174 NE 101 StAPPLICAT)ON FOR CERTIFICATE OF RE- OCCUPANCY
I, 4l (>t p
to re- occupy the single farruly residence . !mown as : (address)
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Legal Description:
Lot: Block PB & PG:
I hereby certify that I understand that the zoning of the property is for single- fanu7y iesidetitial 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 cerancauon as to the condition of the dwelling or other
structures on such property.
Applicant
Print Name
**** * * * * ** ****** ** * * ** * * ** * ******* * * . m .* ** * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * *
For purposes of conducting the inspection required by Section 902 of the Muni Shores Land
Development and Zoning Code, please contact:
( � e: 3�s�
Contact Name: j- /,-,, ,, �1-e 6.,-� S /,,,e Telephon 2 / 7 2 0 0
Buyer Seller Realtor �ompany Name e d i
Application Fee ($50) paid: Cash
Inspected by. �' Approved
Comments:
1
- , - 7/SI401. o 1
PAGE I OF 2
, Miami Shores, Florida.
hereby apply for a certificate
Date / (4 / D Z
Check No. e= a - 7 •
Denied Date 1 2 -( / ? ?`
CERTIFICATE 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- 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. •
PAGE OF
•
MIAAMI SHORES VIL GE, FLORIDA
By,
Date of Certification:
THIS CER I ItICATE 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 INIERESThU PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO D E 1 �KIMINE THE CONDITION,
• THEREOF.