ELC-10-1826Inspection Number: INSP- 152339 Permit Number: ELC -10 -10 -1826
Scheduled Inspection Date: December 14, 2010
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Landon Student
Project: <NONE>
December 13, 2010
Miami Shores, FL 33138 -0000
Contractor: MOODY ELECTRIC INC
Building Department Comments
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
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number
1121360010160 -32
Phone: (305)758 -2000
TWO RECEPTACLES
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 14 of 30
City m R-m1 State FL/
Qualifier Name i n MOON
State Certificate or Registration No. 6C., O6I ! 14 q
Contact Phone E -mail
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Zip
33)38'
Tenant/Lessee Name Phone #
Email
Master Permit No.
Phone #
zip 33 ISO
Phone #
Certificate of Competency No.
* * * * * * * * * * * * * * * * * * *** * * * * *** **** ***** ** F ees ** * * * * * * *** * ** * ** ** * *** * *** * * * * * * * * * * * * * * **
Submittal Fee $ .Cr2 Permit Fee $ D eo7) CCF $ CO /CC $
See Reverse side —+
BUILDING Permit No. Elc t 5
PERMIT APPLICATION
FBC 20
Permit Type: ELECTRICAL ? y ry
Owner's Name (Fee Simple Titleholder) &f r ()1 V� �5 41.4 Phone # J �J d 9/ 399
Owner's Address 11300 N &- 2 Avg
Cityl11 iAna 5 ktoggs State F �
Job Address (where the work is being done) R . K (� �� LIN,Oo/A 6rZi( jjr (
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO Flood Zone
Contractor's Company Name I)1O �, (ri�Gri (�.1 �. 1 to( j
Contractor's Address rr Q' /(, tiJ 1 67-
.O --m -& O
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ 12 00.00 Square / Linear Footage Of Work:
Type of Work: ['Addition ['Alteration [New Er Repair/Replace
0 Demolition
Describe Work: I Mc€P°fAcLES rm. eves .(I I® '(bL1
ace, eeLepika (z200 roc. « mA614)M.-
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Bond $
Double Fee $ Violation date: � � 0 .�
Structural Review. $ Total Fee Now Due $
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
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. I 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 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 approver a' a re- inspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowled ed before me this 13
day of , 20 ID , by Lv S C MGT)
n
yvho is ersonall known to me • r who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Print: 1\l " . � I€m,vn �� a 0. EXPIRES:ene
Print: 1 C t x,1"1 era Ti}+wrry i
My Commission Expires: N O,„16,
* * * * * * * * * * * * * * * * * *,, * * * * **
APPROVED BY
(Revised 07/1 0/07)(Revised 06/10/2009)
Engineer
Zip
Contractor
The foregoing instrument was acknowledged before me this a
day of ®e.// , 20 / , by Joha vibe)
who is personally known to me or who has produced
NOTARY PUBLIC:
Sign:
Print:
My Commissi
as identification and who did take an oath.
J I LL , a'l IL_.
111
MARY PAT BRIGGS
MY COMMISSION # DD 979287
�Q [WIRES: Thu ry Pu b lic , � i�der w
, R riters
F��F��
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r O6
1 0® . c/ Plans Examiner Zoning
Clerk checked