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EL-16-2144 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL S G N No Z 140 Phone: (305)795-2204 Fax: (305)756-8972 "1 Inspection Number: INSP-264449 Permit Number: EL-7-16-2144 Scheduled Inspection Date: October 24,2016 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: Sign Job Address:11300 NE 2 Avenue Health&Sports Miami Shores, FL 33138-0000 Phone Number Parcel Number 1121360010160-23 Project: BARRY UNIVERSITY Contractor: ATLAS SIGNS OF LAKE WORTH INC Phone: (561)863-6659 Building Department Comments REMOVE AND REPLACE SCOREBOARD AND CONNECT infractio Passed Comments TO EXISTING POWER INSPECTOR COMMENTS False Inspector Comments Passed Ee CONTACT INFO BRODY 561-603-6245 Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid October 21,2016 For Inspections please call: (305)762-4949 Page 16 of 44 5 ;�'�' sN �� Miami Shores Village f 10050 N.E.2nd Avenue NEF Miami Shores,FL 33138-0000 Phone: (305)795 2204 3 Pamxft Status-APplRtt '. Expiration: 0 26/2017 $146 Project Address Parcel Number Applicant 11300 NE 2 Avenue Number: Health $ Sport 1121360010160-23 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 Valuation: $ 100.00 ATLAS SIGNS OF LAKE WORTH INC (561)863-6659 Total Sq Feet: 0 Type of Work:REMOVE AND REPLACE SCOREBOARD AND C Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:3 Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# EL-7-16-60805 DBPR Fee $2.25 08/30/2016 Credit Card $ 165.10 $0.00 DCA Fee $2.25 Education Surcharge $0.20 Permit Fee-Additions/Alterations $150.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $165.10 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 do the work stated. August 30,2016 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy August 30,2016 1 6 Miami Shores Village Building Department , 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 �`j- Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 JUL 2 9 2016 (` i F�-.20� � BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No.e L it -z144 EJBUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: B"Ve UN/` VC1LSj-jcY F i 13c7 N ';-- 2-00 AJc C City Miami Shores County Miami Dade Zia: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 'ON ��i° JN Iy E F-'-�; I T Y Phone#: Address: 11300 N ®/C- (\I La I= City: 111 A KA I S lk Q 11I 5 State: K- Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: C --S _Phone#: 5� (a Address: l® Li- ✓i "z e-''%j -/.8 City: 1AK ST e" State: 1-7:1e Zip: 3 3 tto Qualifier Name: �t 2d1)z L E'f— Phone#: .3 G(- 7 ZZ -3 5 7 State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer:L2 Qtc �r a d J yr tj 6— Phone#: k(P 5— X35 - Address: 35 "Address: (3 5 S.7_sCity: �APi.I� -1--Sc State: Zip: 73 4 2Z Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolitior), Desscncription of Work: ©� )c .�-S T a t j G- �C-z a E e o�_ _ dA 3 1�`I �LA C E ih.J /U e' L lC l�z� L Z(Cit_ AM Specify color of color thru tile: S�`�� ®�'�s �C LTi�D -�-� �Sht Submittal Fee$ Permit Fee$ ,>��Dod� CCF$ CO/CC$ Scanning Fee$ c-- Radon Fee$ G DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ ' L (Revised02/24/2014) a 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 G OWNER or AGENT CONTRACT The foregoing instrument was acknowledged before me this The foregoing instrumentwasacknowledged before me this day of �It / ,20 by O�CJS day of v� 20 by who is personally known to N who i ersonally know Mme.or who has produced as me or who as produced as identification and who did take an oath. identification and who did take an oath. NOTARY P ELIC: NOTARY PUBLIC: Sig Sign• ;; Print: NotAryPublic Stata of F,ur da ' JOY J Ya0 Seal: �,�' Y"s SNEISSI MORRIS My COftpt lw-an FF t MY COMMISSION#FF 912675 F- 11/1212,"Ss EXPIRES:September 18,2019 ,�, d� RwdadTh.NotaryPublicUnd--tars ************************************************************************************************************ APPROVED BY _ 2 R2?&4&l` Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)