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REOC-5-17-1344Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 283128 Permit Number: REOC -5 -17 -1344 Inspection Date: May 25, 2017 Permit Type: Re- Occupancy Inspector: Naranjo, Ismael Inspection Type: Re Occupancy Owner: PATINO, ULISES Work Classification: Re- Occupancy Job Address: 78 NE 101 Street Miami Shores, FL Phone Number (305)900 -2012 Parcel Number 1132060131330 Project: <NONE> Contractor: HOME OWNER Building Department Comments REOC I Nnfractio Passed comments INSPECTOR COMMENTS False For Inspections please call: (305)762 -4949 June 05, 2017 Page 1 of 1 Miami Shores Village .:. Building Department N� �. � �r 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 Permit No. 9�f 1 City: Miami Sli r s State: Florida Zip: �1 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 Applicant Signature: foregoing information is accurate. The foregoing instrument ryas ac h wl4dged efore me this day of 20 .x by ..�_ - .���.:�....�1 who is personapnown to me or who has produced t)IT�' f " BAs identifi ": -W o -d!' an oath NOTA. IILI ... Sign. —t-4( Print: My Commission Building Officials Approval: REV 4 -10 YANADYPRIEfO MY COMMISSION 0 FF 214031 EXPIRES: March 25, 2019 Bonded Thor Notary Public Underwr ers Re -Occ $60.QO Notary $5.00 Total $ 6,5 •4— I' IA II SHORES VILLAGE Building Department 10050 NE 2 Ave, Miami Shores Fl, 33138 Tel: 305 - 795 -2204• Fax: 305 -756 -8972 Permit No. REOC -5 -17 -1344 Certificate ot' Re- ccu anc r Address: 78 NE 101 Street City: Miami Shores State: FL Zip: 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.