ELC-16-262 Inspection Worksheet
Miami Shores Village I/
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: I NSP-25701 0 Permit Number: ELC-2-16-262
Scheduled Inspection Date: April 18,2016 Permit Type: Electrical-Commercial
Inspector: Devaney, Michael
Inspection Type: Final
Owner: ,BARRY UNIVERSITY Work Classification: Service Change
Job Address:11300 NE 2 Avenue Kelly House
Miami Shores, FL 33138-0000 Phone Number
II
Parcel Number 1121360010160-10
Project BARRY UNIVERSITY
Contractor: TIRONE ELECTRIC INC Phone: (954)989-7162
Building Department Comments
REPLACE DAMAGED 200 AMP MAIN FUSED SERVICE Infractio Passed Comments
DISCONNECT INSPECTOR COMMENTS False
Inspector Comments
Passed En
Failed
Correction
Needed ❑
Re-inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections please call: (305)762-4949
April 15,2016 Page 27 of 37
Miami Shores Village °
10050 N.E.2nd Avenue NE
•°'• Miami Shores,FL 33138-0000 z Cbz
Phone: (305)795-2204 q , �.,. .
M Expiration:08/06/2016
Project Address Parcel Number Applicant
11300 NE 2 Avenue Number: Kelly House 1121360010160-10 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 $ 950.00
TIRONE ELECTRIC INC (954)989-7162 Valuation:
Total Sq Feet: 00
Type of Work:REPLACE DAMAGED 200 AMP MAIN FUSED Available Inspections:
Additional Info: Inspection Type:
Classification:Commercial
Review Electrical
Scanning:1
l
1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee
$2.25 Invoice# ELC-2-16.58510
DCA Fee $2.25 02/08/2016 Credit Card $109.10 $50.00
Education Surcharge $0.20 02/01/2016 Credit Card $50.00 $0.00
Permit Fee $150.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $159.10
In consideration of the issuance to me of this pear t, I agree to perform the work covered hereunder in compli-ince with all ordinances and regulations
pertaining thereto and in strict conformity with the plars,drawings,statements or specifications submitted to the prol.3r authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either-T-o", my ngnnt, servants, or employes I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICA'..,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I oe ' all the fo oing in f ation i to and that I work will be done in com iliance with all applicable laws regulating
construction and zonin re,I aut a the a a ctor to do the rk stated.
February 08, 2016
Authorized Signature:Owner / Applican Contractor / Agent a e
Building Department Copy
February 08,2016 1
f
Miami Shores Villager T7 7'r7r-5 ;
\10 Building Department FEB 0 i.20,0
�
N. .2nd Avenue Miami Shores Florida 33138
0\1\10
10050 E �
Tel:(305)795.2204 Fax:(305)756.8972 BY:
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20I
y
BUILDING Permit No.ZYC/6 — Z6-2- .
PERMIT APPLICATION Master Permit No.
Permit Type: Electrical J
JOB ADDRESS: 11300 NE 2nd Ave. K e�!Gy 01/,s�
City: Miami Shores County: Miami Dade Zip: 33161
Folio/ParceW 112136 000 0050
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): Phone#:
Address:Barry University
City: 11300 NE 2nd Ave. State: Miami Shores Zip: 33161
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Tirone Electric, Inc. - �l�y A.m.-� ePhone#: 954-989-7162
Address: 6151 Pembroke Rd
City: Hollywood State: fl Zip: 33023
Qualifier Name: Curtiss Morgan Phone#: 954-989-7162
State Certification or Registration#: EC0003059 Certificate of Competency#:
Contact Phone#: 954-989-7162 Email Address: crosales@tirone-electric.com
DESIGNER:Architect/Engineer: . Phone#:
Value of Work for this Permit:$ t 5 O Square/Linear Footage of Work:
Type of Work: ❑Address UAlteration UNew LYRepair/Replace ❑Demolition
Description of Work: Replace Damaged 200AMP main fused Service Disconnect.
Submittal Fee$ Permit Fee$ l g5 ,ANP CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
Bonding Company's Name(if applicable)
Bonding Company's Address
City State zip
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.
Signature Si
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this-2 The foregoing instrument was acknowledged before me this 29
da of1/6iu/�r 20Lio b �.��� 1. Z da of January ,20 16 ,by Curtiss Morgan ,
y �, —, Y Y
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: �NIIIIifllyNOTARY PUBLIC:
AS
S' 28 ! Sign:
Print: A. Print: Donette Villegas
#FFF 2M7 My Commission Expires:
My Commission Expires: . •��
AIZ
WAISIf FF i8iown
oi���,�,�!•M/...w �\\���� .• � EXPIRES:December4 2018
APPROVED BY 01 /0"' Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)