117 NE 102 St (11)hereby apply for a certificate
to re- occupy the single family residence known - : (address)
° (P 5 Ai / 2 <_J , • , Miami Shores, Florida.
. Legal Description:
Lot:
Application Fee ($50) paid: Cash
Comments:
-
APPLICATION FOR CERTIFICATE OF RE- OCCUPANCY
BIock
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 cercation as to the condition of the dwelling or other
structures on such property.
�f-
ti_Lk /61
Applicant
Print Name����`
* * * * * * * * * * * * * * * * * * * * * **` ‘*************= x******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
For purposes of conducting the inspection required by Section 902 of the Muni Shores Land
Development and Zoning Code, please contact:
Contact Name: Telephone:
Buyer Seller Realtor Company Name
LA-/Af e,z,
Inspected by: Approved
PAGE I OF 2
Check No.
CER "1lr ICATE 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- fanvily residential purposes.
By:
PAGE 2 OF 2
MIAMI SHORES VILLAGE, FLORIDA
r
Date of Certi cation:
• (Y
THIS CER 1 ICATE VERIFIES THAT THE REFERENCED
PROPERTY HAS BEEN INSPECTED BY IvUA II SHORES
VILLAGE AND HAS BEEN DETERRED 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 1ED PERSONS ARE ADVISED AND
ENCOURAGED TO MAKE THEIR OWN INSPECTION OF THE
PREMISES IN ORDER TO DE 1 RM[Ni E THE CONDITION,
THEREOF.
APPLICATION FOR
CERTIFICATE OF RE -OCCUPANCY
3 -o -o / 3- / a
1. "j /�< /.Q /timie //, hereby apply f a ..rtincate to re-occ Jpy the single-
family residence known as 117 itl 10 2 S r , Miami Shores, Florida.
alkia Lot L4-J Block , Plat .. Pc) i o - 7T as a single-family residence.
( hereby certify that 1 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, Florida, crtm"es only that the referenced property is being used for single - family
purposes and that such Certificate does not constitute any representation, warranty or
csrtificaticn as to the condition of the dwelling or other structures on such property.
f
Date: `,,62--4
Page 1 of 2
A p scant
ame : ip//yG
For purposes of conducing the inspection required by Section 902 of the Miami
Shores Lard Development and Zoning Cade, please contact the following person(s):
Name: Relationship: a4 /fob
Phone Nc.: 7.c -51.0 e, a Address: 97/ _f
Application Received: HI-Li 6y: kfm..C-
Application Fee (550) Paid: ✓ Check •. b'-( 7
Inspection Made: ✓ 8
Inspection: Passed (4'on i''4 q7
Failed ( ) because:
C1 RT1FICATS OF RE- OCCUPANCY
On behalf of Miami Shores Village, Florida, the undersigned certifies that the
propery 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 2 of 2
MIAMI SHO S VILLAGE, FLORIDA
BY-
Date: cfCertification: 4 -0
THIS CERTIFICATE VERIFIES THAT THE REFERENCED
PROPERTY NAS BEEN INSPECTED BY MIAMI SHORES
VILLAGE AND HAS BEE DET'ERMINED TO PRESENTLY
COMPLY WITH THE SCHEDULE ULE OF REGULATIONS CF
THE MIAMI SHORES LAND AND DEVELOPMENT COOE
PERTAINING SOLELY TO THE REQUIREMENT THAT EACH
ONE- FAMILY DWELLING IS USED AND INTENDED TO SE
USED FOR A ONE - FAMILY DWELLING PURPOSE ONLY;
HOWEVER, THIS CERTIFICATE DOES NOT CONSTiTUTT
ANY REPRESENTATION OR WARRANTY AS TO T r'E
CONDRION OF THE DWELLING OR OTHER STRUCTURES
ON THE PREMISES DESCRIBED HEREIN, OR ANY
ASPECT OF SUCH CONDITION, AND INTERESTED
PERSONS ARE ADVISED AND ENCOURAGED TO MARE
THEIR OWN INSPECTION OF THE PREMISES IN ORDER
TO DETERMINE THE CONDITION THEREOF.
lurk_ P.0
RE: 117 NE 102nd Street
To Whom It May Concern;
Please be advised that the above captioned property is
located in Zone X as is indicated on the flood insurance
rate map — map #1202SC0093 G,
T suggest for your further reference that you obtain these
maps, which are available to you, from the Federal Emergency
Management Agency.
Sincerely,
FL : j c
Frank LuBien, Director
Building & Zoning
BUILDING AND ZONING DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES, FLORIDA 33138-2382
TELEPHONE (305) 795 -2204
FAX (305) 756 -8972
November 19; 1993