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ELC-11-1240Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NS P- 161889 Permit Number: ELC -7 -11 -1240 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 CALL BOXES Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 5DA_ /-'6'/// August 18, 2011 For Inspections please call: (305)762 -4949 Page 13 of 40 1 Miami Shores Village Building Department 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 Title !rider): Address: Ilk t)0 A 2. 1 City: ‘‘,+47‘7t5 State: Zip: 53M kkrkl \itCiA kkg.0 \ie v JUL 1 2 2011 ft Permit No. fiC) 1) 1'210 Master Permit No. Phone#: 54.5 05 Tenant/Lessee Name: Email: JOB ADDRESS: ° , 4• City: Miami Shores County: Miami Dade /vc /4 c Phone: ,t1 -35c Folio/Parcel#: it :52.k3.-Cl0000 Is the Building Historically Designated: Yes Zip: NO Flood Zone: CONTRACTOR: Company Name: , )4. /t,,), 'IA-, 4 /79,Z C--2" C:7,014 Address: / /0,-E Phone#: City: 1,94'4,, State: ,('-e e4-" 0-9 Zip: .333,- Qualifier Name: Phone#: State Certification or Registration #: /-3e'erd",,e/ Certificate of Competency #: Contact Phone#: 4/5.',./- „.2 C 5 Email Address: •/606 el7 el--ez-,-e e'ez1-7 DESIGNER: Architect/Engineer: Phone#: Value of vork for this permit: $ ;33 ...3(4Zp..- 0 0 Square/Linear Footage of Work: Type of Work: Address UAlteration 5i6lew ZIRepair/Replace t3Demolition F.-VAC-14A CA Description of Work: 1.******0:*************0***************** Submittal Fee $ Permit Fee $ 1) 001 ' CCF $ co/CC s / l' Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEPNOW DUE $ Bonding Company's Name if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicablc) 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: 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 $2500, the applicant must promise in goad faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is .subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued !n the absence of such posted notice. the inspection will not be approv. , a reinspection fee will be charged. 'fncf day who is person ure Owner or Agent Signature ?AA,' Contractor g instrument was a !1 led. before th' 1 foregoing instrument was acknowledged bef . 2011 , by / t .. b of , 201 \ , by y known to me or who has produced who isersonall own to me or who has produced As identification and who did take an oath. as identificati NOTAIY PUBLIC: - . ,--, i NOTARY PUBLI • Sign: Print: AcrtbiltoRnm Brooke Turpin `Commission #0D79552$ JUNE 08, 2012 mum BQJTJ G CO,, INC. My Commission Expires: *H * *z*** *** **R0***** ** *8 * * * * * * * * * * * ** APPROVED BY tat :Ip ",1. '' Plans Examiner t My Commission Expires: Q $ t 2 ©12 tivo4 taagys* * * * * * * ** * *** * ** * * ** eats* * * **** ****** * *** ** * ** * * *ea * *** * * ** 4 RCN tse1 t)7'IIUO7p Rev jucl ONIOR(NY9)tRevised 3115109) Zoning Structural Review Clerk •