REOC-10-1234r
Inspection Number: INSP - 147995
Scheduled Inspection Date: July 09, 2010
Inspector: Bruhn, Norman
Owner: COWAN, REED
Job Address: 249 GRAND CONCOURSE
Project: <NONE>
Contractor:
Miami Shores, FL
Building Department Comments
July 08, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Permit Number: REOC -7 -10 -1234
Permit Type: Re- Occupancy
Inspection Type: Re Occupancy
Work Classification: Re- Occupancy
Phone Number (305)721 -9894
Parcel Number 1132060133610
RE -OCC
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
PLEASE CALL
EMILIO VEGA 786.287.4288
Cc
Page 9 of 11
RE- OCCUPANCY
APPLICATION
Miami Shores Village
Building Department
1 0 1 _ l l 6 L 1°
1003 1V�. iidAvenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
Fax: (305) 756-8972
-�' ��,,,/
Permit No.
r M 4-
Loc ID
Contact Name 11 \,W `- Q- Phone # 1 7 2V '4288 ceUU
Buyer Seller Realtor Company Name \ W l llaUKS Pr_a t
Property Address
City Miami Shores State Fl Zip 3B1
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.
Date
Rev. 10/02/03)
Sign re
Sign:
Print:
My Commission Expires:
249 eizad Comcaocse
OWNER'S AFFIDAVIT: I certify that ff1 D \iP all the foregoing information is accurate.
E ii / Applicant Name �� , �v(
The foregoing instrument was acknowledged before me this day of , 20
b /J 9 , who is personally known to me or who has
produced as identification and who did take an oath.
Building Officials Approval:
Occ. $60.00
tary $5.00
CCF $0.60
Total