PW-19-212 (2)Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Issue Date: 02/01/2019
Parcel Number
600 GRAND CONC, Miami Shores, FL 33138 1132060172010
Contacts
Permit NO.: PW-01-19-212
Permit Type: Public Works
Work Classification: Public Works
Permit status: Approved
Expiration: 07/29/2019
PAUL BENKE Owner
600 GRAND CONCOURSE, MIAMI, FL 331382474
TECO PEOPLES GAS SYSTEM Contractor
JESUS VEGA
15779 West Dixie Hwy, North Miami Beach, FL 33162
Business:
305957385777247
Other:3059701783
Description: TO INSTALL A NEW GAS SERVICE LINE 3/4 PLASTIC Valuation: $ 1,000.00 Ins ection Requests:
05-762-4949
BY DIRECTIONAL BORE
TO REPLACE PW18-2485 Total Sq Feet: 0.00
Fees
Amount
Payments
Date Paid Amt Paid
50% Renewal Fee
$50.00
Total Fees
$53.00
Scanning Fee
$3.00
Check # 3287
02/01/2019 $53.00
Total:
$53.00
Amount Due:
$0.00
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 for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify
regulating construction and zoninc
II the foregoing information is accurate and that all work will be done in compliance with all applicable laws
ermore, I au orize the above named contractor to do he work stated.
Authorized Signature:
February 01, 2019
Applicant / Contractor / Agent
Date
Page 2 of 2