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PL-16-2281.Protect Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number dendial teration APPROVE Expiration: 05/30/2017 Applicant 726 NE 92 Street Number: 4-L Miami Shores, FL 1132060440420 Block: Lot: HECTOR and CARMEN LOPEZ Owner Information Address Phone Cell HECTOR and CARMEN LOPEZ 726 NE 92 Street MIAMI SHORES FL 33138- (305)588-5821 Contractor(s) WALTER PLUMBING CORP Phone CeII Phone (305)970-7116 (786)234-2816 Valuation: Total Sq Feet: $ 600.00 0 Type of Work: PLUMBING PART FOR THE RENOVATION Type of Piping: Additional Info: Bond Return : Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DBPR Fee DCA Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $2.25 $0.00 $2.25 $0.00 $0.20 $150.00 $3.00 $0.80 $159.10 Pay Date Pay Type Amt Paid Amt Due Invoice # PLC -8-16-60973 12/01/2016 Check #: 280 $ 159.10 $ 0.00 Available Inspections: Inspection Type: Top Out Re Pipe Main Drain Heater Water Service Final Water Main Lavatory Review Plumbing Underground In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated. December 01, 2016 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date December01, 2016 1