ELC-14-500U
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 208959
Scheduled Inspection Date: April 04, 2014
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Powers Building
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: C.W. FISCHER ELECTRIC INC
Building Department Comments
WIRE NEW RECEPTACLES IN CLASSROOMS FOR
PROJECTORS
Permit Number: ELC -3 -14 -500
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number
INSPECTOR COMMENTS False
Inspector Comments
Passed 5�
Failed
Correction ���' 14
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
1121360010160 -20
Phone: (954)566 -5689
April 03, 2014 For Inspections please call: (305)762 -4949 Page 10 of 23
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
Permit Type: Electrical
FBC 20
MAR 14 2014
Permit No. (I
Master Permit No.
JOB ADDRESS- 11300 NE 2 AVENUE PC) bi 0- 5 �A L L
City: Miami Shores County: Miami Dade Zip: 33161 -6628
Folio/Parcel #: 11- 2136- 000 -0050
Is the Building Historically Designated: Yes NO X Flood Zone:
OWNER: Name (Fee Simple Titleholder): BARRY COLLEGE Phone #:
AAA-- 11300 NE 2 AVENUE
City: MIAMI SHORES
State: FLORIDA Zip: 33161 -6628
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: CW FISCHER ELECTRIC, INC. Phone #: 954 566 -5689
Address: 4057 NE 5 TERRACE
City: OAKLAND PARK State: FLORIDA zip: 33334
Qualifier Name: CHARLES W FISCHER Phone#: 954 565 -8007
State Certification or Registration #: EC0001578 Certificate of Competency #: 3866694
Contact Phone #: 954 566 -5689 Email Address: ALISON @FISCHERELECTRIC.COM
DESIGNER: Architect/Engineer: NSA Phone#:
Value of Work for this Permit: $ 1 .00 Square/Linear Footage of Work:
Type of Work: ❑Address OAlteration I7New ❑Repair/Replace (]Demolition
Description of Work: WIRE NEW RECEPTACLES IN CLASSROOMS FOR PROJECTORS
Submittal Fee $ Permit Fee $ /°--S—a 1�G CCF $ CO /CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable) N/A
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable) N/A
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 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 and a reinspection fee will be charged.
WAK%5� I FW-' .4 1
Owner or Agent
The foregoing instrument was acknowledged before me this
day of LAN , 20 yam, by SiX,'!C-n i b5m-t1 V\CJ ,
o is personally kno to me or who has produced
As identification and who did take an oath.
Contractor
The forego" g instrument was acknowledgbef_orenm-e this
V-L day of 20 Lam, by �l
o is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Si. AS ;
tORI t. Print: o" 1-1 =r °+ .`�': Notary Public -State of Florida 'nt: NOTARY PUBLIC
I My Comm. Expires May 30, 2014 TE OF FLORI[
My Commission Expires: 4, P�4s Commission # DD 979550 Comm + M# EE122845
Bonded Through National Notary Assn. G 1�1 Expires 9/4/2 ®15
APPROVED BY A Z-14/ ��%L Plans Examiner Zoning
Structural Review Clerk
(Revised 3 /12/2012)(Revised 07/ 10 /07)(Revised06110/2009)(Revised 3115/09)
0' " gi-6cker ELECTRIC, INC.
Telephone (954) 566 -5689 • (954) 565 -8007
4057 Northeast 5th Terrace
Oakland Park, Florida 33334
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