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ELC-11-1553Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 utca Inspection Number: INSP- 167242 Permit Number: ELC -8 -11 -1553 Scheduled Inspection Date: December 01, 2011 Inspector: Devaney, Michael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Miami Shores, FL 33138- Project: BARRY UNIVERSITY Contractor: V&F ELECTRIC INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Sign Phone Number Parcel Number 1121360010160 Phone: (305)962 -9078 Building Department Comments INSTALL NEW LIGHT FIXTURES FOR SIGNS Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments November 30, 2011 For Inspections please call: (305)762 -4949 Page 21 of 26 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 OWNER: Name (Fee Simple Titleholder): J'3fl a2 Address: /!3o' • E • 2' City: it A /- ! L YLG S State: Permit No Master Permit No. (.)012 S17(7 Phone 16 mamxwani 31), )011 11:1 Zip: 3 31 9 Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: /1 - E. D A U . V 1 ii City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: VI, & /CC7 2 rC - Phone #: 30c- q6:2-907i Address: 3 %1 eiss, 'bet ?IC City: %' /A/4/ Spa / s, State: 1 Zip: 3"3 / 6 C Qualifier Name: L % 7 ( a . / r /2' , Phone #: 3 S 16 2. °7 01)7 State Certification or Registration #: ® 0 / S / q 8. Certificate of Competency #: 0° 6 0 00 /4" 7 Contact Phone #: 3�S' 9 62 `" 1 c) 7 Z , Email Address: V F Cr teC-- e + c 6 & l3Ct%t `©t-cy k 4.0 - DESIGNER: Architect/Engineer: Phone #: 01 Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑Address °Alteration e<ew °Repair/Replace ❑Demolition roerteA d/� / Description of Work: $x / �� /o q 5, r ) ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * ** * * * * * * * * * * * * * ** Submittal Fee $ 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 $ /0 4 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 approve, • nd a reinspection fee will be charged. Air AM Signature Orr Owner or Agent The foregoing instrument was acknowledged before me this \ Signature ntractor The foregoing instrument acknowledged before me this (?J day of , 20 11 , by , day of AO& , 20 k I , by V t CiDf 'cloven r who has produced who is personally known to me or who has produced As identification and who did take an oath. 7 as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY (Revised 07 /10 /07)(Revised 06 /10 /2009XRevised 3/15/09) Plans Examiner Structural Review NOTARY PUBLIC: Sign: Print: My Commission Ex Zoning Clerk