PL-18-33 (3)yQ Miami Shores Villageyµ°Rs
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
F ORtDp'
Permit NO. PL-1-18-33
Permit Type: Plumbing - ResidentialPert'll'it W ik Classification: Addition/Alteration
Permit Staters: APPROVED
Issue oats: 511/2018 1 Expiration: 10/28/2018
Project MOMS Parcel Number Applicant
71 NE 97 Street 1132060131010
Miami Shores, FL Block: Lot:
MYRON NOVAK
Owner Information Address Phone Cell
MYRON NOVAK 71 NE 97 ST
MIAMI SHORES FL 33138-2330
Contractor(s) Phone Cell Phone
MPS OF MIAMI INC (305)627-0199 (786)256-4690
of Work: ADDITION OF 115 SQ RT TO EXTEND EXI
of Piping:
onal Info: ADDITION OF 115 SQ RT TO EXTEND EXI
Bond Return :
Classification: Residential Scanning: 1
Fees Due Amount
CCF 1.80
DBPR Fee 3.38
DCA Fee 2.25
Education Surcharge 0.60
Permit Fee 225.00
Scanning Fee 3.00
Technology Fee 2.40
Total: 238.43
Valuation: $ 2,925.00
Total Sq Feet: 115
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL-1-18-66052
05/01/2018 Credit Card 238.43 $ 0.00
AvallaDle
Inspection Type:
Top Out
Final
Review Plumbing
Underaround
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 that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize th W
med contractor to do the work stated.
May 01, 2018
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
May 01, 2018