EL-16-1873Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Pei
mit
Permit NO. EL -7-16-1873
Permit Type: Electrical - Residential
Vito* Classification: Alteration
Peirnit Status: APPROVED
Issue Date: 7/2112016
Expiration: 01/17/2017
Parcel Number
Applicant
5 NE 105 Street
Miami Shores, FL 33138-2030
1121360060090
Block: Lot:
GROUP 10 CAPITAL MANAGEMI
Owner Information
Address
Phone
CeII
GROUP 10 CAPITAL MANAGEMENT, 1680 MICHIGAN AVE Avenue
- - - MIAMI BEACH FL 33139-
Contractor(s)
B AND B ELECTRICAL CO
Phone
(305)970-5667
CeII Phone
Valuation:
Total Sq Feet:
$ 6,700.00
0
Type of Work: RENOVATION OF RESIDENCE- INSTALLATI
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
$4.20
$3.52
$3.52
$1.40
$234.50
$3.00
$5.60
$255.74
Pay Date Pay Type
Invoice # EL -7-16-60458
07/21/2016 Credit Card
Amt Paid Amt Due
$ 255.74 $ 0.00
Available Inspections:
Inspection Type:
Review Electrical
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. Fut ,-r. ore, I authorize the above-named contractor to do the work stated.
July 21, 2016
Authorized Signa re: Owner / Applicant / Contractor / Agent
Building D
artment Copy
Date
'July 21, 2016 1