EL-16-1221 (2) Permit No. EL-5-16-1221
`SNorcEs 3,,� venue Miami Shores Village Pertnit Type:Electrical -Residential
10050 N.E.2nd ANE
� Pen
� ' Work Classification:Alteration
Miami Shores,FL 33138-0000 Permit Status:APPROVED
Phone: (305)795-2204
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Issue Date:5/17/2016 Expiration: 11113/2016
Project Address Parcel Number Applicant
9915 NE 4 Avenue Road 1132060171300
ESTEBAN GiUGOVAZ TRS TRAP
Miami Shores, FL Block: Lot:
oft An am .
Owner Information Address Phone Cell
ESTEBAN GIUGOVAZ TRS FRANCESCA 9915 NE 4 Avenue Road
-.-
--- MIAMI SHORES FL 33138-
9915 NE 4 Avenue Road
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone 1x
TRUE POWER ELECTRIC INC I I Valuation: ',000 i10
Total Sq Feet: 860
'7�G:^)7llDiL'AFYt ib J.i'1�28.�'a
Type of Work: INSTALL RECESSED LIGHTS,RECEPTACLE Available Irsoections:
Additional Info: I InSnection Tyre:
Classification:Residential
Review Electrical
Scanning: 1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80
Invoice# GL-5-16-59661
DBPR Fee $3.38
DCA Fee $3.38 05!17/2016 Credit Card $ 139.56 $ 50.00
Education Surcharge $0.60 05/05/2016 Credit Card $50.00 $0.00
Permit Fee-Additions/Alterations $225.00
Scanning Fee $3.00
Technology Fee $2.40
Total: $239.56
In consideration of the issuance to me of this perm t, I agree to perform the work covered hereunder in comp) ince with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the prol er authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done
, , , , , , understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS, DOORS, ROOF!NG and SWIMMING POOL wor c.
OWNERS AFFIDAVIT: I ce, ify that all the foregoing information is accurate and that all work will be done in com rliance with all applicable laws regulating
constructs RV
nd zoning. Fut rmore,I autl,orize the above-named contractor to do the work stated.
44 Ma / 17, 2016
A lorized Signatur wne / Applicant / Contractor / Agent )ate
Building Depart ent Cope
May 17, 2016 1