860 NE 98 St (10)N9 1311
CERTIFICATE OF OCCUPANCY
'MIAMI" SHORES VILLAGE, FLORIDA
BUILDING DIVISION
Miami Shores Village, Fla , It 1,1 e 2 9 " .,-/'
r t
Owner, Agent or Tenant of Building N . '`"` "' ''"'``°-` `•ate -' `«' , =e
Lot 4 1 Block , • + Subdivision ' ' t'`: :_ 3
Street Address r ,,'.T.. t' t ' .. , . '1 `{ -.' •
Approved use by occupancy d 1 C " ;'sue ° ‘,.....4i. t, .a- `W,.„,
Remarks-,
This Certificate of Occupancy is issued to the above named 'a te._^ ,,.': y "'' - tee'
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known ss the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
1 - °" i �, . "� J ' t ` BUILDING DIVISION
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
/
Date 9 ;Q2 Time
Type Insp'n
Permit No. / co °?' - 122.
Name
oy e.Yso
Address g<O a 4 j0 s)'
Company � ?0 /A2"
Phone# (-& 46/ -0og
For Inspector: f 9 0 2 . Name
Approved
Correction
Re- Insp'n Fee ❑
7 11 LC
❑
Building Inspection Request
Date___2::..3±u Time Type Insp'n i7.
Permit No. f /
Name
Cj � G��z
Address /! f S
P61 ®
Company ?‘/- - } �- '(J��c�
Phone # fl' 72f-77 Per
For Inspector: _ /_ Name & D ++
AT "—
Approved
Correction
Re-Insp'n Fee
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
r
Date (- 5- ` 42- 42 - Time
Type Insp'n gad
Permit No. 8P .io ,2 - 0 ZZ
Name At Q r.5 Oil
Address 84 40 d g ye J 7
Company 7 e C�ye /a'B�
Jy
Phone # 365— l._ ,0 7
For Inspector;„ 3 0 2 Name &
Approved
Correction ❑
Re- Insp'n Fee ❑
44
SPIna
Ib--�— p
(6)
Cc
d
4d s5
0
0
tJ 1191Z01
o
e
p� 0 0
OaCep 4°a
so 7 41 11
Miami Shores Village
10050 NE 2nd Avenue
Printed: 7/23/2002
Applicant:
Owner:
JOB ADDRESS: 860 NE 98
Contractor PERFECT PAVERS
Local Phone:
Parcel # 1132060142550
Building Permit
Phone: 305 - 795 -2204 Permit Number: BP2002 -1281
ST
Contractor's Address: 528 NW 1 AVE
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 W1/2 OF LOT 4 & ALL OF LOTS 5 & 6 & E25FT OF
Fees: Description Amount
FEE2002 -4030 Buildier's Bond $300.00
FEE2002 -4031 Building Fee $310.00
FEE2002 -4032 CCF $12.40
Total Fees: $622.40
Total Fees: $622.40
Total Receipts: $0.00
Permit Status: Approved Permit Expiration: 1/19/2003 Construction Value: $20,000.00
Work: PAVERS FOR PATIO & WALKWAYS
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all
ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to
and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without
authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the
ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done
by his agents, servants or employees.
Signed: C/ (INSPECTOR) BY:
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity
with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either
myself, my agent, servants or employes._
(Contractor or Builder) BY:
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT'
SECTION
BY
DATE
ZONING
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
7
JOB ADDRESS R00 iv' . Fs" 5'
APPLICANT ya
PHONE #
APPUCAT1ON
SHEET OF
MISCELLANEOUS
CRII"VQ11E SHEET �� � , o � Q
. ()5 S�5C�
PERMIT NO.
ADDRESS:
1. Subject to compliance with aft Federal. State.
County. Village rotes tnd regulations. Wage tssuntes
no responslbIllty for accuracy oftot resutts from
these plans.
2. This copy of plans must ba a+talttbta oa
bufiding Cite or no Inspection trill be conducted.
