ELC-11-103541,
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 160699 Permit Number: ELC -6 -11 -1035
Scheduled Inspection Date: August 03, 2011
Inspector: Devaney, Michael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Landon Student
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: MOODY ELECTRIC INC
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 1121360010160 -32
Phone: (305)758 -2000
Building Department Comments
6 NEW FLOOR BOXES IN GYMNASIUM @ LANDON
BUILDING
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
August 02, 2011
For Inspections please call: (305)762 -4949
Page 18 of 47
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 Type: Electrical 04146 '/ OWNER: Name (Fee Simple Titleholder): 4111 ' ' I / Phone #: Z <4
Address: tub
LJ JUN 0 3 2011
BY
Permit No. £UL I 1
Master Permit No.
City: Jfl / fr,n s'4/07r..,65
State: �G
Zip: Z51367
Tenant/Lessee Name: Phone #:
Email:
JOB ADDRESS: //30-,e) 1u • •• 21
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
is the Building Historically Designated: Yes NO /1/4 Flood Zone:
CONTRACTOR: Company Name: LC /L
Address: 1p G.9 2I. a) • (f6 �,T/?..e*r"'
City: Ai/ , ~/ State: ,-
Phone #:
3r7• 2a�a
Zip: ..g..1/./-0
Qualifier Name: —.J® 44 ,-ti S c Phone#44r 7.05.
State Certification or Registration #: 0-0-0// 99 Certificate of Competency #:
Contact Phone #: 341-7 7J -2-40-6-es Email Address:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ Lt r ° 60 Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition
Description of Work: 4 ) QQ -- c85 /41 s c' #ndttisG4 4l
* * * ** * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ 4' "r' CCF $ CO /CC $
- r
)
Scanning Fee $ Radon Fee $ � "'`� DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE$ IUD
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 posted notice, the
inspection will not be approved Aso reinsprection fee will be charged.
S? nature
Owner or Agent
The foregoing instrument was acknowledged before me this 2� 1Ci The forego ',i instrument was acknowl ed beforeme this%
day of ��: r''J( , 20 IL , by 4. CV) , day of , 20 by by ‘.166),,i /nerdy
who ersonally known to me or who has produced who is persona y known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires: I/1
APPROVED BY
as identification and who did take an oath.
NOTARY PUBLIC:
MARYPATBRIG{IS
n ; , des MY COMMISSION # DD 979267
EXPIRES: May 11 2014
'�°. l'+ ° Bonded Thru Notary public Undenxdtsrs
5 J t'A-- Plans Examiner Zoning
Structural Review
(Revised 07 /10 /07XRevised 06 /10 /2009)(Revised 3/15/09)
Clerk
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOLIO NO.
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
11111 1111111111111111111111111111111111111111
STATE OF FLO
I HEREBY CER11
THE UNDERSIGNED hereby gives notice that improvements will be made
property, and in accordance with Chapter 713, Florida Statutes, the followi
is provided in this Notice of Commencement.
CFN 21_11 1 80.362618
OR BI; 27709 P9 460 (1pa;
RECORDED 06/03/2011 12:28:22
HARVEY RLIVINT CLERK OF COURT
MIAMI -DADE COUNTY? FLORIDA
LAST PAGE
1. Legal description of props and stree s:
-�► . • c Li I
2.
D , cription of improv
4(Aol_
ent:
Lae i
3. Owner(s) name and address:
Interest in property:
Name and address of fee simple titleholder
4. Co tr e, ad h s and pho e number.
addre
1NE . my
HARVEY RUVIN,
IDA, COUNTY OF DADE
Y that this is�tr( copy of the
-.: 5 diy� of
A/c ADM it
OTII Seal
BY
ig& /O 1, --/ 7
Space above reserved for use of recording office
1
5. Surety: (Payment bond required by owner from contractor, if any)
Name, address and phone number. (�e
Amount of bond $ �J T►'
6. Lender's name and address:
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., Flonda Statutes,
Name, address and phone number:
to
t✓
1)101 S I/, /
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
Name, address and phone number.
go47- rola -mi so
Idate expiration a is 1 year from the date of recording unless a different date Is specified)
Wei 9. Expiration date of this Notice of Commencement:
7SY- 2.000
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 RECORDING YOUR NOTICE 0 COMMENCEMENT.
Signature(s) of Ow,ter(s) o
Prepared By f.
Print Name
Title /Office 4. .
STATE OF FLORIDA
COUNTY OF MIAMI -DADE
The for Qi �g instrument Dij/il acknowledged
By (L(
❑ ndividually, or for
Personally known, or ❑ produced the following type of identifica
Signature of Notary Public:
Print Name:
Authorized Officer/Director/Partner/Managerr��2
Prepared By P a S
Print Name m /�,�
Title /Office O fT ►GQ. l / q r
before me this 4Yof day of jiii,l wv
. zc�cc
R C •N•USU TO E ON
Under penalties of perjury, I declare that I have read t
that the facts stated in it are true, to the best of my
Signature(s) of Owner iliiti%
By
JEFFRY J. YAO
117 i� 3 "Fig
ngISPISffi: November 12, 2014
d bg xnl.oa lAnix`co.
ner(s)'s Authorized Officer /Director/Partner/Manager who signed above:
bvucep ads
123.01 -52 PAGE 3 3/10
By