PLC-17-2306s
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
U
Inspection Number: INSP-289541 Permit Number: PLC -9-17-2306
Scheduled Inspection Date: October 02, 2017
Inspector. Hernandez, Rafael
Owner: , BARRY UNIVERSITY
Job Address:11300 NE 2 Avenue Nat & Health Sc
Miami Shores, FL 33138-0000
Project BARRY UNIVERSITY
Contractor: MARLIN PLUMBING OF MIAMI INC
Permit Type: Plumbing - Commercial
Inspection Type: Final
Work Classification: Gas
Phone Number
Parcel Number 1121360000050-08
Phone: 305-652-6108
Building Department Comments
REPAIR TO GAS LINE
Infractlo 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
September 29, 2017
For Inspections please call (305)762-4949
Page 19 of 25
20145 N.E. 16th Place North Miami Beach, FL 33179
Ph: 305-652-3031 Fax: 305-652-3135
License #CFC048292
September 27, 2017
Barry University
Siena Building
11300 NE 2 Ave
Miami Shores, FL 33138
Permit #PLC -9-17-2303
Gas Drop Test
To Whom It May Concern:
This is to advise you that Marlin Plumbing has performed the necessary required gas drop
test as per Miami Dade. This drop test was performed in accordance with NFPA 54
Natural Gas Code. The gas piping and the gas main has held 11 "on WC for 15 minutes
without dropping.
If you have any questions or desire any additional information please feel free to contact
me.
STATE OF FLORIDA
COUNTY OF De—
The foregoing instrument was acknowledged
11 , by Ed a1 W �k
has produced
before me this 2.1 of Sep+ 20
War 3' c; p,{ , who is personally known to me or who
as identification and who did take an oath.
1 • A
NOTARY PUBLIC, STA I ' OF FLORIDA
THERESA MCCREERY
Notary Public -State of Florida
Commission Y GG 134165
My Comm. Expires Dec 6, 2021
Bonded through National Notary Assn.
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number
Applicant
11300 NE 2 Avenue Number: Nat & Health Si 1121360000050-08
Miami Shores, FL 33138-0000 Block: Lot:
BARRY UNIVERSITY INC
Owner Information
Address
Phone
CeII
BARRY UNIVERSITY INC
11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
Contractor(s) Phone
MARLIN PLUMBING OF MIAMI INC 305-652-6108
CeII Phone
Valuation:
Total Sq Feet:
$ 2,400.00
0
Type of Work: REPAIR TO GAS LINE
Type of Piping: REPAIR TO GAS LINE
Additional Info:
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$2.25
$2.25
$0.60
$150.00
$9.00
$2.40
$168.30
Pay Date Pay Type
Invoice # PLC -9-17-65158
09/28/2017 Check #: 2552
09/26/2017 Check #: 2551
Amt Paid Amt Due
$ 118.30 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Press Test
Review Plumbing
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS 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. Futhermore, I authorize the above-named cphtractor to do the work stated.
September 28, 2017
Authorized Signature: Owner / Applicant i -'Contractor / Agent
Building Department Copy
Date
September 28, 2017 1
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
REQ'
2 zti(/
FBC 20
Master Permit No:1)(7C- (:;-2:30(-)
Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION 0RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 11300 NE 2nd Ave (-fADflIAN 1 IALL) g6NNA i k H E
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#:1121360010160-09
Occupancy Type:
Load: Construction Type:
OWNER: Name (Fee Simple Titleholder): Barry University, Inc
Address:11300 NE 2ND AVE
Is the Building Historically Designated: Yes NO
Flood Zone: BFE: FFE:
Phone#: 305-899-3785
City: MIAMI SHORES
State: FL Zip: 33161
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: MARLIN PLUMBING OF MIAMI, INC
Address: 20145 NE 16TH PLACE
Phone#: 305-652-3031
City: NORTH MIAMI BEACH
Qualifier Name: EDWARD J WALKER
State: FL
Zip: 33179
Phone#: 305-652-3031
State Certification or Registration #: CFC048292 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ 2,400.00
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New MI Repair/Replace ❑ Demolition
Description of Work: REPAIR TO GAS LINE
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ u e , ,—
(Revised02/24/2014)
P 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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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.
OWNER or AGENT
The foregoing instrument was acknowledged before me this
Jr}_h day of JINft_, , 20 II
USAN1 Ease - j AL
, who is personally known to
The foregoing instrument was acknowledged before me this
by ZZ dayl) of5..#1))"
/ )" , 2011 by
I IA.)Lt ic1 A/,i Ik€4 who is personally known to
mor who has produced as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
t
Notary Public State of Florida
Jeffry J Yao
+�j j My Commission0FF 1F 188481
o,p Expires
*
APPROVED BY
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
—Gurasa R'' pearl
4111
•
•
•
s-- NOenr
tot Silo to _
M Comm. Exp.
NO. FF 070897
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,;.17-1. Plans Examiner
Structural Review
(Revised02/24/2014)
Zoning
Clerk