OCCUPANCYComments:
Applicant
Print Name
APPLICATION FOR CERTIFICATE OF RE OCCUPANCY
I, 6)eorc P
to re- occupy the single family residence known as : (address)
/a Q a iv6 /0/ S frezt , Miami Shores, Florida.
Legal Description:
Lot: Cl/ Block 1 ( /9 PB & PG: /c ( / 0
Contact Name:
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 net
constitute any representation, warranty or certification as to the condition of the dwelling or other
structures on such property.
***************_***** ********************** * * * * * * * * * * * * * * * * * * * * * * * *
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact:
6, T f'1 0 kl to 7 .
Telephone: 3 0.1 ?e 5'7
cx�• 30)
Buyer Seller Realtor (7S . Company Name ✓vi do, y /4 -y,
Application Fee (S50) paid: Cash Check No. / 70/
Inspected byaccchAiLL.AuKroved Denied Date
PAGE 1 OF 2
, hereby apply fora certificate
Date 7 (9 /D/
CER 1 "IICATE 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.
THIS CERTIFICATE VERIFIES THAT THE RErERENCED
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 SOLFLY TO THE REQUIREMENT THAT EACH
ONE-FAMILY DWELLING IS USED AND INTENDED TO BE
USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY;
HOWEVER, THIS CER11rICATE 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 IED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DETERMINE THE CONDITION,
THEREOF.
PAGE 2 OF 2
MIAMI SHORES VILLAGE, FLORIDA
B
Date of Certification:
us.
74R 95664
^74 APR 6 PM 3 05
The said property is described as follows:
1202 N.E. 10,st Street.
Lot 6; Block 184A Miami Shores Sect. 8
ST z =,TE OF FLORIDA )
) SS:
COUNTY OF DADE
RECORDED IN OFFICIAL RECORDS BOOR
Of DADE COUNTY, FLORIDA.
RECORD VERIFIED
RICHARD P. fll$INKEl
CLERK CIRCUIT COURT
RED 8661 PC 195
MIAMI SHORES VILLAGE
'Florida
Owners:
In consideration of the issuance by MIAMI SHORES` VILLAGE to
the undersigned of a permit to construct improvements upon the property
hereinafter referred to, the undersigned hereby agrethat no part of the
premises will be used for rental purposes, or ftr anf'purP'se which is in
violation of any of the, ordinances of Miami Shores
It is further agreed that if the premises are used for a purpose
contrary to the terms of said ordinances that an injunction may be applied
for and granted forthwith and without notice to us, or those claiming under
2
0
-63
Before me, the subscriber, a Notary Public in and for said
State and County personally appeared the persons who signed the above
agreement, who are well known to me and known to me to be the persons
described in said agreement and each of said subscribers acknowledged
to and before me that executed the same freely and voluntarily
for the purposes therein a ressed. .
WITNESS MY hand and seal this AS day of 11/je4 2 1-1 1 7 7L
fi b- ; utL IY10bs 6
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a h� lC \'1 C>
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Notary Public, State of ' e idf a rge:TV
.�,
My Commission expires.A.. -'
9-
W
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�' R bo o ° (��� C•j
NOTARY PUBLIC, STATE of FLORIDA at LARGtd,, * ,oe0Jpeoo Qv�,
MV (CO 901M FRED Y DIES ELH 4,,199 a n�� s � ° r;�
lUILDING ❑
LECTRICAL ❑
'LUMBING ❑
tO9FING ❑
honer of
; uilding r y ? .4'
architect
%ontractor a „ _
a' Builder (z a . ... ..it..- c- <. _,-", 6
.egal Lot I I
)escription 11 Bl.
x.ddress of r Value of Amount of •
; uilding t ' �° � `� y Project $ �� 1 Permit $
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
erefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans
rawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any
me if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further con ion upon which this permit is
•ranted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of ;111e ordinances and regulations
ertaining to the work covered hereby whether shown on the plans or drawing or in the stt Cements or specifications and that he ssumes responsibility for work
one by his agents, servants or employees. 1 �;
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE 1 " f 4
PERMIT N? 6613
195 <�
Work to be performed under this Permit
`t L
Signed. fit r
Contractor's 2
License No.
Subdi-
vision
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
.ertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitte`$ to the proper authorities of Miami Shores Village. In ac-
epting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee.
BY AUTHORITY