PT-14-754 i ' ` ?
�gN W01 ` Miami Shores Village feIMy'?jbe VIit
10050 N.E.2nd Avenue NE
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Miami Shores,FL 33138-0000 �
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4117 Expiration: 10t14/2014
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Project Address Parcel Number Applicant
333 NE 103 Street 1121360130250 JOHN PEGG
Miami Shores, FL 33138-2432 Block: Lot:
Owner Information Address Phone Cell
JOHN PEGG 333 NE 103 Street
MIAMI SHORES FL 33138-2432
333 NE 103 Street
MIAMI SHORES FL 33138-2432
Contractor(s) Phone Cell Phone Valuation: $ 16,531.00
FLORIDA HOME IMPROVEMENT (954)792-4415FTT�� — Total Sq Feet: 0
Type of Work:Exterior Available Inspections:
Color. Inspection Type:
Additional Info: Final
Classification:Residential
Color. Approved Code Comments:WALLS,SOFFIT,FLOWER BONS
Color: Approved_ Color:_Denied
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $10.20 Invoice# PT-4-14-51247
Education Surcharge $3.40
Permit Fee $80.00 04/15/2014 Check#: 13988 $87.20 $0.00
Technology Fee $13.80
Total: $87.20
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: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-named contractor to do the work stated.
May 07,2014
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
May 07,2014 1
Inspection History
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972
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Project: <NONE>
Owner: JOHN PEGG
Phone:
Job Address: 333 NE 103 Street Parcel: 1121360130250
Miami Shores, FL 33138-2432 Block: Lot:
Scheduled Insp# Inspection Type Inspection Status Inspector Date Completed
01/01/2999 INSP-210872 Final NONE Default Inspector Not Complete
Wednesday, May 7,2014 Page 1 of 1