ELC-11-1018Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 160623
Scheduled Inspection Date: September 20, 2011
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue LaVoie Hall
Miami Shores, FL 33138 -0000
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Permit Number: ELC -6 -11 -1018
Project: BARRY UNIVERSITY
Contractor: PROSTAR ELECTRICAL CONTRACTOR INC
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1121360010160 -12
Phone: (786)307 -4295
Building Department Comments
ADD 4 RECEPTACLES HIDE DATA CABLES
Passed
C�
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
›
ko,
September 19, 2011
For Inspections please call: (305)762-0949
Page 4 of 31
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
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: Electrical
Permit No. CC 11 I o
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Master Permit No. (,,,.C- l I r( V 1 6
OWNER: Name (Fee Simple Titleholder): )' UA (106%% Phone#:
Address: \300 �- tie-
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cCa , b /CS
City:
State: �-
Zip: 3��[(t2
Tenant/Lessee Name: Phone#:
J \c,+ `°) `•tire t\ . 1o&d e U. za■A
Email.
JOB ADDRESS: 15 r t\ ` t o,P, U 2 tr , 4 t - 1. Q� \ 3
City: Miami Shores County: Miami Dade
Folio/Parcel#: t - 7 t L' ' 0 0 - 00 SO
Is the Building Historically Designated: Yes NO ✓ Flood Zone:
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P:
331'(
CONTRACTOR: Company Name: 9(0 SA-L. r
Address: �M (j) 0 S 1 \ 2-1 019e-
City: 19 " �c4-.^^ % State:
Qualifier Name: to �^�t L R- ®✓�
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zip: 73S1-1(4
Phone#: 1 0 O! 3 07 q 2q S_
Phone#: (? 10- 3o7 - LJ 2q g
State Certification or Registration #: t L° 0 0 0 ( 0 5 Certificate of Competency #:
Contact Phone#:5-i ` 30-1 - U 2 SEmai1 Address: cal 2c7V1 e 10,(0 � c, Y- Q-k e k e. �C e 1(0
DESIGNER:
Architect/Engineer: t tl► AA V e vi 4l c S �< ,
Phone#: ot s L-4 - (D I- lows'
Value of Work for this Permit: $ C. C' Square/Linear Footage of Work:
Type of Work: Address , J Iteration New URepair/Replace ODemolition
�3
Description of Work: --1 (1) I C /,✓ i 4 ( 1 &- s , t "e &,1 c4 I'--=) �. le
/
**** *********M *********** e**ee********p ees************* *** ** ***** ** * ***** ** * ****** ****
Submittal Fee $ CD � `� Permit Fee $ e CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
•
Bonding Company's Name (if applicable)
Bonding Company's Address
City
yl
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 A}'FH)AVIT: 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
Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this P
day ofd 0 tit , 20 �.? , by &'km,'c, ' et) 374(14-0-' , day of , , 20 11 , by ,y
who is personally known to me or who has produced who is y-known-me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commissio
My ommission Expires:
` e',) :. COMMISSION #EE041198
WIRES: N0Y.09, -2014
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Jf'/r
Plans Examiner Zoning
APPROVED BY
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)