ELC-13-1269 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-193058 Permit Number: ELC-6-13-1269
Scheduled Inspection Date: September 20,2013 Permit Type: Electrical - Commercial
Inspector: Devaney, Michael
Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration
Job Address: 11300 NE 2 Avenue Thompson Hall
Miami Shores, FL 33138-0000
Phone Number
Parcel Number 1121360010160-02
Project: BARRY UNIVERSITY
Contractor: FLORIDA ELECTRICAL CONTRACTORS, INC
Building Department Comments
BUILDING MANAGEMENT SYSTEM LOW VOLTAGE Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed
Re-inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 20,2013 For Inspections please call: (305)762-4949 Page 7 of 36
Miami Shores Village
Building Department F1P T_�
is 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 JUN 0 7 2013
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
BY:
FBC 20 13
BUILDING Permit No. I -- la
PERMIT APPLICATION Master Permit No.
Permit Type:Electrical
JOB ADDRESS: 11300 NE 2nd Ave Thompson Bldg
City: Miami Shores County: Miami Dade gip; 33161
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): rn D',UQ(4'1 Phone#:
Address:11300 NE 2nd Ave
City: Miami Shores State: Zip: 33161
Tenant/Lessee Name: Phone#:
.Email:
CONTRACTOR:C Om any Name: �A d Z)d S Phone#: k In
Address: S L
City: State•
Qualifier Name: f > n =7 e 7 Phone#:
State Certification or Registration#: ifO oao 15-=3 Certificate f Compe ncy#.
Contact Phone#:��5T� Email Address: � �2tr;
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑Address Alteration ONew ORepair/Replace ODemolition
Description of Work: C A
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$ d
J
4
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.
"WARMING 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 farst 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 ano reinspection fee will be charged.
Signature Signature
Owner or Agent ntractor
The foregoing instrument was acknowledged before me this3 o The fore oing instrument wa ac owled ed before me this
day of ,20.�,by �N°1(rc QN Ate^ day of J u,.\� .120 ,by s �c'�
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUB
IC-1 MARGLU GAli.tuu
Notary public•State of Florida
Sign: Sign:- At] A.
S JEFFRY J.YAO 3,20'
Print Print 4� o #EE f9fir9'
:Novaba 12,2014 n r o
My Commission Expires My Commission Exp
I.sao.3•NOTARY m.xaa ymmmA .ft
7u�'�
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
0
(Revised 3/12/2012)(Revised 07/10 107)(Revised 06/10/2009)(Revised 3/15/09)
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