ELC-19-1653Miami Shores Village
10050WE 2 Ave
Miami Shores Fl. 33138
305-795-2204
Location Address
Permit Type: Electrical -r
4ft ornmencial
o amass cotlon e p or est
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n. ; . Permft5toi . �►ppraved
y .. =:fie D 7// % o ExpiratiAon • 01/15/2020
Parcel Number
11300 NE 2ND AVE WEBER HALL, Miami Shores, FL 1121360000050
33161 =j
Contacts
BARRY UNIVERSITY INC Owner C DAVIS ELECTRIC COMPANY, INC Contractor
11300 NE 2 AVE, MIAMI SHORES, FL 331616628 CHARLES DAVIS
Business: 3058993995 JYAO@BARRY.EDU
Mobile: 3054957544 Business: 9544324334
Description: TEMP FOR TEST WEBER HALL Valuation: $ 1,500.00 Inspection„62!4 4 nests
305=762=4949 �"�
Total Sq Feet: 45,466.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$111.10
Payments
Date Paid Amt Paid
Total Fees
$111.10
Check # 76681
07/19/2019 $111.10
Amount Due:
$0.00
Applicant Copy
For Inspections, Call (305) 762-4949 or Log on at https://bidg.miamishoresvillage.com/cap/.
Requests must be received by 3pm for following day inspections.
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that maybe found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS,
public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES.
July 19, 2019 Page 1 of 2
M(IIJ00
Barry University Weber Hall Renovation
INSPECTION REPORT
Date: Z�{ �1 Trade:
ReportNo: t 3
ISTRUC IBLDG IBLDG(ROOF)
QIELEC(Low) IMECH PLUMB
Permit: t r n � - Iq - 1323inspector's name
Area called forinspecton:
Type of inspection:
V�J04 � U D � �
Result of inspection: Approved Partially approved
Disapproved
Correction/further action required: No Yes
Remarks:
Inspector's certificate #: 1J Q 6 T S Z Constractor's representative:
Signature: Signature:
i v\Ool x D
Miami Shores Village Building Department
Phone: 305-795-2204 Address: 100050 NE 2nd Ave, Miami Shores FL 33138
Case Number: ELC-07-19-1653 Case Module: Permit
Inspection Date: Wed Jul 24, 2019 Inspection Status: Passed
Inspector: CARLOS SOSA Inspection Type: Work With Inspection
Job Address: 11300 NE 2ND AVE WEBER HALL Parcel Number: 1121360000050
Miami Shores, FL 33161
Contact Type
Contractor
Owner
Checklist Item
Company Name
Name
C DAVIS ELECTRIC COMPANY, INC DAVIS, CHARLES
BARRY UNIVERSITY INC
Passed Comments
Jul 24, 2019 Page (1)
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date: 07/11/2019
Location Address Parcel Number
11300 NE 2ND AVE WEBER HALL, Miami Shores, FL 1121360000050
33161
Contacts
Permit NO.: ELC-07-19-1653
Permit Type: Electrical - Commercial
Work Classification: Temp for Test
Permit Status. ApproVed
Expiration: 01/15/2020
BARRY UNIVERSITY INC Owner C DAVIS ELECTRIC COMPANY, INC Contractor
11300 NE 2 AVE, MIAMI SHORES, FL 331616628 CHARLES DAVIS
Business: 3058993995 JYAO@BARRY.EDU
Mobile: 3054957544 Business: 9544324334
Inspection Description: TEMP FOR TEST WEBER HALL Valuation: $ 1,500.00 Requests:
Inspection Rt 94e'
Total Sq Feet: 45,466.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$111.10
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$111.10
Check # 76681
07/19/2019 $111.10
Amount Due:
$0.00
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
July 19, 2019 Page 2 of 2
, � , AC-, �Nrl
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
RECEIVED
JUL 181U19�
o r/'
FBC 20t l
BUILDING Master Permit No. CC - I - 1$-37Z I
PERMIT APPLICATION Sub Permit No. _� _ 19 5.3
BUILDING ® ELECTRIC ROOFING ❑ REVISION EXTENSI N �RENEWA
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: H 30 U NE Z"d Ave,
City: Miami Shores County: Miami Dade Zip: J? 3 6
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 6A✓✓y UVk.VM11/ 1hL . Phone#:
Address: 11300 !J&7 Z"`'
rr�� ✓L
City: Alckv^` 5ko✓e5 State: FL_ Zip: 3 316(
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: C< 00V'5 F- fer- c- C6• r'qc- Phone#: qyy• 13Z- `I3 3 q-
Address: 1701 Ste- 100 Tie✓✓ae e
City: M i ✓O;' anv State: �L
Qualifier Name: tom► er ffec ram • ocry f Jr - Phone
State Certification or Registration #: EC 00 U I 0 3 0 Certificate of Competency #:
DESIGNER: Architect/Engineer:
Phone#:
Address: State:
t
Value of Work for this Permit: $ Sq6re/Lin*dar Footage'of Work:
Type of Work: ❑ Addition � Alteration ❑New ;';;', i ❑.Repair/Replace
Description of Work: 'e- me l (�w �� � �/✓G %{,✓ �a`:� � �" Y
•yl y y i "' � .w
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $
Technology Fee
Structural Reviews $
Radon Fee $
Training/Education Fee $
p: » v _--)
Zip:
❑ Demolition
CCF $ CO/CC $
DBPR $
. Notary
Double Fee $
Bond $ 1
TOTAL FEE NOW DUE$ t�•1C)
(Revised02/24/2014)
Bonding Company's Name (if applicable) _
4
Bonding Company's Address
City Ir State
Mortgage Len der's Name (if applicable)
r .
