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712 NE 95 StMiami Shores Village 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 7/22/2004 Applicant: JOHN Owner: YAO JOB ADDRESS: 712 Contractor Local Phone: Parcel # 1132060141920 NE 95 iUtru;,\,.. , Signed: (INSPECTOR) Signed: (Contractor or Builder) Building Permit Permit Number: BP2004 -488 YAO JOHN ST Contractor's Address: Legal Description: 5 - 6 53 42 MIAMI SHORES SEC 3 PB 10 - 37 LOT 10 & 11 Fees: FEE2004 -7296 FEE2004 -7297 FEE2004 -7298 FEE2004 -7299 FEE2004 -7300 FEE2004 -7301 FEE2004 -7302 FEE2004 -7303 FEE2004 -7304 Description Building Fee CCF CO /CC Notary Fee Training and Education Fee Technology Fee Scanning Fee Builders Bond Structural Fee Total Fees: Amount $570.00 $11.40 $50.00 $5.00 $3.80 $14.25 $60.00 $300.00 $50.00 $1,064.45 Total Fees$1 064.45 Total Receipt $0.00 c r ` V 1 Permit Status: APPROVED Permit Expiration: 1/22/2005 Construction Value: $19,000.00 Work: NEW GARAGE AND DRIVEWAY 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 responisibility for all work done by either myself, my agent, servants or employes. BY: Page 1 of 1 BLK 67 LOT SIZE