860 NE 99 St (8)to re- occupy the single family residence known as : (address)
- , Miami Shores, Florida:
Legal Description:
Lot: 6 v-/I) 4--5 Block 7 2
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.
Applicant
Buyer
Inspected by:
Comments:
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
A n .e..1
Contact Name:
Application Fee ($50) paid: Cash
Approved / Denied
PAGE 1 OF 2
Check No. 7 a 5
hereby apply for a certificate
PB & PG: /0 — 3
Date T/
Print Name
* * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * ** *_******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Telephone: 3 o s" — -
Seller 'Realtor Company Name
Date
PAGE 2 OF 2
CER11r'ICATE 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 -occu anc
Sections 901 and 902 of the ;Miami Shores Land DeveIo p ment and Zoning p n pursuant h o
property may be re- occupied by the above applicant for Development
residential purposes. suc
MIAMI SHORES VIL�I. , FLORIDA
By:
Date of Certification:
THIS CER 11FICATE 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
PREVIISES 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.
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
to re- occupy the single family residence known as : (address)
, Miami Shores, Florida:
Legal Description:
Lot: 6 %, -5 Block 72-- PB & PG: / 0 — 3 7
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.
Print Name �j
* * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * **
Applicant
Contact Name:.
Buyer
Application Fee ($50) paid: Cash
Inspected by:
Comments:
Approved
Check No. a 39
PAGE 1 OF 2
Denied
4
Date 4/ / /
:******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Telephone: 3 o S — (P%/ -G Z/2_
Seller Realtor Company Name
Date
eide y'a
CER11r ICATE OF RE- OCCUPANCY
PAGE 2 OF 2
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.
MIAMI SHORES VTLI , FLORIDA
By:
Date of Certification:
THIS CER 11t.fCATE 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.
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buildin; Inspection Request
Date _ me
Type Insp' L.\ .
Permit No. ��.
Name
Address
Company
Phone #
For Inspector:' Z Je
Re- Insp'n Fee ❑
7
THIS LICENSE MUST BE DISPLAYED IN A CONSPICUOUS PLACE
A Penalty is imposed for failure to keep this license exhibited at your establishment or place of business
Wicofia l %?;; T4 tIAMMIW tiMki;Uii tiki*Z iC MIMI iailki MI o lice if
,.....
1 TRIPLICATE
3
. VILLAGE LICENSE
02
^ . No. .34
1
i This License Expires 4 Atl ±t .Ttll c3u
In consideration of the sum of
.
rywr,
. • w . • ) ���w ,
�,.. ,ve Dollars $_____'.•1.x►
Paid to Miami Shores Village, Dade County, State of Florida,
7
r .1 7 ;,(Y) ,i. .. :'.curt,
� Ad d re ss `�� �- �
is hereby licensed to engage in or operate the business of 0 +),)^a ll.W,:, ,
Luily at 3 ) !♦ 99th ltr�'Wt
For the period beginning 3. , 1 �;a and ending r (Vito
subject to the Provisions of all ordinances.
MIAMI SHORES VILLAGE, FLORIDA
n•�
(SEAL)
Date Issued Ja�n±>� r Y I�jp B
^ , c � l 3f y
Dt I d VILLAGE MANAGER
THIS LICENSE NOT TRANSFERABLE WITHOUT APPROVAL OF THE VILLAGE MANAGER
F:
� . r+ rs l � n ! t l e rs l : !E !! r re r� � !t rr r t !! r it
. l i i °•'•;i it ;r:° °.'•fr`•°.,°,.ir:° ° ° • ' •ii °,.'•n.° °'n`• ir• '•;i n�°�°•'•ii°•'i>;`•°. °••'•;r °.•'•;r-..+..��>i ir�°. °.•'; •err•....
STATE OF FLORIDA) SS
COUNTY OF DADS
A F F I D A V I T
ar .i 4ie _ ?v of the Village of Miami Shores,
County of de and State of Florida, being duly sworn, loth depose and say,
that under the provision: of Ordinance ?Tc. iii >, dated June 15, 1W8, uiend-
ing paragraph (6) of Eeotion B -368 of Ordinanoe ilo. 97 of , s 2ai' ir.g Code
of Mi u# ' S / n . ores Villa4;e, he desires to build. a �. .,
on Lot .�'d? _Elock 7 __ of . / _ -f beir.sion,
that he is the owner of said property, and will be the owner o sc.i(
_ '4 , that he will do the work pe rscnc
and that he will, at such times as are required by the Zoning and fl ilciing
Director : -
1'. Filo plans and specifications and obtain - approval of the
Planning Board and the Building Inspector.
2. Apply for and secure a Permit.
3. Pay the required fees.
4. Execute the work in accordance with the provisions of this
Code.
5. Apply for inspections.
6. File with the Building Inspector certificates that provision
has been made to carry the necessary Workmen's Compensation,
Public Liability and Property Damage Insurance.
7. File with the Building Inspector as the job progresses certi-
ficates showing the payment required by the Foderal Social
Security Act to the State of Florida or the United States of
America.
8. Assume the responsibility of not employing other than properly
licensed contrc.ctors by Miami Shores Village for any part or
portion of the work.
9. Not set himself up as a "contractor ".
10. Sign an affidavit before commencing work to the effect that
he has read this Article and will do the work personally and
observe all of the requirements of the Building, Electrical,
Plumbing and Zoning Codes of Miami Shores Village. Such
affidavit to be properly notarized upon blanks to be supplied
by the Luilding Inspector.
11. In order to prevent abuses and subterfuge the right of such
owner- builder as herein provided, is limited to but one
owner - builder permit each 2 years, and where an owner - builder
has once exercised the privilege herein conferred no second
application for owner - builder permit shall be granted in less
than 2 years, unless the applicant is qualified as a licensed
General Contractor under the applicable Ordinances of said
Village.
And Further this Deponent says not:
OWNER
SUBSCZIBED AND SWORN TO BLOKE NE this day of A. D.,
19
-- NOTARY PUBLIC