ELC-13-1272 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-193087 Permit Number: ELC-6-13-1272
Scheduled Inspection Date: September 13,2013 Permit Type: Electrical -Commercial
Inspector: Devaney, Michael
Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration
Job Address: 11300 NE 2 Avenue Dalton Hall
Miami Shores, FL 33138-0000 Phone Number
Parcel Number 1121360010160-17
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 12f
Failed
Correction
Needed j
f
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 12,2013 For Inspections please call: (305)762-4949 Page 6 of 18
` Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 JUN 0 7
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949 1 re f
FBC 20 C
BUILDING Permit No. �
PERMIT APPLICATION Master Permit No.
Permit Type:Electrical
JOB ADDRESS: 11300 NE 2nd Ave DND Bldg I I
City: Miami Shores County: Miami Dade Zip: 33161
Folio/Parcel#:
Is the Building Historically Designated:Y1 es NO Flood Zone:
OWNER:Name(Fee Simple Titleholder). I Phone#.
Address:11300 NE 2nd Ave
City. Miami Shores State: Zip. 33161
Tenant/Lessee Name: Phone#:
.Email:
CONTRACTOR:Company Name: C G b 6�n OC'5 Phone#:
1
Address: I C /
City: 11"', State Zip: 1
Qualifier Name: e D Phone#:
State Certification or Registration#: D `� Certificat of Competency#:
Contact Phone#: Email Address: ( '
DESIGNER:Architect/Engineer: Phone#:
—
Value of Work for this Permit:$ - 5quare/Linear Footage of Work:
Type of Work: UAddre s Alteration LINew ORepair/Replace ODemolition
Description of Work:
Submittal Fee$1 _Permit Fee$ 1,� A °a U CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
. Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ '
•
Bonding Company's Name(if applicable) /
Bonding Company's Address
City State Zip
Mortgage Lender s Name(if applicable) � l
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 properly is subject to attachment. Also, a certified copy of the recorded notice of co mencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. n the absence of such posted notice, the
inspection will not be approved a inspection fee will be charged.
Signature Signature
Owner or Agent C tractor
The foregoing instrument was acknowledged before me this The foregoing ins as acknowlled ed before me this
day of 20 by �G �1 ?►0_, day of , e, ,20 ,by I 0� -
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 PUBLIC: CL
h. NAPAW G&I Dc'
Sign: Sign: � r usR� Nay PW*-State
Print: ' Print:My Commission Exp' MY N0 My Commission
EXPI M:Novmmba M 2014
!� ,e
APPROVED BY f �® Plans Examiner Zoning
Structural Review Clerk
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(Revised 3/1212012)(Revised 07/10/07)(Revised 06110/2009)(Revised 3/15/09)
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