DEMO-15-2342 (2) 8,
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Miami Shores Village "" ,�
10050 N.E.2nd Avenues N uj
Miami Shores,FL 33138-0000
Phone: (305)795-2204 �s",
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Expiration: 03/19/2016
Project Address Parcel Number Applicant
9055 BISCAYNE Boulevard 1132060110051-55
Miami Shores, FL 33138- Block: Lot: SHORE SQUARE PROPERTIES I
Owner Information Address Phone Cell
SHORE SQUARE PROPERTIES LLC 9055 BISCAYNE BLVD.
Contractor(s) Phone Cell Phone Valuation: $ 1,200.00
SUNCOAST PLUMBING&ELECTRIC 1 (352)628-6608 (352)302-2178
........ M_., Total Scl Feet: 00
Type of Demo:Plumbing Available Inspections:
Additional Info:PLUMBING WORK FOR INTERIOR DEMO Inspection Type:
Classification:Residential Final
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
Invoice# DEMO-9-15-57089
DBPR Fee $2.25 09/21/2015 Credit Card $ 116.70 $50.00
DCA Fee $2.25
Education Surcharge $0.40 09/15/2015 Check#:2174 $50.00 $0.00
Permit Fee $150.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $166.70
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 AFFI : I ce at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
cons uction a ng. F ore,I authorize the above-named contractor to do the work stated.
- September 21, 2015
zed Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
September 21,2015 1