RC-08-444Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Numb
Inspection Date: 03/13/2008
Inspector: Grande, Claudio
Owner: FOX, JOHN
Job Address: 1092 94 Street NE
Miami Shores Village, FL
Project: <NONE>
Contractor:
Permit Type: Residential Construction
Inspection Type: Re Occupancy
0.00.Work Classification: Re- Occupancy
Block:
Phone Number
Parcel Number 1132050070180
Lot:
Building Department Comments
RE -OCC
BAR13"6
Passed
MirInspector
Comments
PLEASE CALL
ROBERT BOURNE 786.281.8376
305.302.4795
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Wednesday, March 12, 2008
Page 2 of 2
RE- OCCUPANCY
APPLICATION
Date
Contact Name
Miami Shores Village
Building Department
1Rec we,ci
MAR 12 2008
•
10050 N E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
Permit No. r()Q5"444-
%ocID
Phone # 3 '% 5 7S
Buyer Seller Realtor
Property Address / 0 7 N E
Company Name
City Miami Shores
State Fl
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 ofRe-
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 Nye J :� �,�-+ A r 4''t __
Signature
The foregoing instrument was acknowledged before me this 1a day oftihYCIA , 200 ,
by
produced
who is personally known to me or who has
as identification and who did take an oath.
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.SQ'4•�tie0"
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O��p4gr�^ if 1
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Building Officials Approval:
Rev. 10 /02/03)
Re -Occ. $60.00
Notary $5.00
CCF $0.60
Total rj