REOC-10-1322Inspection Number: INSP- 148921 Permit Number: REOC -7 -10 -1322
Scheduled Inspection Date: July 20, 2010
Inspector: Bruhn, Norman
Owner: PODOLSKY, ABRAHM
Job Address: 136 NW 96 Street
Miami Shores, FL 33150-
Project: <NONE>
Contractor:
Building Department Comments
RE -OCC
Passed 9!
2)J1->o
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
PLEASE CALL BEFORE GO
ALAN BEARDSLEE 305.218.7200
July 19, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Type: Re- Occupancy
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number (305)758 -6150
Parcel Number 1131010240280
Page 23 of 25
RE- OCCUPANCY
APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Contact Name: ALCA i j rgQ h t s2 - f la /1)614o 'SLQ Phone#: 3 T' '72C
Buyer: f te e, �� Seller: c 4 -+- ! - 0
Realtor: A- l,A d j 79 Company Name: U.z„- (), 1 1 (4,,,,., ,-,j �
Property Address: I L rJ L.3 9 t31_ .,,--1-
City: Miami Shores State: Florida Zip: 33 ( -'-.;
I hereby certify that I understand that the zoning for this 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.
APPLICANT'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant Name: 4 z c .L,o E
)))
Signature:
The fo -g
day o
who is
instrument was ac
,20\ fl,b
NOT
Sign:
Print:
My Commission Expires:
Building Officials Approval:
REV 4 -10
known to me or who has produced
catio and who did take an oath
Jut , 1 9 2010 gi
1n
BY:
Permit No. 1 0— k
Re-Occ $60.00
Notary $5.00
Total $ (oS ��