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1292 NE 95 St (19)Issue Date: 8/15/2006 Owner's Name: WILLIAM POHOVEY Permit Type: Mechanical - Residential Work Classification: Pool Heater Job Address: 1292 95 Street NE Contractor(s) Phone AMERICAN GENERAL COMM. INC. (786)256 - 7068 Yes Primary Contractor Comments: WIRING FOR POOL HEATER Additional Information Tons: HEATER Classification: Residential Additional Info: 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 construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount CCF $0.60 Education Surcharge $0.20 Permit Fee - Additions /Alterations $100.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $106.30 Building Department File Copy Miami Shores Village, FL 33138- Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 02/11/2007 Invoice Number MC -8 -06 -25918 Total: Parcel #: Block: Section: Permit Status: APPROVED Permit Number: MC -8 -06 -2129 Total Square Feet: Total Valuation: Re uired Ins . ections Heat Pump Amt Due $106.30 Phone: 1132060144040 Lot: PB: 0 $ 300.00 Amt Paid NOTICE: In addition to the requirements of this permit. there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Permit Number: MC -8 -06 -2129 Invoice Number: MC -8 -06 -25918 Applicant: WILLIAM POHOVEY Company Name: Date Wednesday, August 16, 2006 08/16/2006 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Payment Type Check Number 2651 Owner Address: 9701 BISCAYNE BLVD MIAMI SHORES, FL 33138 Job Address: 1292 95 Street NE Miami Shores Village, FL 33138- Amount $106.30 Change $0. 00 Total Payment: $106.30 Page 1 of 1