ELC-12-1956 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL �c „
Phone: (306)795-2204 Fax: (305)756-8972 `e
Inspection Number: INSP-180213 Permit Number: ELC-10-12-1956
Scheduled Inspection Date:January 24,2013 Permit Type: Electrical- Commercial
Inspector: Devaney, Michael Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration
Job Address:11300 NE 2 Avenue Nat&Health Sc
Miami Shores, FL 33138-0000 Phone Number
Parcel Number 1121360010160-08
Project: BARRY UNIVERSITY
Contractor: E-TECH ELECTRICAL INC Phone: (305)888-9331
Building Department Comments
INSTALL NEW Lighting AND OUTLET AND NEW Infractio Passed Comments
ELECTRICAL PANEL INSPECTOR COMMENTS False
Inspector Comments
Passed EJ
Failed � �-�.��� 43,
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
January 23,2013 For Inspections please call: (305)762-4949 Page 6 of 26
Miami Shores Village
Building Department . OCV 2012
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
ORMCTION'S PHONE NUMBER*(305)76UM
FBC 20105
BUILDING 9T Ott � i
Permit No.
PERMIT APPLICATION Master Permit No.
Permit Type: Electrical
JOB ADDRESS: EA¢.ny ScBC &*G,
City: Miami Shores County: Miami Dade Zip: 3316 1
Folio/ParceW.
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder) 5f ()VIveAsrry Phone#: 30'5- 1113000,
Address:_11300 Al 9 N�(
City: m0rlt �0 9®� State FL Zip: 13 3 1 19 1
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: (E` _19C.0 6e, (a -T A icy hone#
Address: 72-30 A)&9 (c, r I � rg t
city: 111 1 ,9 PI A State: Ez_ Zip: 3 3 16 4
Qualifier Name: ;Yy a A R 0 6 e ((v Phone#• 305 '$$$' 331
State Certification or Registration#r E i D Co? �/ Certificate of Competency#:
Contact'Phone#: ;3 05- ttj 1331 EmailAdlIdress: _XUAn �"� lec1 f'iC • Gari1
DESIGNER:Architect/Engineer. K 1 1h V 5K; A 56v4!& Phone#: qs q` `�6( ' 6$06
114A 019 �r. %LcC
Value of Work for this Permit:$ Square/Linear Footage of Work:
Type of Work: OAddress OAlteration i]New ORepair/Replace ODemolition
�D�scntpliQ��aAfWo ' ame,&a ino doo RF,aawe4 ro®y. 6F V5fff-4L _54®121ve.c
F
YI�W PB,v �D+'h6nT, Gl :hc. one PP'�i C%�nc. f� �'a
Submittal Fee Permit Fee CCF$ CO/CC$
Scanning Fee$ Radon Fee$ 4 ri.94 DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
1+4 0.44
Bonding Company's Name(if applicable) - .-
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applieable)
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 approved and inspection fee will be charged
Signature - Signature `f
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The fore oin instrument was acknovyledged b re me s
dayof ,2"6�,by i3a4z-e-a—; �S day of 26 by ID
who is personally known to me or who has produced � ,who is personally-known:tom' ;v'ho; o
has produced F L--
' Xi-lildmificatlon and`who did take an oath. tid;v�ho.did take an oath.
�fiA A
NOTARY PUBLIC: :' NOTAlh UU
� o ce
e
r6
Sign: Of Sign.
Print:
Print: °
My'Commission E it My Commission
t4 Notary Pub1c State of Florida
• Chats"M Gerber
My Commias.on OD968128 -.
Expires 05108/2014
,k,kek,k,h,�e,xae+xee,k "Examiner APPROVED BY I�LG Plans Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3115/09)
Licensing Portal- License Search Page 1 of 1
9:36:06 AM 10/1812012
Data Contained In Search Results Is Current As Of 10/18/2012 09:34 AM.
Search Results
Please see our glossary of terms for an explanation of the license status shown in
these search results.
For additional Information, Including any complaints or discipline, click on the name.
Name License
License Type Name Type Number/ Status/Expires
Rank
Certified Electrical E-TECH ELECTRIC INC DBA EC13001661 Current, Active
Contractor Cert Electrical 08/31/2014
Main Address*: 7230 NW 66 STREET MIAMI,FL 33166
Certified Electrical EC13001661 Current, Active
Contractor ROSELLO. ]UAN C Primary Cert Electrical 08/31/2014
Main Address*: 7230 NW 66 STREET MIAMI,FL 33166
*denotes
Main Address-This address is the Primary Address on file.
Mailing Address-This is the address where the mail associated with a particular license will be sent(if different from the
Main or License Location addresses).
License Location Address-This is the address where the place of business Is physically located.
1940 North Monroe Street,Tallahassee FL 32399:; Email:Customer Contact Center::Customer Contact Center:850.487.1395
The State of Florida is an AA/EEO employer.Copyright 2007-2010 State of Florida.Privacy Statement
Under Florida law,email addresses are public records.If you do not want your email address released in response to a public-records request,do
not send electronic mail to this entity.Instead,contact the office by phone or by traditional mall.If you have any questions,please contact
850.487.1395.*Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must
provide the Department with an email address if they have one.The emails provided may be used for official communication with the licensee.
However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address
which can be made available to the public.Please see our Chapter 455 page to determine If you are affected by this change.
https://www.myfloridaticense.com/w111.asp?mode=2&search=LicNbr&SID=&brd=&typ= 10/18/2012