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ELC-11-1238Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 161873 Permit Number: ELC -7 -11 -1238 Scheduled Inspection Date: August 19, 2011 Inspector: Devaney, Michael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue NEW DORM Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: SUNSHINE STATE ELECTRIC OF FLORDIA INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: New Phone Number Parcel Number 1121360010160 -37 Phone: (954)565 -1153 Building Department Comments ELECTRICAL SITE LIGHTING Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments August 18, 2011 For Inspections please call: (305)762 -4949 Page 12 of 40 Miami Shores Village Building Department 1.0050 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): Address: (87,0D Rao t\-,ic citv: Rv,,,,kk, si.-iti) State: i9— zip: Tenant/Lessee Name: P.A.5-,c ‘kre.)4,ti.-4A1 Phonet 1S --149'i —3b5b Email: bALAssel4C eQ NketA. \0,:TrAt • CIA- JOB ADDRESS: " . ; fit--' fv4- .,<1 /dt- ( ': City: Miami Shores County: Miami Dade Zip: 3 3 /6 7 Folio/Parcel#: it 2,A ,L 00000 Is the Building Historically Designated: Yes NO )r Flood Zone: FiY Penult No tiC II Master Permit No. 5 <610 Phone#: sfll —305 CONTRACTOR: Company Name: .5::, it,,)/46,A.: 6 ' ").---eP/2 - e.."..--2k 4- -1,-'2,r4 C.*: A; l'''‘E Phone#: (1.)-V- .9i Address: , / /.;.? ,-.4 City: /-7 .,/,./„.46- .0 e /2.4,Je4e,-,- State: / '-"e6`A---, ,),9 Zip: .3.3.3c Qualifier Name: ,rY...69/56 State Certification or Registration #: Phone#: 4?.>"5/- 5' 3 Certificate of Competency #: Contact Phone#: q:5y. 4/5--/- 6.; e 5 Email Address: .5>1.,,e')4 fe-TA-f ‘;' , fc:r..47 DESIGNER: Architect/Engineer: Phone#: 64 110 DU : Value of Work for this Permit: $ Square/Linear Footage of Work Type of Work: Address CIAlterati, leNew DRepair/Replace IDemolition Description of Work: EA,A-r 1.44\ G Submittal Fee $ Permit Fee $ j i CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ A 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, PLUMBLNG, SIGNS, WELLS. POOLS, FURNACES, BOILERS, HEATERS. TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: 1 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (; ) days after the building permit is issued In the absence of such posted notice. the inspection will not be approved inspection fee will be charged. AittIFP : Signature Owner or Agent r . re in instrument was a . owledged befo day of who is personally Signature Contractor The foregoing instrument was acknowledged be ay of NOT Sign: Print: My Commission Expires: or who has produced As identification and who PUBLIC: take an oath. APPROVED BY 20i 1 . by who is rrsonall own to me or who has produced lil as identificati .,• .', Viettb A NOTARY PUBLI .'"T' °•� Brooke Tnrpin �•,,; Commission # DD795528 ,,•.ML.••• Jr_ . �- JUNE 08, 2012 ATLANTIC BONDING CO, INC. Sign: Print:, cs s\l2, j `X-p n My Commission Expires: g t 2 ©{ 2 BONDED l..,. fi'l�t+iWm*9*Wrt+ &auR*go *9s6O0 Vb4+ b0*P9**. R9*b*WP**d***Y*m*Wa*AWOa'+OON 3Mat*Oat Plans Examiner Revisedt)i /U)O7$Re% 114VIIN20O9 Rev ised3 /155)9) Zoning Structural Review Clerk