CC-11-1239Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 174440 Permit Number: CC -7 -11 -1239
Scheduled Inspection Date: June 11, 2012
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue NEW DORM
Miami Shores, FL 33138 -0000
Project BARRY UNIVERSITY
Contractor: SUNSHINE STATE ELECTRIC OF FLORDIA INC
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1121360010160 -37
Phone: (954)565 -1153
Building Department Comments
SITE LIGHTING STRUCTURAL POLES
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 161881. Needs ground rods.
i-vio7ce z 0-2 (
June 08, 2012
For Inspections please call: (305)762 -4949
Page 21 of 28
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Miami Shores Village
Building Department
0050 N.E.2nd Avenue. Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305)762.4949
BUILDING
PERMIT APPLICATION
FBC 20
Permit No.
111!. JUL 12 2011
Elc1)-)251
Master Permit No. it 5'b
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): 5,..<4-1 -1 ikrv''R` es- -.-- i Phone#: 3 0 — 3C5t)
Address: ‘ -oo k4 l
��
City: w\ W1 t o‘-PS State: 'EL— Zip: 331l) t
Tenant/Lessee Name: pp�� ,% r ilkrtroe' ')\ rifi Phone #: 35 — iSq) — 1i I?g(�
Email: bde\v -I -T45 0:.� Ma. , /0, 4I•
iv'r
JOB ADDRESS:
City: Miami Shores County: Miami Dade
Folio/Parcel #: 14,7,,E 3b 000 °0
Zip: 3 34'/
Is the Building Historically Designated: Yes
NO - Flood Zone:
CONTRACTOR: Company Name: 0c.'•I,Jrlie,, 5i'!� /a- t:2,: c e. c°i^c Phone #: ti.)-V- ; -- 7/5-3
Address: / / / dYe • /' .✓e. c. #' v`W , ---4 2
City: /" 4: t6.,�ie./.ciri<<- State: f -" y' ').a Zip: ,333, -Y
7.577/- cl'.5- °,r � - 3
Qualifier Name:
Phone#:
State Certification or Registration #: ` ' -3,e ' Certificate of Competency #:
Contact Phone #: `1'? Y- e /VV ° 5 Email Address: , e J1. :- ? e; ;Woe e.'/47
DESIGNER: ArchitectlEngineer: Phone#:
Value of Work for this Permit: $ 6`� . c.p \ e3 00 Square/Linear Footage of Work:
Type of Work: °Address °Alteration New Repair/Replace °Demolition
Description of Work: >‘\-0... —' reN 0`
r+isAeaas••u•••••••••••••••••• •••• •• »sFees•••••••s•••••• •ee•me •••••as•v••aew••,seeaa•*
Submittal Fee $ Permit Fee $ Zl�y,�/� CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee 5 Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
Bonding Company's Name if applicable)
Bonding Company's Address
City State Zip
Mortgage Lenders 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, PLUvIBLNG, SIGNS,
WELLS. POOLS, FURNACES, BOILERS, HEATERS. TANKS and AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: 1 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 ropy 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 .welt posted notice. the
inspection will not he approved,r reinspection fee will be charged.
l
Signature
The
day
who is person
Owner or Agent
ng instrument was a . J owledged befo
,20 t,,by
Signature
y known to me or who has produced
identification and who did take an oath.
NOTA
Sign:
Print:
My Commission Expires:
APPROVED BY
I Rewsed +J71 U)iO
3,ed (Tulllt)/anri))(Rcvised 3/15109)
Contractor
he foregoing instrument was acknowledged bet** me this
ay of _ , 204 , by • it i
who is rsonall r own to me or who has produced
as identificati" IUDA
, "T' "•, Brooke Turpin
<th j Commission #DD795528
JUNE 08, 2012
Sign:
BONDED a . ATLANTIC ECM= CO, INC,
1 ,�.,�
Plans Examiner
Structural Review
NOTARY PUBLI
Print:, cs-dLa 1 ax-4p
My Commission Expires: t Z } Li
Zoning
Clerk