OCCUPANCYROBIN CONNEARNEY ( 305) 757 -4421
I
1.:
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled until
re- inspection fee is paid .
Inspection Date: 07/10/2006
Inspector: Grande, Claudio
Owner: CONNEARNEY, ROBIN
Job Address: 1218 101 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor:
Building Department Comments
Friday, July 7, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Residential Construction
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number
Parcel Number 1132050210020
Lot:
Page 1 of 2
(Rev. 10/02/03)
RE- OCCUPANCY
A-PP4-I-CA1 O-1
Date 7 7
Contact Name j
Buyer
Property Address /( IF /JE /0/ sr- Sree
City Miami Shores State Fl Zip 3 3/3
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.
Applican
Signature
oA e a id 6W-A Phone # 5d. 75-7 9yQ
Seller v Real or Company Name
•
The foregoing instrument was acknowledged before me this 7
rriC -L-1
b r
LC C1Dnr,`o is personally known to me or who has
produced
/- 6 A)A) 61 - R - AL 2 -7
Wrip
l �
NOTARY PUBLIC:
Miami Shores Village
Building Department
Ail O 2606
Building Officials Approval:
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
P-e mit-No CO t 19
Loc ID
day of _i__) 1 1 , 20 0G,.
as identification and who did take an oath.
Sign: V _ . 1 _ ..�i= Re -Occ. $60.00
Print: } Notary $5.00 l
My o mission Expires: CCF $0.60 l
Total CS • LCD
JUL 0 6 NO
Ci4G ,
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
I, 2 c Ndo ff
to re- occupy the single family residence known as : (address)
2 f 3 PJ £ 10 ) S772- T , Miami Shores, Florida.
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 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 gcst/ A f- / 1 " 4 - 7 1 A ) 9 /
**************************************_******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact: '7 E 6 7S 7 S 4, y z'e)
66 79'7 5(053 Cell
Contact Name: ?g EAvA ! cAJS L C— Telephone: '30C 7" - - So Y /Ieme
Buyer
Inspected
Application Fee (550) paid: Cash
Comments:
Seller t Realtor
Check No
Approved IV Denied Date)) 1-S1/2,L
PAGE I OF 2
Company Name
, hereby apply for a certificate
•
Date /0 02
CERTIFICATE OF RE- OCCUPANCY
On behalf of ivlianu 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.
THIS CER1IkiCATE 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 INTERES LED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DE LERMLNE THE CONDITION,
THEREOF.
PAGE 2 OF 2
MIAMI SHORES VILLAGE, FLORIDA
Date of Certification/ 7) A �_�
Buyer
Comments:
APPLICATION FOR CERTIFICATE OF RE OCCUPANCY
I, ee r ee ( a (ipe,)
J
to re- occupy the single family residence known as : (address)
/( / Ire e / , iMiami Shores, Florida.
Legal Description:
Lot: Block �a p
'/ } PB & PG: 6/472 (f 0
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 Date
Print Name eo e e f /-cc
* * * * * * * *. * * * * * *. ** ** * *** ********************* * * * * * * * * * * * * *** * * * * * * *s * = = =x * **
For purposes of conducting the inspection required by Section 902 of the Miami Shores Land
Development and Zoning Code, please contact: ff9Aie /0kWIN
# Contact Name: Telephone
Seller
Application Fee (S50) paid: Cash
Inspected by: F. LUB I EN
e i aI3ol9
Realtor DZ. . Company Name
Check No. �#
pproved X Denied Date 12 /29 99
PAGE ? OF 2
, hereby apply for a cercate
S s D/n /
' 7.,-6,0.e fy
CERfl11CATE 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.
PAGE2OF2
MIAMI SHORES VILLAGE, FLORIDA
By
Date of Certificat 12/29/99
THIS CER I I.H.CATE 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 SOT.FLY 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'1".I.KCATE DOES NOT CONSTITUTE ANY •
REPRESENTATION OR WARRANTY AS TO THE CONDITION
OF THE DWELLING OR OTTER 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.