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PL-17-2573Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Issue Date: 11 Permit NO. PL-1 0-17-2573 Permit Type: Plumbing - Residential Work Ciassification: Pool - Private Pennit Status: APPROVED 2018 Expiration: 07/04/2018 Parcel Number Applicant 150 NE 108 Street Miami Shores, FL 33161- 1121360100040 Block: Lot: JEFFREY KOLOFOFF Owner Information Address Phone Cell Emily Bradfute 150 NE 108th Street Miami Shores FL 33161 305 679-9744 Contractor(s) Phone Cell Phone JC PLUMBING SERVICES INC (305)970-1612 (786)251-8027 Valuation: Total Sq Feet: $ 1,100.00 0 Type of Work: NEW PLUMBING FOR NEW POOL Type of Piping: Additional Info: NEW PLUMBING FOR NEW POOL Bond Return : Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $1.20 $3.38 $2.25 $0.40 $225.00 $3.00 $1.60 $236.83 Pay Date Pay Type Invoice # PL-10-17-65491 01/05/2018 Credit Card 10/30/2017 Credit Card Amt Paid Amt Due $ 186.83 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Main Drain Final Rough 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 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. January 05, 2018 Authorized Signature: Owner / Applicant / ��o• ractor / Agent Building Department Cop Date January 05, 2018 1