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EL-16-2964 (2)Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Issue Date: 1111712 Permit NO. EL-10-16-2964 Permit Type: Electrical - Residential Work Classification: Pool - Private Permit Status: APPROVED' 96 Expiration: 05/16/2017 Parcel Number Applicant 1160 NE 98 Street Miami Shores, FL 33138- 1132050180390 Block: Lot: FRANCES P ALLEGRA & MARYI Owner Information Address Phone Cell FRANCES P ALLEGRA & MARYBELL 1160 NE 98 Street - •- ----•--- - - • • --- - - MIAMI SHORES FL 33138- (305)609-0091 1160 NE 98 Street MIAMI SHORES FL 33138- Contractor(s) Phone SHINE ELECTRICAL ENGINEERING (305)688-2000 CeII Phone Valuation: $ 1,500.00 Total Sq Feet: 1274 Type of Work: ELECTRICAL FOR NEW POOL Additional Info: ELECTRICAL FOR NEW POOL Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.20 $4.50 $4.50 $0.40 $300.00 $3.00 $1.60 $315.20 Pay Date Pay Type Invoice # EL-10-16-61849 10/31/2016 Check #: 301017 11/17/2016 Check #: 301061 Amt Paid Amt Due $ 50.00 $ 265.20 $ 265.20 $ 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 17, 2016 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy November 17, 2016 1