RE-OCCUPANCYI,
to re- occupy the single family residence known as : (address)
Legal Description:
Lot:
I hereby certify that I understand that the zoning of the ro e
and that it is unlawful for more than one family to reside therein is
I also uders -sand that residential use
Certificate of Re :Occupancy that may be issued by Miami Shores Village, certifies only that to 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 such property.
Applicant
Print Name
** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 4c# ***
* * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Mrarni Shores
Development and Zoning Code, please contact: Land
Contact Name:
Buyer
Application Fee ($50) paid: Cash
Inspected by:
Comments:
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
O i-,'3 L 9 P
Seller
BIock
Realtor A- Company Narne
Approved
Check No.
PAGE I OF 2
Miami Shores, Florida.
PB & PG:
Date s1G
hereby apply for a certificate
Telephone:
.eilA
Denied - _____ Date (1. /t ki
CER11r 1CATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has been inspected for purposes of re- occupancy pursuant to
Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such
property may be re- occupied by the above applicant for single - family residential purposes.
PAGE 2 OF 2
MIAMI SHORES VILLs. ORIDA
By:
Date of Certification: f 1i' 2
THIS CER I II ICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES
VILLAGE AND HAS BEEN DETERMINED TO PRESENTLY
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
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 INTERES1Ell PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DETERMENE THE CONDITION,
THEREOF.
I, (e
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
Alta C (S C a 6-e
to re- occupy the single family residence known as : (address)
/093 Air 9e Miiami Shores, Florida.
Legal Description:
Lot: e
Applicant
Block
, hereby apply for a certincate
PB & PG: 2-7?
Date 74/O/
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 such property.
v ' Print Name 6 % �_ �� fL
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Contact Name: e -e rn Zc - /e_Z
Buyer Seller Realtor t "< Company Name 1 'c/a_ 7?-4_ /7
Application Fee (S50) paid: Cash
9
Inspected by:
Comments:
Approved
Check No. /LS 0
PAGE _ OF
3
Telephone: 75V-9 > ? e,., • 3 D /
Denied Date 7-- /2 — G�
CER 1 "I IC AT E OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the property
described in the above application has bee inspected for purposes of re- occupancy pursuant to
Sections 901 and 902 of the Miami Shores Land Development and Zoning Code and that such
property may be re- occupied by the above applicant for single- family residential purposes.
PAGE 2OF2
MIAMI HORES VII. FLORIDA
By:
Date of Certification:
THIS CERTIFICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY MIAMI SHORES
VILLAGE AND HAS BEEN DETERM{NED TO PRESENTLY
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
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 CER I HCATE 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 INTERES 1"ED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES DN ORDER TO DETERMINE THE CONDITION,
THEREOF.
peared
IAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
, AI\PL CATION FOR BUILDING PERMIT
Application is hereby erode for the aj proval of the detailed statement ur the plans and specifications herewith submitted for the build •
inc or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Village, Florida. and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and
regulations of the Building Divisinn of Miami Shores Village shall be complied with, whcther herein specified or not. A copy of approved
plans and specifications must be kept at building during prggreu of the work.
Owner's Name and Address .. ....' ► .. :
Registered Architect and /or Enginee !. ...
'! :...
Name and address of licensed contractor.....Y.1 .........r.. -t- }fir rt i1,2...k..E.q
Location and legal description of lot to be built on: oD
Lot e Block J 1 ,? Subdivision e,—'.4 x'' - .. »
Street and Number where work is to be done ../.0. .1/3 >. _ !
State work to be done and purpose of building (by floors).
Amount of Permit $. Q - 0 D
But • ing Inspector My Commiuion Expires
v ._ No>.v_A>... _..r Street.
s,$ .G(5
New Building Remodeling Addition
To be constructed of Kind of foundation Roof Covering
Estimated Total cost of improvements $.....
and for no other purpose.
Repairs No. of Stories
Zone cubage required .Plan Cubage
Distance .to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby ubmitt ill the tans and specif r said building. All notices wwitlreff c to the building and its construction may
be sent to^ ei _ L fr•^ -L fI`� ll" f r+la( ,..1`,3—Z ' de t5
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida %Vorkmen's Compensation Act. being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hint
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as arc required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed) AA,.
STATE OF FLORIDA,
COUNTY OF DADE. j ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally op-
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the.
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.. (�
Permit No. a a' i... 0 Date.? - ? D .1 Read, Sworn to and Subscribed before me.
Disapproved �.. :� • Date
Notary Public, State of Florida
(Signed)
PLANNING BOARD DATE
Chairman _. Member
MIcrnbcr Member
Member .. .. _.....__....._..._._ ...._ Member ...._
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained frrnn
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by Improper notice for inspection or faulty
materials and/or workmanship.