ELC-12-456Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 171194
Permit Number: ELC- 3- 12-456
Scheduled Inspection Date: October 10, 2012
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue
Miami Shores, FL 33138-
Project: BARRY UNIVERSITY
Contractor: PROSTAR ELECTRICAL CONTRACTOR INC
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1121360010160
Phone: (786)307 -4295
Building Department Comments
NEW SERVICE FEED AND PANEL FOR TICKET BOOTH,
EQUIPMENT STORAGE BUILDING AT ENTRANCE OF
BASEBALL AND SOFTBALL FIELD
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
7cit
oec
October 09, 2012
For Inspections please call: (305)762 -4949
Page 5 of 46
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
OWNER: Name (Fee Simple Titleholder):
Address: D/ 300 A/6 2
Permit No
Master Permit No. CC 17 --
g/ 1 (/ (11J (U 9/1-1 Phone #: Or- PM- 3996-
City: /L/I 44t41 .elf ak s
State:
Zip: 33/ t /
Tenant/Lessee Name: Phone #:
Email: 1.YA4 @ NCA1, & efty bt4
JOB ADDRESS: /S 300 A! & i AVG3 it 5 64564444/50P7-44-‘4. '` nem )cE
City: Miami Shores County: Miami Dade Zip: 331 6/
Folio/Parcel #: if — Lf 36 aro ° 0 DS-a
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: P/MI /2 atelit10 COA TiLi4c7b12 Phone#: —307— 7aqS
Address: lP l0 51A) D /L f ' Awe) 1 a E p OA) A T '& 34
City: A/.//f (41441 State: P... Zip: 3! ri L&
Qualifier Name: D AtJ bO ,4GO# Phone #:
State Certification or Registration #: Cc db(ID ¥05- Certificate of Competency #:
Contact Phone #: 75? — 307- ORS- Email Address: A. 1 g Pas-7-14-4 E t c--rgic4 G ® Cowt
DESIGNER: Architect/ Engineer: /14/47-164‘4.— 5/iJ A A ggi ASS 0C4A-Tri Phone #: 9599— q6/" 6'$'
Value of Work for this Permit: $ elidifl) e 4- Square/Linear Footage of Work: S7 sag:
Type of Work: DAddress ❑Alteration It New ❑Repair/Replace ❑Demolition
Description of Work: 'Jew scrAtir C.& Pb ,6- PA)c z Foil. Timer" A rang/
E i ZIPPMGr► I ' 57:6 a-bi.J& S 4-7 &1/24,J CC of AA -56091-k_ $
56f Q.. F7c-t -b
**** *********** *x: ***** ***** *+x*+x** ** * ***Fees*****x:****+ + x****** ** *** *****x:**+x+x******* **u:*
Submittal Fee $ Permit Fee $ 2 25 •e' CF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $'144 s 39
Bonding Company's Name (if applicable) OY i44
Bonding Company's Address
City
e-�— State Zip
Mortgage Lender's Name (if applicable)
NJA
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 approv ' % and a reinspection fee will be charged.
Air ait
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this .
Contractor
The foregoing instrument was acknowledjed before me this / 4-
day of MA C , 20 07-, by PfeN'CE laOl 4(t ' , day of
who is personally known to me or who has produced who
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expire
* * * * *** * * * * * * * * * * * *** **
APPROVED BY
ersonall
, 20 I V2a,y
wn to me or who has produced
as identification and who did take an oath.
My Commission Expires�oat►��s►l?t4,, Jonathan Cuesta
• .: =COMMISSION #EE041198
9 '�� #, EXPIRES: NOV. 09, 2014
-/� Plans Examiner Zoning
Structural Review
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Clerk