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DEMO-15-527ffA Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Parcel Number Applicant 9220 NE 2 Avenue 1132060133060 MICHELE CONTESSA Miami Shores, FL Block: Lot: Owner Information Address Phone Cell MICHELE CONTESSA 9220 NE 2 Avenue (305)761-5243 MIAMI SHORES FL 33138- 9220 NE 2 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone MSD ELECTRICAL SERVICE INC (305)318-7005 Type of Demo: Electric Additional Info: REMOVE OUTLET AND ELECTRICAL WIRE A Classification: Residential Scanning: 3 Fees Due Amount CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $0.60 Total: $114.60 Valuation: $ 300.00 Total Sq Feet: 0 Pay Date Pay Type Amt Paid Amt Due Invoice # DEMO -3-15-54749 03/16/2015 Credit Card $ 64.60 $ 50.00 03/11/2015 Cash $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final 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 F�CTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS tFFlt� !T� Iycertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio and in .Authermore. I authorize the above-named contractor to do the work stated. March 16, 2015 Authb4ed Mgnature�0a7IIe . / Applicant / Contractor / Agent Building Department Copy March 16, 2015