PL-04-359Miami Shores Village
10050 NE 2nd Avenue
Phone: 305-795-2204
Printed: 2/4/2005
Plum.ing Permit
Permit Number: PL2004-359
Page 1 of 1
Applicant: VICTOR ORTEGON
Owner: ORTEGON VICTOR
JOB ADDRESS: 550 NE 101 ST
Contractor ALEX'S PLUMBING SERVICE Contractor's Address: 2431 NW 107 AVE
Local Phone: 954/755-3900
Parcel # 1132060171160
Legal Description: MIAMI SHORES SEC 4 PB 15-14 LOTS 1-2-3 BLK 95 LOT SIZE SITE VALUE
Fees: Description Amount
FEE2005-1529 Building Fee $150.00
FEE2005-1530 CCF $1.20
FEE2005-1531 Training and Education Fee $0.40
FEE2005-1532 Technology Fee $3.75
Total Fees: $155.35
Total Fees: $155.35
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 6/15/2005 Construction Value:
Work: DOWNSPOUTS FOR NEW ROOF DESIGN - MASTER BP2004-1465
NQ
Signed: (INSPECTOR)
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY: