EL-10-2223New 100 amp circuit
Passed
Inspector Comments
AlAIC fit"
'�
Failed
/ , i / 11—
r/
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: March 08, 2011
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Wiegand & Annex
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: MOODY ELECTRIC INC
Building Deaartment Comments
March 09, 2011
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
nspection Number: INSP - 156949
Permit Number: ELC -12 -10 -2223 1
For Inspections please call: (305)762 -4949
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number 1121360010160 -09
Phone: (305)758 -2000
Page 1 of 1
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: E LECTRICAL
Owner's Name (Fee Simple Titleholder)
Owner's Address `/ 360
City /41_,t-j., 1544 5 State
Tenant/Lessee Name
Email
Job Address (where the work is being done)
City Miaml:Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO aNk Flood Zone
Contractor's Company Name e/e, r Phone # r 7.7 c d •
Contractor's Address 66 6 ,v Q s
City / tom S State Zip 3 S4 Se
Qualifier Name "s. c /lee Phone # 755 ,_D4Cs7 -
State Certificate or Registration No 4 /1 99 Certificate _ of Competency No
Contact Phone s 7 .260e, /. - E -mail /2- "�•cl ( /pz9 04 -/
Architect/Engineer's Name (if applicable)
Value of Work For thus Permit $ o4 Square / Linear Footage Of Work:
Type of Work: DAddition DAlteration QNew ❑ Repair/Replace
❑Demolition
Describe Work: •,PLC) AV / d - 'L Yzv% r3 - 7 . �? y ,. •
Z.674? &le / -�
Submittal Fee $
** *,* * * ** * * * *** * * * * * * * ** * * * * * * * ** F ees* ** *** * ****** * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Q
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
a /4/ I,t 5 9 .Phone #
P •
Permit Fee $ i_rePect+o fi r OA'
Permit No. tL 7.220.23
Master Permit No.
Zip 3 4 4 I
Phone #
Phone #
CCF $
se5.5 _gam- 440S4
See Reverse side ->
CO /CC $
Notary $
Scanning $ Radon $ DPBR $ Bond $
Double Fee $ Violation dute: I / / 0 e ^ w �
Structural Review. $ Total Fee Now Due $ l CO •
Training/Education Fee $ Technology Fee $
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. 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 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 • a re- inspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this 14
b e e — known to me -r who has produced
NOTARY PUBLIC:
As identification and who did take an oath.
Sign: a;;A :4Z5:2-----
Print: S {- `' MO
� MS ALD AN
My Commission Expires: r , : , i l MY COMMISSION N DD 787999
EXPIRES: May 13, 2012
Bonded T W Narry Iftllo Undo/Writers
13, Zo1Z
APPROVED BY
(Revised 07 /I0 /07)(Revised 06/10/2009)
Engineer
Signature
Contractor
The foregoing instrument was acknowledged before me this /
day of ba/ , 20 /0, by �1/94
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
MARY PAT BRIGGS
s: MY COMMISSION # DD 979267
Bonded T Notary Public O
blic Underwriters
9c: t9: 9c*k**: FdY9F9e9e***** * * ** ** **** * *9c9e9ca * ** *** ** * *** * ** ****** *ic9e9 ************ dF9e9eaF9rR****** * *:Y:FiF ***** *ie9c9t*** ******
X ‘--/'Plans Examiner Zoning
Clerk checked