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ELC-10-2229Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)7564972 Inspection Number: INSP - 154362 Scheduled Inspection Date: January 05, 2011 Inspector: Bruhn, Norman Owner: , BARRY UNIVERSITY Permit Number: ELC -12 -10 -2229 Job Address: 11300 N MIAMI Avenue Miami Shores, FL 33138 -2304 Project BARRY UNIVERSITY Contractor: MOODY ELECTRIC INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360000040 Phone: (305)758 -2000 Building Department Comments FURNISH & INSTALL 1 1/2 PVC CONDUIT FOR PHONE AND DATA Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments January 04, 2011 For Inspections please call: (305)762 -4949 Page 6 of 17 Miami Shores Village Building Department 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. Master Permit No. Permit Type: ELECTRICAL Owner's Name (Fee Simple Titleholder) gifeny V►ttd Phone # Owner's Address 4300 ®v N iz 2M Avg City M(4 At short s State f U Zip 3 3 1 (o 1 Tenant/Lessee Name Phone # Email Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES NO, 1300 _ N IMA1b4 i klk) TAN IS 4xx,t2i' lAtiC- PtiON 6 41W111. County Miami -Dade Zip Contractor's Company Name �.1M`►,O PY E G C, Contractor's Address GO y I q ofw St Zf i- CityhAm l State X Flood Zone Phone # 75i3 &o0 Zip 3360 Qualifier Name ��Q�j(� Phone # p Certificate of Competency No. E©e G Q /1(79 9 State Certificate or Registration No. 42Zx'Gl/ Contact Phone l6f5 75©4x% E -mail vohti &; Cam Architect/Engineer's Name (if applicable) /(O /4- • Phone # Value of Work For this Permit $ / %,r%Q Square / Linear Footage Of Work: Type of Work: DAddition Cgl Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: ******** * * * * * * * * * * * * * * *k * * * * * * * * * * * * * ** Fees************** * * * * * * * * * * * * * * * * * * * * * * * * * * * *.x* r Submittal Fee $ Permit Fee $ L.4470-‘00, ��� CCF $ CO/CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ l I (\ . i(..7 See Reverse side -* 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 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 ps ted notice, the inspection will not be ap 'ov s % and a re- inspection fee will be charged. Signature Owner or Agent LA The foregoing instrument was acknowledged before me this 1 day of bct . , 20 /0 , by *D who iisTonally known to or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission E Signs Contractor The foregoing instrument was acknowledged before me this / day of Die) , 2010 , by JCh ( j TY10/11' , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: )'24 Print: I' My Commiss (Revised 07 /I0 /07)(Revised 06/10/2009) Engineer ilk 1190 MARYPATBRIGGS '*r MY COMMISSION 6 OD 979267 EXPIRES: May 11, 2014 Bonded 11w N, ,: 0 Zoning Clerk checked