DATE ZONING ' COMMENTS INITIALS
tea- Fro /1f frWer5 c6urto161 b � �c t Q
3 / / cL r is (.t/ It tc k I S bt 1
DATE:
TO:
FROM: FAX: (305)756 -8972
Number of Pages Including Cover
MESSAGE:
mma, V G € ae
10050 N.E. 2n Ave
Miami Shores 33138 -2382
305- 795 -2209
FAX TRANSMITTAL
C-&)/vi iY1-0 4 - 4
61/),6
s 4 vilie
JOB ADDRESS Wig • 'Fi S7
APPLICANT D ya r' G-P
PHONE #
APPUCATION
SHEET OF
MISCELLANEOUS
DATE
NO .2Z,00 0 /T T
3WI1 35dd 35dd
3Q03 0ti101 X2IVXl 32IOIS
0 T8T Nti * * * * *11
ZONINCG
CRITIQUE SHEET ( IS \-\-:1
305 - 5
* * * 1'd0d32I NO I SS I WSNddl * * *
PERMIT NO.
ADDRESS:
SECTION
ZONING
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
BY
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT •
DATE
1. Subject to oompllsnce rlth et Federal, Slate,
Canty, Wlage Mos tad regulatloas. Village rismes
no responslbllIty for accuracy of/or restate from
those plans
2. This copy of plena must be available ac
Wading elle or ao Inspection will be conducted.
COMMENTS INITIALS
older _ f Q
3 � 1� r IS O•��ra wk fcti ,sn f
cr s e al
=39tid ?J021
6170T6LL1796T6 Xi 9 :0T 6T /L0 668
3WI1 'ON
NOI10900 3QOW 12Iti1S 30I3
-- • - - =2I3W I 1
Z L6899L908 :Xti3 -- — 39ti00I11 S3�iOHS IWtiIW :QI 9 :0T Z0, 6T /L0 3WI1 1NIdd
GEORGE A. OYARZUN 2-92
NANCY E. OYARZUN
6350 LAKE CHAMPLAIN TERRACE
MIAMI LAKES, FL 33014
Pay to
the order of
- 7 11 -1 4 , 1
FIRST UNION NATIONAL BANK
FIRSTUNION.COM
ORG. 003 R/T 067006432
For
63-643/670
Date
1:067006 L533214 L L9125" 5L
5174
- 74C/0.2
1 $ 2 y
6/eXtl---Dollars
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2002 -1281
Printed: 7/23/2002
Applicant:
Owner:
JOB ADDRESS: 860 NE 98
Contractor PERFECT PAVERS
Local Phone:
Parcel # 1132060142550
Permit Status: Approved Permit Expiration:
Work: PAVERS FOR PATIO & WALKWAYS
Building Permit
ST
Contractor's Address: 528 NW 1 AVE
Page 1 of 1
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 W1/2 OF LOT 4 & ALL OF LOTS 5 & 6 & E25FT OF
Fees: Description Amount
FEE2002 -4030 Buildier's Bond $300.00
FEE2002 -4031 Building Fee $310.00
FEE2002 -4032 CCF $12.40
Total Fees: $622.40
Total Fees: $622.40
Total Receipts: $0.00
1/19/2003 Construction Value: $20,000.00
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
Signed: -� " c� (INSPECTOR) BY:
This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all
ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to
and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without
authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the
ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done
by his agents, servants or employees.
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity
with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responisibility for all work done by either
myself, my agent, servants or employes.
r-� 1
/ igped: 4j (Contractor or Builder) BY:
2' Miami Shores Village
/ 10050 NE 2nd Avenue
o Phone: 305-795-2204
N Printed:5 /2/2002
Applicant: MRS & MR
Fa Owner:
JOB ADDRESS: 860 NE 98
PAY
TO THE
ORDER
OF
Contractor REGENCY POOL & SPA OF FLA INC
Local Phone: 954- 424 -0134
Parcel # 1132060142550
Fees:
FEE2002 -2386
FEE2002 -2387
FEE2002 -2388
FEE2002 -2389
FEE2002 -2437
REGENCY POOL & SPA
OF FLORIDA, INC.
