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PL-17-1474Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 �ORLDA Permit NO. PL-6-17-1474 Permit Type: Plumbing - Residential Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 12/20/2017 1 Expiration: 06/18/2018 Project Aaaress Parcel Number Applicant 278 NE 103 Street 1132060134860 Miami Shores, FL 33138-2431 Block: Lot: HB GROWTH PROPERTIES LLLI Owner Information Address Phone Cell HB GROWTH PROPERTIES LLLP 17071 W DIXIE Highway NORHT MIAMI BEACH FL 33160- 17071 W DIXIE Highway NORHT MIAMI BEACH FL 33160- Contractor(s) Phone Cell Phone G&L PLUMBING SERVICE 305-551-5090 (786)225-3648 Type of Work: WORK BASED ON PROVIDED PLANS Type of Piping: Additional Info: Bond Return : Classification: Residential Scanning: 1 Fees Due Amount CCF $9.00 DBPR Fee $7.88 DCA Fee $5.25 Education Surcharge $3.00 Penalty Fee $100.00 Permit Fee $525.00 Return Check Fee $40.00 Scanning Fee $3.00 Technology Fee $12.00 Work without Permit Fee $525.00 Total: $1,230.13 Valuation: $ 15,000.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # PL-6-17-64184 02/16/2018 Credit Card $ 1,230.13 $ 0.00 Avanaoie inspections: Inspection Type: Top Out Final Review Plumbing Underground 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 onformity ith the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit assum res nsi ility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELEC ICAL, PL MIfG) ECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AF DAVIT: I cejg tjjII the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio and zoning. Fut �ttr ADthorize the above -named contractor to do the work stated. February 16, 2018 Authorized Sig Building De er I / Applicant / Contractor / Agent ent Copy ���� ��,u�l�Ec��