EL-16-2725 (2) Permit NO. EL-10-16-2725
`50oRS y Miami Shores Village Permit Type:Electrical -Residential
10050 N.E.2nd Avenue NE ' Work Classification:Addition/Alteration
Miami Shores,FL 33138-0000 Pen mt
Phone: (305)795-2204 Permit Status:APPROVED
FLORtDp
issue Date: 11/29/2016 f Expiration: 05/28/2017
Project Address Parcel Number Applicant
925 NE 95 Street 1132060143100
Miami Shores, FL 33138- Block: Lot: 925 NE 95 LLC
Owner Information Address Phone Cell
925 NE 95 LLC 925 NE 95 Street (917)703-6010
MIAMI SHORES FL 33138-
925 NE 95 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 7,000.00
MB ELECTRIC SERVICE CORP (786)325-3383
Total Sq Feet: 0
Type of Work:MAIN PANEL REPLACEMENT NEW POWER AN Available Inspections:
Additional Info:MAIN PANEL REPLACEMENT NEW POWER AN Inspection Type:
Classification:Residential
Final
Scanning: 1 Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
Underground
W.W.
Fees Due jAnPay Date Pay Type Amt Paid Amt Due
CCF
DBPR Fee Invoice# EL-10-16-61578
10/05/2016 Credit Card $50.00 $216.56
DCA Fee Education Surcharge 11/29/2016 Check#: 1172217( $216.56 $0.00
Permit Fee-Additions/AlterationsScanning Fee Technology Fee Total:
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.
November 29, 2016
Authorized Signature:Owner / Applicant / Contractor / Agent ate
Building Department Copy
November 29,2016 1