REOC-10-660 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 140969 Permit Number: REOC -4 -10 -660
Scheduled IsDection Da e: April 22, 2010 Permit Type: Re- Occupancy
Inspecto 61 r Inspection Type: Re Occupancy
Owner: ARTEAGA, KARLA Work Classification: Re- Occupancy
Job Address: 28 NW 104 Street
Miami Shores, FL 33138- Phone Number
Parcel Number 1121360131030
Project: <NONE>
Contractor:
Building Department Comments
/ ?- /
Inspector Comments
Passed PLEASE CALL BEFORE GO
KARLA ARTEAGA 305.796.1913
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
April 21, 2010 For Inspections please call: (305)762.4949 Page 14 of 26
Invoice
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -0949
eturn to:
Miami Shores Village Invoice Number: REOC -4-10 -37629
10050 N.E. 2nd Avenue Invoice Date: April 20, 2010
Miami Shores, FL 33138 -0000 Permit Number: REOC -4- 10-660
Bond Number:
BIII To Comments:
KARLA ARTEAGA
28 NW 104 Street
MIAMI SHORES, FL 33150 -1238
Xtz
Date Fee Name Fee Type Fee Amount
04/20/2010 Re- Occupancy Fee Fixed $60.00
Total Fees Due: $60.00
Payments
Date Pay Type Check Number Amount Paid Change
04/20/2010 Check 2036 $60.00 $0.00
Total Paid: $60.00
Total Due: $0.00
Tuesday, April 20, 2010
Karla B. Arteaga
RE: 28 NW 104 St
T:305- 796 -1913
Attention Viviana Cuvillos
Miami Shores Village
10050 NW 2 Avenue
Miami Shores, FL 33138
Dear Ms. Cuvillos,
Many thanks for your assistance this afternoon. Enclosed please find the Re- Occupancy
Application along with payment in the amount of 295.19, which settles the pending amount of
175.19 for permit PI 07 -715 for plumbing, $ 60 PT 06 -153 for paint, and the Re- Occupancy fee of
$60.
Please advise when the final inspection is scheduled, or call me should you have any questions.
Thanks again,
Ka la . A eaga
1 APR 190A11W � Miami Shores Village 1 9 201
Building Department
BY: .......................
10050 N'.E.2nd Avenue
Miami Shores, Florida 33138 k
Tel: (305) 795 -2204
RE- OCCUPANCY Fax: (305) 756 -8972 S
APPLICATION Permit No. 10 -C��
Loc ID ;
�- 1, 0
Date
Contact Name f L A ) s�Z T G A G M hone # 3 - — `� l
Buyer Selle Realtor Company Name
4
Property Address A) , LU . L ® 4 -r u 'r' q e - r —
city Miami Shores State Fl Zip 3 3 1 J 0 p
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 certification as to the condition of the dwelling or other structures on the property.
OWNER'S AVIT: I certify that all the foregoing information is accurate.
Applicant Na �. 2 �. tLT 45A 3 A
Signature
The foregoing instrument was acknowledged before me this ,0 day of � ll 20 10 !
i
by , who is personally known to me or who has I
produced t'l M )71 VeM uy o� as identification and who did take an oath.
NOTARY PUBLIC:
i
A "��C /(
Sign: � � A� Re -Occ. $60.00
Print: < �/-�'� �A►� Notary $5.00
My Commission Expires: Apr! �,
Z ®r Bo I ea I 1►I
,' CCF $0.60
Total
Building Officials Approval:
(Rev. 10/02103)
p � ° LA