ELC-11-1276Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
cue- 11-50(.9
Inspection Number. INSP- 174309 Permit Number: ELC -7 -11 -1276
Scheduled Inspection Date: June 05, 2012
Inspector. Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue NEW DOORM
Miami Shores, FL 33138 -0000
Project BARRY UNIVERSITY
Contractor: SUNSHINE STATE ELECTRIC OF FLORDIA INC
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number 1121360010160 -37
Phone: (954)565 -1153
Building Department Comments
ELECTRICAL LOW VOLTAGE
Passed
D
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- 174042. CREATED AS
REINSPECTION FOR INSP- 173810. CREATED AS REINSPECTION FOR
INSP- 162054. Partial 3 rd floor.
Partial 2nd. floor.
1st. floor dorm rooms.
June 04, 2012
For Inspections please call: (305)762 -4949
Page 17 of 24
Miami Shores Village
Building Department JUL 15 E 'p
10050 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. E-1—C' _ 7'(P
Master Permit No. a - }$Jlo
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): V - ' V r\1‘1Qv4) Phone#: 305- cri, - 7,05 0
Address: A OO�j00 R- Z !Noe. G
�1 \
City: t.xw\ 1':5 State: Zip: 3 5‘b _
Tenant/Lessee Name: r�1JQ \*1 Phone #: 5D5'-- 9� 3 5O
Email: `lit C � 'S a'D't�rN >�. \') . �Ldx►-
JOB ADDRESS: /ve YJL
City: Miami Shores
FoIio/Parcel #: tAat\ i
County:
Miami Dade Zip: 3 3/4:
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: . c 4 c �>4.:' e- .Ie Phone#: 3`Y- ' 6S ;
Address: // / /Ye ,(%'." - -
City: /, - /xi& e_Vfi.(?JdLe- State: r...c Zip: . 333,° Y
Qualifier Name:
,i /.ni .s, -r' Phone#: . ° �` 563.
State Certification or Registration #: 6-'4 /-3e‘
Certificate of Competency #:
Contact Phone#: q `/- ' /Y'i # c 5 Email Addreesss: ,1i✓.' e .Sc % i' S c.-i:c =c ' /4' , P = °i F,
DESIGNER: ArchitectJEngineer: r/mn\0ct 114, Ft `Y\ Phone#:
Value of Work for this Permit: $ .:3111 1,,1A Square/Linear Footage of Work:
Type of Work: °Address °Alteration New ORepairIReplacce °Demolition
Description of Work: . c `t,\ :.1 \ „ \
Submittal Fee $ L/-' Permit Fee $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
I
TOTAL FEE NOW DUE $ /0i 2J. f
1 Bonding Company's Name of 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 ELECTRICAL WORK, PLUMBLNG, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 o 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 laze brochure will be delivered to the person
whose property is subject to attachment. Also, a certified cop} of the recorded notice of commencement must be posted at the job site
(Or 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 reinspection fee will be charged.
'
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged bef a the this L.
day of G 20 ll , by 1). l-44/4` /d °1, °%, day of r= 4. 201 4 • by (MO\ ' ~y -r ,
who is person lly known to me or who hac P roduced
As identification and who did take an oath, as identifcati
NOTARY PUBLIC:
Contractor
who is rsonall T own to the or who has produced
My Commission Expire.
APPROVED BY
`Q 1 'd V Plans Examiner Zoning
Sign:
Print:, ,alt ! 4�
My Commission Expires: t 2 ®i 2
Aticrtibi4PORmA
Brooke Turpin
=Commission #DD795528
JUNE 08, 2012
ATLANTIC BONDING CO, INC.
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Structural Review Clark
Revised 07! I ttio7 N krti iu-d 1}ti/ I I /2 5)9)1 Rev 'sal 3/151M)