EL-19-1554Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 09/06/2019
Location Address Parcel Number
346 NE 93RD ST, Miami Shores, FL 33138 1132060136330
Contacts
Permit NO.: EL-07-18=1554
Permit Type: Electrical - Residential:
Work Classification, Repair
Permit5totus: Approved
Expiration: 02/03/2020
YOKO TAKARADA Owner QUANTUM ELECTRIC SYSTEM CORP Contractor
346 NE 93 ST, MIAMI SHORES, FL 33138 1UAN SALCEDO
Other: 3057565639 1569 NW 64 AVE 317, MIAMI LAKES, FL 33014
Business: 7866634787
Description: SERVICE REPAIR Valuation: $ 800.00 Inspection Requests:
Total Scl Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$110.30
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$110.30
Credit Card
07/09/2019 $50.00
Credit Card
08/06/2019 $60.30
Amount Due:
$0.00
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 namedRonVActor to do the work stated.
Authorized Signature: Owner
/ Applicant / Contractor /
Date
August 14, 2019 Page 2 of 2