ELC-13-926 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-190488 Permit Number: ELC-5-13-926
Scheduled Inspection Date: August 12,2013 Permit Type: Electrical-Commercial
Inspector: Devaney, Michael
Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration
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
INSTALL ELECTRIC FOR MOD SPACES Infractio 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 12,2013 For Inspections please call: (305)762-4949 Page 4 of 41
Miami Shores Village }
Building Department a�9
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949 ���ommo ®ammemova000a
BUILDING Permit No.
PERMIT APPLICATION Master Permit No. T 1 s 9
FBC 20
Permit Type: Electrical
OWNER:Name(Fee Simple Titleholder): A I 00,11i�j Phone#:
Address: I I—9jo® -"7 P 0 6 k5c [+
City: M 1 Q,M) J hr State• Cr Zip:3-413Y
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS: .511Y?&
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
CONTRACTOR:Company Name:
Address: A)CJ q6 Cif �c
a
City: M IA State: �L _Zip:
Qualifier Name: J.60i Phone#:
State Certification or Registration#: Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$_ l 5j 01) Square/Linear Footage of Work:
Type of Work: OAddress OAlt ration ONew ORepair/R place ODemolition
Description of Work:
CZ-
Submittal Fee$ Permit Fee$ /y G° v 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)
Bonding Company's Address
City State Zip
9
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
l
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 appr d and a reinspection fee will be charged.
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoin instrument was acknowledged before me this
day of '20,�.�,,by ('F at h day of ,2o/,3 by��ht,
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.
NCLTARY PUBLIC:,. NOTARY PUBLIC:
Sig Sign: //haw ,
Print: Print:
My Commission Expir 4 My Commiss' s1'PATBIiIQt
aw> 1t X14 MYOOMM►SS►ON#DD 97g��
�soo anraav �1 rDlmoomAnoa6N 0f Bond�llP''AENot�Yp�'2014
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APPROVED BY _ - /Ii'L@ y Plans Examiner Zoning
Structural Review Clerk
(Revised 07110/07)(Revised 06/10/2009)(Revised 3/15/09)