(954) 424 -0134
11260 N.W. 14 STREET
PLANTATION, FL 33323
Description
Buildier's Bond
Building Fee
CCF
Miscellaneous
Radon
Ptc /I ' h eac/YeD a41
(IA liscityv5-)
I1'00a6L6»a ,:0660L L3921:
•
¢•:
Odin'. Per it
OCEAN BANK 6
12005 SW 26TH STREET
MIAMI, FLORIDA 33175
63- 1139/660
0606065503
Permit Number: BP2002 -822
ORYAZUN
ST
Contractor's Address: DOING BUS IN DADE CO
Legal Description: MIAMI SHORES SEC 3 PB 10 -37 W1/2 OF LOT 4 & ALL OF LOTS 5 & 6 & E25FT OF
Amount
$300.00
$300. 00
$12.00
$40.00
$6.85
DATE
S ov>z A
008616
AMOUNT g2
Page 1 of 2
Total Fees: $658.85
Total Receipts: $0.00
3.83
ispection
n strict compliance with all ordinances
submitted to and approved by the
authorization. A further condition upon
and regulations pertaining to the work
Ines or employees.
ereto and in strict conformity with the
w k done by either myself, my agent,
NOT vAL10 UNLESS EMBOSSED wl TH
SURVEYOR'S SEAL •
REVISED:
FND.LP. I2'
(NO ID)
BC
FND.I.P.12"
(NO ID) CL
275.00'
MR 1'
CL
1.60'
CL
CL
m
o Cc
O ▪ x
g 2 u_)
c Csi
� m
a) cc
J
t)
2.5X3.3' NC
Conc Slab
1.5`i'
CL
F N D.I . P.3 /4'
(NO ID)
(4
9
1-
J
x930'
0
CID
`9.84'
5' Conc.Walk 160.00' M.AND R. a
29.30'
^ 4 I BS
SOV W'III
a)
N
13.60'
0
N
10.00'
N
16.50'
Conc.
.805'
m 3 ,
D n. > cV
< 0
1
2.50' Parkway
90'
LOT 6
50 00'
9' Asphalt ALLEY
NE 98 STREET
Co
Walk
Planter
14.40'
23.90' c)
27 40'
Tile Porch 3.90'
ONE STORY Wood Roof
RESIDENCE ii3 ..3'X3' NC
# 860 CBS - O
Le.; Conc Slab
r t?
' 1�
3 Wood
Steps
19' Asphalt
23' Parkway
CO
•
3' CBS
Wall
160.00' M.AND R.
BOUNDARY SURVEY
LOT 5
50 00'
>i< LOT 4
5.00'
v'g .e y4j„ •
1
Csd
1
(NO ID)
ELEVATION BASE ON
O CBM# N' 40 03 ELV. 7 -70
LOCATOR INDEX# 9
SURVEYOR'S NOTES: 1) OWNERSHIP IS SUBJECT TO OPINION OF TITLE. 2) EXAMINATION TO THE ABSTRACT C
TITLE WILL HAVE TO BE MADE TO DETERMINE RECORDED:.INSTREMENTS, -IF ANY, AFFECTING•THIS PROPERTY.
3) NO UNDERGROUND IMPROVEMENTS WERE LOCATED. 4) ELEVATIONS ARE REFERRED TO NATIONAL GEODETIC
VERTICAL DATUM OF 1929. 5) THERE MAY BE ADDITIONAL RESTRICTIONS NOT SHOWN IN THIS SURVEY THAT I"'
BE FOUND IN PUBLIC RECORDS OF MIAMI -DADE COUNTY. 6) LEGAL DESCRIPTION PROVIDED BY CLIENT. 7) UN
OTHERWISE NOTED RECORDED AND MEASURED DATA ARE IN SUBSTANTIAL AGREEMENTS. 8) BEFORE ANY CONSTRU(
THE SET BACKS MUST BE CHECKED. 9) THIS SURVEY IS INTENDED FOR MORTGAGE OR REFINANCE PURPOSES ON
EXCLUSIVELY FOR THE USE BY THOSE TO WHOM IT IS CERTIFIED.. THIS SURVEY IS NOT TO BE USED FOR
CONSTRUCTION PERMITTING, DESIGN OR OTHER USE WITHOUT THE WRITTING CONSENT OF 'PHIS COMPANY.
10) BEARINGS WHEN SHOWN ARE REFERRED TO AN ASSUMED VALUE OF SAID PB PAGE__
T•+
wSi
...
X
..
„
�
;,
��
/
/
/
6 5
12
11
10
9
8
'
/
f
•
•
•
L O C A T I O N S K E T C H
SCALE: N T S
13
14
15
NE 98 STREET
275 00'
16
17
18
19
20
21
CERTIFIED TO: GEORGE A. OYARZUN AND NANCY OYARZUN, 860 N.E. 98TH ST., MIAMI SHORES,
FLORIDA 33138., CHRISTOPHER P. KELLEY, P.A., ATTORNEYS' TITLE INSURANCE FUND, INC.,
HOMEBANC MORTGAGE CORPORATION, ITS SUCCESSORS AND /OR ASSIGNS, ATIMA.
