ELC-13-1860 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-197385 Permit Number: ELC-8-13-1860
Scheduled Inspection Dater August 22,2013 Permit Type: Electrical -Commercial
Inspector: Devaney, Michael
Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: New
Job Address: 11300 NE 2 Avenue Fine Arts Quad
Miami Shores, FL 33138-0000 Phone Number
Parcel Number 1121360010160-06
Project: BARRY UNIVERSITY
Contractor: MOODY ELECTRIC INC Phone: (305)758-2000
Building Department Comments
Infractio Passed Comments
6 NEW RECEPTACLES INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ;%�
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 21,2013 For Inspections please call: (305)762-4949 Page 18 of 38
Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 AUG I
Tel:(305)795.2204 Fax: (305)756.8972 CU 18
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INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20
BUILDING Permit No.zic d ��
PERMIT APPLICATION Master Permit No.
Permit Type: Electrical
JOB ADDRESS: I tug 2 Ave, irIN6 .94 1,1 Ix-A
City. Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): �46 l nl v / Phone#:
Address: (WO AJ E 2, Ad e,
City: I l'I!f l 0re—S State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: M a edr/C, Phone#: �30Y la O
Address: (® Al IV 46 A
City: 1 9 State: EL. Zip:
Qualifier Name: Phone#:
State Certification or Registration#: ' 119 Certificate of Competency#:
Contact Phone#: Email dress:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit: Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration *4ew �^❑Repair/Replace ODemolition
Dese on of Work: a L CZ2 1,04 l/
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$ `
Bonding Company's Name(if applicable)
Bonding Company's Address
City State zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address IV
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 appro nd a reinspection fee will be charged.
Signature Si
Owner or Agent Contra r
The foregoing instrument was acknowledged before me this The forego' instrument was acknowledged before me this
day of�Vl�U 20�,by 2�I,sC6 l,� r day of 20/3,by -J— ,
who is personally known to me or who has produced who is perso 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:
Sign: Sign:
Print: 40-1 Print:
My Commission Expir r -ACION#EE36829 My Commission �, MARY PAT BRIGGS
EXPIRES:Novenber 12,2014 .a4• ins
too xoraxv pL� _c .r_ MY COMMISSION ti DD 979267
Aum.Co.AAAAAARRO ., Q e EXPIRES:May 11,2014
n,Ef�? Bonded Thru Notary Pubbc Underwr tern
4e9r�YetJede9e�Yie�tr�k�k9eiY�Y�Y4e8c9e�YdroYs @Fra4•••• •Y4e9r4r9r9e4e9c�Yrk9r9e�Y��Fstie9:9F�/e4a9e4e�Ydeve/4r�9e'4c9eFr9nka49e�Y9e4e9c9e9ca0k9e9raR dr4r
APPROVED BY _ Plans Examiner zoning
Structural Review Clerk
(Revised 3/12/2012XRevised 07/10/07)(Revised 06/10/2009XRevised 3/15/09)