WS-13-1709 (2) �s y Miami Shores Village ` t�®rmr/ ' findcfs%5hu�
10050 N.E.2nd Avenue NE ��
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Miami Shores,FL 33138-0000
Phone: (305)795-2204
,sue per,' � 1� Expiration: 01/01/2999
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: $ 800.00
A SUPER GARAGE DOORS, INC 305/252-1772T Ay YyNµNxm Total Sq Feet: 56
Type of Work:REPLACE EXISITNG GARAGE DOOR Available Inspections:
No of Openings:1 Inspection Type:
Additional Info: Final
Classification:Residential Review Building
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# WS-7-13-48593
DBPR Fee $2.00 09/13/2013 Credit Card $79.60 $50.00
DCA Fee $2.00
Education Surcharge $0.20 07/30/2013 Credit Card $50.00 $0.00
Notary Fee $5.00
Permit Fee $110.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $129.60
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
I
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
07/30/2013 INSP-196171 Review Building APPROVED Syed Ashraf 8/5/2013
REPLACE EXSISTING GARAGE DOOR
09/16/2013 INSP-196168 Final APPROVED Jorge Rodriguez 9/16/2013
Wednesday, May 7,2014 Page 1 of 1