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ELC-11-1015i Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 160601 Permit Number: ELC -6 -11 -1015 Scheduled Inspection Date: August 03, 2011 Inspector: Devaney, Michael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Health & Sports Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: MOODY ELECTRIC INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Repair Phone Number Parcel Number 1121360010160 -23 Phone: (305)758 -2000 Building Department Comments Demo existing bleacher outlet. NB 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 16 of 47 1 1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number IPR )V Expiration: 12/04/2011 Applicant 11300 NE 2 Avenue Number: Health & Sport 1121360010160 -23 Miami Shores, FL 33138 -0000 Block: Lot: BARRY UNIVERSITY INC Owner Information Address Phone CeII BARRY UNIVERSITY INC 11300 NE 2 Avenue MIAMI SHORES FL 33161 -6628 Contractor(s) MOODY ELECTRIC INC Phone CeII Phone (305)758 -2000 Valuation: Total Sq Feet: $ 500.00 0 Type of Work: Demo existing outlets for bleachers Additional Info: 4 outlets Classification: Commercial Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $2.00 $2.00 $0.20 $100.00 $3.00 $0.80 $108.60 Pay Date Pay Type Amt Paid Amt Due Invoice # ELC- 6- 11-41127 06/16/2011 Check #: 18324 $ 58.60 $ 50.00 06/03/2011 Check #: 18276 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy June 16, 2011 Date June 16, 2011 1 L -iami Shores Vill Building Departm 10050 N.E.2nd Avenue, Miami Shores, Flori Tel: (305) 795.2204 Fax: (305) 756.89 INSPECTION'S PHONE NUMBER: (305). BUILDING PERMIT APPLICATION FBC20 Mas 0 age nt 33138 2 62.4949 Permit No. L ` // -70 r Permit No. j�{V11® .\ (AY Permit Type: E ECTRICAL Owner's Name (Fee imple Titleholder) (1) P i one # Owner's Address ( . & 1-.)a- r.�.Z, City /14 t A-✓n _ State re.. Zip 31(. i Tenant/Lessee Name AJ /Q- Phone # ' '�9— 't - N-•-• -Gj,� Email Job Address (where the work is being done) /A 3-d-a ,r% 2--"`"eif'!Z City Miami Shores Village County Miami -Dade FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name Contractor's Address I 4e? i!/GrJ City 41/,97)?, .---�Qualifier Name .`/ td-t) State Certificate or Refiistration No. Zip NO Contact Phone State • Flood Zone • Phone # % %r8 ` `a Architect/Engineer's ame (if applicable) E -mail Value of Work For this Permit $ Type of Work: DAddition ❑Alteration Describe Work: P-1-21-4-4 Ph Certificate of Coe p # 7. 3 • petency No. EC 40-est, 1144 Phone # Square / Linear Foo DNew tage Of Work: © Repair/Replace Demolition id �Oj(/*tdt)A-SIti,s-c. * * * * ** * * * * * * * * * * * * * *** * * * * * *** ** * Fees* *** * * ** * * ** * * * ** * **x * * * *** * * * * * * * * * * * ** J Submittal Fee $ Permit Fee $ % ''PLO' CC Notary $ Training/Education Fee $ Scanning $ Radon $ DPBR $ Double Fee $ Violation date: Structural Review. $ $ CO /CC $ Technology Fee Bond $ ■ Total Fee Now Due $ 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 posted notice, the inspection will not be approv and a re- inspection fee will be charged. Signature / Si Owner or Agent Contractor iliP The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 2 day of , 20 II , by 136h fib t , /J tJ'4I J s , day of N a", , 2200 ) (, by c.�0;.. -. whops personall known me or who has produced who is p swally kr[�' me or who has produced ii As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: My Commission Expires NOTARY PUBLIC: Sign�sz c .� ? Q8 Print: iii cc&.0s� 3- My Commission Expires: * * * * * * * * *** * * * * * * * * * * * * *: .,********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** /f `)4441. Plans Examiner APPROVED BY Engineer (Revised 07 /10 /07XRevised 06/10/2009) Zoning Clerk checked