LEGAL DESCRIPTION:
THE WEST 1/2 OF LOT 4 AND ALL OF LOTS 5 AND 6 AND THE EAST 35 FEET OF LOT 7 OF BLOCK 73
OF MIAMI SHORES SECTION NO. 3 SUBDIVISION ACCORDING TO THE PLAT THEREOF AS RECORDED IN
PLAT BOOK 10, AT PAGE 37 OF THE PUBLIC RECORDS OF MIAMI —DADE COUNTY, FLORIDA.
I HEREBY C 'RTIFY Thal the survey represented
tiereon mee the minimum technical requirements
adopted by the STATE OF FLORIDA Board of Land
Surveyors pursuant to Section 472.027 Florida
Statutes.
There are no encroachments. overlaps. easements
appearing cn the plat or visible easements other
than as shown hereon •
ADIS N. NUNEZ
REGISTERED LAND SURVEYOR
STATE OF FLORIDA. #5924
SINCE, 1987
BLANCO SURVEYORS INC.
Engineers • Land_Su veyors • Planners LB # 0007059
555 NORTH SHORE DRIVE
MIAMI BEACH FL. 33141
(305) 865 -1200
FLOOD ZONE:
PANEL :
DATE:
/ — =/
o CRS
SCALE:
rr
=3
F (305)865 -7810
SUFFIX::) DATE: 7-17 -95 BASE' : N- A
COMMUNITY ,# 120651
OWN. BY:
F. tAr4co
JOB No.
02— (3
a
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
TAX FOLIO NO. /( 2 0,6 671 3'L
PERMIT NO.
STATE OF FLORIDA:
COUNTY OF DADE:
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Legal description of property and street address: f !a. /07¢y'IG7S id76 PDT of a War 7/
X 73 tat ; A 3 PAS /O - 37
- 2. Description of improvement:
3. Owner(s) name and address:
Interest in property: J!N
Name and address of fee simple titleholder: ArA
4. Contractor's name and address:
5. Surety:(Payment bond re
Name and address:
Amount of bond $
6. Lender's name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes,
Name and address:
• Signature of Owner
Print Owna Name
Notary Public
Print Notary's Name
1 h
red by owner from contractor, if any),,
8. In addition to-himself, Owner designates the following person(s) to receive a copy of the Uenor's Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address:
°
Sworn to and subscribed before me this day of lint:t 'ait\ , 20 0 .
C*
nCIAL NOTARY / LAL
1���4�RY PUB! DOLOREs
L� ON EX �� • .its \�� y:.N
7 4 111 !" MY C p JUNE 14,2002
My Commission Expires
9IA
02R 17 1496 2002 MAR 20 12:1
Prepared by
Address:
OFFlCIAL
DOLORES Y PILIMb
CC751
77/ 47
li a � � �L�il�/ y VA*, ,jj'°
f4- r7 fiits.44e774.) 33 323
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different dat : i l specified)
4.4.2:14,)0
//76' / 'I'•
Miami Shores Village
Building and Zoning Department
Attention: Building Official
SWIMMING POOL OWNER'S CERTIFICATION
I certify that I am the legal owner of the property described as
kin 4 'H' C , °7 41604, 73/4 4-1? located at 4g60 4 E 9P 7,/
le* 9M 0 & ?? / ?P
In accordance with Section 33- 12(f), Code of Metropolitan Dade
County, I certify that I understand and agree that the swimming pool
to be constructed at the above address cannot be used or filled with
water until a separate permit has been obtained for an approved safety
barrier, and such barrier erected, inspected and approved.
I further understand that this certification, however, does not
eliminate the need for obtaining a permit and erecting an approved barrier
prior to final inspection and use of the pool.
/
Legal Owner/1
Note: This certification is to be submitted with a swimming pool
permit application in duplicate.
1
Work: NEW SWIMMING POOL & SPA
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50,00, which must be paid in advance before calling for another inspection.
This Permit is granted to the contractor CA builder named above to construct the building or to install the equspment or deice described in the application herefor in strict compliance with all ordinances
pertaining thereto and with the understanding that the worts will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the
proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon
which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility far a thorough knowledge of the ordinances and regulations pertaining to the work
covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibirity for work done by his agents, servants or employees.
