EL-15-2949Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
.Permit
Permit NO. EL' -11-15-2949
Permit Type: Electrical - Residential
Work Ciassiloation: Alteration
Permit Status: APPROVED
Issue Date: 11130/2015
Expiration: 05/28/2016
Parcel Number
Applicant
1050 NE 107 Street
Miami Shores, FL 33161-7374
1122320280520
Block: Lot:
GABRIEL MARTIN KUSKUNOV
Owner Information
Address
Phone
CeII
GABRIEL MARTIN KUSKUNOV
1050 NE 107 Street
MIAMI SHORES FL 33161-7374
1050 NE 107 Street
MIAMI SHORES FL 33161-7374
Contractor(s) Phone CeII Phone
RAMALEX ELECTRICAL CONTRACTC (786)329-0101 (786)315-3586
Valuation:
Total Sq Feet:
$ 4,000.00
00
Type of Work: NEW LIGHTS NEW OUTLETS
Additional Info:
Classification: Residential
Scanning: 3
CAN,
EL
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$2.40
$3.38
$3.38
$0.80
$225.00
$9.00
$3.20
$247.16
Pay Date Pay Type
Invoice # EL-11-15-57854
11/30/2015 Check #: 337
Amt Paid Amt Due
$ 247.16 $ 0.00
4.0
Available Inspections:
Inspection Type:
Review Electrical
I
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 he foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futherm. e, I = uthorize the above -named contractor to do the work stated.
November 30, 2015
Authorized Sig ' = ure: • ner / Applicant / Contractor /( Agen
Date
Building Depa ment Copy
November 30, 2015 1