ELC-13-1861 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-197393 Permit Number: ELC-8-13-1861
Scheduled Inspection Date: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 Health&Sports
Miami Shores, FL 33138-0000 Phone Number
Parcel Number 1121360010160-23
Project: BARRY UNIVERSITY
Contractor: MOODY ELECTRIC INC Phone: (305)758-2000
Building Department Comments
NEW RECEPTACLES 2 A/C UNITS 1/1/2 UNITS 1/1/12 Infractio Passed Comments
EACH SPLIT SYSTEM 60AMP. PANEL 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 19 of 38
Is L
Miami Shores Village
Buildin g Department
artment fl ��
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 AU6 1 3 l0 J3
Tel: (305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949 �o 000oc
FBC 20
BUILDING Permit No.
PERMIT APPLICATION Master Permit No. —A� 0 S_—ArN
Permit Type: Electrical ®�
JOB ADDRESS: I I MW 11)9� ;,7 e zk),6 POOR 614"nes 61vb4�,
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO ✓ Flood Zone:
OWNER:Name(Fee Simple Titleholder): g��au Umiyerg lu Phone#: g7q'_q7g 2
Address: 1 130 0��)��� Z AVE
City:_ I �16I®rg& State: rL Zip:
Tenant/Lessee Name: �� Phone#:
Email:
CONTRACTOR:Company Name: ft)joau eLeci-ejc, Wei Phone#: -3®.5-'759
Address:
City: State: R, Zip:
Qualifier Name: Phone#:
State Certification or Registration#: 66 Q6b I 1 q Certificate of Competency#:
Contact Phone#: Email Address: _
DESIGNER:Architect/Engineer: - Phone#:
Value of Work for this Permit:$ qgoLo ® Square/Linear Footpdeof Work-
Type
of Work: ❑Address OAlteration ONew ®R air/Replace ODemolition
�
Description of Work•
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) f'l
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.
"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 nd a reinspection fee will be charged.
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing was acknowledged before me this
day of WGtKt ,20 13 ,by IMAC6 t;AYAUJ day of ,20 (3 by (' n ��
who is personally known to me or who has produced who is personallAnown 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:
�J� Pk Sign: Sign•
Print: Print:
My Commission Expire slov
j EE36829 My Commission Y a
- MARY PAT BRIGGS
_: ;= MY COMMISSION#DD 979267
l eoo 3 xoaaxY F1.Nagy D eoc®t Aesaa Ca° H., b` EXPIRES:May 11,2014
Bonded Thru Notary Public Unden+mters
���������st•sr��r���:���e��r�����������r���e•��������s?:��r���������:������e�:����������ar•�������e;�e��������r��������e���������
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/1012009XRevised 3/15/09)
NOTICE OF COMMENCEMENT C •N 2013RO640758
OR Bk 28772 P9 1707; Qps)
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION RECORDED 08114/2013 13'.56:38
HARVEY RUVIN? CLERK OF COURT
PERMIT NO. TAX FOLIO NO. MIAMI-DADE COUNTYP FLORIDA
LAST PAGE
STATE OF FLORIDA STATE OF OF DADS C
COUNTY OF MIAMI-DADE: /HERES Y CER Tmy v�w is of on
ofigind fte CU RC 0
OF"FLORIDA,"Lo"""' F DAM
RcBy0ERT*yVW 0
g i, ek,�
'd*
THE UNDERSIGNED hereby gives notice that improvements will
O
A.D• 10:Z
A.D.2
real property,and in accordance with Chapter 713,Florida Statutesliftm,9* &Wld dal Sod,
V
information is provided in this Notice of Commencement. UV 4 'S
HARVEY Ruvitq,cLEW,
This Notice of Commencement should be recorded at: COUP
The Clerk of Courts
Miami-Dade County Recorder
Courthouse East 22 NW First Street,let Floor,Mlanil,FL 33128
1. Legal description of property and streetiaddress:
2AJb JC&QX FACIWM-5
2. Description of improvement: Pao
/,Y'a
3. Owneqs)name and address: t"*U_)4 1
Interest in property: t
Name and address of fee simple titleholder
1
4. Contractors name and address:
r hum
6. Surety: (Payment bond required b m contractor, if any)
Name and address: Wr
Amount of bond$
6. Lender's name and address:
7. Persons with the state Of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., F(prida Statutes.
Name and address:
B. In addition to himself, Owners designates the following person(s)to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Sta es.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1y2ar from the date of recording unless a
different d
Signature of Owner moqpv,
Print Owner's Name- Aed- Prepared by
Sworn to and sVpbscn*bed be re me is day of 2013
5�
Notary Publicllftwp;�
Print Notary's Name I , Amlvvi* MARY PAT BFWS
U 01 1
My COISSION#DD 9790
My commission expires: (Sea MM
W 1. I-D(PIRES.May 11,2014
Bondw Thm"M ftut UWell"i",