ELC-10-1812Inspection Number: INSP- 152258 Permit Number: ELC -10 -10 -1812
Scheduled Inspection Date: December 14, 2010
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Wiegand & Annex
Miami Shores, FL 33138 -0000
Project <NONE>
Contractor: MOODY ELECTRIC INC
Building Department Comments
NEW TRANSFORMER FOR EXISTING
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
December 13, 2010
Inspection Worksheet
Miami Shokes 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 -09
Phone: (305)758 -2000
Page 11 of 30
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Electrical
Owner's Name (Fee Simple Titleholder) -�� �; 1/43-e.c.s Phone # jOS- ( & c ( C j
Owner's Address ` \1����
City . S\,.�c -e) State tcs-r Zip Th31 L
Tenant/Lessee Name 1 Phone
E -MAIL:
Job Address (where the work is being done) ‘ SCt\Z ¢S R000- \*! I 1
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL # - a 13(D - p00 °
Is Building Historically Designated YES NO
II
Contractor's Company Name �� � c cl v.. Phone #
Contractor's Address �(oc( ILs Q,b1/4
City /NCLe.gE �-
.... State t c. Zip, ?3
Qualifier Name 6r,-., 3 0C9.--( Phone# - 30S --- p
State Certificate or Registration No. 'ZG Cam\\ e t c ( Certificate of Competency No.
E -MAIL: Y■i \-ca_ xQci- e �CWrc- . C'
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
***I:**.+ cxxx i:xxx xxxx xxxxxxx xrxxxxxxxxxF
Permit Fee $ r'' e" P®
Submittal Fee $
Notary $ Training /Education Fee $
Scanning $ Radon $
Bond $
Structural Review. $
Permit No. a.0 I 01
Master! Permit No.
Phone #
Square / Linear Foottge Of Work:
jCxrxxrxxx
CCF
Technology Fee $
DPBR $ Zoning $
OCT 1 3 NJ
111
Type of Work: ['Addition ['Alteration ❑New ❑ �I Repair /Replace ❑ Demolition
Describe Work: j��'e/i(/7 2 er7
CO /CC
Code Enforcement $ Double Fee $
Total Fee Npw Due $ ` 1,
See Reverse side -�
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address ► 1
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 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 approve a reinspection, fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 13
day of , 20 , by day of 'Oct , 201 , by a �. �� ,
who is personally known to me or who has produced who is personally known to me or who has ' roduced
As identification and who did take an oath. as identification an take an oath.
V -.
NOTARY PUBLIC:
MAILMAN
Sign: \ ����� a. :: MY COMMISSION 8 DD 787999
a tXFtP S r yr 13, 2012
Print: 1\1`1,5 n.ur�wy 0
My Commission Expires: I► I - zoi 2
xxxxxxxxxxxa:xxacte*** xxxxxx *xxxxxxxxx* * xxxxxxxxxxxxrxxxxxxxx
APPLICATION APPROVED BY
(Revised 02/08/06)
NOTARY PUBLIC:
Sign: / �L
Print:
My Commission Expires:
Contractor
xxxxxxxxxxxxrxxxxaYxxxxxxrxxx * ** Is * *
Plans Examiner
Engineer
Zoning