ELC-13-258 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-185542 Permit Number: ELC-2-13-258
Scheduled Inspection Date: June 05,2013 Permit Type: Electrical - Commercial
Inspector: Devaney, Michael
Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration
Job Address:11300 NE 2 Avenue Wlegand&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
INSTALL VOICE AND DATA WIRE AND DEVICES IN NEW Infractio Passed comments
STOCKROOM/LAB INSPECTOR COMMENTS False
Inspector Comments
Passed Ef
Failed
a 1Y
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
June 05,2013 For Inspections please call: (305)762-4949 Page 8 of 47
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13116 cA Miami Shores Village
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 13
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20
BUILDING Permit No.
PERMIT APPLICATION Master Permit No. Cc. — a' 7
Permit Type:Electrical CUOA
JOB ADDRESS: 11 30 ON, ,�yJA�I
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): Phone#:
Address: 1 3t o pp16p A
City: M1 State:State: Zip:
Tenant/l.essee Name: Phone#:
Email:
CONTRACTOR:Company Name: �C , C' Phone#:DVS
Address: 7T w �
city: VV\a bd State: FL Zip: (0(P
Qualifier Name: 7 Mt\ B_QaA I O Phone#:
State Certification or Registration#: U(0 Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer. Phone#:
Value of Work for this Permit:$ '�r y b 0 > S uaref.Anear Footage of Work:
Type of Work: OAddress DAlteration 2ew ORepair/Replace ODemolition
Description of Work: C.C. IC On & �✓t E /!N�
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cox�x�x��x�x�xx����xx�xxxxx�xx��xx+��xx���F�xx���x�xxx��xxx��xxxx��x�xxx�xxxxxx�a�xxa��x�
VU&I Fee$ 0- Permit Fee$ r.%,df-P CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
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Bonding Company's Name(if applicable)
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 approve a reinspection fee will be charged
Signature Signature
Owner or Agent Contractor �St�
The foregoing instrument was acknowledged before me this The fo oing instrument was acknowledged before me this—2E1-
day of,2OE���L "',20 a�,by f���o �J�r�, ��� day of CIA"(4 20 by `J1AOLX'� 1�-OXhto
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.
NOTAR LIQ ) NOTARY PUBLIC:
Si `, o m o Ad �CJL" X � . It
�• _ ' S'1�• l�1SSIg�V ���.
Print: , Print: �c'o:0o Nn98228 A'�
EFFKY - DES P YAU
My Commission Expires:[.( , a MY COMMISSION#i My Commission Expires: =* Pp�26'2p1�a c
EXPIRES:Navm4ff 12.2014 N M tA0=Ca ' ,,�eo o cP:o
fLdmy =o= iPdo •.
y e
i 61'
APPROVED BY '� �� � Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06110nM)(Revised 3/15/09)
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