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PL-17-2144 (2)Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Perron NO. ?-214 • Permit Type: Plumbing - Residential Work Classification: Addition#Alteration Permit Status: APPROVED Issue Date: 1 1 2017 Expiration: 05/08/2018 • Parcel Number Applicant 800 NE 91 Terrace Miami Shores, FL 1132060050390 Block: Lot: BANCROFT INVESTMENTS, LLC Owner Information Address Phone Cell BANCROFT INVESTMENTS, LLC 7950 NE BAYSHORE Court MIAMI FL 33138- (786)241-6627 7950 NE BAYSHORE Court MIAMI FL 33138- Contractor(s) Phone Cell Phone ORIGINAL PLUMBING, INC Valuation: Total Sq Feet: $ 2,500.00 88 Type of Work: EXPAND EXISTING BATHROOM SANITARY D Type of Piping: Additional Info: Bond Return : Classification: Residential I• Scanning: 1 Fees Due CCF ' DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $1.80 $2.25 $2.00 $0.60 $150.00 $3.00 $2.40 $162.05 Pay Date Pay Type Invoice # PL -8-17-64980 08/24/2017 Credit Card $ 50.00 $ 112.05 11/09/2017 Credit Card $ 112.05 $ 0.00 Amt Paid Amt Due 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: I1c- at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonin. hermore, :. e the above-named contractor to do the work stated. th. :d Signature: OwDer / Applicant / Contractor / Agent Building Department Copy November 09, 2017 Date November 09, 2017