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511 NE 101 St (3)APPLICAT)ON FOR CERTIFICATE OF RE- OCCUPANCY r hyri-konii Cs F+ALCL hereby apply for a certificate to re- occupy the single family residence.known as : (address) 51/ Alf lD Legal Description: Lot: Block PB & PG: I hereby certify that I understand that the zoning of the property is for single- farnly iesidential use • and that it isunlawfuI for more than one family to reside therein. I also understand that any Certificate of Re= Occupancy that may be issued by Main' 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 ce • ' : • n as to the condition of the dwelling or other structures on such prope Applicant Print Name Contact Name: Buyer Comments: 11-n, E , Ktic.fee,l * * * * * * * * * * * * * * * * * * * * * * * ** * ** * ** * ** * * s=ss*** s* * * * ** * * * * * * ** * ** * * * * * *s* * * * * ** For purposes of conducting the inspection required by Section 902 of the Miami Shores Land Development and Zoning Code, please contact: Application Fee ($50) paid: Cash Inspected by. % / ' Approved P(Aoul E � dHR�EtLTeleohone:(.7705) 8Q9-0 1 Seller Realtor Company Name Check No. PAGE I OF 2 , Mianu Shores, Florida. Date \1 &4) Zg I loo 3 • Denied Date / " 2 ? - 0.3 i On behalf of Miami Shores Pillage, Florida, the undersigned certifies that the property descr 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. ' • CERTIFICATE OF RE- OCCUPANCY THIS CER 1 LL•1CATE 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 M[.AMI SHORES LAND AND DEVELOPMENT CODE PERTAINTtG 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 COYDITION OF THE DWELLING OR OTHER STRUCTURES ON THE PREMISES DESCRIBED HEREIN, OR ANY ASPECT OF SUCH CONDITION ;AND INTERES1hll PERSONS ARE ADVISED AND ENCOURAGED TO MAID THEIR OWN INSPECTION OF THE PREMISES IN ORDER TO DE !AMINE THE CONDITION, THEREOF. PAGE2 OF2 Date of Certification: , FLORIDA 7— a? a� ACCOUNT 'S o ' © PAYMENTS © 1 ® 6 BAL. DUE .._ 0 . F u DATE RECEIVED FRO No. 620817 9 L-efio-P tNa( CASH ilfr, O CHECK CD MONEY ORDER 012803 1609 MC401 0 g31 CASH $ DOLLARS $ 50. 0 0 Woos 1182