ELC-11-2108Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 166645
Permit Number: ELC -11 -11 -2108
Scheduled Inspection Date: November 29, 2011
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Landon Student
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: STRUCTURED CABLING SOLUTIONS
Permit Type: Electrical - Commercial
Inspection Type: Rgh
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1121360010160 -32
Phone: (305)364 -4545
Building Department Comments
2 DATE DROPS FOR LCD
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
foc-v , '2
November 28, 2011
For Inspections please call: (305)762 -4949
Page 12 of 20
IA1111/11 1411P)
UI DING
PERMIT APPLICATION
FBC 20
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
RECEIVEL
NOV 14 2011
13Y:
Permit No. ft.--- --b°(‘
Master Permit No.
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): /g12 /171 C✓ Ni V ¢i(/ Phone #:
Address: //3 ° a A. zi ,✓,
City: /`'/ i.9 —fi ��10 / State: F/ Zip: 330 6,
Tenant/Lessee Name: 'elf-? Phone #:
Email:
JOB ADDRESS: d 1 360 NC Zv4 AVM " LANDoN
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #: // - c).1 3 :j - J 6 a - "' 04
Is the Building Historically Designated: Yes ENO Flood Zone:
CONTRACTOR: Company Name: �' ��� "r=P ` - G' ki 6 (`'T °d�Phone #: -241-34 V V4-314.-- r
2 ya o e..4 47 do/ Sf, .-/- ,I',.,, -,i, * 3
Address: ,1/ /
City: 74-5--/e71-1--- , State: T� Zip: -?`3 °14,
Qualifier Name: R ° i` ,,, O ,0 Phone #: �ek -- J6 V K -k
State Certification or Registration #: G� c) 0 o o 11-73 Certificate of Competency #:
Contact Phone#: .7 04 (bK 22 kr- Email Address: £ . c,'@ C w - S/` %- --- o v1ii� a- Cc:'2 1.
DESIGNER: Architect/Engineer: Phone #:
d iJ4
Value of Work for this Permit: $` � �, Square/Linear Footage of Work:
Type of Work: ❑Address DAlteration 1New ❑Repair/Replace ❑Demolition
Description of Work: cJ - *--1. d- r-,:y'.S- . ~ L C-b
•
i,,---45.4- --.0„,v,43.,4,.. ..,,,,,
Submittal Fee $ - Permit Fee $ .' e-' " I' CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ SD
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 Att.WAVIT: 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 approv �, R �. ►r•4einspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of toV ., , 20 l 1 by glag CaP
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
getik
Sign:
Print:
My Commission Expire
* * * * ** * * * * * * ** ** * **
APPROVED BY
Signature
C
The foregoing instrument was . . owledged before me this 4
day of N4 fr , 20 II , by .%''%7',`
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
M
***** ** ** *** * * * * ** *** * * * * * * * * ** ** * **
/7
7 o'er Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
$,�,;
a;, to• Commission # DD 795694
41' rifiiii6ervirIMIZErris-of
� My Comm. Expires Jim 8, 2012
*******4t
Zoning
Clerk
611443 -3
BUSINESS NAME / LOCATION RECEIPT NO 637733-7
STRUCTURED CABLING SOLUTIONS INC STATE# ES0000322
2300 W 80 ST 3
33016 HIALEAH
2011 • . • • LOCAL BUSINESS TAX RECEIPT.` i012.:'
• MIAMI -DADS COUNTY- STATE OF FLORIDA;
. °` EXPIRES SEPT. 30, 2012 :•:: = -.:; : ' -.
• • ••MUST BE DISPLAYED AT PLACE OF- BUSINESS ,
PURSUANTTO COUNTY CODE CHAPAR SA - AFit 8 &
THIS IS NOT A BILL -DO NOT PAY RENEWAL
FIRST=CLA3:
U.S. POSTAG
PAID
MIAMI, FL
PERMIT NO. 2
OWNER
STRUCTURED CABLING SOLUTIONS INC
Seq. ELECTRICAL CONTRACTOR WORKER'S
TINS IS CNLY A LOCAL
BUSINESS TA% RECEIPT. fT
noes NOT PENRI V THE
HOL031 TO VIOLATE ANY
MIMING REGULATORY OR
ZONSIG LAWS OF THE
COUNTY 011 CITIES. NOR
GOES IT fliEIIPT THE
HOLOER FROM ANY O?1ER
PERMIT oR mom
REQUIRED BY LAN. THIS 1S
NOT A CERTIFICATION OP
TINE HOWER'S ORALI IC*.
MONS.
PAYMENT RECEIVEo
lyOAOi COUNTY TAN
LECTOR:
07/15/2011
60050000333
000069.00
PRINTED WITH
ENVIRONMENTALLY
FRIENDLY OREE11I SES
SEE OTHER SIDE
NCI)
FSC
LiDLeii5ourcei
!w Nai ." Ndjad`te�im�
,w 3$990
b1] . and r iru��t,y �[1 r
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4
DO NOT FORWARD
STRUCTURED CABLING SOLUTIONS INC
SYED A SHAH PRES
2300 W 80 ST #3
HIALEAH FL 33016
111111/.11111 1I,i141,1111P111.111,1111111t 1II4KIt1
City oflialeah
Business Tax Receipt
Mayor Julio Robaina
. W. 71'r?'•; : :ti �g:'j'•K',j•: t: ?•� :: � j{i i'S•r:t ^,.F2.1..'.� =: ii._
—._•1.i-.L�..'hi er i__�....Se4li��':H {r!•. \�'f.rS, -J �.�i til :.
nm'or.pperatd b:c•- •business sporiled subjectto.the - •
2010 -11
Validating ?do.;:;.' •ab000 •
•TAIS ISNOTA BILL •
•Busiae s Location:
2300''W`80 ST: 3 •
:.' Eixpires September 30; 2011.. -