PL-15-273 (2) ry �.
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�\ Parcel Number
-Applicant
\ 1122310140211 JOtiN WALLACE
\ \ \
Block: Lot:
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Phcne Call
106Street
HORES FL 33138-2046
Cali Phone $4,200.00
\ J Valuation:
Total Sp Feet: Soo
Available lns ons•
Inspection Type:
HRS ApprpsraF� —m—,
FinalMUST BE ON
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OB AT TIME OF
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Fees Due amount Fay Date Pay Type Amt Paid Amt Due
i;;;type-owners sono $500.00 Invoice# PL-2-16-64409
CUF $3.0 02.106(2016 Chock*9470 $50.00 $621.50
QSPR Fee $2.2$
DCA Fee $2.25 02(17!2015 Chock#:268 $600.00 $121.60
Eduodon Suroorge $1.00 02(17/2015 Cash $121.50 $0.00
Permit Fee $150:00 Bond*2616
;coming Fee $0.00
Te lrx+I" F00 $4.00
Tot k $671.50
Aprcant Copy
For Inspections, Cali (305) 782-4949 or Log on at https.-I/bidg.miamishoresvillage.com/cap/.
Requests must be received by 3 pm for following day inspections.
NOTICE: in addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that may be found In GOVERNME14TAL ENTITIES SUCH AS WATER MANAGEMENT
the public records of his county. DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES.
Fe ruary if,4 16192
"VIK A CAMPECU
® 373 N.F. 92ND STMT
AMA SHOES. M. 33138
754-23118 o F 758-7CU
Date:December 4,2015 F.UC AR 0=74
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores,Florida 33138
Re: Permit#RC-14-2601
Wallace Residence
518 N.E. 106th Street
Miami Shores,Florida 33138
Folio# 11 2231 014 0211
Attn: Building Department,
I,Mark A. Campbell,having performed and approved the required inspections at the
renovation and addition. I hereby attest to the best of my knowledge,belief and
professional judgment,the structural and envelope components of the above referenced
renovation are in compliance with the approved plans and other approved permit
documents. I also attest that to the best of my knowledge,belief and professional
judgment,the approved permit plans represent the as-built condition of the structural and
envelope component of the said structure.
This document is being prepared in accordance with Chapter 1 of the Florida Building
Code and must be submitted to the Village of Miami Shores Building Department in
conjunction with the application for a Certificate of Completion for the above referenced
structure.
Sho v any stions or need any additional information please do not hesitate
contact
Sincer ,
Mar pbell,Architect
State of Florida: #0011074
518 Wallace Res CO letter 12-5-15