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ELC-12-1777
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 178968 Permit Number: ELC -9 -12 -1777 Scheduled Inspection Date: October 11, 2012 Inspector: Devaney, Michael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Laundry Room 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 -38 Phone: (305)758 -2000 Building Department Comments hang 51 x 6 56" paddle FAN under new awning at the laundry building 10/04/2012 - PENDING NOC Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments //C i October 10, 2012 For Inspections please call: (305)762 -4949 Page 15 of 22 ME OF CO - E CEMENT 1 I11I11 Hill 1111111111 H11111111 !111111111111 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: -9 -/- -/777 STATE OF FLOM THE UNDERSIGNED hereby gives notice that improvements will be madeit gLagalF\ property, and in accordance with Chapter 713, Florida Statutes, the following Jinformat orn, is provided in this Notice of Commencement. WITNESS my hand sr HARVEY RUVIN, C By CFN 2012R0720481 OR Bk 28306 Ps 4287f ass) RECORDED 10x''10/'2012 14:2055 HARVEY RUVINp CLERK OF COURT t1IANI -GAGE COUNTY, FLORID LAST F'AGE A, COUNTY OF LADE that this is a t I zppy a; tka `` day of —AD2O (2 Cif •nq County Courr'.s 1 D,C. 1. Legal description of property and street/address: //gee ALE 1 ' 2. Description of improvement: Space above reserved for use of recording office 3. Owner(s) name and address: , 942/Z,/ Interest in property: Name and address of fee simple titleholder: 4. Co. ctor's name, address and phone r - ber: :rr!„1i ' " .1_ _I/ T $'' 745-e7 c2G,oG, 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: Amount of bond $ 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., Florida Statutes, Name, address and phone number: 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, ad ress and phone nu b ter: _ �J f�"✓m) s 9. Expiration date of thislNotice 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 RECORDING YOUR NOTICE OF COMMENCEMENT. Signature(s) of Owner r Owner(s)A� Prepared By .00 ` f Print Name Title /Office STATE OF FLORIDA COUNTY OF MIAMI -DADE horized Officer /Director /Partner /Manager Prepared By Print Name Title /Office The for - ;oi • in t By ❑ Individually, or ❑ Personally kn want weteowledged before me this day of for wn, or ❑ produced the following type of identifica Signature of No VERIFICATI •.N PURSU NT TO SECTIO Under penalties of perjury, I declare that 1 that the facts stated in it are true, to the best of my knowledge and belief. ©Cfo _ klauramiteimir Signature(s) of Owner(s) By 123.01 -52 PAGE3 12/11 er(s)'s Authorized Officer/Director /Partner /Manager who signed above: By rFTEC -FP/ SEP 262012 A Ie L■relY B I 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 PERMIT APPLICATION FBC 20 kJ Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): UN 1 L e.� i r Phone #: Address: 6 13 C III E 2 City: MA, 1 40-W11 ‘14-60.416 State: Zip: 83 / .ag REC BY: SEP 2 6;J Permit No. --1--C 12 \11 Master Permit No. Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 1 13&t) k) • ". 2 A. ( bAl.)A1 1301 t.D /443,i) City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO ✓ Flood Zone: CONTRACTOR: Company Name: L4b .� C MG / 1 &X.. Phone #: 31.1' 7f th Address: & ,c Li� 76 sr. 1 City: /%V1 //4riJ/ Qualifier Name: -. %t.) Mitt _% State Certification or Registration #: State: re.- Zip: tra Phone #: j4f' //49 Certificate of Competency #: Contact Phone #: Email Address: !D%i @ /U4' 1 �-• •J Phone #: DESIGNER: Architect/Engineer: Value of of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration Description of Work: A • 5 1)e (.0 5/3" `pA -bal -C U/UIre -C-- 'vet.") Aq- wif.)/ frr 7h Z.,41- itJ jl Gb e . UNew ❑Repair/Replace ❑Demolition * * * * * * * * * * * ********+x***** ****** ******** Fees** **n:: x********+x**+x ***** ** * * ** x****** * *** * * ** Submittal Fee $ Permit Fee $ Ara 1 0 0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ �� . Bonding Company's Name (if applicable) Ii /A" 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 CONDmONERS, 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 d a reinspection fee will be charged. Signature Owner or Agent (�i The foregoing instrument was acknowledged before me thisZ' " day of -P't , 2017 by , who is nersonally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission E + k****shsk **akak**H:***** *** APPROVED BY Contractor c� The foregoing instrument was acknowledged before me this / day of ,20Iby 'ofF JThod , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Ex MY COMMISSION # DD 979267 EXPIRES: May 11, 2014 Bonded Thru Nam Public Underwriters ************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 2' '/Z 9 °7 Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) THIS DOCUMENT HAS A COLORED BACKGROUND • MICROPRINTING • LINEMARK" PATENTED PAPER 622.660 STATE:.OF;FLORIAA .: PARTMENT OF Bt?SINESS AND PRO B SIONAL REGULATION ELECTRICAL CONTRACTORS L ,OS.NG BOARD r�rx,:._ SEQ# L12072501608 EC "00 0? 'MOODY ELECTRIC,.INC. "� F 13700 ROANOI E STREET DAVIE FL ,33325 RICK .S CO '`Gl M:11I'OR F DISPLAY AS REQUIRED BY LAW 149936 -7 THIS IS NOT A BILL -DO NOT PAY RENEWAL BUSl1�lES,,^YNAmE �IsOS.ATIDN INC IM066D69 NW 90 ST 33150 UNIN DADE COUNTY 0 MO; ELECTRIC Sec VLBgG lCAL THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CRIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED MIAMI -DADE COUNTY TAX COLLECTOR: 07/19/2012 60160000265 000075.00 SEE OTHER SIDE INC CONTRACTOR S T AT &MG g81199 WORKER /S 10 DO NOT FORWARD MOODY ELECTRIC INC JOHN J MOODY 669. NW 90 ST MIAMI FL 33150 FIRST -CLASS U.S. POSTAGE I PAID MIAMI, FL PERMIT NO. 231 149936-7 149936 -7 111111113111111111111111h1111111111471111