OL-08-255Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 02/13/2008
Inspector: ,
,i 6-D .0Z
Owner: LEONI, TODD AND ANDREA
Job Address: 170 96 Sr OF-
Miami Shores Village, FL
Project: <NONE>
Contractor:
Permit Type: Occupational License
Inspection Type: Occupational Lic Insp
Work Classification: New
Block:
Phone Number (305)758 -6568
Parcel Number 1132060132630
Lot:
Building Department Comments
WOMAN'S BOUTIQUE
:I 14; 2000
Passed ,f ,
Inspector Comments
cc a cD e
HERICA SAILH 305.491.9773
PLEASE CALL
, � %
"s -
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Tuesday, February 12, 2008
Page 1 of 2
Miami Shores Village
Building Department
OCCUPATIONAL LICENSES!
CO SAFETY INSPECTION �� FEB � 1
Perm
APPLICATION 6Y:
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
/.Fax: (305) 756 -8972
it No.CLO Opt J
Per Village Ordinance 14 -32, the purpose of obtaining a Certificate of Occupancy/ Safety Inspections is
to ensure your safety and to ensure that previous tenants have not changed the original structure in
violation of Fire Safety and the Florida Building Code.
Building Owner's Name lbdd 1;t'n.A Phone # 05-75(0--77 1
Owner's Address ITO /LIE gust,
City iM S ')Cf`E'S State FL 014 Zip 00/8" g
Business Owners Name l 1 C �M / 1J' l Phone # ,, D5 -754-4 -q
Business Name le U 72W I€
Address 176 At qv st Suite
City Miami Shores State Florida Zip &
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
The foregoing instrument z nt was a9knowledged before me this y of
C4 p ,by
LD�`� , who i
ersonally known to me who has
produced as identification and who did take an oath.
Sign:
Print:
My Commission Expires:
, 20 C
Building Officials Approval:
(Rev. 04/18/03)