DEMO-15-1330 DERU3
�sNOR1Si, Miami Shores Village Al
10050 N.E.2nd Avenue NE YC}1�C ,Mri�
Miami Shores,FL 33138-0000
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u , 611tii�t�• Expiration: 12107/2015
Project Address Parcel Number Applicant
1151 NE 99 Street 1132050180070
Miami Shores, FL 33138- Block: Lot: shims VII LLC
Owner Information Address Phone Cell
Shima VII LLC 1235 NE 100 Street (786)253-2869 (305)796-4922
Miami Shores FL
1235 NE 100 Street
Miami Shores FL
Contractor(s) Phone Cell Phone Valuation: $ 50.00
BGL PLUMBING CONTRACTORS, LLC (786)367-1932
Total Sq Feet: 00
Type of Demo:Plumbing Available Inspections:
Additional Info: Inspection Type:
Classification:Residential Final
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# DEMO-6-15-55806
DBPR Fee $2.00
DCA Fee $2.00 06/10/2015 Credit Card $64.60 $50.00
Education Surcharge $0.20 06/02/2015 Check#: 1004 $50.00 $0.00
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $114.60
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 AFFIDAVI I c rtify)thrt all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zo ing. F thee, I authorize the above-named contractor to do the work stated.
June 10, 2015
Authorized Sign ture Owner/ Applicant / Contractor / Agent Date
Building Depa?'tmdnt Copy
June 10,2015 1