EL-11-1471Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 163375 Permit Number: EL -8 -11 -1471
Scheduled Inspection Date: August 18, 2011
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Weber Hall
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: MOODY ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1121360010160 -13
Phone: (305)758 -2000
Building Department Comments
SUPPORT LOW VOLTAGE CABLES
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
/61-61-c-"/
August 17, 2011
For Inspections please call: (305)762 -4949
Page 45 of 46
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type: Electrical
lam' ZZA g
AO 7011
Permit No El 11-141 I
Master Permit No.
Owner's Name (Fee Simple Titleholder) � Ey Phone #313 j - cq - �j 75 5
Owner's Address ��(/ /i. 4 A641/ 1 300 N G 2 A van] off
City M1kMl SNQe.I,S State P Zip 33)G
Tenant/Lessee Name Phone #
E -MAIL:
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
i1300
NE 2- Ay Ur —1A..)0(64, 4 —
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name i .6V Phone # 76, P-47.�
Contractor's Address
City % /..9■09d/ State Zip
Qualifier Name ��f����% ®OC' Phone`#
State Certificate or Registration No. 40F. ' p if %? Certificate of Competency No.
E -MAIL:
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ /X0419 4'>J
Square / Linear Footage Of Work:
Type of Work: ❑Addition° ['Alteration liew
�7
Describe Work: Pf `% 0-2,el Z.D G�
❑ Repair /Replace ❑ Demolition
L r- e #24-(8.0
xxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxx Feesxxxxxxxxxxxxe * xxxxce9e xeY****oY****aexxxxxxxxxxxx
Submittal Fee $ Permit Fee $ /.r6 C-',G90 CCF $ CO /CC
Notary $ Training /Education Fee $ Technology Fee $
Scanning $ Radon$ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $ 1 %�
Structural Review. $ Total Fee Now Due $ �1 L iJ :10
See Reverse side -*
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
NA\
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 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 ap . ovrt d a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this elk
day of A , 20 6l , by 1P,R. l.C('j EI ( ` f'
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
'Print:
My Commission Expires:
Contractor
The foregoing instrument was acknowledged before me this
day of �U6 'r , 20 // , by John
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
•
9
Sign:
Print:
My Commiss
• x a 4x xxx xxxx dexxxicacaYxxx xxxxx
Ili4144 10
jj
Pi l'ks
EXPIRES: May 11, 2014
S'
Bonded Thru Notary Public Underwritera
APPLICATION APPROVED BY:
(Revised 02/08/06)
Plans Examiner
Engineer
Zoning