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REOC-10-272
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 136091 Permit Number: REOC -2 -10 -272 Scheduled Inspection Date: February 23, 2010 Permit Type: Re- Occupancy Inspector: Bruhn, Norman Inspection Type: Re Occupancy Owner: PEREA, JOSE & LILLIAN Work Classification: Re- Occupancy Job Address: 49 NE 110 Street Miami Shores, FL 33161 -7043 Phone Number 0— Parcel Number 112136004027 Project: <NONE> Contractor: Building Department Comments Inspector Comments Passed PLEASE CALL MONICA LOMONACO 305 - 215 -5564 Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 22, 2010 For Inspections please call: (305)762 -4949 Page 24 of 25 • • Miami Shores Village t Buildin g Dep artment artment 10050 N.E.2nd Avenue kft T? �iT7 Miami Shores, Florida 33138 t `' Tel: (305) 795 -2204 RE- OCCUPANCY FEB P 2 Z010 Fax (305) 756-8972 APPLICATION C�CC, I Permit No. Loc ID Date a a Contact Name `� IV C r� �--� i Phone # 30 S— a 1 S- s S Coq, Buyer Seller Realtor f Company Name Property Address t`1 11 C l r1Ze+ I City Miami Shores State Fl Zip 3 1 (o l 4 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 L1 tA �� Signature • it i The foregoing instrument was acknowledged before me this 2PN day of j �AQ / , 20 , by b L 1 44 t l - &eEA, , who is personally known to me or who has produced J6E ,©�1v'S L (CITE as identification and who did take an oath. NOTARY PUBLIC: I'- Sequeira -_: ACornmission #®D531358 Sign - w 41 e � E c ices: MAR. 21 2010 Re - Occ. $60.00 www,AARONNOTARY.com Pri 09(a Notary $5.00 j My Commission Expires: Ida 2/ X/O CCF $0.60 Total Building Officials Approval: (Rev. 10/02/03)