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EL-17-2206 (2)Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Pal ermit Permit NO. EL -8-17-2206 Permit Type: Electrical - Residential Work Classification: Addition/Alteration Permit Status: APPROVED Issue Date: 10/4/2017 Expiration: 04/02/2018 Parcel Number Applicant 1150 NE 103 Street Miami Shores, FL 1132050190050 Block: Lot: FULFORD UNITED METHODIST Owner Information Address Phone Cell FULFORD UNITED METHODIST 1150 NE 103 Street MIAMI SHORES FL 33138- (305)206-2067 1960 NE 164 Street N. MIANI BEACH FL 33162- Contractor(s) ELCON ELECTRIC INC Phone CeII Phone (954)979-5445 (954)961-6806 Valuation: Total Sq Feet: $ 3,000.00 0 Type of Work: ELECTRICAL FOR KITCHEN REMODELING Additional Info: ELECTRICAL FOR KITCHEN REMODELING Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.80 $2.25 $1.50 $0.60 $150.00 $3.00 $2.40 $161.55 Pay Date Pay Type Invoice # EL -8-17-65047 10/04/2017 Check #: 1417 08/31/2017 Check #: 1367 Amt Paid Amt Due $ 111.55 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical W. W. Underground 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 AFF construction an t at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating re, - thorize the above-named contractor to do the work stated. Authorize Applicant / Contractor Building Department Copy / Agent October 04, 2017 Date October 04, 2017 1