EL-05-79Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 3/9/2005
Applicant: PENN
Owner: DAVIS
JOB ADDRESS: 54
Contractor P & M ELECTRIC INC
Local Phone: 305 - 949 -6373
Parcel # 1131010340200
NW 94
Signed: (INSPECTOR)
Electrical Permit
Permit Number: EL2005 -79
DAVIS
PENN
ST
Contractor's Address: 1936 NE 148 ST
Permit Status: APPROVED Permit Expiration: 8/28/2005 Construction Value: $2,300.00
Work: INSTALLATION/WIRING OF NEW U.G. SERVICE FEED TO EXISTING METER
Page 1 of 1
II* 14 PAID
Legal Description: MIAMI SHORES SEC 6A PB 12 -54 LOT 9 & E1/2 LOT 10 BLK 168 LOT SIZE
Fees: Description Amount
FEE2005 -3095 Building Fee $150.00
FEE2005 -3096 CCF $1.80
FEE2005 -3097 Notary Fee $5.00
FEE2005 -3098 Training and Education Fee $0.60
FEE2005 -3099 Technology Fee $3.75
FEE2005 -3100 Scanning Fee $3.00
FEE2005 -3101 Submittal Fee ($50.00)
Total Fees: $114.15
Total Fees: $114.15
Total Receipts: $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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
BUILDING
PERMIT APPLICATION
Permit Type (circle): Building
Owner's Name (Fee. Simple Titleholder) Pet 0ti ( S Phone # 75? 4.; 5c /S05
Owner's Address 5 I d&
City / State " Zip sz 2 S0
Tenant/Lessee Name Phone #
Job Address (where the work is being done) 'S(-
City Miami Shores Village County . Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name P r - lee.-7 ,e70_, Phone # .'LAS- ' '/9 43 7 3 .
Contractor's Address ,1 936 A/a /ye Sy -
Cit * / 4,4..., State Phi,, Zip 3.31,
Qualifier ��e57� — i�Tq Sher
State Certificate or Registration No. e C /3 ®2/87. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit 47° c .3e Square Footage Of. Work:
Type of Work: ['Addition teration :New El- Repair/Replace ❑ Demolition
Describe Work: . ��Z� yam/ s� A„, 0./ /t8 1%
Submittal Fee $ SO .O
Notary $
Total Fee Now Due $
(continued. on 0l111ow sin!:
Training/Education Fee $
1r11GL1111 IJ11V1►J r 111A�V
Building Department
10050 N.E:2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Electrical
Permit No.
Master Permit No
* * * * * ** *** ** ** ** * * **** *** Fees *** ** * * ***** * * * ** * * **** * **
Permit Fee $ /,®" m® CCF $
0 Technology Fee $
•
P: CEfl!ED
Plumbing Mechanical Roofing
CO /CC
Scanning $ Radon $ Zoning Bond $
Code )Enforcement $ Structural Plan Review. $
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204 1<\
Building Inspection Request 40
Date y
Type Insp'n e - Un _ _ l aL
Permit No. E t ao 03
Name 6`
G' V t S
Address 5 J `'\ � 't 1J IAD 9, 'ft
Company _S l .o i'-‘0 Al [ : i
Phone # ' " 7 - t)U— ay
Inspection Date
Approved
Correction
Re- Insp'n Fee
,;\