DS-18-97 Perm wo. D5-1-18-97
i Miami Shores Village Permit Type:DritteW,ays/Sideilfalka/Sla
10050 N.E.2nd Avenue NE
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F Work Classrficatioo. XddlitiontAtteration
Miami Shores,FL 33138-0000
Permit Status:APPROVED
ry. ` Phone: (305)7952204
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issue Date:31512018 Expiration: 09/01/2018
Project Address Parcel Number Applicant
1266 NE 101 Street 1132050080010 NANCY BENNETT TRS
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
NANCY BENNETT TRS 1266 NE 101 Street (
MIAMI SHORES FL 33138-2414 (305)710-4819
Contractor(s) Phone Cell Phone Valuation: $ 1,500.00
ALL QUALITY ELECTRICAL SERVICE: (305)968-7832
Total Sq Feet: 0
Approved:In Review Available Inspections:
Comments: LInspectionype:
Date Approved::In ReviewDateDenied:Type of Work:CONCRETE PAD FOR GENERATOR PLAC Additional Info:Bond Return: Classification:Residential ng
Scanning:3
i
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
- Invoice# DS-1-18-66116
DBPR Fee $2.00 01/12/2018 Credit Card $50.00 $66.20
DCA Fee $2.00
Education Surcharge $0.40 03/05/2018 Check* 1711 $66.20 $0.00
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $1.60
i
Total: $116.20
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 f
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.
March 05, 2018
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 05, 2018 1