City Of Miami Gardens Application For Re-Occupancy Certificate Page 2
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2CITY OF MIAMI GARDENS
APPLICATION FOR
RE-OCCUPANCY CERTIFICATE
PROPERTY INFORMATION
Date:___________________
Folio:_
No._of_Bedrooms:
No._of_Baths:_
Property_Address:_
_Apartment/Unit_#:_
City:_Miami_Gardens_
State:_FL
_ZIP:_
Closing_Date:
Lockbox No.:
SELLER INFORMATION
First_Name:_
Last_Name:_
Mailing_Address:_
Apartment/Unit_#_
City:
State:
ZIP:_
Phone:
Fax:_
Email:
BUYER INFORMATION
First_Name:_
Last_Name:_
Mailing_Address:_
Apartment/Unit_#:_
City:
State:
ZIP:_
Phone:
Fax:_
Email:
AGENT / DESIGNATED CONTACT INFORMATION
Agency_Name:
Contact_Name:
Phone:
Fax:_
Mailing_Address:_
_Apartment/Unit_#:_
City:
State:
ZIP:_
SIGNATURES
Buyer_or_Seller’s_Signature:
Buyer_or_Seller’s_Driver’s_License_#:_
Realtor_or_Bank_Agent_Signature:_
Realtor_or_Bank_Agent’s_License_#_:_
City of Miami Gardens |_18605 NW 27th Ave_|_Attn:_Code_Enforcement_|_Miami_Gardens,_FL._33056
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Parent category: Business