PL-18-1318 (2)Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. PL-5-18-131-8
Permit Type: Plumbing - Residential
Work Classification: Pool - Private
Permit Status: APPROVED
Issue Date: 712/2018
Expiration: 12129/2018
Parcel Number
Applicant
9929 NE 4 Avenue Road
Miami Shores, FL 33138-
1132060171280
Block: Lot:
MARVIN R LIST & MARIA T MAN
Owner Information
Address
Phone
Cell
MARVIN R LIST & MARIA T MANERBA 9929 NE 4 AVE Road
- - - - --- - -- - -- - - -- - ----- - MIAMI SHORES FL 33138-
9929 NE 4 AVE Road
MIAMI SHORES FL 33138-
Contractor(s) Phone
REGENCY POOL & SPA OF FLA INC 954-424-0134
CeII Phone
(305)858-0204
Valuation:
Total Sq Feet:
$ 1,600.00
0
Type of Work: POOL PIPING
Type of Piping:
Additional Info: POOL PIPING
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-5-18-67569
05/16/2018 Credit Card
07/02/2018 Credit Card
Amt Paid Amt Due
$ 50.00 $ 186.83
$ 186.83 $ 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 AFFID ' IT: 1 c riitrall the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and oning. t ermore„.l authorize the above -named contractor to do the work stated.
41t
Auth. ized Signa . re: Owner / Applicant t, Contractor \/ Agent
July 02, 2018
Date
Building • epartment Copy
July 02, 2018
1