PL-15-2674 Permit NO. PL-10-15-2674
JIM� Miami Shores Village � Permit Type: Plumbing-Residential
10050 N.E.2nd Avenue NE e r m i Work Classification:Gas
• Miami Shores,FL 33138-0000
Permit Status:APPROVED
Phone: (305)795-2204
Issue Date: 1012612015 Expiration: 04/23/2016
Project Address Parcel Number Applicant
10530 NE 2 Place 1122310130530 NITZA MANNAPPERUMA
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
NITZA MANNAPPERUMA 10530 NE 2 Place (786)417-6037
MIAMI SHORES FL 33138-2005
Contractor(s) Phone Cell Phone Valuation: $ 500.00
BIONIC PLUMBING CORP. 305-498-9100
Total Sq Feet: 0
Type of Work:GAS VENT Available Inspections:
Type of Piping: Inspection Type:
Additional Info: Final
Bond Return: Press Test
Classification:Residential Scanning:1 Review Plumbing
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Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 ���
Invoice# PL-10-15-57492Y r'
DBPR Fee $2.00 i�v
DCA Fee $2.00 �
10/20/2015 Credit Card $50.00 $63.60 try.
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Education Surcharge $0.20 10/26/2015 Credit Card $63.60 $0.00 g�s,scna�
Notary Fee $5.00 t f
Permit FeePi
$100.00
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Scanning Fee $3.00
Technology Fee $0.80 :TMS
Total: $113.60 t"
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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 responsibili for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRI L,PLUMBING, HANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFID I certi II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and ing. Fut r I authorize the above-named contractor to do the work stated.
October 26, 2015
,Ail ed Signature:Owne / Applicant / Contractor / Agent Date
Buildiln Department Copy
October 26,2015 1