Untitled (87)Maori Shares Village
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{ BuRding Department
` X50 d Z2nd Avenue, llliami Shores, Fonda 33138 8 Y. o
Tel: (305) 795.2204 Far. (305) 756.8972
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INSPECTION'S PHONE NU1 BEl: (305)'767..4949
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BUILDING
PERNM APPLICATION
Permit BU"ING CANCELLED a.
JOB ADDRESS: 1065 NE 97 St
city: Kland Sho= CM a IF .2p-
FoliolParcel#:
Is the Building Bbloricaft Dedpatak Yes I NO X ibwd 7wwc
OWNER: Name (Fee Simlrle T r CORNELIO LUCA 3 05 321 3919
qd�; 1065 NE 97 St
MIAMI SHORES
SUM= FLORIDA Tor:
TenanNLessee Nam
Email:
33138
CONTRACTOR: Company Namr _ P &-N Construction 305 491 3374
Address: 6386 SW 15 St Miami
City: Miami State. Fla. Z: 33144
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QualiflerNamw Pedro Reboredo 305 491 3374
StyeC Wnor #: CGC 007659
Contoaphonet 303 491 3374 r rebcube@aol.com
DESIGNER: AzcKtwoffngi r. Phueelk
valve of Work for tls $ C c S I Feetworwaft
Type of Work 'dkqftcc
Description of Woft REPLACE EXISTING FLAT CEMENT AND APPROXIMAT"ll-A
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SabmitteN Fee FWMK Fee $ CCF $ MCC $
Samning Fee $ Raden Fe $
DBPR $ —Bowl $
Notary $ eaoia® Fee $ lechnobw Fee $
Dome Fee $ Structuffill Raw $
TOTAL FEE NOW DUE $
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