EL-15-2302 (2) Permit No. EL-9-15-2302
%ems°Rs of Miami Shores Village Permit Type:Electrical-Residential
10050 N.E.2nd Avenue NW t Work Classification:Repair
I� Miami Shores,FL 33138-0000 Pen mt Permit Status:APPROVED
yYp� ;a Phone: (305)795-2204
FLOR1Op'
Issue Date: 10/21/2015 F
Expiration: 04/18/2016
Project Address Parcel Number Applicant
64 NW 99 Street 1131010330060
THOMAS TELESCO JR.
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
THOMAS TELESCO JR. 64 NW 99 Street (305)216-6161
MIAMI SHORES FL 33150-
64 NW 99 Street
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone Valuation: $ 4,750.00
ELECTRICAL MASTERS INC 305-265-7996
__...... _., Total Scl Feet: 900
Type of Work:UPGRADE ELECTRIC SERVICE,REWIRE RE Available Inspections:
Additional Info: Inspection Type:
Classification:Residential Final
Scanning:3 Review Electrical
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.00 Invoice# EL-9-15-57034
DBPR Fee $3.38
DCA Fee $3.38 10/21/2015 Check#: 1238 $ 198.76 $50.00
Education Surcharge $1.00 09/10/2015 Check* 11261 $50.00 $0.00
Permit Fee-Additions/Alterations $225.00
Scanning Fee $9.00
Technology Fee $4.00
Total: $248.76
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 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.
October 21, 2015
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
October 21, 2015 1