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ELC-13-1061Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 192794 Permit Number: ELC -5 -13 -1061 Scheduled Inspection Date: June 10, 2013 Inspector: Devaney, Michael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Wiegand & Annex Miami Shores, FL 33138 -0000 Project ` BARRY UNIVERSITY Contractor: E -TECH ELECTRICAL INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Temp for Construction Phone Number Parcel Number 1121360010160 -09 Phone: (305)888 -9331 Building Department Comments TEMP FOR CONSTRUCTION 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 CREATED AS REINSPECTION FOR INSP- 191505. CANCELLED DUE TO NO PAYMENT 0 June 10, 2013 For Inspections please call: (305)762 -4949 Page 17 of 25 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 Permit Type: Electrical JOB ADDRESS: EC MAY 15 2013 FBC 20 R Permit No.`EC-C- I r 1 Master Permit No.CC 5 1' 1 �0 IMO N6 'VN6 Nu() .tme/LIMPACNT City: Miami Shores Folio/Parcel #: %1 9..11 9OO 1 O ` o O ` ® c\ Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): 15a(i(%l 011 ivU S t+(4 Phone #: Address: City: State: Zip: County: Miami Dade Zip: Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: ,, C7 leC1, fleck( lC , L L. Phone #: iM5 ° d 'q 7" % / Address: '1 0 mu) 1.0U. St City: :Vr State: 'Fir Zip: J M U Qualifier Name: J rr OKI 122- 0 s 'VA 0 Phone #: -30S OS - f 'la q 3 3 / State Certification or Registration #: t (8 -) 0 0 I + b (1 ) Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 0. ®® Type of Work: Address UAlteratioo i Description of Work: to A.1%) O'i Vow ok OF e CPC imb 11 Lr S Pi6log, To C - VIP Square/Linear Footage of Work: UNew ORepair/Replace UDemolition TvA C©tisle/Cr /tfe /;V,r eu- Tv g t iovcr 1-1571 F. Li 611 rft& ******* **** ******+ x* ******************** Fees* x* *+ x*+ x+ x**** ****+ x**********+x**************** Submittal Fee $ 70 1--, Permit Fee $ /0" °m Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 6113 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, BOIT.RRS, 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved a reinspection fee will be charged. Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this 111114N The fe -going instrument was acknowledged befo e me this day of PA)/ , 20`.3 , by Up eoudopos day of mom"! , 20' J, by -3-viwn Saw , who's personally known to mfr who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY P LIC: Sign: Print: My Commission Ex * * ** * * * * * *** * * ** NOTARY PUBLIC: Sign: Print: My Commission Expires: *************************************** ******************************* APPROVED BY % — /� /t �0*nrk� Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) MAi2O2013 ............ Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AFFIDAVIT FOR 30 DAY TEMPORARY - ELECTRIC SERVICE NOTE: ELECTRIC SERVICE WILL DE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS AP i' LICATION IS RENEWED. It is understood that the temporary - electrical approval by the Miami Shores Village, Building Department given in connection with the building being constructed under: i tVc2, Building Permit N: CC- 5-. 6a." 7C$ Electrical Permit N: Miami Shores, FL 3316 / For Owners: Bq,u' (/,Niv€((5,7Y , and is being given only for construction purpose or for testing the following equipment in said structure: LU,His CorintOserR, CoAromavink OurLE7S.. The owner does herby agree to assume the responsibility of maintaining the installation in such manner that there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purpose of use and occupancy, and no occupancy shall be granted or permitted until further inspections have been balled for and approved by the inspection divisions concerned, and /or a Certificate of Occupancy or Completion is obtained. The undersigned also understands that the temporary electric approval is subject to rescission and cancellation and electric power can be cut off at the discretion of the building official and will be disconcerted of the building concerned is occupied before final inspections are approved and /or obtained a Certificate of Occupancy or Completion. Note: Failure to comply with the provisions of this affidavit will result in your being unable obtain Temporary for Test permits. 