1163 NE 101 St (9)APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
I. - L , hereby apply for a certificate
to re-occupy the single family residence known as : (address)
II C �J E /0
Legal Description:
Lot: ( 2 - BIock / 7 PB & PG: 4- 3 - ( 7
I hereby certify that I understand that the zoning of the property is for single- family residential use
and that :t 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.
r ,
Applicant j 65
Buyer
Miami Shores, Florida.
Date 2 -
Print Name V ( &I = A - ( S
*_ * ** ************************************ * * * * * * * * * * * * * * * * * * * * * : * * *_ : : * **
.CBS" 372 6 7?/
/414.”
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
Contact Name: /,- Ar c y Telephone: 3 0 5 372 (' 78
Seller V Realtor . Company Name
Application Fee (S50) paid: Cash Check No.
In specter: F . LUB I EN>' Approved X Denied Date 9 � 21/99
Comments:
CER 11r 1C ATE OF RE- OCCUPANCY
On behalf of Miami Shores Village, F lorida, the undersigned certifies that :=e proper-r
described in the above application has bee inspected for purposes of re-occupancy pursuant :o
Sections 901 and 902 of the Miami Shores Land Development and Zoning Code lad that such
propery may be re- occupied by the above applicant for single- family residential p:.
THIS CER'1 "11t iCATE 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 TI-
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 CERILIHCATE DOES NOT CONSTITUTE ANY •
REPRESENTATION OR WARRANTY AS TO THE CONDITION
OF THE DWELLING OR OTHER STRUCTURES ON TI-E
PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH
CONDITION, AND INTERESTED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF TEE
PREMISES IN ORDER TO DETERMINE THE CONDITION,
THEREOF.
PAC = 2 OF
MIIAitiff SHORE S tLLAG FLORIDA
BY: E.kit
Date of Certification: 9/21/99
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To
EAST CONTRACT SUPPLY, INC.
General Contractor CG C048605
1717 N. Bayshore Drive *1040
MIAMI, FLORIDA 33132
(305) 372.1565
WE. AKt. SENDING YOU U Attached ❑ Under separate cover via
O Shop drawings
❑ Copy of letter
[1 Prints
f] Change order
THESE ARE TRANSMITTED as checked
❑ For approval U Approved as submitted El Resubmit copies for approval
❑ for your use ❑ Approved as noted ❑ Submit... _copies for distribution
L.l As requested ❑ Returned for corrections ❑ Return corrected prints
n For review end comment ❑
❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
RROg1Ct Ht! W., yaer,Mra 2 117:
below;
REMARKS
uq p lans
COPY TO
LETTER OF ITIE SEUTTTZa1EL
SIGNED:
It •ucluwr•• are not •• noted, kindly nobly v of *Roo.
the following Items:
U samples ❑ Specifications
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