RE-OCCUPANCYCER11r1CATE 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 oFre- occupancy pursuant to
Sections 901 and 902 of the Miami Shores Land Development and Zoning
property may be re- occupied by the above applicant for single-family Code and that such
� amiIy residential purposes.
THIS CERTIFICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY MIIAMII SHORES
VILLAGE AND HAS BEEN DETERML ED TO PRESENTLY
COMPLY WITH THE SCHEDULE OF REGULATIONS OF THE
MIAMI SHORES LAND AND DEVELOPIvIEiNT 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 T_ E
PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH
CONDITION, AND INTERESTED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DETERMLNE THE CONDITION,
THEREOF.
PAGE2 OF2
y MJ SHORES VILL , FLORrDA
By:
Date of Certification:
1, ? Qc)\c
to re- occupy the singe family residence known as : (address)
Legal Description:
Lot:
APPLICATION FOR CERTIFICATE OF RE OCCUPANCY
Applicant Date \ k (6--)())1 � � * O : FVONIC, )
Pr int Name 1 ,V j
* * * * * * * * * * * ** * * * * * * * ** **************_******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Contact Name: [ Telephone: 5.--..sos3
Buyer Seller Realtor Company Name
Application Fee ($50) paid: Cash 1.7 Check No.
Inspected by: g1/41 1( Approved Denied Date
Comments:
I hereby certify that I understand that the zoning of the property is for single- family residential use
and that it is unlaw-fuI 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.
PAGE 1 OF 2
Miami Shores, Florida.
Block PB & PG:
hereby apply for a certificate
CERTIFICATE 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 VILLAGE, FLORIDA •
B
Date of Certification:
THIS CER111•ICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY MMF.A I 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 INTERES th) PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DE TER !:NE THE CONDITION,
THEREOF.
I
to re- occupy the single family residence.known as : (address)
` \g 1U � �� �� Miami Shores
Florida.
Legal Description:
Lot: Block PB & PG:
I hereby certify that I understand that the zoning of the property is for single- farndy 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.
Applicant
Print Name
* * * * * * * * **
Contact Name:
APPLICAT)JN FOR CERTIFICATE OF RE- OCCUPANCY
** w**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Muni Shores Land
Development and Zoning Code, please contact:
Buyer Seller ( - Realtor Company Name
Application Fee (SS0) paid: Cash Check No. _____
Inspected b}C l_ Approved Denied
Comments:
l
PAGE 1 OF 2
, hereby apply for a certificate
Date /4(0
(0 oZ
Telephone: r 5 7 r r 5