350 NE 102 St (7)PLEASE CALL 20 MINUTES BEFORE DOING THE
INSPECTION AT (305) 776 -1675
DANIEL BRANDT
Passed
Vr
b
Inspector Comments
•
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
nspectton Number
P '1
Inspection Date: 03/30/2006
Inspector: Grande, Claudio
Project: <NONE>
Contractor:
Wednesday, March 29, 2006
Job Address: 350 01 treet NE / 0 Z S7
Miami Shores Village, FL 33138-
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phorie: (305)795 -2204 Fax: (305)756 -8972
Block:
ermlt Number: RC- 3= 06-808
Permit Type: Residential Construction
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number
Parcel Number 1132060135290
Lot:
Page 2 of 2
•
Miami Shores Village
Building Department
MagmEvEE
RE- OCCUPANCY La MAR 3 1 2006
--AP-II-LIGATION at Permi_No
(Rev. 10/02/03)
Date 3 /3//0 0 . ?,dyL
Contact Name 7)R. / 1 0•✓.✓/l Btirti. -a,
f
Seller
Sign:
Print:
My Comm' ' sion Expires:
Realtor
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant Name
Signature l r
LocID
Phone #
Buyer
Property Address _ I £ O
City Miami Shores State Fl Zip 3 3/3
onded T ires SEp 27455
Atlantic Bonding C o., �
Building Officials Approval:
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
Company Name
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.
The foregoing instrument was acknowledged before me this day of N , 20 OC, ,
by who is personally known to me or who has
produced ( as identification and who did take an oath.
NOTARY PUBLIC:
Re -Occ. $60.00
Notary $5.00
CCF $0.60
Total
(Rev. 10/02/03)
RE- OCCUPANCY
AP- PLICAT -IO-N
Date
Contact Name 24-t) e_
Buyer f Seller
Property Address
Applicant Name
produced 1 .D
NOTAR UBLIC:
Signature_)
Sign:
Print:
My Co
ission Expires:
Miami Shores Village
Building Department
mo Mug
yi aoos
1
BY:
X 5 0 � � - k/ 5
1 C �� r'`•.' PI.:'. LIC- STAi?. OF FLORIDA
�,�
- yorleny Hernandez
AM : ��� 1111111MIIIIIralwr.'14 Expires: $EI? 7
2009
I r
onand Tlun Atlantic Boa lag C o., Inc.
P_ermit_N.oc
Loc ID
Realtor Company Name
City Miami Shores State Fl Zip 3-3,3
(
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.
Bo 9' 4
.OWN R'S AFFIDAVIT: I certify that all the foregoing information is accurate.
The foregoing instrument was acknowledged before me this 2-9 day of C H , 20 OP
byN4N EL VI. BEA T
who is personally known to me or who has
as identification and who did take an oath.
Building Officials Approval:
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
81)B
s "Do.)ad /� i3 ► 1-
' Phone # 774 -16 7S
Re -Occ. $60.00 /
Notary $5.00
CCF $0.60
Total VO •
MAR 2 9 PAID