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EL-16-2502 (3)` 5tâ–ºORES f<ORiDp Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit No. L-9-16-2502 Permit Type: Electrical - Residential Per itw-rkCiassifloation: Temp for Construction Permit Status:: APPROVED' Parcel Number issue ©ate:1112212016 1 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 Q= of Work: TEMP FOR CONSTRUCTION ional Info: ification: Residential ping: 1 Fees Due Amount CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee - Additions/Alterations $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $108.60 Valuation: $ 800.00 Total Sq Feet: 0 Pav Date Pav Tvt)e Amt Paid Amt Due I Invoice # EL-9-16-61284 11/22/2016 Credit Card 09/09/2016 Cash $ 58.60 $ 50.00 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Review Electrical 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 ovemper