RC-07-2342Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: 11/20/2007
Inspector: Grande, Claudio
Owner: TAYLOR, MICHAEL
Job Address: 916 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 305/751 -3693
Parcel Number 1132060143020
Lot:
Building Department Comments
Monday, November 19, 2007
Page 1 of 2
J �
Passed
Inspector Comments
CALL JIM AT 305 - 302 -4795. MLD
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid .
until
Monday, November 19, 2007
Page 1 of 2
Miami Shores Village
Building Department
RE- OCCUPANCY
APPLICATION
Contact Name
Buyer Seller Realtor 'i Company Name W
Property Address
10050 N E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 7564972
Permit No. it, 1 °'
Loc ID •
Phone
City Miami Shores State Fl
Zip
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
Signatur
fLohlvitor ecb (A(2)
The foregoing instrument was acknowledged before me this I( day of Ahi , 20 di ,
by iii 104. wh rsonally known me or who has
produced as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Building Officials Approval:
Rev. 10/02/03)
CKL424
MIAMI SHORES VILLAGE
Re -Occ. $60.00 /,/
Notary $5.00 1-
CCF $0.60
Total ;��