RC-07-2422Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 12/04/2007
Inspector: Grande, Claudio
Owner: BURKET, MICHAEL
Job Address: 67 94 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor:
Permit Type: Residential Construction
Inspection Type: Re Occupancy
ei......„
Work Classification: Re- Occupancy
Block:
Phone Number (415)595 -3910
Parcel Number 1132060130570
Lot:
Building Department Comments
Tuesday, December 4, 2007
Page 1 of 2
DEC 0 4 Me
(V/L/lry
Passed
Inspector Comments
PAUL KAESS: 305.807.2220
CC
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Tuesday, December 4, 2007
Page 1 of 2
DEC-03137 OS :212 AM PAUL . A . KRESS
Opepopromor
305 827 7511 P.01
Miami Shores V illage
Building Department
OC ANCY
PLICATION
DEL 0 32T
AVO BY: 6('-
utact Name , kftg5
10050 14,11.2nd Avenue
Miami Shores, Florida 33138
Tel: (305)795-2204
Fax: (305) '756-8972
Lee
Phone # Jo_C-107 - .242010
Seller Realtor IV Company Nameittilrg_daiggl. 5
_ _._
ierty Address '7. A/ E 944 Sr
ity --Manialitaes State EL _ __Zip 3313(
hereby certify that I understand that the zoning of the property is for single-family residential use and
-2jihat it is unlawful for more than one family to reside therein. I also understand that any Certificate of Re-
ancy that may be issued by Miami Shores Village certifies only that the referenced property is
•14.
.1being 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.
, I, •
;1:,•N3p1 "Name , ,., 0 Mt-, E- . C6 k..4
• i. ,
/ Or
:: f: Si .,-- / /-
. 0.: .
, .
regoing instrument was acknowledged before me this day of ite,c exi 4%e , 20 1;1 7.
it) , who is pe?onaV known to me or who has
litre ///04,0as identification and who did take an oath.
'BLIC:
'My Commission Expires:
Building Officials Approval:
NOTARY PUBLIC-STATE OF FLORIDA
111S‘ •
BONDED TIM ATLANTIC BONDVG CO. INC.
Compioc miss:sion0# CT D.D2711, 02809141 Re"OM. $60,0;\
Notary $5,00
Catalina S. Ribas
CCF $0.60
Total
• .•■•■•■•■