PL-18-930 (3)y,�
Miami Shores Village
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10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795-2204
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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