EL-18-1387 (2)Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. EL-5-18-1387
Permit Type: Electrical - Residential
Work Classification: Pool - Private
Permit Status: APPROVED
sue Date- 7/2/2018
Expiration: 12/29/2018
Parcel Number
Applicant
9929 NE 4 Avenue Road
Miami Shores, FL 33138-
1132060171280
Block: Lot:
MARVIN R LIST & MARIA T MAN
Owner Information
Address
Phone
Cell
MARVIN R LIST & MARIA T MANERBA 9929 NE 4 AVE Road
- - ••• • - • --- - -- - -- - - -- - - ---- - MIAMI SHORES FL 33138-
(305)858-0204
9929 NE 4 AVE Road
MIAMI SHORES FL 33138-
Contractor(s) Phone
DD&D ELECTRICAL SERVICE INC (305)839-2986
Cell Phone
Valuation:
Total Sq Feet:
$ 1,000.00
0
Type of Work: ELECTRICAL WORK FOR POOL
Additional Info: ELECTRICAL WORK FOR POOL
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Amount
$0.60
$4.50
$3.00
$0.20
$300.00
$3.00
$0.80
Total: $312.10
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL-5-18-67639
07/02/2018 Credit Card $ 262.10 $ 50.00
05/22/2018 Credit Card $ 50.00 $ 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:
construction and zoni
Authorize
th foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
u iorize the above-narped contractor to do the work stated.
hW
wner / Applicant / Conti ctor Agent
Building Department Copy
July 02, 2018
Date
July 02, 2018
1