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EL-16-2387 (2)Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number 6-231 sidential'. AdditionfAiteratt;� t Status: APPROVED Expiration: 05/30/2017 Applicant 726 NE 92 Street Number: 4-L Miami Shores, FL 1132060440420 Block: Lot: HECTOR and CARMEN LOPEZ Owner Information HECTOR and CARMEN LOPEZ Address 726 NE 92 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone H & E ELECTRICAL CONTRACTOR IN (305)525-6901 Phone (305)588-5821 Cell Valuation: Total Sq Feet: Type of Work: TURN AROUND ELECTRICAL PANEL TYPE A Additional Info: Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.20 $3.38 $3.38 $0.40 $225.00 $3.00 $1.60 $237.96 Pay Date Pay Type Amt Paid Amt Due Invoice # EL -8-16-61115 12/01/2016 Check #: 280 $ 237.96 $ 0.00 Available Inspections: Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical Underground W. W. 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. December 01, 2016 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date December 01, 2016 1