RF-17-2331 (2)Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
en-4 it
Parcel Number
Issue Date: 9/28/2017
Permit No. RF-9-17-2331
Permit Type: Roof
Work Classification: Tile
Permit Status: APPROVED
Expiration: 03/27/2018
Applicant
10555 NE 2 Court 1122310130600
JORGE LUIS RIOS
Miami Shores, FL Block: Lot:
Owner Information
Address
Phone
JORGE LUIS RIOS 10555 NE 2 Court (786)202-6660
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
DESIGN BUILDERS INC (786)267-0650
ape of Work: Re Roof
dditional Info: RE -ROOF AND NEW ROOF TILE
lassification: Residential
canning: 3
Fees Due
Amount
CCF
$12.00
DBPR Fee
$4.88
DCA Fee
$4.88
Education Surcharge
$4.00
Permit Fee - New Roof
$325.00
Scanning Fee
$9.00
Technology Fee
$16.00
Total:
$375.76
Cell
Valuation: $ 20,000.00
Total Sq Feet: 3900
Pay Date Pay Type Amt Paid Amt Due
Invoice # RF-9-17-65186
09/28/2017 Credit Card $ 375.76 $ 0.00
AvanaDie ins
Inspection Type:
Up Lift Report
Tin Cap
Final Roof
Tile In Progress
Review Roof
Renailing Affidavit
Cap Sheet
In consideration of the iss a ce to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and m rict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I axsue responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRIC L, P UMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OW FFIDAVI : I ertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction d zo n Futhermore, I authorize the above -named contractor to do the work stated.
September 28, 2017
licant / Contractor / Agent
Building Department Copy
September 28, 2017 1