1, e IN Ce , being first duly sworn, depose and say that I am the owner of the above described property, and that I agree that the structure covered in this agreement shall not be occupied until the building contractor has obtained approval of final inspections and /or obtained a Certificate of Occupancy of pletion. Note: Failure to comply with the provisions this affi • - :vit;will result in your being una,' tain- future Temp<<� JE Y J. YAO / MY COMM6SSICiN N EE36829 l 1 IRFS:November 12,2014 Slg .S NO ry I$00.3- NOTARY FL NofayDiscamt Moo. Co. At Address: 11300 N ( 24'0 fivE. Signature of Owner 1 UavN 12,o SQ,bto the - save-described prose ifte'pora 1./ `• S/ nature of e is connected. , being duly sworn, depose and say that I am the Electrical Contractor for the electrical instajatgav now existing will ��n��ot create a safety hazard W Vi Z -EXPR 15 iZEignature of Notary 1, jZ/ {r4,7;Nv '" , being first duly s**irdfif�ge and say that I am the Building Contractor of the above described property and that 1 will not permit ttilioa lt;y of this building until final inspections have been called for by the contractors and sub - contractors concerned and final approval by the inspection division obtained and that I have the uthority insofar as the owner of said property is concerned to prohibit occupancy - • • . ncy or Completion is iss ed. until such final inspe ;Fare omta' - = y �m "�'�"�•,, HELEN NADAL ` �- 1at+ ve . �1� ---� .' `�: Notary Public - State of Florida �► rte, •= My Comm. Expires Apr 7, 2016 n4�r ��? �'' Commission # EE 185214 Signature of Notary �1V Bonded Through National Notary Assn. 0 Signature of Inspector Signature of Notary WY 202.013 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AFFIDAVIT FOR 30 DAY TEMPORARY- ELECTRIC SERVICE NOTE: ELECT IC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED. It is understood that the temporary- electrical approval by the Miami Shores Village, Building Department given in connection with the building being constructed under: Building Permit N: CC- S- 12- M At Address: 1130o me 0.wo ✓E For Owners: BBllay avivecusiv. construction purpose 91 for testing the following equipment in said structure: t i 6NT5 j_ Levi p &00 j Al& Cow45)77or /6, &n n'. The owner does herby agree to assume the responsibility of maintaining the installation in such manner that there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purpose of use and occupancy, and no occupancy shall be granted or permitted until further inspections have been balled for and approved by the inspection divisions concerned, and /or a Certificate of Occupancy or Completion is obtained. The undersigned also understands that the temporary electric approval is subject to rescission and cancellation and electric power can be cut off at the discretion of the building official and will be disconcerted of the building concerned is occupied before final inspections are approved and /or obtained a Certificate of Occupancy or Completion. Note: Failure to comply with the provisions of this affidavit will result in your being unable to obtain future Temporary for Test permits. 1, UM C.6 GDWZOO,P , being first duly sworn, depose and say that I am the owner of the above described property, and that I agree that the structure covered in this agreement shall not be occupied until the building contractor has obtained approval of final inspections and /or obtained a Certificate of Occupancy of Co -tion. Note: Failure to comply with the provisions this affidavit , y'll result in your being unable t future Tem Electrical Permit N: Miami Shores, FL 33161 , and is being given only for Signature of Owner li/� MY COMMISSION 01 36 9 E PIRES: Novemlw 12.2014 t.soo srwrARY F• Nam Dina=Ae Co I, 3i ACM P OS JA0 , being duly sworn, depose and say that I am the Electrical Contractor for the above - described prope and that the electrical it*Igghs as now existing will not create a safety hazard if to •orary se connected. •S_%•0 ..