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RC-17-263Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address 691 NE 94 Street Miami Shores, FL Owner Information Address Permit Parcel Number Permit NO. RC-2-17-263 Permit Type: Residential Construction WorkClassification: AdditionlAlteration Permit Status: APPROVED Issue gate: 4/18/2017 1132060141950 Block: Lot: Phone Expiration: 10/15/2017 Applicant RIO & LUZ GIARDINIERI Cell RIO & LUZ GIARDINIERI 691 NE 94 ST MIAMI SHORES FL 33138 Contractor(s) HOME OWNER Phone Cell Phone Valuation: Total Sq Feet: $ 4,000.00 780 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: REPLACE Stories: Front Setback: Left Setback: Bedrooms: Plans Submitted: Yes Certificate Date: Bond Return : FLOORING ( WHITE MAF Occupancy: Single Family Exterior: Rear Setback: Right Setback: Bathrooms: Certificate Status: Additional Info: REPLACE FLOORING ( WHITE MAR Classification: Residential Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Work without Permit Fee Amount $2.40 $2.00 $2.00 $0.80 $120.00 $9.00 $3.20 $120.00 Total: $259.40 Pay Date Pay Type Invoice # RC-2-17-62793 04/18/2017 Credit Card 02/01/2017 Credit Card Amt Paid Amt Due $ 209.40 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Drywall Miscellaneous Window Door Attachment Tie Beam Final Framing Insulation Final PE Certification Truss lnsp Columns Foundation Window and Door Buck Fill Cells Columns Wire Lathe F. Termite Letter F. Elevation Certificate Review Planning Review Mechanical Review Structural Review Electrical Review Building Review Building Declaration of Use Review Plumbing 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 t all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating con. ructi• • and zoning. Futhermauthorize the above -named contractor to do the work stated. nze ignature: Owner / Applicant / Contractor / Agent April 18, 2017 Date Building Department Copy April 18, 2017 1