ELC-13-2793Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 204485
Scheduled Inspection Date: February 10, 2014
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Pelican Theatre
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Permit Number: ELC -12 -13 -2793
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1121360010160 -05
Contractor: MOODY ELECTRIC INC Phone: (305)758 -2000
comments
REMOVE EXISTING LIGHTING AND CONDUCT F &I
12 -QUAD OUTLETS & 5 DUPLEX OUTLETS 1 DIMMER
F &I 10- TWO RESCENT WORK LTS 42 WALT RELOCATE
2 3/4 CONDUCTS
INSPECTOR COMMENTS False
Inspector Comments
Passed .
Failed
r
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 07, 2014 For Inspections please call: (305)762 -4949 Page 9 of 44
Miami Shores Village
Building Department
1 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 Type: Electrical
OWNER: Name (Fee Simple Titleholder):_
City: r%k t 06"
Tenant/Lessee Name:
Email:
DEC 13 2013
Permit No.
Master Permit No.F/(° % 22, -:!,
State: f:�C, Zip: '3 (' d
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip:��-
Folio/Parcel #:
Is the Building Historically Designated: Yes
CONTRACTOR: Company Name: _
Address: L.( 9 o W A &
NO ✓ Flood Zone:
�
City: /% i,g yyj/ State: Zip: I Sd
Qualifier Name: �� � Phone #: ji �
State Certification or Registration #: �G Certificate of Competency #:
Contact Phone #: j;&r^7jB" ?t9,O Email Address: %..I /Rhol
DESIGNER: Architect/Engineer: 14 Phone #:
Value of Work for this Permit: $ / Z51 Z� • Square/Linear Footage of Work:
Type of Work: ❑Address /� Clteration ONew ORepair/Replace ❑Demolition
Description of Work: dCtL_e.� 4 - 7Qsrrl 4��r� f dayb& -T , -��-7_
007647S `�` Lc 3� ®c1;Z�e?5
—
/��� C1�yc�� STS
Submittal Fee $ r 4 Permit Fee $ AV /-/ CCF $ CO /CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ L1111q. �E
Bonding Corhpany's Nimi (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 which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved at4rreinspection fee will be charged.
Signature Sig
Owner or Agent
The foregoing instrument was acknowledged before me this �ot�
day of - - - 20 JZ� by UU(6 D W0Ps ,
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign: N� )2
Print: (�
My Commission Expires:
Contractor
The foregoing instrument was acknow�g d befo me thiJ6
day of , 201, by �� an ,
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign: A
Print:
m; O HE My Commission Ex °� o� EXPIRES: May 11, 2014
Bonded Thru N Public Underwriters
l��l89: Novi 12, 2014 �i9P� l��`° �1'
V FLNdayDWffadAmoaCo.
APPROVED B f G Plans Examiner Zoning
Structural Review
(Revised 07 /10 /07)(Revised 06110/2009)(Revised 3/15/09)
Clerk