Mortgage Lenders Address
City
State
Zip
Zip
Application is`hereby-made_toobtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
OWNER'S 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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
L) OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of OW 20 I4 by
J An Nl� 11 who is Dersonally known to
_e or who has produced as
�SS
identification and who did take an oath. ���g hINE
i
NOT Y PUBLIC:
6 d�a�Y »�Fio .•
e
Signature
6/1�ONTRACTOR
The foregoing instrument was acknowledged before me this
ii1% dayofJ��r 20 19 by
Chcrr��3 �. I/Cv J, wh is personally known o
me or who has produced as
identification and who did�take an oath.
, .- : E
NOTARY PUBLIC:
�.goo
Sign NFF 954799:Sign:
7�����
Print:�V�sm11R,Q i�1` vl"�{"Ti�••��1°ffM'e''6���� Print: Dov41�+S 1)�rnnr�
Seal://h�„ llllll 11 r• �\` y'''
DOUGLAS E. BERNARD, SR.
g `_ Commission # FF 899572
s ` Expires July 14, 2019
".ondod Thm Troy Fain Insomnia 800-385-7010
APPROVED BY IV l fans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
AFFIDAVIT FOR 30 DAY TEMPORARY -ELECTRIC SERVICE
NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY
TERMINATION UNLESS APPLICATION IS RENEWED.
It is understood that the temporary -electrical approval by the Miami Shores Village, Building Department given
in connection with the building being constructed under:
Building Permit N: C_G— /2 —/8— 3%z/ Electrical Permit N: ELC-06-19-1323
At Address: 11300 NE 2nd AVE Miami Shores, FL 33161
For Owners: BARRY UNIVERSITY INC. , and is being given only for
construction purpose or for testing the following equipment in said
structure: WEBER HALL
The owner does herby agree to assume the responsibility of maintaining the installation in such manner that
there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said
structure for the purpose of use and occupancy, and no occupancy shall be granted or permitted until further
inspections have been called for and approved by the inspection divisions concerned, and/or a Certificate of
Occupancy or Completion is obtained.
The undersigned also understands that the temporary electric approval is subject to rescission and
cancellation and electric power can be cut off at the discretion of the building official and will be disconcerted of
ie building concerned is occupied before final inspections are approved and/or obtained a Certificate of
Occupancy or Completion. Note: Failure to comply with the provisions of this affidavit will result in your
being unable to obtain future Temporary for Test permits.
I, Tshn Murinu , being first duly sworn, depose and say that I am the owner of the
above described prop , and that I agree that the structure covered in this agreement shall not be o�
until the building contractor has obtained approval of final inspections and/or obtained a CertificatW7-go
Pt*ureo
of Completion. Note: Failure to comply with the provisions his affidavit will *s'la+
le o obtain future Temporary for Test permits. 6
f OwnerSign- of Notary OFFsaa a
I, CHARLES E. DAV16 JR. , being duly sworn, depose and say that I am the ElectricalNs�ft
Lheabove-_ s ibed property and that the electrical installations as no tingv will not create
o-is-connected.
SR.
Signature ectrical Contractor SignatuItha
rt commission # FF ass 72
Expires July 14, 2019
I being first duly sworn, depose and say ` `' lea h SroyFe wr.w soa cos
of the above described property and that I will not permit occupancy of this building until final inspections have
been called for by the contractors and sub -contractors concerned and final approval by the inspection division
obtained and that I have the authority insofar as the owner of said property is concerned to prohibit occupancy
until such fin I inspections are obtained and/or a fi a e f O c nc or Completion is issued.
.,
MICHELLE DANIELS
+t''< Notary Public - State of Florida
�e' Commission
gnature of B Ilding ContractoroF r.�` ` My Comm. E«p;r��`,��� f rotary
Bonded through National Notary Assn.
Signature of Inspector Signature of Notary