EL-17-962 Permit NO. EL-4-17-962
`SeoREs�,` Miami Shores Village not Permit Type:Electrical-Residential
10050 N.E.2nd Avenue NE
Pertill't
Work Classification:Alteration
Miami Shores, FL 3313&0000 Permit Status:APPROVED
k pyo` Phone: (305)795-2204
FtoRYOA
Issue Date:4114/2017 Expiration: 10/11/2017
Project Address Parcel Number Applicant
1201 NE 91 Terrace 1132050010210
FELIPE VALLS SR
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
FELIPE VALLS SR 3663 SW 8 Street (305)219-0471
MIAMI FL 33135-
3663 SW 8 Street
FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 3,000.00
MIKES ELECTRICAL CORPORATION
..., .,. .. ._. ._.... __._._.. Total Sq Feet: 0
Type of Work:REPAIRS TO EXISTING WORK TO SATISFY Available Inspections:
Additional Info:
Classification:Residential Review Electrical Type:
Scanning: 1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80
Invoice# EL-4-17-63607
DBPR Fee $3.38 04/14/2017 Credit Card $ 514.56 $50.00
DCA Fee $3.38
Education Surcharge $0.60 04/06/2017 Credit Card $50.00 $0.00
Permit Fee-Additions/Alterations $225.00
Scanning Fee $3.00
Technology Fee $2.40
Work without Permit Fee $325.00
Total: $564.56
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 14, 2017
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
April 14, 2017 1
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