EL-16-1793Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. EL -6-16-1793
Permit Type: Electrical - Residential
Work Classification: Pool - Private
Permit Status: APPROVED
Issue Date: 11/14/2016
Expiration: 05/13/2017
Parcel Number
Applicant
456 NE 100 Street
Miami Shores, FL 33138-
1132060170350
Block: Lot:
SANTA CRUZ -RESURRECTION I
Owner Information
Address
Phone
Cell
SANTA CRUZ -RESURRECTION
456 NE 100 Street
MIAMI SHORES FL 33138-
(786)315-1499
Contractor(s)
CJ ELECTRICAL SERVICES INC
Phone
(954)292-5711
CeII Phone
Type of Work: NEW POOL ELECTRICAL
Additional Info:
Classification: Commercial
Scanning: 1
Fees Due Amount
CCF $1.20
DBPR Fee $4.50
DCA Fee $4.50
Education Surcharge $0.40
Permit Fee - Additions/Alterations $300.00
Scanning Fee $3.00
Technology Fee $1.60
Total: $315.20
Pay Date Pay Type
Invoice # EL -6-16-60361
11/14/2016 Check #: 3334
06/28/2016 Credit Card
Amt Paid Amt Due
$ 265.20 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Light Niche
Bonding
Review Electrical
Alarms
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.
November 14, 2016
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
November 14, 2016 1