REOC-10-958Inspection Number: INSP- 144550 Permit Number: REOC -5 -10 -958
Scheduled Inspection Date: June 01, 2010
Inspector: Bruhn, Norman
Owner: MONAGHAN, DAVID
Job Address: 173 NE 105 Street
Miami Shores, FL
Project: <NONE>
Contractor: HOME OWNER
Building Department Comments
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CONTACT NAME
DAVID MONAGHAN
305 - 301 -8754
NO ONE WILL BE THERE TO WAIT FOR INSPECTION. APPLICANT
DOES NOT WANT TO INSPECTION ONLY PAY FOR APPLCIATION.
May 28, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Type: Re- Occupancy
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number
Parcel Number 1121360050150
Page 20 of 22
Rev. 10102/03)
RE- OCCUPANCY
APPLICATION
Date 9 notq l 2 2
Cans Name M 11 MO/V4-
S . �i� Phone # ,�� 5 ? vr't
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Buyer Seller /� 6U Company Name i� 1/ j
Property Address
City Miami Shores
Sign: Q
Print:
My Commission Expires:
Miami Shores Village
Building Department
State F1
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant Na - 174th TAWM Av )
Si natured /1 `L
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Building Officials Approval:
811 A
Zip v 1 S
as identification and who did take an oath.
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
Permit Na. 941€4 G J O' S'3
Loc ID
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.
c�
The foregoing instrument was acknowledged before me this day of 11 ( ,20 ,
b '�-1�'l l�'1,55"2. v ho is personally known to me or who has
produced t by 10 t tO N o' i-�'
NOTARY PUBLIC ���,,, 1 1
1
:. U06 S91oo ' 2;
mond ab�1t�N
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Re -Occ. $60.00
Notary $5.00 i/
CCF $0.60
Total (S - 0
11