EL-16-2796 (4)4
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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
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