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ELC-13-1967 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-198191 Permit Number: ELC-8-13-1967 Scheduled Inspection Date: September 10,2013 Permit Type: Electrical -Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration Job Address: 11300 NE 2 Avenue Thompson Hall Miami Shores, FL 33138-0000 Phone Number Parcel Number 1121360010160-02 Project: BARRY UNIVERSITY Contractor: MOODY ELECTRIC INC Phone: (305)758-2000 Building Department Comments RELOCATE RECEPTACLES FOR COOLERS Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments X/ C' Passed THOMPSON HALL BY THE E�49STOP AREA Failed Correction Needed ❑ �,�� C�®� r�� Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. September 09,2013 For Inspections please call: (305)762.4949 Page 18 of 31 Miami Shores Village Building Department �u� ��, 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 BY: CI,.- INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 2010 BUILDING Permit No. PERMIT APPLICATION Master Permit No. Lj:�A 3' (c'1(0-` Permit Type: Electrical JOB ADDRESS: (! - /" r �l� ® j0A r/ City: Miami Shores County: Miami Dade Zip: f' Folio/Parcel#: /U/9 ®®� C=am i/2 , Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder):• f Phone#. Address: ® Z/ � City: /'t �?t�l !�/1.GJ State G-4 Zip: <:5 /Z l TenantlLessee Name: Phone#: Email: CONTRACTOR:Company Name: � Phone#: Address: Ae)A) 5 City: �.LGLA�t-1• State: Qualifier Name: -:�'OGi0 –:7— Phone#• State Certification or Registration#: Certificate of Competency#: Contact Phone#: S e.5 5 06 d Email Address:�/�®ftA) (!2 • • t�J/-?. DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ Olj . ©D Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New epair/Replace ❑Demolition Description of Work: 00 1 p -c ors/ec.S Submittal Fee$ Permit Fee$ /° D CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ ))L 30 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 isgiance 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 and a reinspection fee will be charged. Signature ` ' )77, Signa Owner or Agent Contractor 0 The foregoing instrument was acknowledged before me this The forego' g instrument was acknowledged before me this day of C"c ,20 by w"��,f� p2s day of ,201-0 3 by p why is n �� +own to me or who has produced who is perso y known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY LIC: NOTARY PUBLIC: Sign: Sign: M bw Print: r - Print: My Commission Expires: 7YA O ;Qti - MY C OMMISSION#DD 979267 1o136829 My Commission E,2014 •, Q EXPIRES:May 11,2014 ova �h q°fly: Bonded Thru Notary Public Underwriters 1-9W3-NOTARY &�eYoRde4teYoY�&�vkdtikeYaYoY9t4nY4:�9e 9e:k-�iY��Y4tYaY3:�Y�Yk9e�Y&9FeY3t4e7Y9e�3e9e�s4�9c4nYaY&9e4CeYeY�F3:3e&4c�YBe4ededt�Y>ti�h3e9e9esBak&�Y4t3:iYiY�Yde&3e�Y�e3esY�a't�Y�Y�teY&��9t3e�Y3e APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012XRevised 07/10/07)(Revised 06/10/2009XRevised 3/15/09)