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PL-15-2457 (2) t Pem~ YpMiami Shores Village lu 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 € �' Phone: (305)795-2204 i 04W,'i1j5120 :' Expiration: 201 Project Address Parcel Number Applicant 1460 NE 101 Street 1132050240050 Miami Shores, FL Block: Lot: BAY CONSTRUCTION&DEVEL( Owner Information Address Phone Celt BAY CONSTRUCTION& 201 S BISCAYNE Boulevard (305)898-7882 -- — ----- — - MIAMI FL 33131- 201 S BISCAYNE Boulevard MIAMI FL 33131- Contractor(s) Phone Cell Phone Valuation: $ 9,225.00 FIAT PLUMBING&GENERAL CONTR, (305)446-6366 Total Sq Feet: 00 Type of Work: Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Bond Return: Final Classification:Residential Scanning:3 Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $6.00 Invoice# PL-9-15-57222 DBPR Fee $4.88 10/05/2015 Check#:1416 $359.76 $0.00 DCA Fee $4.88 Education Surcharge $2.00 Permit Fee $325.00 Scanning Fee $9.00 Technology Fee $8.00 Total: $359.76 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 ass a responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, UMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFF IT: I ce i that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction nd zoning. Futh ore,I aut oriz ve-named contractor to do the work stated. October 05,2015 Autho ed Signatu :Owner / Applicant / Contractor / Agent Date Building Department Copy October 05,2015 1