EL-17-420 Permit N0. EL-2-17-420
`sHOREs Miami Shores Village Permit Type:Electrical -Residential
10050 N.E.2nd Avenue NE ' Wod<C/assifica#ion:'Pool-Private
Miami Shores,FL 33138-0000 Perill 't
Permlt Status:APPROVED
Phone: (305)795-2204
F�ORIOp'
issue Date:4/1212017 Expiration: 10/09/2017
Project Address Parcel Number Applicant
230 NE 101 Street 1132060134640
Miami Shores, FL 33138-2423 Block: Lot: MANUEL LAMAZARES
Owner Information Address Phone Cell
MANUEL LAMAZARES 230 NE 101 Street (305)401-3012
MIAMI SHORES FL 33138-
230 NE 101 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
INDUSTRIAL ELECTRICAL SYSTEM C 305/228-1384
Total Sq Feet: 0
Type of Work:ELECTRICAL POOL Available Inspections:
Additional Info:ELECTRICAL POOL Inspection Type:
Classification:Residential
Final
Scanning:3
Light Niche
Bonding
Review Electrical
Alarms
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee $4.50 Invoice# EL-2-17-62985
DCA Fee $4.50 04/12/2017 Credit Card $269.60 $50.00
Education Surcharge $0.20 02/16/2017 Credit Card $ 50.00 $0.00
Permit Fee-Additions/Alterations $300.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $319.60
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.
April 12, 2017
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
April 12, 2017 1