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EL-18-1110 (2)Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Permit NO. E L-4-18-1110 Permit Type: Electrical - Residential Work Classification: Pool - Private Permit Status: APPROVED Issue Date: 5122/2018 Expiration: 11/18/2018 Parcel Number Applicant 10525 NE 2 Court Miami Shores, FL 1122310130610 Block: Lot: BENNY NEWBY Owner Information Address Phone Cell BENNY NEWBY 10525 NE 2 Court MIAMI SHORES FL 33138- (305)336-0676 Contractor(s) Phone Cell Phone SHINE ELECTRICAL ENGINEERING (305)688-2000 Valuation: Total Sq Feet: $ 2,500.00 0 Type of Work: ELECTRICAL FOR POOL AND HEATER 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 $1.80 $4.50 $3.00 $0.60 $300.00 $3.00 $2.40 $315.30 Pay Date Pay Type Invoice # EL-4-18-67314 04/26/2018 Check #: 302255 05/22/2018 Check #: 2306 Amt Paid Amt Due $ 50.00 $ 265.30 $ 265.30 $ 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. May 22, 2018 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy May 22, 2018 1