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ELC-16-2347 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Fi Phone: (305)795-2204 Fax: (305)756-8972 ®1 Inspection Number: INSP-266206 Permit Number: ELC-8-16-2347 Scheduled Inspection Date: August 29,2016 Permit Type: Electrical- Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: Low Voltage Job Address:11300 NE 2 Avenue Adrian Hall Miami Shores, FL 33138-0000 Phone Number Parcel Number 1121360010160-07 Project: BARRY UNIVERSITY Contractor: LINDMAR ELECTRIC INC Phone: (305)756-1075 Building Department Comments INSTALL DATA TO OFFICE Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re-inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 26,2016 For Inspections please call: (305)762-4949 Page 36 of 38 'Rwg y Permtf 347 Miami Shores Village r Pem*T; BEI+ 10050 N.E.2nd Avenue NE �'o ;Cfa s; c8>On:LOW V � fe, a Miami Shores,FL 33138-0000 Phone: (305)795-2204 APP�t3�C3 y ,., f _812512016, Expiration: 021212017 Project Address Parcel Number Applicant 11300 NE 2 Avenue Number: Adrian Hall 1121360010160-07 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: $ 1,000.00 LINDMAR ELECTRIC INC (305)756-1075 Total Sq Feet: 0 Type of Work:INSTALL DATA TO OFFICE Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:1 Fees Due ]AnPay Date Pay Type Amt Paid Amt Due CCF DBPR Fee Invoice# ELC-8-16-61058 08/19/2016 Credit Card $50.00 $114.10 DCA Fee Education Surcharge 08/25/2016 Check#:2680 $ 114.10 $0.00 Notary Fee Permit Fee Scanning Fee Technology Fee Total: 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 all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named contractor to d the work stat d. a August 25,2016 Authorized Signature:Owner / Applicant / Contractor / Agent V V Date Building Department Copy August 25,2016 1 Miami Shores Village Au L19 zo,s Building Department10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 _ FBC 20 BUILDING Master Permit No. 6 l6- ! 20 Y PERMIT APPLICATION sub Permit No C� c - Z ;�lR ❑BUILDING RfLECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: O® C� � �i City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: },Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): IBKR-12�4 _WN NE RO -Ty Phone#: Address: 113 0 y �4 E 2 A V Ek t-j E City: �A I&M) q State: r L Zip: 3 3 1 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Phone#:,�'®S Address: City: L State: -& Zip: Qualifier Name: ? Phone#jy11 State Certification or Registration#: Et� �� Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: Square/linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: � &L PA-? Y—Q '0" " /C LF Specify color of color thru tile: w,4 4 'hi ,Oki Submittal Fee$ Permit Fee$ ��`o�pU CCF$ 3 Cd/eC$ a� Scanning Fee$ �� Radon Fee$ DBPR$ Notary$ ' Technology Fee$ G ' Training/Education Fee$ GC� Double Fee$ �i 0 Structural Reviews$ Bond$ 6lJp p TOTAL FEE NOW DUE$ (Revised02/24/2014) 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. Signatur Signature OWNER rAGENT. CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument w`as�acknowledged before me this day of �C; 20 Q L by ��"2-© day of 0 U t--'7 20 by SQ �ao�0. 4k;Ju a ,who is personally known to UIL-P,r�U �L4tjp 1 who is personally known to me or who has produced as me or who has produced V-L IA-210R�r? identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBL Sign: p = Sign: Print: �Y o ®-6�� Print: Seal •�• W11 L.A608TiNl Seal OsPO°ve, Notary Puhtic;tate o4 Florida ?� No"PWft-Side o1 Flerkla : e Bindia Alvarez � "• Commission#FF 9SS3S5 �A �o� �1Y Commission rF 156750 �;°�� e1p r'oFp-° Expires 09103;2015 i'MM • * >� *M Comm.Erek>x * �t �k## APPROVED BY �9�4�� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)