RC-07-1485Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 07/18/2007
Inspector: Grande, Claudio
Owner: ECKERT, RENE
Job Address: 80 94 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor:
Permit Type: Residential Construction
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Block:
Phone Number
Parcel Number 1132060130300
Lot:
.
�I
Passed
i %'
Inspector Comments
.
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Wednesday, July 18, 2007
Page 2 of 2
Miami Shores Village
Building Department
RE- OCCUPANCY
APPLICATION
10050 N E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
Permit No.�-C — f4 5
LocID
Date JUL ( I11 2-60-)
Contact Name n i3 v 6— i b t A- Phone # 3 b 5 b 9 i5-3.5- d1
Buyer Seller Realtor k--
Property Address ND E 99' ‘(
State Fl
Company Name 2 /% 7C i /1i,1,5
City Miami Shores Zip 3S )6
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 -B12'T sr�c r
Signature
The foregoing instrument was acknowledged before me this l` day of
by &I T ' ova , who
JAY
known to me or who has
, 20 0 ,
produced as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Building Officials Approval:
Rev. 10 /02103)
Re -Occ. $60.00\
Notary $5.00
CCF $0.60
Total -(p,0 .