ELC-13-1151Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 195571 Permit Number: ELC -5 -13 -1151
Scheduled Inspection Date: July 22, 2013 Permit Type: Electrical - Commercial
Inspector: Devaney, Michael
Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: Addition /Alteration
Job Address: 11300 NE 2 Avenue Flood Hall
Miami Shores, FL 33138 -0000 Phone Number
Parcel Number 1121360010160 -19
Project: BARRY UNIVERSITY
Contractor: C DAVIS ELECTRIC COMPANY, INC Phone: (954)432 -4334
ts
comments
ELECTRICAL INSTALLATION OFR FLOOD HALL
BATHROOM RENOVATION
INSPECTOR COMMENTS False
Inspector Comments
Passed ET_
Failed
Correction �
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
ments
July 22, 2013 For Inspections please call: (305)762 -4949 Page 30 of 36
Miami Shores Village MAY 2 4 20Q
Building Department
90050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
FBC 20101C)
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
JOB ADDRESS: 11300 NE 2nd Avenue - FLOOD HALL
Permit No. Euc 1 -03' — L i S
Master Permit No. CC13 -1051
City: Miami Shores County: Miami Dade Zip: 33161
Folio/Parcei #: 1121360010160 -19
Is the Building HistoricaIIy Designated: Yes NO X Flood Zone:
OWNER: Name (Fee Simple Titleholder): Barry University Inc. Phone #: 305 -899 -3050
Address: 11300 NE 2nd Avenue
city: Miami Shores State: FL Zip: 33161
TenandLesseeName:_ Barry University Phone #: 305- -899 -3050
Email:
CONTRACTOR: Company Name: _ C. Davis Electric Co.. Inc. Phone #: 954 - 432 -4334
Address: 1701 SW 100th Terrace
City: Miramar State: FL
33025
Qualifier Name: Charles E. Davis JR. Phone #: 954 - 432 -4334
State Certification or Registration #: EC0001038 Certificate of Competency #:
Contact Phone #:__(954)275 -5987 Email Address: svoll @cdaviselectric.com
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $� C7 Square/Linear Footage of Work:
-------------- - - - - -- - - -- - -- --------- - - - - -- ---------------------------------
Type of Work: ❑Address QKAlteration ONew ORepair/Replace ODemolition
Description of Work: Electrical installation for Flood Hall bathroom renovations
Submittal Fee
Scanning Fee $
Permit Fee $ mom, e0 CCF $ CO /CC $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
zip
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 whicrs seven (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be appro a reinspection fee will be charged.
Signature / ` � Signature i 1
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 623 The foregoing instrument was acknowledged before me this 17t
day of AM' , 20 a 3 , by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
day of May ay , 20 - x, by Charles E. Davis JR. ,
who is personally known to me or who has produced
Print: —(3144-v1-
My Commission Expire
Notary Public State of Florida
• Cheryl Baida Gerber
yS Z My Commiss ion 009 66126
Structural Review
(Revised 3 11212012)(Revised 07 /10 /07)(Revised 06t1o12009)(Revised 3/15/09)
identification and who did take an oath.
109 4_ t 1
Print: Susan J.
M Commission Ex it SUSAN J. BENNETT
Y P_ Commission # EE 217497
• Expires September 25, 2016
B=W Tlnu TMyFain huM 8W385 .7019
Zoning
Clerk