REOC-10-1303Inspection Number: INSP- 148682 Permit Number: REOC -7 -10 -1303
Scheduled Inspection Date: July 19, 2010
Inspector: Bruhn, Norman
Owner: DEVELOPMENT GROUP, REALTY
Job Address: 68 NW 100 Street
Project: <NONE>
Contractor: HOME OWNER
Miami Shores, FL 33150-
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
2-6,
ti
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
PLEASE CALL CARLOS DE LA TORRE
305 - 972 -9499
C
July 16, 2010
For Inspections please call: (305)762 -4949
Permit Type: Re- Occupancy
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number
Parcel Number 1131010180460
Page 12 of 16
My Commission Expires: 0 1111 I' I ��
Building Officials Approval:
REV 4-10
Miami Shores Village
Building Department
",,,,,"„,,
IL»:
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit No. t -O L l° 3
RE- OCCUPANCY
APPLICATION
Contact Name: C/ USG � � 7€j Phone#: 3O - 92 2 9)9f
Buyer: 90 140 CC� U 1 S ►fi (IYI ac_, Seller: PG T �OGD /d/ fj , G G
Realtor: Company Name:
Property Address: 68 it; co /00 57
City: Miami Shores State: Florida Zip: 33
I hereby certify that I understand that the zoning for this 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.
APPLICANT'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant N. ,, ;.: CA,e c,<a.$ 04 /4 i 04e 4 ,, e 1/6,7 #.0 O441t e
Signature
The foregoing instrument was acknowledged before me this t "f
day of ,20 dOV 1 loylrL ,
who is personally known to me or who has produced f0 J
As identification and who did take an oath
Re -Occ $60.00
Notary $5.00
Total $