EL-17-1739 Permit No. EL-7-17-1739
`eNOR K
Miami Shores Village Permit Type:Electrical -Residential
10050 N.E.2nd Avenue NE twork classification:Pool-Private
Miami Shores,FL 33138-0000 Perlill Permit Status:APPROVED
ydsPhone: (305)795-2204
Issue Date: 111612017 [ Expirati6n: 05/05/2018
Project Address Parcel Number Applicant
041 NE 9 Avenue 1132060010050
ANOUK THIEBAUT
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone I Cell
AkOUK THIEBAUT 9341 NE 9 Avenue (786)768-0854
MIAMI SHORES FL 33138-
9341 NE 9 Avenue
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 1,200.00
YORK ELECTRIC CORP. (786)287-7380
....... Total Sq Feet: 0
Type of Work:ELECTRICAL WORK FOR A NEW POOL Available Inspections:
Additional Info ELECTRICAL WORK FOR A NEW POOL.- Inspection Type:
Classification:Residential Final
Scanning:3 Light Niche
Bonding
I Review Electrical
Alarms
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF, $1.20 Invoice# EL-7-17-64498
DBPR Fee $4.50
DCA Fee $3.00 11/06/201.7 Credit Card $219.70 $ 100.00
Education Surcharge $0.40 10/19/2017 Credit Card $50.00 $50.00
Permit Fee-Additions/Alterations $300.00 07/06/2017 Check*355 $50.00 $0.00
Scanning Fee $9.00
Technology Fee $1.60
Total: $319.70
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 rize the above-named contractor to do the work stated.
n?'a November 06, 2017
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
November 06,2017 1