REOC-09-1820Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 128571 Permit Number: REOC -11 -09 -1820
Inspection Date: November 05, 2009
Inspector: Bruhn, Norman
Owner:
Job Address: 131 NE 96 Street
Miami Shores, FL
Project: <NONE>
Contractor:
Permit Type: Re- Occupancy
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number
Parcel Number 1132060132590
Building Department Comments
November 05, 2009
For Inspections please call: (305)762 -4949
Page 1 of 1
Passed - ,%
Inspector Comments
305.694.2166
// /<:.:j7
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
November 05, 2009
For Inspections please call: (305)762 -4949
Page 1 of 1
Miami Shores Village
Building Department
kOC-11-09-/PZ c
RE- OCCUPANCY
APPLICATION Permit No. 12e 0c-11- 091120
Date 414Cq IUD �( ww fry Loc ID
Contact Name 0.. ! �_,- ± I / Phone # 505'1/01 I '
Buyer - Se er _ Realtor v Company Name CK L '01.219,01/
Y tI�_
Property Address l 9� \ 7i ge7 S
10050 N E.2n i Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
City Miami Shores State t Fl
Zip �✓"� l
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
Applicant N
Signatur
AVIT: I certify that all the foregoing information is accurate.
To"
The foregoing instrument was acknowledged before me
y Trp9 Menu 1'Y1 • Cat/04h0 is personally known to me or who has
as identification and who did take an oath.
day of Nil ,20 (,
produced FC.6if L (. C 823
N TARY PUBLIC:
4rint:
A
Wly Commission Expires: 4t9 Ri
e loq
wilding Officials Approval:
(Rev. 10 103)
Re -Occ. $60.00
Notary $5.00
CCF $0.60 C/
Cry.Coa
Total
,,�1 a ter.