PL-3-18-555, 478 NE 92nd St`SNUR£S yam`
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
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Phone: (305)795-2204
Project Address Parcel Number Applicant
478 NE 92 Street 1132060140020
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Miami Shores, FL Block: Lot: THOMAS ROGER & CHRISTINA
Owner Information Address
THOMAS ROGER & CHRISTINA WHITE 478 NE 92 Street
MIAMI SHORES FL 33138-
478 NE 92 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone
5 STAR PLUMBING SERVICES CORP (305)796-3607
Type of Work: NEW TWO STORY ADDITION FOR MASTER S
Type of Piping:
Additional Info: NEW TWO STORY ADDITION FOR MASTER S
Bond Return :
Classification: Residential Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
jAn
Permit Fee
Scanning Fee
Technology Fee
Total:
a
Phone Cell
(305)546-1030 (305)439-2855
Valuation: $ 97:1
Total Scl Feet:
Pay Date Pay Type Amt Paid Amt Due
Invoice # PL-3-18-66665
03/05/2018 Credit Card $ 50.00 $ 309.82
03/08/2018 Credit Card $ 309.82 $ 0.00
mvanaoie mspecuons:
Inspection Type:
Top Out
Final
Review Plumbing
Un,
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, WI OWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing i ormat on is accurst nd that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the ab ve-na ed contracto to do the work stated.
March 08, 2018
Authorized Signature: Owner / Applicant / \Contractor / Agent
Building Department Copy
March 08, 2018