REOC-09-1137Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 118913 Permit Number: REOC -7 -09 -1137
Scheduled Inspection Date: July 10, 2009
Inspector: Bruhn, Norman
Owner: ROSEN, NEIL & ELIZABETH
Job Address: 444 NE 96 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor:
Permit Type: Re- Occupancy
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number 305 - 576 -5900
Parcel Number 1132060140580
Building Department Comments
re -occ
Passed "e97.76c4
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
PLEASE CALL BEFORE GO
NEIL ROSEN 305.776.1414
ALL PERMITS CLOSED
1..11. 110 '111n0
For Inspections please call: (305)762 -4949
D..... 4 ..i fl
Miami Shores Village
Building Department
RE- OCCUPANCY
APPLICATION
Date 1 \ t®
JUL 0 9 2009
10050 N.13.2nd Avenue
Iviiami Shores, Florida 33138
Tel: (305) 795-2204
Fax: (305) 756 -8972
Permit No. keno -W5)
Loan
Contact Name 1%1B-11- 1L° &1 Phone # LC- -rm. 1 k l
Company Name 0 coo WELL toomiistetz
Property Address 44-4 K1t 4 ( tt S--fic pm
City Miami Shored State Fl Zip 33110
Buyer &li1I Seller Ws- Realtorit 1%
I hereby certify that t 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. 1 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:
rtify that all the foregoing information is accurate.
./'
The f• r :. ing ment was acknowledged before me this day of V 2009
by ! ' who is ersonally known tome or who has
produced i _ , � �' • �� a as identification and who did take an oath.
Sign:
Print:
My Commission
$o
Building Officials Approval:
Rev 10/02/03)
Re -Occ. $60.00
Notary $5.00
CCF $0.60 N.
Total ` 4�' .