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EL-16-27964 �`SHOREs Y, 'Y -M F� ORiDp' Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit No. EL-1 0-16-27196 ot Permit Type: Electrical - Residential erWork Classification: Addition/Alteration Permit Status: APPROVE Parcel Number issue Dow. I Expiration: 05/21/2017 Applicant 1201 NE 96 Street 1132060143830 Miami Shores, FL 33138-2553 Block: Lot: BKT HOLDING LLC Owner Information Address Phone Cell BKT HOLDING LLC 700 NE 90 Street MIAMI FL 33138- 700 NE 90 Street MIAMI FL 33138- Contractor(s) Phone Cell Phone FOSTER & SON ELECTRICAL CONTR (305)644-5869 ()_ of Work: ELECTRICAL FOR ADDITION AND INTERIO onal Info: ,ification: Residential ning: 1 Fees Due Amount CC F $40.20 DBPR Fee $35.16 DCA Fee $35.16 Education Surcharge $13.40 Permit Fee - Additions/Alterations $2,343.60 Scanning Fee $3.00 Technology Fee $53.60 Total: $2,524.12 Valuation: $ 66,960.10 Total Sq Feet: 0 Pav Date Pav Tvpe Amt Paid Amt Due I Invoice # EL-10-16-61660 10/14/2016 Credit Card 11/22/2016 Credit Card $ 50.00 $ 2,474.12 $ 2,474.12 $ 0.00 Available Insnections: Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical Underground W. W. 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 22, 2016 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy November 22, 2016 1