EL-05-304MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Buikling Inspection Request
Date I ql Q
Type Insp'n
Permit No. CI '": "; Jj
Name
Address 1c-450 7.Le- ,. ✓
Company 7��1±
Phone # J C c,. "1
Inspection Date i )5-
Approved
Correction
Re- Insp'n Fee
miz 72
3844
MIAMI' SHORES VII.LA 1 w
BUILDING DEPARTMENT `4
305 - 795 -2204
Building Inspection Request
Dated QIos
Type Insp'n �Ct
Permit No. "`� - 3 ° 4
Name EL&LE LEw
Address tC430 1..LE 3. A
Company A c- _ ..Lc cg'Z c _
Phone # C ' %) - °C59 c
Inspection Date el I Z 1C)'5-
Approved
Correction
Re- Insp'n Fee
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 8/31/2005
Applicant: RENE
Owner: LEONI
JOB ADDRESS: 10430 NE 3
Parcel # 1121360130450
Electrical Permit
Permit Number: EL2005 -304
LEONI
RENE
AVE
Contractor ASCUNCE ELECTRICAL CONSTRUCTION INContractor's Address: 1041 NE 78 RD, #1
Local Phone: 305/756 -2892
Legal Description: MIAMI SHORES SEC 5 PB 10-47 LOT 1 & E1/2 OF LOT 2 BLK 120 LOT SIZE
Fees:
FEE2005 -11935
FEE2005 -11936
FEE2005 -11937
FEE2005 -11938
FEE2005 -11939
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$100.00
$0.60
$0.20
$2.50
$3.00
$106.30
Total Fees: $106.30
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 2/26 /2006 Construction Value: $750.00
Work: ADD LIGHTING AND RECEPTABLES TO ENCLOSED CARPOT AND BATHROOM
Signed: (INSPECTOR)
Page 1 of 1
SEp 0 8 PAID
X205
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: