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1140 NE 98 St (5)APPLICATION FOR CER'I II'ICATE OF RE -OCCUP Say its hereby apply for a certificate to re- occupy the single family residence known as: (address) 11 `l C , Miami Shores, Florida_ Legal description: Lot: ,Block: ,PB&PG: 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, Florida, c,.rtines only that the referenced property is being used for sine-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: , - 't , '- Print Name: �. , S Au h ***#####********** * * * * * * * * * * * * * * * ** * * * * *... * * * # *: For the purposes of conducing the inspection required by Section 902 of the Muni Shores Development and Zoning Code, contact: '5"3 - sc'l Contact Name: Inspection: By Comments: L. Buyer: Realtor: Company Name: Application Fee (S50) Paid: Cash:_ Checic:_y_ Number Daze: Approved: ✓lbenied: Date: Telephone: C' i - C SSC .t�<< .rZt. 7 kit THIS CERTIFICATE 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 DEVELOPNIEN'T CODE PERTALYLNG SOLELY TO THE REQULREMENT THAT EACH ONE - FAMILY DWELLING IS USED AND LNTEINDED TO BE USED FOR A ONE- FAIMIILY DWELLING PURPOSE ONLY; HOWEVER, THIS CER flr ICATE DOES NOT CONSTITUTE ANY REPRESENTATION OR WARRANTY AS TO THE CONDITION OF THE DWELLLNG OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HERELN, OR ANY ASPECT OF SUCH CONDITION, AND INTERESTED PARTIES ARE ADVISED AND ENCOURAGED TO MAKE THEIR OWN LNSPECTION OF THE PREMISES IN ORDER TO DETERMINE 1 CONDITION THEREOF. CER1114 1CATE OF RE- OCCUPANCY On behalf of 1diami Shores Village, Florida, the undersigned certifies that the property described in the application has been inspected for the 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 applicant for single- family residential purposes. MIAMI SHO : VILLAGE, FLORIDA By: Daze of Certincation:h - T BUILDERS REGISTERED BROKERS A C O M P L E T E R E A L E S T A T E S E R V I C E NOM LOTS F. H. A. LOANS FINANCING RENTALS ACREAGE THOMAS AND JORDAN, INC.. REAL ESTATE AND INVESTMENT 58S NORTHEAST 125TH STREET PHONE 7.16E7 NORTH MIAMI, FLORIDA `iastlai , t- ihores norioNNALL.A94a Tog A m e r i c a n TitI* and Insurance C o m p a n y `' is is to !Idyls* that the plumbing and septic tank installation at job being built by rau1 R. Thomas, at lei N.1;0 .48th Street, Xa czi Shores Florida, PH ► O OiO3766. has been e©q,atotod and to accepts le to the City of Mom lorafill. , Log Inspector t. tty of Miami Moros Plori STATE c COUNTY OP State of Florida, being e of Section B ..368, Subsoctio he desires to bid_ Bloc` of property, and will do required by the Zoning and B And further this Deponent says not, - UBSCRIBED AND SWO I 1 Signat a of Applioaant, 2, Signature of 'Offi admini to oath. 3 Village of 9ia.mi Shores, CO unty of Dade and S DAY r lege n th depose and say: ti t und of the Building Code of Miami ..... .V4 W4e.on subdivision; that he is the owner of na11y, and that be Will, at sum ti Directors 1. File pins and specifications and obtain approve e Building Inspiretor 2. Apply for and secure a permito 3. Pay the required fees f ;: license and for p 4. Doecute the work in accordance with the provisions of the Zoning and Electrical, Code of Miami Shores Village. 5. ey for inspections. 6. with the Building Inspector certificates that provision has been e to ,carry the necessary Workman's Compensation, Pdbllc Liability and . iro Damage Insurance. 7, Rile With the Building Inspector as the job progresses certificates &ng the peymant required by the Federal. Social Security 4 ; to the State of Florida or the United States-of America. Assume the responsibility of not employing contractors or sub...contractors other than those properly licensed by Miami .Shores Village or any part or portion 4e the k including,; „, soistal contra pliMbing, beating, olottrica t, septic tank, Soler sylitom, lathing, t terrazo, painting, roofing end shoot metal work or installatioal 9, Not sot himself sap as a "Contractor". :U. Bceoutedorts Bond. . D., 1,;,