ELC-12-1398Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 177871 Permit Number: ELC -7 -12 -1398
Scheduled Inspection Date: September 17, 2012
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Wiegand & Annex
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 -09
Phone: (305)758 -2000
Building Department Comments
2 5' PLUGMOLDS INSTALLATION
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- 176396. Canceled due to storm.
September 17, 2012
For Inspections please call: (305)762 -4949
Page 15 of 35
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
B I DING
PERMIT APPLICATION
FBC 20
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JUL 2 25 i2 L. .‘,-..-L_____...--
BY:- ......... -------
Permit No. 1 1396
Master Permit No.
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): if IN (fin i uer - i 411 Phone#:
Address: ( MO Ma z ,OE- /
City: U' / A-r I s4- c EE State: (L. Zip: � %3 g
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS: 5foe Vu 1 e44 /J® 81_44 goofy)
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name:nn 1 1 t, Lc:L I Ric /3 C Phone #: 365"-n-2060
Address: 00q 0q /1)
City: �V1ff me
Qualifier Name: �)/-f IL) . /7?MO
State: �L
Zip: 33/ 3
Phone #: N)C 75gZe►00
State Certification or Registration #: ELMO 1) 9c/ Certificate of Competency #:
Contact Phone #:
DESIGNER: Architect/Engineer:
Value of Work for this Permit: $
Type of Work: ❑Address
Description of Work:
Email Address:
NIA-
2090 D
Phone #:
UAlteration
Square/Linar Footage of Work:
❑New ❑Repair/Replace
' ❑Demolition
******** * ** * * * **** **** * **** ** * * **** **** Fees*********** e* ***** * ***** **O * **** * * * ** ** *****
Submittal Fee $ Permit Fee $ 14' ereo a CCF $
Scanning Fee $ Radon Fee $ DBPR $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
CO /CC $
Bond $
TOTAL FEE NOW DUE $ 11g
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 o 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 properly 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 reinspection fee will be charged.
—tom
Signat
Owner or Agent
The foregoing instrument was acknowledged before me this
day of iok 1 , 20 IT , by �1 Lyicel 6 f 1 Um
who is personally known to me or who has produced
23
NOTA
Sign:
Print:
YP
1 , O •
Notary Public State of Florida
a Luis Rlaecos
My Commidalon DD881486
Exaires 04/1912013
an oath.
L.u1 c5 7-Iicsto
My Commission Expires: 04 14 F 0300 3
Si
Contract
The foregoing instrument was acknowledged before me thi
�
day of - J 1 , 20 12-, by 22' ,mil 0/ y'
who is personally known to me or who has
as identification 'Rae
- ;off \•� •;:
NOTARY PUBLIC: 4 41'• �
Sign:
Print:
My Commission Expires:
+xlxlxlx*** ** *** x* ***lx**lx***: x* a: ********* ************** x: ***** x:* a: ***+ x*+ x*******Ix+ x*u:**** Ix**** u:+ x*+x*********Ix*Ix**Ixl ***
APPROVED BY /' P/P-- 76. fii.0° Plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)