DS-18-3046Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Permit NO.: DS-10=18-3046 Permit IVR Number: 100289
Permit Type: Driveways/Sidewalks/Slabs
Work Classification: New
Permit Status: Approved
issue Date: 10/OS/2018
Parcel Number
Expiration: 04/01/2019
1499 NE 104TH ST, Miami Shores, FL 33138
1122320320110
Contacts
PATRICK LONGMAN
1499 NE 104 ST, MIAMI, FL 331382663
Other: 3056773046
Owner
CHAMPION CONCRETE
JAIME BASILIO
10280 NW 63 TER 105, DORAL, FL 33178
Business: 3052528055
Other: 7864024802
Contractor
Description: PAVERS DRIVEWAY TO REPLACE DS 18-462
Fees
Amount
Concrete/asphalt/pavers, slabs, dways,
swalks
Total:
$75.00
$75.00
Valuation: $ 8,600.00
Total Sq Feet: 1,200.00
Payments
Total Fees
Credit Card
Amount Due:
Amt Paid
$75.00
$75.00
$0.00
Inspection Requests:
305-762-4949
Building Department Copy
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required or ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS
regulating
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FFID
. nstru
IT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
on and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authoriz d Sigt•1$•
t-/r e.. 5i44
: Owner / Applicant / Contractor / Agent Date
October 05, 2018
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