FW-19-1771 (2)Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
rD,
Issue Date: 09/01/2019
Parcel Number
210 NE 102ND ST, Miami Shores, FL 33138 1132060480010
Contacts
Permit NO.: FW-08-19-1771
Permit Tyree: Fence/Wall
Work Classification: Wood Fence
Permit status: Approved
Expiration: 01/28/2020
Cassia Lawrence Owner DAVE LAWRENCE Applicant
210 102 210 NE 102 ST, MIAMI SHORES, FL 33138
Other:3057803051
HOME OWNER Contractor
HOME OWNER
n Re
Description: PERIMETER WOODEN FENCE. 6' FOR APORTION Valuation: $ 3,500.00 Inspection Requests:
30s_ectition Re
AND 4' IN FORNT OF HOUSE
TotalSq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$2.40
DBPR Fee
$3.96
DCA Fee
$2.64
Education Surcharge
$0.80
Notary Fee
$5.00
Planning and Zoning Review Fee
$35.00
Scanning Fee
$9.00
Technology Fee
$6.60
Wire and Wood Fence Fee
$214.00
Total:
$329.40
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$329.40
Credit Card
08/01/2019 $329.40
Amount Due:
$0.00
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 S2qsSruction_a.V0zoning. Futhemyxe'I authorize the above named contractor to do the work stated.
Signature: Owner / Applicant / Contractor / Agent
Date
August 01, 2019 Page 2 of 2