Loading...
REOC-10-386 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 137592 Permit Number: REOC -3 -10 -386 Scheduled Inspection Date: March 11, 2010 Permit Type: Re- Occupancy Inspector: Bruhn, Norman Inspection Type: Re Occupancy Owner: BREWER, EDWARD Work Classification: Re- Occupancy Job Address: 230 NE 102 Street Miami Shores, FL 33138- Phone Number 0— Parcel Number 1132060134750 Project: <NONE> Contractor: Building Department Comments re -occ Inspector Comments Passed ; PLEASE CALL BEFORE GO 786.287.4288 Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 10, 2010 For Inspections please call: (305)762 -4949 Page 16 of 20 Miami Shores Village Building Department .10050 N E.2nd Avenue Miami Shores, Florida 33138 (�] Tel: (305) 795 -2204 RE— OCCUPANCY j ��� v � Fax: (305) 756 -8972 APPLIC. TION Permit No. 10_ © - M Date Loc ED Contact Name \ ) Phone # !JL��UN 2�%1R Buyer Seller Realtor Company Name lliarm Property Address 2 ; D K� E 1 p I �-� City Miami Shores State Fl ZiD 13 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 AFFIDAVIT: I certify that all the foregoing information is accurate. Applicant Name Signa The foregoing instrument was acknowledged before me this (0` day of A&6- &V\ , 20 1 t: , by F &,;I t H try , who is personally known to me or who has produced Rayy.^ 00 vew5 U G8 - 6�E as identification and who did take an oath. NOTARY PUBLIC: o Notary Public State of Florida _ Joanna Moreno M Commission DD 100838 ora EXPires 08/2112013 Sign: Occ. $60.00 Print: a6a 0 ozk V - ko-f eo Notary $5.00 My Commission Expires: Co 12 1 26 13 CCF $0.60 Total Building Officials Approval: Rev. 10/02103)