ELC-11-954Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 174413 Permit Number: ELC -5 -11 -954
Scheduled Inspection Date: June 20, 2012
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Laundry Room
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: MOODY ELECTRIC INC
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1121360010160 -38
Phone: (305)758 -2000
Building Department Comments
RELOCATE EIGHT 30 AMP 230 VOLT DRYER OUTLETS.
HOOK UP 3 TON SPLIT AC SYSTEM.
AS PER LETTER FROM CONTRACTOR AND APPORVAL
FROM THE B.O, OK TO EXTEND PERMIT 180 DAYS.
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 160212. No access at 3:07 p.
m..
70 I ait- ,70,
June 19, 2012
For Inspections please call: (305)762 -4949
Page 6 of 14
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
MAY
Permit No. RC
Master Permit No. 1 A
Owner's Name (Fee Simple Titleholder) = -,;rL _ Pitenc#
Owner's Address
City 6p -r1�Lt State FLE;) - i A-.
Zip 'Ij'5i Aga
Tenant/Lessee Name Phone #
Email
Job Address (where the work is being done)
City Miami Shores Village
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Flood Zone
Contractor's Company Name Mega *few_ l i 47G Phone # 3A r- Are #7.4a -0-1C1
Contractor's Address 46.9 ,U • co • 56 .gTz.e*- --
City AI/ At- 4l/ State .)-1 o.‘.s,6',e}. Zip SS/ .323
Qualifier Name ,y-ej Phone # .301 7.5-49. 241002)
State Certificate or Registration No. ed.45- // 19 Certificate of Competency No.
Contact Phone J J 7, •zip -a S E -mail
Architect/Engineer's Name (if applicable) •(J /,4 . Phone #
Value of Work For this Permit $
Type of Work: [Addition 2 iteration
Describe Work: /Q .tti
Square / Linear Footage Of Work:
[New [ Repair/Replace [ Demolition
a) 30 • z3 o chuo-
5T�su.
* * * * * * * * * * **
Submittal Fee $
* * * * * * * **
* * * * * * * * * * ** Fees********** * * * * * * * * * * *4 * * * * * * * * *; * * *. * * * **
Permit Fee $ /5 -L1", �
a 4'f" CCF $ CO /CC $
Notary $ Training/Education Fee $
Scanning $ Radon $ DPBR $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $ 115'50
Technology Fee $
Bond $
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
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 approved and a re- inspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this L
day of 00/ , 20 1) , by ig(a% . b iW7 J2
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
J1 i FR..Y J. YAO
HtsrcoMr EE36829
Fl Autry Disamt Atom Co.
Contractor
The foregoing instrument was acknowledged before me this I3
day of , 20 f(( , by j
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
My Commission
* * * * * * * * * * * **
Sign:,.i',
Print: Amy 'r
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
7/'
_
'r'GY Plans Examiner
APPROVED BY
Engineer
(Revised 07110 /07)(Revised 06/10/2009)
Clerk checked
May 17 11 12:48p
Moody Electric Inc
305 - 7air •xJJ.•
DATE ..
MIAMI-DADE COUNTY
940 W. FLAACOLLECTOR SP-
MIAMI, 30
LOCAL TAX RECEIPT 2011" -.. _ U FIRST-CLASS AGE
2010 COUNTY -STATE OF FLORIDA Pam
DIMES SEPT. 30, 2011 MUT0' 23
Pu>�Am, O ART: NO. 231
THIS (SNOT AALL — CO NOT PAY RENEWAL
149936 -7 149936 -7
BUSINESS NAME t L ELECTRIC STATED EC0001199
MOODY ELECTRIC INC
669 NW 90 ST
33150 UNIN DADE COUNTY
OWNER
MOODY ELECTRIC INC erg
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MOM TAX TEMPT. IT
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HOLDER FOTO ANT OTHER
NCIT A CERTIFICATION OF
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NTLCA- � OODY�ELLEECTRIC INC
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mass. 669 t4W 90 ST
PARENT 7�1iO MIAMI fL 33150
COILECIOIE
In/12/2010
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000075.00
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