PL-17-2320 (2) k
Permit w. PL-9-17-2320
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Miami Shores VillagePermit Type:I�lumbing-Residential
10050 N.E.2nd Avenue NE Pmr ' workclassiriCation:Addition/Alteration
Miami Shores,FL 33138-0000 pamlit;5t8ttfS:APPROVED` Phone: (305)795-2204
Issue Date:215/2018 Expiration: 08/04/2018
Project Address Parcel Number Applicant
1098 NE 98 Street 1132050180350
Miami Shores, FL 33138-2506 Block: Lot: CODY SAVITS
Owner Information Address Phone Cell
CODY SAVITS 1098 NE 98 Street (786)877-3564
MIAMI SHORES FL 33138-
1098 NE 98 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 2,350.00
ORIGINAL PLUMBING INC (954)274-3041
Total Sq Feet: 175
Type of Work:REMOVE AND REPLACE SINK,TOILET AND Available Inspections:
Type of Piping: Inspection Type:
Additional Info:REMOVE AND REPLACE SINK,TOILET AND Top Out
Borid Return: Final
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Classification:Residential Scanning: 1 Review Plumbing
Underground
1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.8p
Invoice# PL-9-17-65174
DBPR Fee $2.25
DCA Fee $2.00 02/05/2018 Credit Card $ 112.05 $50.00
Education Surcharge $0.60 09/27/2017 Check#: 1538 $50.00 $0.00
Permit Fee $150.00
Scanning Fee $3.00
Technology Fee $2.40
Total: $162.05
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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.
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.
February 05, 2018
i natur ner / Applicant / Contractor / Agent Date
Building Department Copy
February 05, 2018 1
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