ELC-10-1113Inspection Number: INSP- 146411 Permit Number: ELC -6 -10 -1113
Scheduled Inspection Date: October 14, 2010
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Adrian Hall
Miami Shores, FL 33138 -0000
Project: <NONE>
Contractor: HI TECH ELECTRIC & FIRE CORP
Building Department Comments
ELECTRIC FOR RENOVATION
ADRIAN
Passed
12/
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
October 13, 2010
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
v) \
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1121360010160 -07
Phone: (786)543 -5216
Page 5 of 22
BUILDING
PERMIT APPLICATION
FBC 2004
Owner's Address
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33 138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder) 1Ray co itt saa Phone #
1 13 0 fJ E . /VIE ,
City P'ZR A - % 6tkOC .FS State , Zip --33 1
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done) 44
City Miami Shores Village County Miami-Dade
FOLIO / PARCEL # 1 3C QOcoo5o
Permit 1Nfo. & (c — /Q - /J /r
Master Permit No. cc /0-T7/
Zip 3'31 (0 1
Is Building Historically Designated YES NO /,/
Contractor's Company Name % — 7 - e . G 4 i I G G 7 P Z i 4 p o e # 00, - 3e5 7Z ®- 7,96 - 32`
3 /
Contractor's Address e/ ddress �s �4J /O
/Y
City G ! /7 ,, State ?C /i. Zip 3
,Aeet,6 t‹.74/ei .J
Qualifier Name
State Certificate or Registration No. j /300 2Zoe
E -MAIL:
Architect/Engineer's Name (if applicable) Phone #
******x xxxxxxxxxxxxxxxxxxxxxxx*** ***** *F xxxxxx xxxx are*
Phone #
Certificate of Competency No. to /30026 08
x war xxxxxxxxx
Submittal Fee $ �f� f � Permit Fee $ �' �° - .� i `�'P CCF $ I •
Notary $ Training /Education Fee $O(010 Technology Fee $
Scanning $ 3' W Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $
co/cc
a.40
Total Fee Now Due $ t.L-• r
See Reverse side -
'''d Value of Work For this Permit $ �� 7O, Square / Linear Footage Of Work:
Type of Work: ❑Addition Alteration ['New ❑ Repair /Replace ❑ Demolition
Describe Work:
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain 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. t understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 properly 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 apprs d a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this 2
day of MAY , 20 10 , by O A 9 J
who is personallx known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires: 1)
x** * *x *x *x *x *x* *xxx *xxxxx
APPLICATION APPROVED BY:
(Revised 02/08/06)
i i %�Ii.
..q nop
12
Notary Public State of Florida
Jeffry J Yao
My Cnmmicsinn nnfi13549
26 1D
Expires 11/12/2010
xxx ,Yx,Yxxxxxxxxx,txxxxxx**x x xxx xx xxxx xxxitxxxx*xxxxx **sex** WWWW W W W W *xx
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of /5 , 20112, by _L y 55Of
who pers nall know� to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
NOTARY PUBLIC -STATE OF FLORIDA
Natalia Jarquin
4 =• 1 D973815
BO UAL L f 0 3 •71CBONDINGCO.,IIn;
Print: f VAIA1�1'-0� v
My Commission Expires:
Sign:
Plans Examiner
Engineer
Zoning