Signed: (INSPECTOR) BY:
In consideration cf the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and'regulations pertaining thereto and in strict conformity with the
plans, drawings statements or specifications submitted to the proper authorities of 'Miami Shores Village. to accepting this permit I assume responis!hildy for all wor done by either myself, my agent,
servants or employes.
Signed (Contractor or Budder) BY
ww•r.uN11 I1I
to re- occupy the single family residence known as : (address)
_3&te��na`IRAd
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, certifies only that the
referenced property is bein• used for single - family purposes and that such Certificate does not
constitute any representa on, warranty or certification as to the condition of the dwelling or other
structures on such p . +
Applicant ti �/ V
Date
Print Name
Buyer
Comments:
APPLICATION FOR CERTIFICATE OF RE OCCUPANCY
Seller
()TKPc(
Realtor
PAGE 1 OF 2
, Miami Shores, Florida.
, hereby apply for a certificate
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Contact Name: I T
Company Name
Telephone: 3 0 J 1 - S - 0 0 Do
Application Fee ($50) paid: Cash Check No. f � -
Inspected by: F. LUBIEN i X Denied Date 2/28/01
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.
CERTIFICATE OF RE- OCCUPANCY
PAGE 2 OF 2
MIAMI SHORES VILLAGE, FLORIDA
Date of Certification: 2/28/01
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 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 INTERESTED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DETERMINE THE CONDITION,
THEREOF.
� A ,. _
Passed
lair
Inspector Comments
IN
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Owner:
Inspection Date: 01/31/2006
Inspector: Grande, Claudio
Job Address: 860 98 Street NE
Miami Shores Village, FL
Project: <NC)NE>
Contractor:
Building Deaartment Comments
Monday, January 30, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Pone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Residential Construction
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number
Parcel Number 1132060142550
Lot:
Page 1 of 2
RE- OCCUPANCY
- AP- 4LICATION
Date ?3 O
Contact Name
(Rev 10/02/03)
Miami Shores Village
Building epartment
WCEME
Seller Realtor
Buyer
Property Address G(420
City Miami Shores
Loc ➢D
Company Name K---LAJ J
State F1 Zip 3 3 L 3
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 the property.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant Nam
Signature �\
The foregoing instrument was acknowledged before me this 30 day of ,]Ca n
by \1n0C�(l , who is personally known to me or who has
as identification and who did take an oath.
produced
, JOTARY PUBLIC:
Sign:
Print:
My Commission Ex
Building Officials Approval:
apSAA
°�'• "' COI � 6�1
OrtF40P\ xNI S 'O,I Jlo��
6 ��d I / 20 "
n ry;� p 2 00-
10050 N.E.2nd Avenue
Miami Shores, Florida 33 138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
Per-mitNo. �_� �_ �. -_ -23o
Phone #
20 U- ,
Re- Occ.560.00 t-✓
Notary 55.00 ✓
CCF 50.60 1/
Total
THIS CARD MUST. BE DISPLAYED. 011 FRONT OF JOB.
*iami �h,1e4 t'illaf/e
BUILD!
PERMIT
Owner StiJ 0, 7 ` -1
Contractor
Lot 6 :17 Block
Subdivision /,, ,�,��� ` _ ��_ 7,
Address / ,
NOTICE: All Sub - Contractors Must Obtain
LICENSES and PERMITS Before Work is Started.
No Work on Sunday
No Work Before 7:30 A. M.
. - No Night Work.
BUILD NG,
L: Yard Spaces Foundation �`- (_--1. ``
Tie Beam ttn �; r s l id �' Sheathing Roofing
Framing Q_ C,1 , Slab s��,�'L (L , c., Final
PLUMBING
Temporary Toilet
Septic Tank
. Rough
Fixtures
ELECTRICAL
Temporary Service Rough
Air Condo
SPECIAL
Sidewalks and Olean-Up
L)t)( ��� �ixfures
Top Out and Tub
Ducts Mechanical
Poo!— Floor
Walls
Final Serv.
Slab
- 2 3
/( - "7"i
NOTICE TO BUILDER: Protect This Card and Return To Building DepartMen$ qtr C olaaflcate of 60c®paney