PL-16-2602 (2)Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
671 NE 105 Street
Miami Shores, FL 33138-2053
6-2602
Residential=.
on/Alteration
APPROVED
/2016 Expiration: 04/29/2017
Parcel Number
1122310120100
Block: Lot:
Applicant
ROBERT MORENO CIO SASHA 1
Owner Information
ROBERT MORENO C/O SASHA
Address
1 NE 2 Avenue
MIAMI FL 33132-
1 NE 2 Avenue
MIAMI FL 33132-
Phone
CeII
Contractor(s)
BIG PLUMBING CORP
Phone CeII Phone
(305)821-2880 Q=
Valuation:
Total Sq Feet:
$ 12,964.15
6000
Type of Work: KITCHEN REMODEL BATHROOM REMODEL RE
Type of Piping:
Additional Info: KITCHEN REMODEL BATHROOM REMODEL RE
Bond Return :
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Work without Permit Fee
Work without Permit Fee
Total:
Amount
$7.80
$5.83
$5.83
$2.60
$388.92
$3.00
$10.40
$388.92
$100.00
$913.30
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL -9-16-61416
10/31/2016 Credit Card $ 913.30 $ 0.00
Available Inspections:
Inspection Type:
Top Out
Final
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.
October 31, 2016
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Date
October 31, 2016 1