EL-13-2442Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 202453 Permit Number: EL -10 -13 -2442
Scheduled Inspection Date: November 05, 2013
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue 11603 Building
Miami Shores, FL 33138 -0000
Project: <NONE>
Contractor: MOODY ELECTRIC INC
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comments
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1121360010160 -27
Phone: (305)758 -2000
INSTALL 189 FLORECENT FIXTURE AND 3 NEW
SWITHCHES INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
November 04, 2013 For Inspections please call: (305)762 -4949 Page 34 of 40
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
Permit No.
ti e
10C i r
Master Permit No. Ful 25 ~ 2,4 4
Permit Type: Electrical zj�►-
OWNER: Name (Fee Simple Titlel er): 61rfq Phone #:
Address: I' 0L) 0 2/) 1
/)1 hg'
City: ffildmi "�Ao res State:— Zip: X3/38
Tenant/Lessee Name:
Email
JOB ADDRESS: ' / /:� 00 lU 6 .0 AV 'fe ( 1 1 � U 3 & L) I Lf,—.>
City: Miami Shores County: Miami Dade Zip: _
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: C iG /12C Phone #:
Address: Wo,? Al W q0
City: I�
Qualifier Name: n r J
State Certification or Registration #: e-G -1notj 11 _Certificate of Competency #:
Contact Phone #:
DESIGNER: Architect/Engineer:
Address:
30S5__Z$X -2060
Value of Work for this Permit: $ 207 oD Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alterattii�on OMNe -w1 . LM-Repair/Replace ❑Demo�litiion
Description ofWdrk :, llis �O ���L•f %�isC T/' T %,BTU %�• �/�iQ.L�rJ`�/ V)eS
Submittal Fee $�• c7 Permit Fee $ CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 0
,7")
Bonding Company's Name (if applicable)
VA
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 "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 approv d a reinspection fee will be charged.
—.-111n/,!!�!i'a�
Owner or Agent
The foregoing instrument was acknowledged before me this 717-4
day of 0CV&17^C , 2013, by BRAPeii'
who is personallv known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign: r� v
Print: �1
My Commission Expires: l > ss1 ®NOEE36829
c : November 12, 2014
FL NGWy Dis=int Aw= %
Contractor
The foregoing instrument was acknowled before me this
Z
day of , 20, by
who isZ222ally known to me or who has produced
E /J
APPROVED BY l� �� Plans Examiner
Structural Review
(Revised 07 /10 /07)(Revised 06/10 /2009)(Revised 3/15/09)
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Ay
MARY PAT BRIGGS
MY COMMISSION # DO 979267
EXPIRES: May 11, 2014
Banded Thru Natery Public Underwriters
Zoning
Clerk