RF-15-941 i.ter v
Miami Shores Village
10050 N.E.2nd Avenue NW
Miami Shores,FL 33138-0000
Phone: (305)795-2204 � � 3
b Expiration: 10/21/2015
Project Address Parcel Number Applicant
146 NW 92 Street 1131010160010 JUAN BLANCO
Miami Shores, FL 33150- Block: Lot:
Owner Information Address Phone cell
JUAN BLANCO 146 NW 92 Street
MIAMI shores FL 33150-2229
Contractor(s) Phone Cell Phone Valuation: $ 700.00
HOME OWNER
- -- _ Total Sq Feet: 150
Type of Work:Gutters Available Inspections:
Additional Info:GUTTERS AND DOWNPOTS(WHITE) Inspection Type:
Classification:Residential Final
Scanning:3 Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 Invoice# RF-4-15-55272
DBPR Fee $2.00 04/24/2015 Credit Card $64.60 $50.00
DCA Fee $2.00
Education Surcharge $0.20 04/21/2015 Credit Card $50.00 $0.00
Permit Fee-Repairs $100.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $114.60
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 AFFID ce ' that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zauthorize the above-named contractor to do the work stated.
April 24, 2015
Authorized nature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
April 24,2015 1
https://mail.google.com/ /scs/mail-static/ ljstk=gmail.main.en.6Tpwul..
APR 2
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