RC-08-2219..
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Date: December 30, 2008
Inspector: Bruhn, Norman
Owner:
Job Address: 537 NE 96 Street NE
Miami Shores, FL 33138-
OE' 3 0
Project: <NONE>
Contractor:
Permit Type: Residential Construction
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number
Parcel Number 1132060171570
Building Department Comments
Monday, December 29, 2008
Page 1 of 1
Passed
Inspector Comments
PLEASE CALL BEFORE GO
786.281.8376
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Monday, December 29, 2008
Page 1 of 1
Parcel Owner Report
ti
Parcel Number: 1132060171570
537 96 Street
Miami Shores FL 33138-
Tax ID: 1132060171570
Owner Information
Phone:
Current Owner: Yes Company: SIRVA RELOCATION
Related Permits
Demolition
Electrical - Residential
Electrical - Residential
Imported Permit
Mechanical - Residential
Residential Construction
Residential Construction
Residential Construction
Roof
Permit Number
DEMO -2 -08 -361
EL- 3- 08-454
EL -8 -08 -1544
194
MC -3- 08-447
RC- 3- 08-437
RC -1 -08 -139
RC -12 -08 -2219
RF -8 -08 -1545
Application Date
03/12/2008
03/13/2008
08/20/2008
04/21/2003
03/12/2008
03/12/2008
01/23/2008
12/29/2008
08/20/2008
Expiration Date
03/11/2009
04/19/2009
06/22/2009
10/20/2003
02/22/2009
06/27/2009
07/26/2008
06/28/2009
06/14/2009
Status
CLOSED
CLOSED
APPROVED
CLOSED
APPROVED
APPROVED
CLOSED
APPLIED
APPROVED
Monday, December 29, 2008 Page 1 of 1
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Building Department
RE- OCCUPANCY
AU7 7f A T -I�
Date `P,Z 'ZP7 S
Contact Name OLjJ , —7 x_j f N
Buyer Seller • Realtor , Company Name kw
Property Address
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756 -8972
Per_init_No
Loc ED
Phone# 7 g(Q 2R/ g s%6,
City
Miami Shores State 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 AFFID
Applicant N
Signature
I certify that all the foregoing information is accurate.
The or goi
by KO
produced
g ins rument was acknowledged before me this al day of Cle/C2PAy)1001,-
20('( ,
�l) iq J r , who is personally known to me or who has
¶ VL 1"� R -Q OS- 1r19 •u-V l o4s identification and who did take an
NOTARY PUBLIC:
Sign:
Print:
Aud OCut)
My Commission Expires:
Building Officials Approval:
(Rev. 10/02/03)
i
oath.
Re -Occ. $60.00\
Notary $5.00
CCF $0.60 \
Total 10_5___<00