ELC-13-1276 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-193125 Permit Number: ELC-6-13-1276
Scheduled Inspection Date:August 30,2013 Permit Type: Electrical -Commercial
Inspector: Devaney, Michael
Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration
Job Address:11300 NE 2 Avenue LaVoie Hall
Miami Shores, FL 33138-0000
Phone Number
Parcel Number 1121360010160-12
Project: BARRY UNIVERSITY
Contractor: FLORIDA ELECTRICAL CONTRACTORS, INC
Building Department Comments
BUILDING MANAGMENT SYSTEM LOW VOLTAGE Infractlo Passed Comments
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 29,2013 For Inspections please call: (305)762-4949 Page 4 of 30
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E Miami Shores Village '
Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 I "
• Tel:(305)795.2204 Fax:(305)756.8972 JUN INSPECTION'S PHONE NUMBER:(305)762.4949 0 7 2019
F
FBC 201_ --
BUILDING Permit No. 1' —�-' 1 3
PERMIT APPLICATION Master Permit No.
Permit Type:Electrical
JOB ADDRESS: 11300 NE 2nd Ave Lavoe Bldg
City: Miami Shores County: Miami Dade gip; 33161
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): c Phone#:
Address:11300 NE 2nd Ave
City Miami Shores State. Zip. 33161
TenandUssee Name: Phone#:
.Email:
CONTRACTOR:Company Name: "IC�;j� c' 6 i ��4� f�6��_ c� a( Ua Phone#: ' .� /0�
Address: 1113JN i I G -T
City: State•
Qualifier Name:_A m- 1)n'1 C) o i\ Z_ Phone#:
State Certification or Registration#: C%d7 Certifica o�fCo T ncy#:
Contact Phone#: ®5 � Email Address: ` 7 g t? G�
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ 2 Square/Linear Footage of Work:
Type of Work: DAddress (Alteration ONew ORepair/Replace ODemolition
Description of Work: ZR l' S
Submittal Fee$
< 0j Permit Fee$ ��® 'Sri CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ TraininglE ucation Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE
$ y
finding Company's Name(if applicable) t/44
Bonding Company's Address
City State
*Mortgage Lender's Name if a licable /
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
EMPROVEM ENTS 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 co cement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued In t absence of such posted notice, the
inspection will not be approved remspection fee will be charged.
•
Signature ;0== Signature
Owner or Agent ei ontractor
The foregoing instrument was acknowledged before me this The foregoing instrument 4:a c owled ed before me this l
day of °�"20 a by -R(A CA; r,. 1 �, day of �0 c)e 20�,by e 4 1��
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.
NOTARY P LIC: NOTARY PUBLI '
.� •4,1 MAROW GALLf80
Note y Puff-Shft of Florida
Sign: ', J Sign: MyComm.Egoes 13,tote
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Print: Print: a '' y Ass%
My Commission Expires: �JEFFItY J.YAO
#EE My Commission pires: a 7
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APPROVED BY /0 Plans Examiner Zoning
Structural Review Clerk
i
(Revised 3/12/2012)(Revised 07/10/(Y7)(Revised 06110/2009)(Revised 3/15/09)