REOC-09-1676 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 126971 Permit Number: REOC -10 -09 -1676
Scheduled Inspection Date: October 14, 2009 Permit Type: Re- Occupancy
Inspector: Bruhn, Norman Inspection Type: Re Occupancy
Owner: BOGERT, SALLY Work Classification: Re- Occupancy
Job Address: 601 GRAND CONCOURSE
Miami Shores, FL Phone Number
Parcel Number 1132060172140
Project: <NONE>
Contractor:
Building Department Comments
786- 287 -4288 Emilio
Inspector Comments
Passed 786- 287 -4288
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
October 13, 2009 For Inspections please call: (305)762 -4949 Page 19 of 23
Miami Shores Village
Building Department
.10050 N E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795 -2204
RE -OCCUPANCY Fax: (305) 756 -8972
APPLICATION Permit N o. &ar - �' -�✓67
Loc ID
Bate - lhp 2 91 ^ 47-kO R
Contact Name l o Phone # 3US 24— .(
Buyer Seller Realtor Company Name lhaw
Property Address ® ac(A
City Miami Shores State Fl Zi. - 3S. -
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 Mami 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:
O'WNER'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant Naifk lc �t `' .,0
Si re
,,,,�j I
The foregoing instrument was acknowledged before me this ( day of 20
by Flo , who is personally known to me or who has
produced C, FL pe tac, as identification and who did take an oath.
NOTARY PUBLIC:
A 4 Notary Public State of Florida
Joanna Moreno
14 e
< My Cammisslon DD900938
Sign: 0 3 Re -Occ. $60.00
T T
Print: _, n VV Notary $5.00
My Commission Expires: (p t M k-.0 CCF $0.60
Total
Building Officials Approval:
Rev. 14/=3)
Inspection History
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762
ZW
s
Project: <NONE>
Owner: PAUL & MILDRED MAJOROS
Phone:
Job Address: 601 GRAND CONCOURSE Parcel: 1132060172140
Miami Shores, FL Block: Lot:
Scheduled Insp # Inspection Type Inspection Status Inspector Date Completed
10/14/2009 INSP- 126971 Re Occupancy APPROVED Norman Bruhn 10/19/2009
786 - 287 -4288
Monday, December 28, 2009 Page 1 of 1