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ELC-16-653 Inspection Worksheet Miami Shores Village f I^ 10050 N.E.2nd Avenue Miami Shores,FL Cc Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-269505 Permit Number: ELC-3-16-653 Scheduled Inspection Date: October 25,2016 Permit Type: Electrical- Comrcial Inspector: Devaney, Michael Inspection Type' R h Owner: , BARRY UNIVERSITY Work Classification: Addition/Alt ration Job Address:11300 NE 2 Avenue Landon Student Miami Shores, FL 33138-0000 Phone Number Parcel Number 1121360010160-32 Project: <NONE> Contractor: C DAVIS ELECTRIC COMPANY, INC Phone: (954)432-4334 Building Department Comments INTERIOR BUCKY'S COVE Infractio Passed Comments INSPECTOR COMMENTS False —0k t f,(LL i Inspector Comments Passed N E� MIKE 954 234-8632 Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid October 24,2016 For Inspections please call: (305)762-4949 Page 19 of 33 " �,.�'.� Miami Shores Village - 0OW 10050 N.E.2nd Avenue NE ' Miami Shores,FL 33138-0000 31 ° Phone: (305)795-2204 �: 3 ,. a.. € RA Expiration: 07/2017 Project Address Parcel Number Applicant 11300 NE 2 Avenue Number: Landon Studer 1121360010160-32 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 $ 12,000.00 Valuation: C DAVIS ELECTRIC COMPANY,INC (954)432-4334 Total Sq Feet: 0 Type of Work:INTERIOR BUCKY S COVE Available Inspections: Additional Info: Inspection Type: Classification:Commercial 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 $7.20 Invoice# ELC-3-16-58993 DBPR Fee $5.40 08/11/2016 Check#:20004241 $393.00 $0.00 DCA Fee $5.40 Education Surcharge $2.40 Permit Fee $360.00 Scanning Fee $3.00 Technology Fee $9.60 Total: $393.00 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 ELECTRICA ,LUMBI G,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFID IT I certi at I the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction an oni Fut r , a the above-named contractor to do the work stated. August 11,2016 Aut o z d na Ow r / Applicant / Contractor / Agent Date Building Department Copy August 11,2016 1 ' Miami Shores Village RE I E MAR 1 2 16, Building Department BY: 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 ' INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201q BUILDING Master Permit No. 't C _ PERMIT APPLICATION Sub Permit No._F3_ 1CtC`(; F-1 BUILDING ❑■ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION RENEWAL F-IPLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 11300 NE 2 Avenue Landon Building City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:1121360010160-02 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Barry University, Inc. Phone#: 307— 992- 370L Address: 11300 NE 2 Avenue City: Miami Shores State: FL. Zip: 33161 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: C Davis Electric Company, Inc. Phone#: 954-432-4334 Address: (S City: L —� State: Zip: rr Qualifier Name: Ed Davis Phone#:q /I• ` :3,a. 3,3q— State Certification or Registration#: ® Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition 0 Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: As Built electric drawings to close permit Specify color of color thru tile: Submittal Fee$ _0Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ _39 (Rev1sed02/24/2014) 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 !' g'lM 1�c�V ,20_ by day of 20 ,by who is personally known to who is personally known to mor 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 PUBLIC: �) NOTARY PUBLIC: 6 Sign: Sign: PriPrint: J Yao Seal: �ti...e j.BENNETT e,� Quonv Se ;- My�,PP I�f .- Commission#EE 217497 aExpho t u+emote oaoP� E&ffdw xpiresptThru NY �embe25,X20 06 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) RICK Sf;On GOVERNOR k WSON, SECRETARY STATE.OF,FL JDA*T DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL C I CTO LICENSING 60A �.: A t ECopoid,38.: y Tete ELECTT ICAL ONTWTOR Named b6low IS OERTIFIED UAd6ithe t6Y1510CtS.p C ;;' t 4 �} n -- i'17w�, , -,�'" 016,1 "• rte- _.r"' ,�➢... y a r .i` a `- `.. � "" '• Fes+ R :.x. ✓ `4 S/q )jAIS� CH LES/ .!F'tnNmll E SIP I8TI ll, �AVIS ELF II:a Jsnr �� ,� ,�� N s F x, 3.r ro _ ......."......,,�.�. "_.k. ._.> ....', ..,.�....:--..,.: .� ��.,..,....i..,.-:.'..s .;•'•.?n'��.... ..•woo � e.�. �.«'�` •bmw�as o:..-��t. +C�°,a�:&i'r' «.r�.,�>" .4r. ,.,. ...�. �_.,. ... .., .. x� ISSUED: 0712112014 [DISPLAY AS REQUIRED BY LAW SEQ# L1407210001165 _ . BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S.Andrews Ave., Rm..A-1 00, Ft. Lauderdale, F#- 33301-1895—954-831-4000 VALID OCTOBER 1.2015 THROUGH :SEPTEMBER 30,2016 p1�. DAVIScR Receipt379 I1 1 � Business Marne: ausineas,Type:(r,,,ECTRICAL CONTRACTOR) Owner Name:CHARLEss DAvis jR Business 0p Oned 07/16.11993 Business Location:1101 -$W 100 TES StatliC0unty1Cer0Reg. 000 1038 NIRAMAR Exempt on Code. Business Phone.432-4334 3 . 1 ' Rc sma seats Employs" Machines Professionals � 1 dor Vencilr�g 5erslns only Number of,Machines: Vending Tax Arnount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Palo 27.00 .00 =_0 0.001 0.00 1 0.00 21.00 i THIS RECEIPT MUST BE POSTED C0NSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES-A TAX RECEIPT This tax is levied for the privilegeof doing business wiftri.Broward County and is non-regulatory in nature.You must meet all County 0ndtor Municipality planning WHEN VALIDATED and zoning requirements,This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have mowed the business location.This receipt des not Indicate that the business 1s legal or that it is in compliance with estate or local laves and regulations. Mailing Address: CHARLES E DAVIS JR ftcoipt #10S-14-00010956 1701 SW 100 TERR Paid 09/14,/2015 27.00 MIR R, FL 33025 2015 - 2016