ELC-08-568 t
-
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.,� Miami Shores Village
10050 N.E.2nd Avenue
Miami Shores,FL 33138-0000
Phone: (305)795-2204
Expiration: 1010412008
Project Address Parcel Number Applicant
11301 NW 5 Avenue 112136000060 MIAMI SHORES DR.CHARTER
Miami Shores Village, FL 33138- Block: Lot
Owner Information Address Phone cell
MIAMI SHORES DR.CHARTER SCHOOL 11301 NW 5 Avenue
MIAMI SHORES FL 33138-0000
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
DD&D ELECTRICAL SERVICE INC (305)839-2986
Y _ _.. _....... ............. .._. x... . T ...._... ...... Total Sq Feet 0
Type of Work:ELECTRICAL Available Inspections:
Additional Info:PANEL BOX Inspection Type:
Classification:Commercial Uri wir-nd Rough
See change
mew Box
Alteration
Final
Relocation
Fire Alar
w.w.
Fees Due Amount Total Amt Paid Amt Due
Total: $0.00 $0.00
Payment Type:
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-named contractor to do the work stated
April 07,2008
Authorized Signature:Owner / Applicant / Contractor / Agent Data
Building Department Copy
Monday,April 7,2008 1