PL-17-518 (2) }
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Permit No. PL-2-17-518
`5 ortEs yt Miami Shores Village Permit Type.Plumbing-Residential
10050 N.E.2nd Avenue NW ' Work Classification:Addition/Alteration
Miami Shores,FL 33138-0000 PerlilPonftit Status:APPROVED
^' Phone: (305)795-2204
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issue Date:312/2017 Expiration: 08/29/2017
Project Address Parcel Number Applicant
241 NW 91 Street 1131010331340
Miami Shores, FL 33150- Block: Lot: LORI BRANDT
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Owner Information Address Phone Cell
LORI BRANDT 241 NW 91 Street (786)553-1962
MIAMI FL 33150-
241 NW 91 Street
MIAMI FL 33150-
Contractor(s) Phone Cell Phone Valuation: $ 4,700.00
DPAUL PLUMBING INC (305)332-1402
Total Sq Feet: 0
Type of Work: PLUMBING RENOVATION FOR BATHROOM A Available Inspections:
Type of Piping: Inspection Type:
Additional Info: PLUMBING RENOVATION FOR BATHROOM A Top Out
Bond Return: Final
Classification:Residential Scanning: 1 Review Plumbing
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.00
DBPR Fee Invoice# PL-2-17-63098
$3.38 02/28/2017 Credit Card $50.00 $ 192.76
DCA Fee $3.38
Education Surcharge $1.00 03/02/2017 Credit Card $ 192.76 $0.00
Permit Fee $225.00
Scanning Fee $3.00
Technology Fee $4.00
Total: $242.76
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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.
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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. I
March 02, 2017
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 02, 2017 1
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