REOC-10-1279FROM Robert O. Schwartz PA
RE- OCCUPANCY
APPLICATION
Property Address:
City: Miami Shores
NOTARY PUB IC:
Sign:
Print:
My Commission Fapires:
REV 4.10
2001 -07 -21 14:21
Miami Shores Village
Building Department
10050 N.E2nd Avenue. Miami Shores. Florida 33138
Tel: (305) 795.2204 Fat: (305) 756.8972
INSPECTION'$ PHONE NUMBER: (303) 762.44949
d �� GELL (r -26'1- 4441
Contact Name: AO/0a J. 1ie:› jkiko t4, a none*. *to ME Slat- 4.56 - J4.33
Buyer: Vtt EN'r 22z - QuEt, y 1i a &t teller:
Realtor: 1242 L ®esa t Company Name: R fr /?A14y,
I hereby certify that I understand that the zoning for this property is for single- family
unlawful for more than one family to reside therein. I also understand that any Certifi
may be issued by Miami Shores Village certifies only that the referenced property is
purposes and that such certificate does not constitute any representation, warranty or
condition of the dwelling or other structures on the property.
APPLICANT'S AFFIDAVIT: 1 certify that all the foregoing information is accurate.
Applicant Name: ) . r 1 / ,i ! AO A.
Signature 4 0 11 M740- 11 11 7 ;
The foregoing instrument ae ::'' talged before : /
day of c am` C 20 Q by 1 7 c7Y1'f fl c Ca--,'(') � c,
who is personally known to me or who has produced t - 9
As idendficatlgn and who did take an oath
State:
f era, ,,, , /,,.
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Building D
B
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LAW OFFICES OF 5612066710
(TUE)JUL 13 2010 10:35/ST.
Plorikla
Permit No.
0 :35/No.7301003103 P 1
Q- mil
roG ICS rl 1
P: 33
idential use and that it is
of Re- Occupancy that
g used for single family
ficatlon as to the
Re-Occ $60.00
Notary $
Total $ .5 vU
ON/Alit-E. Veil e- i Y
Page 1
RE- OCCUPANCY
Passed 2
Inspector Comments
PLEASE CALL ANTHONY MORRONGIELLO 561 - 251 -4649
e C-
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Number: INSP- 148443 Permit Number: REOC -7 -10 -1279 1
Inspection Date: July 14, 2010
Inspector: Bruhn, Norman
Owner: MORRONGIELLO, ALEXANDER
Job Address: 25 NE 101 Street
Project: <NONE>
Contractor:
Miami Shores, FL 33138-
Building Department Comments
July 14, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Type: Re- Occupancy
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number
Parcel Number 1132060131520
For Inspections please call: (305)762 -4949
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