS�/1!ji
s tC"85"
It Fu" IF
F MM Dec 15 2ou
asares rbrc[b
Ab*)WA(B �u WM