•oM"^ISS;. Fs �• . G Numa,„t'y % * / EE088228 \ N = i ft EXPIRES : * _ Apr. 26, 2015 ; am` I, /0/'y %, o �, , being first dur5e4stttgap ®dose and say that I am the Building Contractor of the above described prope rty and that I will not ermlY btoupancy of this building until final inspections have been called for by the contractors and sub - contractors concerned and final approval by the inspection division obtained and that I have the a . hority insofar as the owner of said property is concerned to prohibit occupancy o - Certificate of Occupancy or Completion is issued. S nature of Ele "' '' 'ractor Signature of Notary Signature HELEN NADAL �gt4Rin - Notary Public - State of Florida E�L�I \v� a ding on r C' Or �„C�iuiii'�c My Comm. Expires Apr 7, 2016 94!„ -- °, Commission # EE 185214 ,, ,,, Bonded Through National Notary Assn. Signature of Inspector Signature of Notary Signature of Notary NZ= DI t4A1 2,0 2013 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 AFFIDAVIT FOR 30 DAY TEMPORARY - ELECTRIC SERVICE NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY TERMINATION UNLESS APPLICATION IS RENEWED. It is understood that the temporary- electrical approval by the Miami Shores Village, Building Department given in connection with the building being constructed under: t9�� - l Permit N: i r✓ trca' C Building Permit N: CG ''S - la - 7 61 Electrical FL 33/61 At Address: 11300 NC .2 .2.4) !� vE Miami Shores, For Owners: .t . 9.'/ , and is being given only for construction purpose or for testing the following equipment in said structure: Li ell T5. Co,riPf44601( r fi 4 0 071.0.13" • The owner does herby agree to assume the responsibility of maintaining the installation in such manner that there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said structure for the purpose of use and occupancy, and no occupancy shall be granted or permitted until further inspections have been balled for and approved by the inspection divisions concerned, and /or a Certificate of Occupancy or Completion is obtained. The undersigned also understands that the temporary electric approval is subject to rescission and cancellation and electric power can be cut off at the discretion of the building official and will be disconcerted of the building concerned is occupied before final inspections are approved and /or obtained a Certificate of Occupancy or Completion. Note: Failure to comply with the provisions of this affidavit will result in your being unable to obtain future Temporary for Test permits. 1 13,PACk ga,a(be , being first duly sworn, depose and say that I am the owner of the above described property, and that I agree that the structure covered in this agreement shall not be occupied until the building contractor has obtained approval of final inspections and /or obtained a Certificate of Occupancy of Co•. +letioh. Note: Failure to comply with the provisions •f t is affidavit ill result in your being unabl - �: 'n- future Tempora for Test permits. / 4 /:� 111 L. snit• Sig re of Owner • JEF'FRY J. YAO MY COMMISSION # 5E36829 i57 EXPIRES: November 12, 2014 14300.3- NOTARY FL NAY Assoc. Co. ,,�t•� , bein• �° _` .F • = �` ay that I am the Electrical Contractor for and that the electrical i t ljetions as now existing will not create a safety hazard �o�+Mrss�o. Fy ,z- NUMBER Z ° * . EE088226 %..17.1)=,.. 9 APE , 26, 2015 : m • 1 s /0640/.1 OS° , being first °dji¢B'sv4erpi„ 1'epose and say that I am the Building Contractor of the above described property and that I will not p'enunfieetcupancy of this building until final inspections have been called for by the contractors and sub - contractors concerned and final approval by the inspection division obtained and that I have the authority insofar as the owner of said property is concerned to prohibit occupancy until such finial inspec obt edAarad /s'sl-C ertifi t*gtOcccuupancy or Completion is issued. : " P Notary Public -State of Ftarida / �� � I " Y "V HELEN SADAL " `" ° y Comm. Expires s tractor �'o,,. p' Apr 7, tots Signature of Notary Signatures- BIJ •, ractor OFlI Commission # EE 185214 8tiri-∎ Bonded Through National Notary Assn. Signa ature of ElectricatC Signature of Notary • Signature of Inspector Signature of Notary