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PL-18-1074Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Parcel Number Issue: e: 4 Permit NO. P'L-4-18-1'074 Permit Type: Plumbing - Residential Work Classification: Septic Pennit Status: APPROVED 712018 Expiration: 10/24/2018 Applicant 10525 NE 2 Court Miami Shores, FL 1122310130610 Block: Lot: BENNY NEWBY Owner Information Address Phone CeII BENNY NEWBY 10525 NE 2 Court MIAMI SHORES FL 33138- (305)336-0676 Contractor(s) MR C'S PLUMBING & SEPTIC INC Phone Cell Phone (305)651-7859 Valuation: Total Sq Feet: $ 3,500.00 300 Type of Work: INSTALLATION OF DRAINFIELD AND SEPT Type of Piping: Additional Info: INSTALLATION OF DRAINFIELD AND SEPT Bond Return : Classification: Residential Scanning: 3 Fees Due Bond Type - Owners Bond CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $500.00 $2.40 $4.50 $3.00 $0.80 $300.00 $9.00 $3.20 $822.90 Pay Date Invoice # 04/27/2018 04/27/2018 04/24/2018 Bond #: 3730 Pay Type PL-4-18-67270 Credit Card Credit Card Credit Card Amt Paid Amt Due • $ 500.00 $ 272.90 $ 50.00 $ 322.90 $ 50.00 $ 0.00 Available Inspections: Inspection Type: HRS Approval Final 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, draw' gs, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit assume responsibility for all work on by either myself, my agent, servants, or employes. I understand that separate permits are required for E AL, PLUMBING, MECHANICAL, WI DO S, DOORS, ROOFING and SWIMMING POOL work. OWNERS A construction a that all the foregoing inforn is accurate an at ore, I authorize the above-loth-Qgintractor to Au prized Signature: OJq er / Applicant Contractor / Agent work wit be done in compliance with all applicable laws regulating st April 27, 2018 Date Building Department Copy April 27, 2018 1