ELC-12-1962 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-191960 Permit Number: ELC-10-12-1962
Scheduled Inspection Date: June 03,2013 Permit Type: Electrical-Commercial
Inspector: Devaney, Michael
Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration
Job Address: 11300 NE 2 Avenue Wiegand&Annex
Miami Shores, FL 33138-0000
Phone Number
Parcel Number 1121360010160-09
Project: BARRY UNIVERSITY
Contractor: E-TECH ELECTRICAL INC Phone: (305)888-9331
Building Department Comments
ADD NEW CHEMICAL STOCK ROOM INSTALL NEW Infractio Passed Comments
PANELS ELECTRIC FOR NEW BUILDING ADDITION INSPECTOR COMMENTS False
RELOCATE EXISTING ELECTRIC AND HOOK UP
EQUIPMENT
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-180242. not ready
Failed
Correction ��
Needed ❑
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
May 31,2013 For Inspections please call: (305)762-4949 Page 18 of 27
Miami Shores Village
Building Department OCT 18 202
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795:2204 Fax:(305)756.8972
FBC 20 L0
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.CC-12-1 0<
Permit Type: Electrical
JOB ADDRESS:J A 3 o-a PE �2
City: Miami Shores County: Miami Dade Zip: 3431
Folio/Parcelt
Is the Building Historically Designated:Yes NO x Flood Zone:
OWNER:Name(Fee Simple Titleholder): 19AP-RY Owl Vas 8 ry Phone#: 3®`�° X11' 3000
Address: 11300 "6 a " hV'f"Yg
City: 111AMI ,5_ ®A 5,S State: FL. Zip: 3 3) 4
Tenant/Lessee Name: Phone#-
Email:
CONTRACTOR:Company Name: " �'( ��9 �(�C.:C_A P,!e— 10 4 Phone*.. Aoki J 9° 7 33 )
Address: 72- 50 i)W 66 " STALET
City: M 121 M 9 State: F Zip: (66
Qualifier Name: _5 0!an Nofa (l0 #
2 Phone :
State Certification or Registration#-. EC, <3oo 166o Certificate of Competency#:
Contact Phone#: 30T-` S S" 9 331 I Email Address: J pan @ E+e�►e leG�r i G. c y m
DESIGNER:Architect/Engineer. M A a� -�1 5jA nA(o V 5 k's A5 S 6c:0 m1 CS Phone#: I'Yy` °l L t• � (�
Value of Work for this Permit:$ Square/Llhear Footage of Work: 5P-
Type of Work: OAddress OAlteration ONew ORepair/Replace ODemolition
Description of Work: .� a a_ �..e a A o ��
MOM 60M57-Avc
c�L
�6Loc.A, OCIS►�N - CL c� I Cl t_ fiNA HOD UP Cr�u tip ,
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Submittal Fee$ � 1
6D �_Permit Fee$ 2 Y0 CCF$ CO/CC$
_
Scanning] $ 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
---Nfcwtgage Lender's Name(if wlieable)
Mortgage Lender's Address
City State ZP
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 WORD 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.1.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
CONDIENCEMENT 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 apyoved and a reinspection fee will be charged
Signature Signature r
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foWljoing instrument was ackno ledged m lis
day of � `f ; by i3.� � r�dtv ��, day o
20 f O&bff 20 ,byAJ
who is personally known tome or who has produced who is personally•ktiq*n;tq..,ne or who has produced
° As idehtificsitibtl` itd"whir did take`sn bath. '`� �.G. `'ation.-ind who did take an oath.
0
NOTARY PUBLIC: _ ".' T;� `ab` ,o
Sign: � —__
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APPROVED B Plans Examiner Zoning
Structural Review Clerk
(Revised 3/I2/2012)(Revised 07/10/07)(Revised 06110/2009)(Revised 3/15/09)