WS-18-403i
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10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
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Permit NO. WS-2-18-403
Pennit Type: WindowslShutters
t/o* Classification: Window/Door Replacem
Permit Status: APPROVED
Issue Date: 5/912018 1 Expiration: 1 V05/2018
Project Address Parcel Number Applicant
141 NW 101 Street 1131010220170
COLBY NEUMANN
Miami Shores, FL 33150- Block: Lot:
Owner Information Address Phone Cell
COLBY NEUMANN 141 NW 101 Street (786)210-9004
MIAMI SHORES FL 33150-
141 NW 101 Street
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone
HOME OWNER
ie of Work: 9 WINDOW REPLACEMENT
of Openings: 9
iitional Info:
ssification: Residential
inning: 3
Fees Due
Amount
CCF
$5.40
DBPR Fee
$2.85
DCA Fee
$2.00
Education Surcharge
$1.80
Notary Fee
$5.00
Permit Fee
$190.00
Scanning Fee
$9.00
Technology Fee
$7.20
Total:
$223.25
Valuation: $ 9,000.00
Total Sq Feet: 0
Pav Date Pav Tvoe Amt Paid Amt Due I
Invoice # WS-2-18-66469
02/15/2018 Credit Card
05/09/2018 Credit Card
$ 50.00 $ 173.25
$ 173.25 $ 0.00
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Inspection Type:
Window Door Attachment
Final
Review Build
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 A ID VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructiop a d 4pntog. Futhermore, I authorize the above -named contractor to do the work stated.
May 09, 2018
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
May 09, 2018
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