ELC-11-1551Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 163676 Permit Number: ELC -8 -11 -1551
Scheduled Inspection Date: December 01, 2011
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue
Miami Shores, FL 33138-
Project: BARRY UNIVERSITY
Contractor: V&F ELECTRIC INC
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1121360010160
Phone: (305)962 -9078
Building Department Comments
INSTALL NEW LIGHT FIXTURES POR SIGNS
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
November 30, 2011
For Inspections please call: (305)762 -4949
Page 3 of 26
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
ZialMn't
OA' 1011
Permit No. CA
Master Permit No. /1
Permit Type: Electrical r I j
OWNER: Name (Fee Simple Titleholder): '1• Pia �. G t V c� e t f Phone #:
Address:
City: 14 P T / 111 S State: P2 zip: .2 3 / 3
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS:
City: Miami Shores County: Miami Dade
Folio/Parcel #:
P . f.� / A j 1 PS (.a AJo fr 1 It •
Zip:
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: 14 4 6 E 1 - '-1721 G. Phone #: -50-et 6 2, 9 01?_
Address: ®�1 ''t -Da l U e . /
City: !7 /,�/� -rr Spa i Ad) 7. State: jr 7. Zip: 3� i 6o �7
Qualifier Name: ��/ 72 a /120 Z - Phone #: —So/ — 9 6. Z ` 9.0 ?-
State Certification or Registration #: 00 /5 / 9 7 Certificate of Competency #: 00 6 000 /117
Contact Plione #: '1 OS 9 ( 2. ' 0 `7? Email Address: Vf5 /bC��C d eg P& e l <'z)id ( , i.JC
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ °P0 0 Square/Linear Footage of Work:
Type of Work: DAddress %/ 4t °� ❑Alteration w / URepair/Replace ❑Demolition
Description of Work: cL / u i e /1 t i , f fL f'�, S 42 1 )
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees**********,** * * * * * * * *** * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 1 ONO
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 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 .osted notice, the
inspection will not be approved and a reinspection fee will be charged.
_as 4t41111m
Signature Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20 l 1 , by
o is personally known to me r who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Con. . ctor Q
The foregoing instrument was acs •. owleedg��eddy before me this I B
day of h)& , 20 I i , by V i dUr Q V 11t t
who is personally known to me or who has produced
I as identification and who did take an oath.
My Commission Expires:
APPROVED BY
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
NOTARY PUBLIC:
Sign:
Print:
My Commission Ex
�•, ANACRISTUTA R. ROGUE
:,t MY COMMISSION # EE 088488
R EXPIRES: July 18, 2012
Bonded Thru Notary Public Undenntters
lans Examiner Zoning
Structural Review
Clerk