RC-08-2115Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: December 09, 2008
Inspector: Bruhn, Norman
Owner: ROMANELLO, MADELEINE
Job Address: 29 96 Street NE
Miami Shores Village, FL 33138-
Project: <NONE>
Contractor:
Permit Type: Residential Construction
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Block:
Phone Number
I Number 1132060130830
Lot:
Building Department Comments
PLEASE CALL BEFORE GO
JANE RUSSELL 305.799.7436
Inspector Comments
Passed ��
��`
.
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Monday, December 8, 2008
Page 1 of 1
Parcel Owner Report
Parcel Number: 1132060130830
29 96 Street NE
Miami Shores Village FL 33138 -
Tax ID: 1132060130830
Owner Information
MADELEINE ROMANELLO
Phone:
Related Permits
Imported Permit
Imported Permit
Imported Permit
Imported Permit
Imported Permit
Imported Permit
Imported Permit
Imported Permit
Imported Permit
Imported Permit
Residential Construction
Permit Number
BP2005 -511
BP2004 -420
EL2004 -313
BP2004 -637
BP2004 -1370
BP2002 -124
BP2004 -801
BP2004 -1513
MC2004 -192
EL2004 -163
RC -12 -08 -2115
Application Date
04/12/2005
03/29/2004
11/05/2004
05/13/2004
10/18/2004
01/18/2002
06/09/2004
11/16/2004
11/01/2004
06/14/2004
12/08/2008
Expiration Date
02/06/2006
06/03/2005
06/19/2005
11/23/2005
08/01/2005
07/17/2002
02/19/2005
06/14/2005
06/20/2005
06/20/2005
01/01/2999
Status
CLOSED
CLOSED
CLOSED
CLOSED
CLOSED
CLOSED
CLOSED
CLOSED
CLOSED
CLOSED
APPROVED
Monday, December 8, 2008 Page 1 of 1
Miami Shores Village
Building Department
L Il
C:,c,8zfie
RE- OCCUPANCY
APPLICATION
/2-/fDate /Or
Contact Name C›fil let.c. 4 x(p Phone # 305 4? 1 ”34
Buyer Seller Realtor Company Name --P (;' "^ � A S 6-(f ) t'u' 1A-
Property Address o2 1 N & ( 6 S 14
City Miami Shores State Fl
BY:
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
Permit No.
Loc ID
Zip 3 3 / 3O
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
Signature
The
by
produced
r ; going ins
�
/fi r vow- �-
ment was
cknowledged before me this
day of ar,V,Mikr, 2
o is personally known to me or who has
identification and who did take an oath.
Sign:
Print:
My Commission Expires:
NOTARY PUBLIC:
Building Officials Approval:
(Rev. 10/02/03)
SS�,o`�. 9s51 ,
o, o 0
Re -Occ. $60.00 .\
Notary $5.00\
CCF $0.60\
Total
120808 1649 17,401