EL-15-2189 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-253185 Permit Number: EL-8-15-2189
Scheduled Inspection Date: February 19,2016 Permit Type: Electrical- Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: HAYDEN,DONALD J Work Classification: Alteration
Job Address:310 NE 99 Street
Miami Shores, FL 33138-
Phone Number (305)798-5198
Parcel Number 1132060135580
Project: <NONE>
Contractor. AMERICAN POWER ELECTRIC CORP Phone: (305)216-7491
Building Department Comments
NEW ELECTRICAL WORK AS PER PLANS INCLUDING Infractio Passed Comments
KITCHEN &BATHROOM INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
February 18,2016 For Inspections please call: (305)762-4949 Page 28 of 35
t r, Miami Shores Village " NT
10050 N.E.2nd Avenue NE
} Miami Shores,FL 33138-00003 ,
Phone: (305)795 2204
Expiration: 03/22/2016
Project Address Parcel Number Applicant
310 NE 99 Street 1132060135580
Miami Shores, FL 33138- Block: Lot: DONALD J HAYDEN
Owner Information Address Phone Cell
DONALD J HAYDEN 310 NE 99 Street (305)799-5198
MIAMI SHORES FL 33138-
310 NE 99 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 5,500.00
AMERICAN POWER ELECTRIC CORP_(305)216-7491 Total Sq Feet: 0
Type of Work:NEW ELECTRICAL WORK AS PER PLANS IN Available Inspections:
Additional Info: Inspection Type:
Classification:Residential
Review Electrical
Scanning:3
Fees Due Amount "Date Pay Type Amt Paid Amt Due
CCF $3.80
DBPR Fee $3 3s Invoice# EL-8-15-56869
DCA Fee $3.38 09/24/2015 Credit Card $200.36 $50.00
Education Surcharge $1.20 08/26/2015 Credit Card $50.00 $0.00
Permit Fee-Additions/Alterations $225.00
Scanning Fee $9.00
Technology Fee $4.80
Total: Mom
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,drawl tements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work doa by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINE
IN OWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing inform ion is accu ate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above-na ntr ctorto do the work stated.
September 24,2015
Authorized Signature:Owner / Applicant / ctor / Agent Date
Building Department Copy
September 24,2015 1