ELC-12-2250 Miami Shores Village r
Building Department Nov 2
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 No. �. 12--e;ZqSZ:)
PERMIT APPLICATION Master Permit No.y
FBC 20 t c) mlA•# N. "2t5'z-
Permit Type: Electrical
OWNER:Name(Fee Simple Titleholder): T�r�C
Address: Noj laj�A*— awb.- -r--
City: M(*-M( S�N04 :6 State: F.,241Z - Zip: 33139
Tenant/Lessee Name: Phone#:
Email:
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: " •�/'
Folio/Parcel#:
Is the Building Historically Designated:Yes NO vl Flood Zone:
CONTRACTOR:Company Name: G Ili G Phone#: .Ad''7S"8' a
Address:
City: lore l State: 1r— Zip:
Qualifier Name: --7-4'W4) A Phone#: .,t'7.M
State Certification or'R.egistration#: �"Ct�/1B//99 Certificate of Competency#:
j
Contact Phone#: •g 7J2� `2 -� Email Address: /®ham � � 1��P.G�7"�G•�Y✓`
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ 1(6 A16 Square/Linear Footage of Work:
Type of Work: ❑Address ❑ U Alteration ❑New epair/Replace ❑Demolition
Description of Work: ul aj*- (9) A Soo GcTw-, TO 1J%t. ,*-C4) lJ acv#5.
a- 15 4P 10 top 'oa) Gk(,(kDl./
Submittal Fee$ fir:. Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$ _
TOTAL FEE NOW DUE$ `
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 ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and"tliht all work will be done in compliance with all
applicable laws regulating construction and zoning. F
"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 Si
Owner or Agent Contras or 1
The foregoing instrument was acknowledged before me this The foregoinglinGstrumetlt was acknowl�e°d�before me tthis(
day of ,20_,by day of AJO V ,20/.,Z,by
E
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
. I
Sign: Sign:
It
Print: Print: 91 9
PWrOFUM
My Commission Expires: My Commission ' W CON9NIISS�ON 9 DD 979267
' EXPIRES:May 11,2014 '
Balled Thru NoWy Public UndBrelbrs
'2-
APPROVED BY ' �/� �� Plans Examiner Zoning
Structural Review Clerk
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-184087 Permit Number: ELC-11-12-2250
Scheduled Inspection Date:April 03,2013 Permit Type: Electrical-Commercial
Inspector: Devaney, Michael
Inspection Type: R�,uo
Owner: MIAMI,ARCHDIOCESE OF Work Classification: Addition/Alteration
Job Address:9401 BISCAYNE Boulevard
Miami Shores, FL Phone Number (305)762-1033
Parcel Number 1132060490010
Project: <NONE>
Contractor: MOODY ELECTRIC INC Phone: (305)758-2000
Building Department Comments
NINE CCTS TO NINE VAV. AND TWO 125 AMP PANELS. infractio Passed Comments
HOOKUP 3 AHU AND RECONNECT A 100 TON CHILLER.
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-182154. Bldg B 9 V. A.V. boxes
and 2 panels.
Failed
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
April 03,2013 For Inspections please call: (305)762-4949 Page 7 of 21