DEMO-15-1332 06
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Miami Shores Village r� }� �CI
10050 N.E.2nd Avenue NEIF
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Miami Shores, FL 33138-0000
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v ,w Expiration: 12/0712015
Project Address Parcel Number Applicant
1151 NE 99 Street 1132050180070 m �
Shima VII LLC
Miami Shores, FL 33138- Block: Lot:
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: $ 100.00
RESULTS AIR CONDITIONING CO 305-886-2534
... Total Sq Feet: 00
Type of Demo:Mechanical Available Inspections:
Additional Info:DEMO 1 REFRIGERATOR RECOVERY Inspection Type:
Classification:Residential
Final
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
Invoice# DEMO-6-15-55808
DBPR Fee $2.00
DCA Fee $2.00 06/10/2015 Credit Card $ 114.60 $0.00
Education Surcharge $0.20
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 AFFIDAVIT: Ice ' the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. uther re, I uthorize the above-named contractor to do the work stated.
June 10, 2015
Authorized Signatur=nt
Applicant / Contractor / Agent Date
Building Dep a Copy
June 10,2015 1