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PLC-14-2745 (2) 4 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 eturn to: Miami Shores Village Permit Number: PLC-12-14-2745 10050 N.E. 2nd Avenue Invoice Date: December 16, 2014 Miami Shores, FL 33138-0000 Invoice Number: PLC-12-14-53933 Bond Number: Bill To Comments: GATOR 9723 NE 2ND AVE LLC 1595 NE 163 Street NORTH MIAMI BEACH, FL 33162- 162-6 NE 163 StFeet NORTH MIAMI BEACH, FL 33162- P1" Em Date Fee Name Fee Type Fee Amount 12/16/2014 DCA Fee Calculated $3.38 12/16/2014 Technology Fee Calculated $4.80 12/16/2014 Education Surcharge Calculated $1.20 12/16/2014 DBPR Fee Calculated $3.38 12/16/2014 Scanning Fee Calculated $9.00 12/16/2014 Permit Fee Percentage $225.00 12/16/2014 CCF Calculated $3.60 Total Fees Due: $250.36 Payments Date Pay Type Check Number Amount Paid Change 12/16/2014 Credit Card $50.00 $0.00 Total Paid: $50.00 Total Due: $200.36 Tuesday, February 17,2015