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PW-18-267Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Issue Date: 6/29/2018 Perm/tWO. PW- -18-267 PernikType: Public Works Work Classification: Public Works Permit Status: APPROVED Expiration: 09/27/2018 Parcel Number Applicant 1017 NE 95 Street Miami Shores, FL 1132060143580 Block: Lot: MIAMI PROPERTY SOLUTIONS I Owner Information Address Phone CeII MIAMI PROPERTY SOLUTIONS LLC 142 NW 100 Street MIAMI SHORES FL 33150- (305)807-4045 190 NE 111 Street MIAMI SHORES FL 33161- Contractor(s) Phone CeII Phone CITY ROOFING AND CONSTRUCTION (305)248-2994 (305)218-7901 Valuation: Total Sq Feet: $ 800.00 25 Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Amount $o.00 $0.00 $0.00 $0.20 $100.00 $3.00 $0.80 Total: $104.00 Pay Date Pay Type Amt Paid Amt Due Invoice # PW-2-18-66313 06/29/2018 Credit Card $ 104.00 $ 0.00 Available Inspections: Inspection Type: Excavation Review Public Works Final Public Works 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: rtify th construction and zon Authorized g e foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating theI authorize the above -named contractor to do the work stated. ner / Applicant / Contractor / Agent June 29, 2018 Date Buildin ment Copy June 29, 2018 1