RC-08-1754Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 10/01/2008
Inspector: Rodriguez, Jorge
Owner: CAMARAZA, WILLIAM
Job Address: 1078 94
Miami Shores Village, FL
Project: <NONE>
Contractor:
Permit Type: Residential Construction
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Block:
Phone Number () -
Parcel Number 1132050070190
Lot:
Building Department Comments
re -occ
31411. 64 M -3OL411S
Aoki cAl._ ,
Passed
Inspector Comments
CC 0
Failed
Correction
Needed
Re- lnspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Tuesday, September 30, 2008
Page 1 of 2
Parcel Owner Report
Parcel Number: 1132050070190
1078 94 ST
Miami Shores Village FL
Tax ID: 1132050070190
Related Permits
Imported Permit
Imported Permit
Imported Permit
Paint
Residential Construction
Windows /Shutters
Permit Number
BP2002 -1596
BP2002 -1948
BP2003 -269
PT -4 -07 -781
RC -9 -08 -1754
WS -6 -06 -1536
Application Date
09/13/2002
11/14/2002
02/19/2003
04/19/2007
09/30/2008
06/06/2006
Expiration Date
11/30/2005
06/18/2003
12/01/2004
03/08/2008
03/30/2009
03/04/2007
Status
CLOSED
CLOSED
CLOSED
CLOSED
APPROVED
CLOSED
Tuesday, September 30, 2008 Page 1 of 1
Miami Shores Village'.
Building Department
RE- OCCUPANCY
APPLICATION
Date 5€4 ZsgfrY
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
Permit No.
P-COK- 1154
Loc ID
Contact Name 7/fl z 7 -&-W5 Phone # 5e6---362- Z4 7 -qlJ---
Buyer Seller Realtor x Company Name ,Iil/ L
Property Address /0 7--i A0(6 'W ST-7
City Miami Shores State Fl
Zip 33i3e
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 o— ��1/?��
Signature
The for-goin
by
produced
Sign:
Print:
My Commission Expires:
day of
me or who has
cation and who did take an oath.
20 ,
Building Officials Approval:
093008 0922 IC QI 05 905 mu $65.6
Re -Occ. $60.00
Notary $5.00 \
CCF $0.60
Total 6
Rev. 10/02/03)