ELC-13-2204Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 200078
Scheduled Inspection Date: October 02, 2013
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Thompson Hall
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: MOODY ELECTRIC INC
Permit Number: ELC -9 -13 -2204
Permit Type: Electrical - Commercial,
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1121360010160 -02
Phone: (305)758 -2000
tiuuaing uepanment comments
6 NEW 8 FOOT TRACKS TIE INTO EXISTING TRACKS Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
r
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
October 01, 2013 For Inspections please call: (305)762 -4949 Page 9 of 14
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 200078
Scheduled Inspection Date: October 07, 2013
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Thompson Hall
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: MOODY ELECTRIC INC
Building Department Comments
Permit Number: ELC -9 -13 -2204
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1121360010160 -02
Phone: (305)758 -2000
6 NEW 8 FOOT TRACKS TIE INTO EXISTING TRACKS 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.
October 04, 2013 For Inspections please call: (305)762 -4949 Page 12 of 15
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
to
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
FBC 20
SEP #W2013
Permit No.
Master Permit No. = 2ju�4
JOB ADDRESS: &kkv r-i e/e
City. Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes NO X Flood Zone:
OWNER: Name (Fee Simple Titleholder): �r� Phone #:,�J,�
Address: fear .?j � 4 �c'I°e + ���/�%��_ /—�kzz
City: /L�Za4w '6f/& o� State: Zip:
Tenant/Lessee Name: Phone #:
Email:
CONTRACTOR: Company Name:
�d �� �� /i�G • Phone #:
Address: -- 3L� �® 5 17
City: �l State: i2 x Zip:
Qualifier Name: -, — , ®1 eL) -'7— l to Phone #• C�✓� %J�� ® ®�
State Certification or Registration #: F-(!: � � /
/!F � Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ cy` into SquareUnear Footage of Work:
Type of Work: UAddress DAlteration *ew LIRepairMeplace ❑Demolition
Description of Work•
Submittal Fee $ Permit Fee $ o 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
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 jab 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 approved and a reinspection fee will be charged.
Signature _ 1. 9,;
Owner or Agent
The foregoing instrument was acknowledged before me this
2-,7
day of , 20 13, by U PM. %d ,
who is personally known to jne or who has produced
As identification and who did take an oath.
NOTARY
Sign:
Print: V A0
My Commission Expires: Z Y J. YAO
MY CO SION #EE36829
VOP EXPIRES: N--bea 1Z 2014
2T0 U jo j RY _ _ FL Notary Dist Au= Ca
Si tore
Contractor
The forego' g ' ent was acknowledge before me this ��
day of .20/3 by J/_ X
who is p Wally known o me or who has produced
as identification and who did take an oath.
APPROVED i, ,
1
Structural Review
(Revised 3 /12/2012 )(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
NOTARY PUBLIC:
Sign: PO &W
Print:
My Commissio "" MARY PAT BRIGGS
MY COMMISSION # DD 979267
o EXPIRES: May 11, 2014
7Va of k011' Bonded Thru Notary Public Underwriters
� 1 1
Clerk
Oct 01 13 11:28a Moody Electric Inc 305-754-1333
P. I
THIS DOCUMENT HAS A COLORED BACKGROUND - MICROPRINTING LINEMARK"' PATENTED PAPER
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