REOC-10-288 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 136273 Permit Number: REOC -2 -10 -288
Scheduled Inspection Date: February 25, 2010 Permit Type: Re- Occupancy
Inspector: Bruhn, Norman Inspection Type: Re Occupancy
Owner: DEMERJIAN, LEE Work Classification: Re- Occupancy
Job Address: 38 NE 108 Street
Miami Shores, FL 33138 -
Phone Number
Parcel Number 112136011005
Project: <NONE>
Contractor:
Building Department Comments
Inspector Comments
Passed PLEASE CALL MIKE MASON
305 - 527 -3088
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 25, 2010 For Inspections please call: (305)762 -4949 Page 21 of 25
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
7� T R IF, Tel: (305) 795 -2204
1W - 0CCU r�n � �
P � ' Fax: (305) 756 -8972
BY :............ ........ Loc ID
Date Feb. 24� 2010
Contact Name Mike Mason, Realtor Phone # (305) 527 -30
Buyer Seller X Realtor Company Name
Property Address 38 Northeast 108th Street
City Mami Shores State Fl Zip 33161
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 Nam to hen Z. Loffre o, Esq. (Owner's Attorney)
For to f Aram J. Demerjian]
Signature
The foregoing instrument was acknowledged before me this day of February 20 10 ,
by _ Stephen K. Loffredo , who is personally known tome or who has
produced as identification and who did take an oath.
NOTARY°" 'LI''��,,
Sign: o
Re -Occ. $60.00
Print: 5
Notary $5.00 �
My Commission Exples��+e ++ CCF $0.60
t �E0419111�t`�`
Total
Building Officials Approval:
(Rev. 10102/03)