PL-17-1646Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit NO. PL -6-17-'I f46
Permit Type: Plumbing - Residential
Work Classification: Pool - Private
Permit Status: APPROVED
Expiration: 04/23/2018
Issue Data:10125/2017
Parcel Number
Applicant
445}NE 94 Street
Miami Shores, FL
1132060140520
Block: Lot:
ARMANDO ORTIZ
Owner Information
Address
Phone
CeII
Darren Ockert
445 NE 94th Street
Miami Shores FL 33138
917 573-9022
Contractor(s)
POOLS BY G.E. CORP
Phone
Cell Phone
Valuation:
Total Sq Feet:
$ 1,000.00
0
Type of Work: SWIMMING POOL AND SPA PIPING
Type of Piping:
Additional Info:
Bond Return :
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$3.38
$2.25
$0.20
$225.00
$3.00
$0.80
$235.23
Pay Date Pay Type
Invoice # PL -6-17-64388
10/25/2017 Check #: 1515
06/23/2017 Credit Card
Amt Paid Amt Due
$ 185.23 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Main Drain
Final
Rough
Review Plumbing
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, M CHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that - j foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futherm • e horize the above-named contractor to do the work stated.
October 25, 2017
Authorized Signat9 : / Applicant / Contractor / Agent
mac//
Building Depa ( nt Copy
Date
October 25, 2017 1