ELC-16-1950 J
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972 MC I (.O P I g l ,l
Inspection Number: INSP-263168 Permit Number: ELC-7-16-1950
Scheduled Inspection Date:August 11,2016 Permit Type: Electrical- Commercial
Inspector: Devaney, Michael
Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration
Job Address:11300 NE 2 Avenue LaVoie Hall
Miami Shores, FL 33138-0000 Phone Number
Project: BARRY UNIVERSITY Parcel Number 1121360010160-12
Contractor: TIRONE ELECTRIC INC Phone: (954)989-7162
Building Department Comments
LAVOIE HALL CHILLER REPLACEMENT Infractio Passed Comments
INSPECTOR COMMENTS False
7/22/2016
SWO HAS BEEN ISSUED UNTIL MASTER PERMIT IS
PICKED UP AND PAID FOR
Inspector Comments
Passed Ile
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 10,2016 For Inspections please call: (305)762-4949 Page 11 of 23
00,
Miami Shores Village #� ,, a 3 ?` rllal
10050 N.E.2nd Avenue NE tl
Miami Shores,FL 33138-0000
Phone: (305)795-2204
Is 3 01 Expiration: 01/1812017
Project Address Parcel Number Applicant
11300 NE 2 Avenue Number: LaVoie Hall 1121360010160-12
Miami Shores, FL 33138-0000 Block: Lot: BARRY UNIVERSITY INC
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 Valuation: $ 6,650.00
TIRONE ELECTRIC INC (954)989-7162 Total Sq Feet: 0
Type of Work:LAVOIE HALL CHILLER REPLACEMENT Available Inspections:
Additional Info: Inspection Type:
Classification:Residential
Final
Scanning:1 Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
Underground
W.W.
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $4.20
Invoice# ELC-7-16-60578
DBPR Fee $3.00 07/22/2016 Credit Card $ 169.70 $50.00
DCA Fee $3.00
Education Surcharge $1.40 07/19/2016 Credit Card $50.00 $0.00
Permit Fee $199.50
Scanning Fee $3.00
Technology Fee $5.60
Total: $219.70
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 certify that the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zo in . F the re,I authorize ' above-named contractor to do the work stated.
July 22, 2016
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
July 22,2016 1
IP, 9 Miami Shores Village
Building Department
_ 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Ig_ - Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(30S)762-4949 (�
FBC W0 -t
BUILDING Master Permit Nom 0- l(® l (� L S
PERMIT APPLICATION Sub Permit No. T_2 L0_ (6 1.9 D
F-1 BUILDING Q ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION (RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF [—]CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
!OB ADDRESS: 11300 NE 2nd Ave
City: Miami Shores County: Miami Dade Zip: 33161
Folio/Parcel#: 11-2136-000-0050 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: SFE: FFE:
OWNER:Name(Fee Simple Titleholder): Barry College Phone#:
Address: 11300 NE 2nd Ave.
City: Miami Shores State: FL Zip: 33161
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Tirone Electric, Inc. Phone#: 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 M EC0003059 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 6650.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: LaVoie Hall Chiller Replacement
Specify color o,f color tthru tile:
Submittal Fee$ Permit Fee$ "? ' Cf� CCF$ __ CO/CC$
Scanning Fee$ Radon Fee$ -CQ� DBPR$ 3 Notary$
Technology Fee$ `'S• G Q0 Training/Education Fee$ Double Fee$
Structural Reviews$ �_ Bond$
TOTAL FEE NOW DUE$ 169 '
(Rev6ed02/24/2014)
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 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.
Signature Signature '
OWNER or AGENT CONTRACTOR
The foregoing Instrument was acknowledged before me this The foregoing Instrument was acknowledged before me this
day of....,,ru 20 by 13 day of July ,20 16 ,by
who is personally known to Curtiss Morgan ,who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUB NOTARY PUBLIC:
LIV
Sign: Sign:
aD
Print: ` Print: Donette Ville as
LPubfictate of Florida
Seal: JSeai: :"NFF188481 �NETTE A VILLEGASEON O%A A AXorw1 Eo18 '*' *? MY COMMISSION 9 FF 181029
iif 4 '', eondedEXPEXPl7l„s:December 4,2018
Notary PabAc UrxlerwritaB
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MA
APPROVED BY 7) Plans Examiner Zoning
Structural Review Clerk
{RevisedOV24/2014)