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ELC-10-17460/6 BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical Address: , 0 0 ne )(TA k CiVe City: a. l Gi (YLt Sh l ? (eS State: I JOB ADDRESS: t 1 �) �- �Yl( ,l 0,(e CIty: City: - Pn ‘ VY) LAN U I i r �l 1 h Qualifier Name: 110h State Certification or Re #: Contact Phone #: Type of Work: ❑Address Miami Shores Miami Shores Village Building Department ®Alteration County: state: �F-1 tachie Miami Dade ❑New ORepair/Replace ocT o 4 z��o !J 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. Et') O --- ( Master Permit No. IY1 OWNER: Name (Fee Simple Titleholder): bQr 1 ( \ I ( n ' N O J ( f \J Phone #: 3-)5' fjqq- 3RQ Zip: 53 �.c,7 1 Tenant/Lessee Name: Phone #: Email: Zip: ?s 1(�n( FoliolParcel #: Is the Building Historically Designated: Yes NO J Flood Zone: CONTRACTOR: Company Name: 1 tI1 ('1f b I e(- 'v i Ca) COntr l oCfphone#: 7 21 1'"'33B Address: t s O f-1- n n 'C ',tip' 5 at l l Zip: , C IO ( Phone #: , ! -722 -Q(422 p Certificate of Competency #: 7� 2'��2'� Email Address: 1 .-1 Ctri(Ci DESIGNER: Architect/Engineer: Phone #: Value of Work for this Per mit•$ ?:3 ' Square/Linear Footage of Work: UDemolition Description of Work:.1)S 1 I - 1&Y) ii9r) (k( 110 i1 G (' Submittal Fee $ , •( Permit Fee $ / ,© U CCF $ CO /CC $ Seanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 56'400 I. B ond ug 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 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 Ownoc or Agent The foregoing i rstrument was acknowledged before me this 07 day of '�► , 20)0 , by 15tAr E.. 14 vs) who is personally known to me or who has produced As identification and w ' o did take an oath. NOTARY PUBLIC: (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Signature Contractor The foregoing instrument was acknowledged before me thi day of e , 20t'l� , by 5e ever P who is personally known to me or who has produced 1A oath. FA Jospeh V.' ler, Jr. " z Cc.mmissio' " D661298 Expires: j R. 10, 2011 BONDING CO,, Bic. Sign. Print :' J fop/ / 01'ARY T ^ TE OF FLORIDA Print: My Commission Expires: ° " " "'• Jospeh Y: Miller Jr. My Commission Expires: Commission #DD661295 ,,,, Expires: APR. 10, 2011 BONDED THRD ATLANTIC BONDING CO., INC. : kakik: kXsskiksksk*skskskaksk :k*ak**** **akskslask*ak*skskikxas **** ksks ksks kskakXk******** *** sknk*ik*s ks kakik* ak*ikskik*ikak***** *s k*: k: k*akak =k*skskik*sk*sksIa *sksk*** APPROVED BY■■i% ��/'• CO 2 ; Plans Examiner Zoning Structural Review Clerk . Scheduled Inspection Date: October 14, 2010 Inspector: Devaney, Michael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Garner Building Miami Shores, FL 33138 -0000 Project: <NONE> Building Department Comments October 13, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 152218 Permit Number: ELC -10 -10 -1746 Contractor: STRYKER ELECTRICAL CONTRACTOR INC INSTALL TEMPORARY LIGHTING 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- 151924. CANCELLED BY BARRY - STRYKER ELECTRIC For Inspections please call: (305)762 -4949 Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360010160 -22 Phone: (772)219 -3389 Page 17 of 22 � x a 1 4 Barry "GARNER HALL Bre.ezway" o �,, 0 Romex 12/3 wire to be used To be wired to electric panel in meter room then to original time clock 1 a .-S-4- f ;L - -a et 7 Permit The undersigned hereby gives notice that improvement will be made to certain real property and in accordance with Chapter 713, Florida Statutes, the following information Is provided in this Notice of Commencement : 1. Legal Description of Property: Subdlidsion / Conot�°°rolpi Street Address If available: 0 c? : ✓v 2. General description of Improvement : 3. a. Owner name and address: b. Interest in property: c. Name and address of fee simple titleholder (if other than Owner): 4. a. Contractor name and address: b. Contractor's phone number. 5. a. Surety name and address: b. Surety's phone number. c. Amount of bond: 6. a. Lender name and address: b. Lender's phone number. Name: Address: b. Phone number. NOTICE OF COMMENCEMENT Lot Block 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: 8. a. In addition to himself or herself, the Owner designates b. Phone number of person or entity designated by owner 9. Expiration date of notice of commencement : (the expiration date Is 1 year from the date of recording unless a different date Is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR REC! NG YOUR NOTICE OF COMMENCEMENT. Signature(s))of Owner(s) or By /1 Print Name yl TitlelOffice r � '., . i �, ( 2010080589514 ,,1 F: ak 27404 Ps 4466; (fps) RECORDED i 8/31 /2.1010 1219 :32 Folio # S E P 1 3 2010 HARVEY RUVI Fir CLERK OF COURT MIAMI—DADE COUh4TYr FLORIDA LAST PAGE his space reserved for recorder Unit # Bldg OLengthy legal attached A- A 1..t,,l201.;r ,Q,1 1-e ,f1 4 -- PA��.�ko !9 7 to receive a copy of Lienor's Notice per Section 713.13(1)(b), Florida orized Officer/Director/Partner/Manager By Print Name Title/Office STATE OF FLORIDA COUNTY OF BROWARD / •, The foregoing�n rurne�jwas�� otKl i(ggli�jofore me this el day of 4/U G XD 0IIndividually, or�0 as 4 l � ( � .b for U9 Personally known, or ❑ produced thefofowing type ofIdentification: Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in It are true, of my knowledge and belief. Signature(s) of Owner(s) . ..,,, - orized Officer /Director/Partrier/Managerwho signed above: By /� / By 111111111111111111111111111111111111111111111 , Zdl 0 Jeffry J Yao My Commission DD613542 °Fr�® 4g Expires 11112/410 g:vemrdinglformsMoo- notice of commencernent revised 7.3.07.doc