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PL-18-930y,� Miami Shores Village NsHO1S 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 tMlb Permit No. PL-4-18-930 Permit Type: Plumbing - Residential er it Work Classification: Addition/Alteration Permit Status: APPROVED Issue Hate: 4/18/2018 1 Expiration: 10/15/2018 Project Address Parcel Number Aoolicant 701 GRAND Concourse 1132060172230 Miami Shores, FL 33138-2475 Block: Lot: OLGA NADJA ZUBRIK Owner Information Address Phone Cell OLGA NADJA ZUBRIK 701 GRAND Concourse (305)604-1518 MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone MPS OF MIAMI INC (305)627-0199 (786)256-4690 of Work: REMODELING OF EXISTING MASTER BEDRO of Piping: itional Info: REMODELING OF EXISTING MASTER BEDRO Bond Return : Classification: Residential Fees Due Amo]20 CCF DBPR Fee DCA Fee Education Surcharge Permit Fee $3Scanning Fee Technology Fee Total: $32 Scanning: 1 Valuation: $IL Total Sq Feet: Pay Date Pay Type Amt Paid Amt Due I Invoice # PL-4-18-67109 04/10/2018 Credit Card 04/18/2018 Credit Card $ 50.00 $ 271.70 $ 271.70 $ 0.00 Avauame Inspection Type: Top Out Final Review Plumb Underground 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. April 18, 2018 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy April 18, 2018 1