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Miami Shores Village
10050 NE 2nd Avenue
Phone: 305-795-2204
Printed: 9/12/2002
Applicant: CHARLOTTE FISCHBACH
Owner: LE
JOB ADDRESS: 53 NW 107
Contractor
Local Phone:
Building Permit
Permit Number: SP2002-1584
Page 1 of 1
LE
CHARLOTTE FISCHBACH
ST
Contractor's Address:
Parcel # 1121360070440 Legal Description: DUNNINGS MIAMI SHORES EXT NO 3 PB 42-33 LOT 12 BLK
Fees: Description Amount
FEE2002-5114 Building Permit Application Fee $60.00
FEE2002-5115 CCF $0.60 Total Fees: $65.60
FEE2002-5116 Notary Fee $5.00 Total Receipts: $0.00
Total Fees: $65.60
A Permit Status: Approved Permit Expiration: 3/11/2003 Construction Value: $500.00
Work: EXTERIOR PAINTIGN AS PER AGREEMENT (OWNER BUILDER PERMIT)
1
If there is no permit package accessible on the job -site for inspectors to verify, there will be no:inspections. Re -inspection
10 fee is $50.00, which must be paid in advance before calling for another inspection.
Thic Pn u _ -
-- - - 1I the
_ e equipment or device described in the application herefor in strict compliance with all
with any plans, drawings, statements or specifications that may have been submitted to
I 2050 I s not done in compliance with such ordinances or if the plans are changed without
I MARTHA A. FISCHBACH 1,ctoror builder named above assumes the responsibility for a thorough knowledge of the
01
11 53 N. W. 107 ST. !� Q 83-8052/26a '
ngs or in the statements or specifications and'that he assumes responsibility for Work done
MIAMI, FL 33168-4306 Date;
ay to the '
Order or
�� ( BY:
Dollars
i°I compliance with all ordinances and regulations pertaining thereto and in strict conformity
l
Pan Am Hor ons Federal Credit Union a s Village. In accepting this permit I assume responisibility for all work done by either
12171 Moody Drive, Homestead, FI 33032-8001
3 (306) 268-1000 / (800) 749-9909dd j
i
IVP 4
j
--
For --- --- -- --- ---- --------------------- --
BY:
1: 26 7080 Ov 000 10 76 2 7911' 20 50
I
C COLOR SAMPLES WITH NUMBERS
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