816 NE 99 St (4)APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
‘Ak.
to re- occupy the single family residence known as : (address)
1(Q K) \ C (� 1 , Miami Shores, Florida.
Legal Description:
Lot:
I hereby certify that t 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 represen ion, warranty or certification as to the condition of the dwelling or ocher
structures pn such pro
Block PB & PG:
, hereby apply for a certificate
Date /O/7 /9
Applicant . / n 40‹,
Print Name 411
*_****************::************************* * * * * * * * * * * * * * * * * * * * * * *. * * * * : * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Contact Name: h 1 'PN C �' I Na Cik ti-C( Telephone: ] - 0 `.
Comments:
Buyer Seller " Realtor . Company Name
oe_ CO S c i vti ? O 5 - T e K. \ L T l( 3 G5 -1
Application Fee (550) paid: Cash Check No.
Inspected by: SO Approved Denied Dare
PA(7.7
CERTIFICATE 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 2 OF 2
MIAMI SHORES VILLAGE, FLORIDA
By.060;ta/
Date of Certification:
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 DEVFLOPMENT CODE
PERTANNG SOLFT,Y 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'11F DOES NOT CONSTITUTE ANY
REPRESENTATION OR WARRANTY AS TO THE CONDITION
OF THE DWET LING OR OTHER STRUCTURES ON THE
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 DETERMENT THE CONDITION,
THEREOF.