PL-17-2205 (2)Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit NO. PL -8-17-2205
p • t Permit Type: Plumbing - Residential
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 10/4/2017
Expiration: 04/02/2018
Parcel Number
Applicant
1150 NE 103 Street
Miami Shores, FL
1132050190050
Block: Lot:
FULFORD UNITED METHODIST
Owner Information
Address
Phone
Cell
FULFORD UNITED METHODIST
1150 NE 103 Street
MIAMI SHORES FL 33138-
(305)206-2067
1960 NE 164 Street
N. MIANI BEACH FL 33162-
Contractor(s)
ISLAND PLUMBING CO
Phone
(305)361-2929
Cell Phone
Valuation:
Total Sq Feet:
$ 1,200.00
0
Type of Work: PLUMBING FOR KITCHEN REMODELING
Type of Piping:
Additional Info: PLUMBING FOR KITCHEN REMODELING
Bond Return :
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.25
$1.50
$0.40
$150.00
$3.00
$1.60
$159.95
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL -8-17-65046
10/04/2017 Check #: 1417 $ 109.95 $ 50.00
08/31/2017 Check #: 1367 $ 50.00 $ 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 AFFI
construction and
ryyjtit
•
Authorize. Sig, at ' e: 0 ner / Applicant / Contractor / Agent
fy at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
re, I au . rize the above-named contractor to do the work stated.
October 04, 2017
Building Department Copy
Date
October 04, 2017 1