PL-15-2241 r
iy Miami Shores Village
10050 N.E.2nd Avenue NE '� ` •
Miami Shores,FL 33138-0000
Phone: (305)795-2204 'z
iffi r � s
`�" Expiration: 3/211201
Project Address Parcel Number Applicant
501 NE 96 Street 1132060171550
Miami Shores, FL 33138-2735 Block: Lot: RECAMIER2 LLC
Owner Information Address Phone Cell
RECAMIER2 LLC 1001 BRICKELL BAY Drive (305)333-7700
MIAMI FL 33131-
Contractor(s) Phone Cell Phone Valuation: $ 6,500.00
REGOSA ENGINEERING SERVICES IN (786)262-2964 (786)344-8720
_. ...�.._.__...��._�..._�.� �. ......,� ._�.. Total Sq Feet: 00
Type of Work:INSTALLATION OF 3 SHOWERS TOILET VA Available Inspections:
Type of Piping: Inspection Type:
Additional Info: Top Out
Bond Retum: Final
Classification:Residential Scanning:3
Review Plumbing
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $4.20
Invoice# PL-9-15-56930
DBPR Fee $3.41 09/02/2015 Credit Card $50.00 $204.52
DCA Fee $3.41
Education Surcharge $1.40 09/23/2015 Credit Card $204.52 $0.00
Permit Fee $227.50
Scanning Fee $9.00
Technology Fee $5.60
Total: $254.52
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: tall the foing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and n e I a e above-named contractor to do the work stated.
September 23,2015
Authofure:Own / Applicant / Contractor / Agent Date
Bui dg De ent Copy
September 23,2015 1