BP-04-1024 (2)Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 7/29/2004
Applicant:
Owner:
JOB ADDRESS: 602 NE 96
Contractor JOHN BUSTA
Local Phone: 305- 219 -9699
Parcel # 1132060141410
Signed:
(INSPECTOR)
Building Permit
Permit Number: BP2004 -1024
ST
Contractor's Address: 300 NE 91 ST
Fees: Description Amount
FEE2004 -7705 Building Fee $275.00
FEE2004 -7706 CCF $3.60
FEE2004 -7707 Training and Education Fee $1.20
FEE2004 -7708 Technology Fee $6.88
FEE2004 -7709 Scanning Fee $15.00
Total Fees: $301.68
Total Fees: $301 68 fa
Total Receipts: $
Permit Status: APPLIED Permit Expiration: 1/22/2005 Construction Value:
Work: RE -ROOF FLAT DECK
Page 1 of 1
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 1 TO 10 INC BLK 61 LOT SIZE
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.
Signed: (Contractor or Builder) BY: