EL-16-2692 (2)Protect Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number
10.1 6-2692
trial - Residential
tian:-Addfition/Alteration
Permit Stators: APPROVED
Expiration: 04/29/2017
Applicant
671 NE 105 Street
Miami Shores, FL 33138-2053
1122310120100
Block: Lot:
ROBERT MORENO CIO SASHA 1
Owner Information
Address
Phone
CeII
ROBERT MORENO CIO SASHA
1 NE 2 Avenue
MIAMI FL 33132-
1 NE 2 Avenue
MIAMI FL 33132-
Contractor(s) Phone CeII Phone
TRANSFORMERS ELECTRIC LLC (305)300-0462
Valuation:
Total Sq Feet:
Type of Work: REPAIR ELECTRICAL TO INCLUDE OUTLET
Additional Info:
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Work without Permit Fee
Work without Permit Fee
Total:
Amount
$12.00
$10.23
$10.23
$4.00
$402.50
$3.00
$16.00
$100.00
$402.50
$960.46
l
Pay Date
Invoice #
10/03/2016
10/31/2016
Pay Type
EL -10-16-61542
Credit Card
Credit Card
Amt Paid Amt Due
$ 50.00 $ 910.46
$ 910.46 $ 0.00
$ 19,475.55
6000
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
pertaining thereto and in strict conformity wit
accepting this • it I as ume responsibili
required for LEC CAL, PLUMBIN , MEC
OWNERS A
construction
DAVIT: 4ertif
onin•. tithe
that
Wore,
II the
auth
ermit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
ns, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
ork done by either myself, my agent, servants, or employes. I understand that separate permits are
WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
the
for all
ANICAL,
nformation is accurate and that all work will be done in compliance with all applicable laws regulating
above-named contractor to do the work stated.
Auth ized Signat
:Owner / Applicant / Contractor / Agent
Building Department Copy
October 31, 2016
Date
October 31, 2016
1