EL-17-1475Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit No. EL-6-17-1 r475
Permit Type: Electrical - Residential
riI I I WorkClassitcation: Addition/Alteration
Permit Status: APPROVED
Parcel Number
Issue Date: 12/20/2017 1 Expiration: 06/18/2018
Applicant
278 NE 103 Street 1132060134860
HB GROWTH PROPERTIES LLLI
Miami Shores, FL 33138-2431 Block: Lot:
Owner Information Address Phone Cell
HB GROWTH PROPERTIES LLLP 17071 W DIXIE Highway
NORHT MIAMI BEACH FL 33160-
17071 W DIXIE Highway
NORHT MIAMI BEACH FL 33160-
Contractor(s) Phone Cell Phone
K&L ELECTRICAL SERVICES CORP (786)354-6816
of Work: WORK BASED ON PROVIDED PLANS
itional Info:
;sification: Residential
nning: 1
Fees Due
Amount
CCF
$5.40
DBPR Fee
$3.38
DCA Fee
$2.25
Education Surcharge
$1.80
Penalty Fee
$100.00
Permit Fee - Additions/Alterations
$225.00
Scanning Fee
$3.00
Technology Fee
$7.20
Work without Permit Fee
$225.00
Total:
$573.03
Valuation: $ 8,200.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL-6-17-64185
02/16/2018 Credit Card $ 573.03 $ 0.00
Avanaoie inspections:
Inspection Type:
Final
Meter Box
Relocation
Fire Alarm
Service Change
Review Electrical
W. W.
Underground
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 ELECTRI�PLUMBINGjMECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFF AVIT: I ¢er�if� �JI the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction nd zoning. quth o A f authorize the above -named contractor to do the work stated.
February 16, 2018
`-�orized Sig jLrre: Ownef / Applicant / Contractor / Agent
Building D partment Copy
February 16, 2018( 1
V4