EL-15-397 (3) 64
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p'11,s y� Miami Shores Village P0 ffA ft,7•ypMeIE1 fit"M-I oil' ti I
10050 N.E.2nd Avenue NW � �� » Wf)IfCt✓`i" t�fCtiO!} AIS tit�ti
Miami Shores,FL 33138-0000
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Phone: (305)795-2204
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60204 Expiration: 11/29/2015
Project Address Parcel Number Applicant
166 NW 100 Terrace 1131010230280
ILEANA GODOY GONZALEZ
Miami Shores, FL 33150- Block: Lot:
Owner Information Address Phone Cell
ILEANA GODOY GONZALEZ 166 NW 100 Terrace (786)390-9503
MIAMI SHORES FL 33150-
166 NW 100 Terrace
MIAMI SHORES FL 33150-
Contractor(s) Phone Cell Phone LValuation: $ 1,800.00
MANNY'S ELECTRICAL CONTRACTOI
l Sq Feet, 0
Type of Work:ELECTRIC WORK FOR KITCHEN AND BATHR Available Inspections:
Additional Info:
Inspection Type:
Classification:Residential
Review Electrical
Scanning: 1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
Invoice# EL-2-15-54575
DBPR Fee $2.25 02/24/2015 Cash $ 50.00 $ 110.70
DCA Fee $2.25
Education Surcharge $0.40 06/02/2015 Credit Card $ 110.70 $0.00
Permit Fee-Additions/Alterations $150.00
Scanning Fee $3.00
Technology Fee $1.60
Total: $160.70
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 AFFID I certify t at all foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and ing. Futher aut orize the above-named contractor to do the work stated.
June 02, 2015
A ized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
June 02, 2015 1