ELC-15-610Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-231110 Permit Number: ELC-3-15-610
Scheduled Inspection Date: March 27, 2015
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Library
Miami Shores, FL 33138-0000
Project: BARRY UNIVERSITY
Permit Type: Electrical -Commercial
Inspection Type: Final
Work Classification: Low Voltage
Phone Number
Parcel Number 1121360010160-03
Contractor: LINDMAR ELECTRIC INC Phone: (305)756-1075
aunamg Department comments
LOW VOLTAGE
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction0 4.�7
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
March 27, 2015 For Inspections please call: (305)762-4949 Page 27 of 29
Project Address Parcel Number Applicant
11300 NE 2 Avenue Number: Library 1121360010160-03 _ BARRY UNIVERSITY INC
Miami Shores, FL 33138-0000 Block: Lot:
Owner Information Address Phone Cell
BARRY UNIVERSITY INC 11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
Contractor(s) Phone Cell Phone
LINDMAR ELECTRIC INC (305)756-1075
of Work:
onal Info:
ification: Residential
1inq: 3
Fees Due
Miami Shores Village
y
10050 N.E. 2nd Avenue NE
""
Miami Shores, FL 33138-0000
iist►
Phone: (305)795-2204
Project Address Parcel Number Applicant
11300 NE 2 Avenue Number: Library 1121360010160-03 _ BARRY UNIVERSITY INC
Miami Shores, FL 33138-0000 Block: Lot:
Owner Information Address Phone Cell
BARRY UNIVERSITY INC 11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
Contractor(s) Phone Cell Phone
LINDMAR ELECTRIC INC (305)756-1075
of Work:
onal Info:
ification: Residential
1inq: 3
Fees Due
Amount
CCF
$0.60
DBPR Fee
$2.25
DCA Fee
$2.25
Education Surcharge
$0.20
Permit Fee
$150.00
Scanning Fee
$3.00
Technology Fee
$0.80
Total:
$159.10
Valuation: $ 1,000.00
Total Sq Feet: 00
Pay Date Pay Type Amt Paid Amt Due {
Invoice # ELC-3-15-54857
03/19/2015 Check #: 1708
03/23/2015 Check #: 1713
$ 50.00 $ 109.10
$ 109.10 $ 0.00
Available Inspections:
Inspection Type:
Review Electrical L)
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I cettify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction Wand5"ermo7r�eutho�'e above- ed contractor to do the work stated.
March 23, 2015
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 23, 2015 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
J�
MAR 19 2015
FBC 20
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No. ,kl
BUILDING [O/ELECTRIC ROOFING ❑ REVISION E] EXTENSION ❑ RENEWAL
PLUMBING 0 MECHANICAL PUBLIC WORKS 0 CHANGE OF ❑ CANCELLATION ❑ SHOP
,� j // CONTRACTOR /� j% DRAWINGS
JOB ADDRESS: t.1 v e C�� ;2-�/)���, t g 41"Y 7 AP,y701
City: Miami Shores County: Miami Dade Zip: & ®®®®
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load:
OWNER: Name (Fee Simple Titleholder
AddrPss- //.i Oa
Construction Type: Flood Zone:
10!�F
on
BFE: FFE:
City: � / `�=��S" State: 6� Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: ���-lam/C �i1J�'�Phone#:
Address: Y4(� .
City: A,Z
Qualifier Name: L
State Certification or Registration #:
DESIGNER: Architect/Engineer: _
4 Zip: SII c'—
Certificate of Competency #:
Address: City: State: Zip:
Value 14, ork fer.this Permit: $ J, DZ1 ®' ®®Square/Linear Footage of Work:
=
Type of Work: ❑ Addition Q :Alteration New ❑.Repair/Replace :. - ❑ Demolition
Description of Work: ,LO
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ 1�� m o�� CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
DBPR $
Notary $
Double Fee $
Bond $
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. 1 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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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.
LSignature Signature Z:0��z —46�
OWNER or AGENT
The foregoing instr ment was :c7noledged before me t is
day of 20 by
v � D!W-,'7 'I ho is personally known to
me or who has produced
identification and who did take an oath.
as
Seal:
CONTRACTOR
The fo
regoing instr ent was ack owledged before me this
I7 day ofAr 20 �� , by
//Aq o '0�7 who is personally known to
me or who has produce :�--�D 04"1'44 1"e'"6.O
identification and wh
NOTARY PUBLIC: woomm
M. Aft
�waY�
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Print: �T_ �iC3 _/ A
Seal:
APPROVEDBY� - ^���-� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)