ELC-14-939Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 212104 Permit Number: ELC -5 -14 -939
Scheduled Inspection Date: May 14, 2014 Permit Type: Electrical - Commercial
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Wiegand & Annex
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1121360010160 -09
Contractor: MOODY ELECTRIC INC Phone: (305)758 -2000
Bui
comments
RELOCATE CIRCUIT O GENERATOR A/C UNIT IN INSPECTOR COMMENTS False
ROOM 205 PANEL EXISTING A/C
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
May 13, 2014 For Inspections please call: (305)762 -4949 Page 14 of 35
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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
JOB ADDRESS: 113,06 N 8
City: Miami Shores County:
Foho/Parcel #:
Is the Building Historically Designated: Yes
FBC 20
MAY 0 8 2014
Permit No.
Master Permit No. l
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder) b4tri n fye%s ou Phone #:
E �
Address: I �� A 2 i
City: M C--� State: FL Zip: 3313 0,
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: 1006 b9c %c c.
Address:
City: i a M I State:
Qualifier Name: .J ® it t) J r%% .Phones
State Certification or Registration #: 9 00 Of /J Certificate of Competency #:
Contact Phone #: a Email Address:
DESIGNER: Architect/Engineer:
on
Value of Work for this Permit: $ 120'1 , ®0 Square/Linear Footage of Work: _
Type of Work: ❑Address DAltera" _ ONew ,� 6�kepair/Replace .—
Description of Work: f
-3.
F10 MIT �
Submittal Fee $ U U Permit Fee $ CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ I
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
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. /
Owner or Agent
The foregoing instrument was acknowledged before me this
day of A 1—, 20 J, by KuSAN'WS
who is personally known to meter who has produced
f�_
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission
' Mf6D 415&0 t #EM=9
F3CPDM: Novamber 1Z 2014
9ty Fi.NmaiyDi baMAs=Co,
Contractor
The foregoing instrument was /Iacknowledged before a this
day of 20' `/", by ' h n ,
who is personall known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My
MY COMMISSION # DD 979267
EXPIRES: May 11, 2014
Bonded Thru Notary Public Undenudters
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APPROVED BY Plans Examiner Zoning
Structural Review
(Revised 3 /120 12)(Revised 07 /10 /07XRevised 06 /10/2009XRevised 3/15/09)