REOC-3-15-640re-EWWW". "Un
Permit
Phone#:
Buyer: 65 Y" j ve S Seller: tLr'%_Pk LA
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Realtor: Company Name;
Property Address: Al 1/v
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Miami Shores
MAR 2,11, 15
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State �j ,: Florida 71p: _3
I hereby certify that I understand that the zoning for this 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 Viflage 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.
APPLICANT'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant F
Signature:
The foregoing instrument was acknowledged before me this
day of 4' 3 20 4. ly M 0 ` th �'a<- e
who is personally known to me or who has produced ` 1
identification and who did take an oath
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires-
c� CNP53
Building Officials Approvaj�"
REV 4-10
�•1 D
(Votary $5, 00
Ulm.
MIAMI SHORES VILLAGE
Building Department
10050 NE 2 Ave, Miami Shores Fl, 33138
Tel-. 305-795-2204- Fax- 305-756-8972
Perrnit No REOC-3-15-640
Certificate of Re-Occupancy
Address: 96 NVV,92 Street
City- Miami Shores
State: FL
Zip- 33150-
This certificate verifies tha:1. the reference property has bEen inspecied by Miami Shores
Village and' has been determined to presently comply with sc[-uedu. e of regulations of
Miami Shores Land and Development Code pertaining solely to the reqUirefflent that each
one-family dwelling is used and intended to be Used for a one4arnily dwelling purpose
only; however, this certificate does not constitute any representation or warranty as to the
condition of the dwelling or other structures on the prernises described herein, or any
aspect of such condition, and interested persons are advised and encouraged to make
their own inspections of the premises in order to determine the condition thereof,
Building Approval:
4