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MC-14-2748 Invoice Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Fax: (305)756-8972 For Inspections please call: (305)762-4949 Return to: Miami Shores Village Permit Number: MC-12-14-2746 10050 N.E.2nd Avenue Invoice Date: December 16,2014 Miami Shores, FL 33138-0000 Invoice Number: MC-12-14-53934 Bond Number: Bill To Comments: GATOR 9723 NE 2ND AVE LLC 1595 NE 163 Street NORTH MIAMI BEACH, FL 33162- 16106 NE 463 StFeet NORTH MIAMI BEACH, FL 33162- Date Fee Name Fee Type Fee Amount 12/16/2014 DCA Fee Calculated $2.00 12/16/2014 Technology Fee Calculated $1.60 12/16/2014 Education Surcharge Calculated $0.40 12/16/2014 DBPR Fee Calculated $2.00 12/16/2014 Scanning Fee Calculated $9.00 12/16/2014 Permit Fee Percentage $100.00 12/16/2014 CCF Calculated $1.20 Total Fees Due: $116.20 Payments Date Pay Type Check Number Amount Paid Change 12/16/2014 Credit Card $50.00 $0.00 Total Paid: $50.00 Total Due: $66.20 Tuesday, February 17,2015 /qu