REOC-10-10414r
Inspection Number: INSP - 145626
Scheduled Inspection Date: June 09, 2010
Inspector: Rodriguez, Jorge
Owner:
Job Address: 289 NW 111 Terrace
Project: <NONE>
Miami Shores, FL 33168-
Contractor: HOME OWNER
Building Department Comments
June 08, 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 Number: REOC -6 -10 -1041
Permit Type: Re- Occupancy
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number
Parcel Number 1121360010380
REOCCUPANCY
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
PLEASE CALL
ANN SABELLA
305 - 756 -5222
Page 17 of 26
MAY -21 -2010 20:10 FROM:ANN SABELLA REALTY 3057568710
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Teel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
RE-OCCUPANCY Permit No. ° C 4 0 — 1 °1,
APPLICATION
Contact Name AWN 4 Af 4. 4e /if Phone#: , ?. ' -7,r - . 4)-
Buyer: G / o / ,►+r SeU er:. C. /f fiR s U r r f7
Realtor ;4 _ y c� Company Name: C a 6' H o rs I r c'
Property Address: ' A c r
City: Miami Shores State: Florida
I hereby certify that I understand that the zoning for this property is for single - family residential use and that it is
unlawful for more than one family to reside therein. l also understand that any Certificate of Re- Occupancy that
may be issued by Miami Sham 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.
APPLICANT'S AFFIDAVIT: 1 certify that all the foregoing information is accurate.
Applicant Na
Stria tore:
NOTARY P
Sign;
REV 4-10
C:
Ra
The foregoing ins :f t was : :, %w before me this b
day af ik A ' 10 .by 6 �.iL4 ,
who is penally known to rue or who has produced p A 11,; p r
/..LLl=sti S �= As identification and who did take an oath
Print' z I R F . Al _
My Commission .Eapirsaa:
Building Officials Approval;
Miami Shores Village
Building Department
TO:186621357885�5 �P�2
o ` OVV7
a �d l�f� -
BY: . ......
--ZAP: J4 a
1 N ANNSABEIIA
* MY COMMISSION # DD 900751
EXPIRES: March 3, 2014
Bald Tlru Budget No la/ Berko
Re-Qee $60.00
Notary $5.00
Total $