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EL-17-2574Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Parcel Number Issue Da 1 Permit NO. EL-10-17-2574 Permit Type: Electrical - Residential Work Classification: Pool -'Private. Permit Status: APPROVED /2018 Expiration: 07/04/2018 Applicant 150 NE 108 Street Miami Shores, FL 33161- 1121360100040 Block: Lot: JEFFREY KOLOFOFF Owner Information Address Phone Cell Emily Bradfute 150 NE 108th Street Miami Shores FL 33161 305 679-9744 Contractor(s) ATLANTIS ELECTRICAL CORP Phone CeII Phone (305) 551-4043 Valuation: Total Sq Feet: $ 1,300.00 0 Type of Work: ELECTRICAL WORK FOR NEW POOL 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 $1.20 $4.50 $3.00 $0.40 $300.00 $3.00 $1.60 $313.70 Pay Date Pay Type Invoice # EL-10-17-65492 10/30/2017 Credit Card 01/05/2018 Credit Card Amt Paid Amt Due $ 50.00 $ 263.70 $ 263.70 $ 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. January 05, 2018 Authorized Signature: Owner / Applicant / Contactor / Agent Building Department Copy Date January 05, 2018 1