EL-14-607Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 210590
Scheduled Inspection Date: April 09, 2014
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 9701 NE 5 Avenue Road
Miami Shores, FL
Project: <NONE>
Contractor:
MOODY ELECTRIC INC
Building Department Comments
REPAIR AND CONNECT EXTERIOR LIGHTING TO
SINGLE PHOTO CELL
Passed
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Permit Number: EL -3 -14 -607
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1132060171450
INSPECTOR COMMENTS False
Inspector Comments
Phone: (305)758 -2000
April 09, 2014 For Inspections please call: (305)762 -4949 Page 24 of 29
�i
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 / �
Permit 4— °` Q
BUILDING
PERMIT APPLICATION
FBC 20
Master Permit No.
Permit Type: ELECTRICAL
Owner's Name (Fee Simple Titleholder) Barry University Phone #
Owner's Address 11300 NE 2nd Ave
City. Miami Shores State FL Zip 33161
Tenant/Lessee Name Phone #
Email
305.899.3995
Job Address (where the work is being done) 9701 NE 5th Avenue Road (Sister Linda's House)
City Miami Shores Villa a County Miami -Dade Zip 33138
FOLIO / PARCEL #
Is Building Historically Designated YES NO X Flood Zone
Contractor's Company Name Moody Electric
Contractor's Address 669 NW 90th Street
Phone # 305.758.2000
City Miami State FL Zip 33150
Qualifier Name John Moody Phone # 305.758.2000
State Certificate or Registration No. Certificate of Competency No. EC 0001199
Contact Phone 305.758.2000 E -mail john @moodyelectric.com
Architect/Engineer's Name (if applicable)
Phone #
Value of Work For this Permit $ 500.00 Square / Linear Footage Of Work: _
Type of Work: DAddition DAlteration E]New ® Repair/Replace
Describe Work: Repair and connect exterior lighting to single photo cell.
❑ Demolition
Submittal Fee $ Permit Fee $ depb CCF $ CO /CC $
Notary $
Scanning $
Double Fee $
Structural Review. $
Training/Education Fee $
Radon $ DPBR $
Technology Fee $
Bond $
Violation date: (� y�
Total Fee Now Due $ (-)4. V
See Reverse side -4
a ♦ A
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
EMPROVEMENTS 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 ('I) days after the building permit is issued In the absence of such posted_ notice, the
inspection will not be approved and a re- inspectionfee will be charged.
Signature c���
Owner or Agent
The foregoing instrument was acknowledged before me this 25th
day of March , 20 L4, by i NQA AA. KfIGION
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: Je
My Commission
APPROVED BY
(Revised 07 /10 /07)(Reviwd 06/10/2009)
0"RY J. YAO
OWMSION # EE36929
EXPIRES: Novi 12, 2014
xv Fl. NotmvDisaomtAtsmQL
Signa
Contra or
The foregoinn instrument was acknowledged before me this
day of t l ®a� 2014 -Q -7 � &A
who is personally known to me or who has produced
as identification and who did take an oath.
Plans Examiner
Engineer
NOTARY PUBLIC:
Sign: I ► 6
Print:
My Commission
)irk
,j COMMISSION # DO Q7826
'j EXPIRES:Mey', .`.,a.
Bonded Thru Notary P ln4;r W, r,.: Titers
Zoning
Clerk checked