REOC-3-16-792Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 255486 Permit Number: REOC -3 -16 -792
Scheduled Inspection Date: March 25, 2016 Permit Type: Re- Occupancy
Inspector: Rodriguez, Jorge Inspection Type: Re Occupancy
Owner: PEREZ- CONTRERAS, YENI E Work Classification: Re- Occupancy
Job Address: 54 NE 106 Street
Miami Shores, FL 33138 -2035
Project: <NONE>
Contractor: HOME OWNER
Phone Number
Parcel Number 1121360060040
March 24, 2016 For Inspections please call: (305)762 -4949 Page 23 of 28
MIAMI SHORES VILLAGE
wilding Depaftment
10050 NE 2 Ave, Miami Shores Fl, 33138
Tel: 305 - 795 -2204• Fax: 305 -756 -8972
Permit No. REOC -3 -16 -792
Certificate of Re-Occupancy
Address: 54 NE 106 Street
City: Miami Shores
State: FL
Zip: 33138 -2035
This certificate verifies that the reference property has been inspected by Miami Shores
Village and has been determined to presently comply with schedule of regulations of
Miami Shores Land and Development Code pertaining solely to the requirement that each
one - family dwelling is used and intended to be used for a one - family 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 premises 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.
• • * • •
0
Miami Shores Village �,��
Building Department y
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
RE- OCCUPANCY
APPLICATION
Contact Name: DIEGO ROSERO
Buyer: SALVATORE DI LUCA & MARIA G LUAIZA M
Seller:YENI PEREZ
Permit No. ` 'o C
Phone: (561) 543 -7802
Realtor: DIEGO ROSERO Company Name: RELATED ISG
Property Address: 54 NE 106 ST
City: Miami Shores State: Florida Zip: FL 33138
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 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.
APPLICANT'S AFFIDAVIT: I certify that all the foregoing information Is accurate.
Applicant name. ��
Signature:
The foregoing instrument w dwledged before me this
day of 2 4 20 1�p, by � � �� " I- V c
who is personally known to me or who has produced L,_ m,,,_m,mm,_
� As identification and who did take an oath
NOTARY PUBLIC:
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My Commission Expires:
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Building Officials a s A pp rovai: mmJuliana Tellez IF CCMMISS01N # EE8299
45
E XPIRES: OCT. 14, 2016
WWW.AARONN'OTARY.com
Re -Occ $60.00
Notary $5.00
Total
REV 4 -10