DS-09-1885 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
I nspection Number: INSP- 138281 : Permit Number: DS -11 -09 -1885
Inspection Date: May 19 2010 Permit Type: Driveways/Sidewalks /Slabs
Inspector: Bruhn, Norman
Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: Repair
Job Address: 11300 NE 2 Avenue
Miami Shores, FL 33138- Phone Number
Parcel Number 1121360010160
Project: <NONE>
Contractor: ALL DADE DRIVEWAY MAINTENANC Phone: (305)836 -8678
Building Department Comments
Patch, sealcoat and restride two parking lots
Inspector Comments
Passed �� CREATED AS REINSPECTION FOR INSP- 137677. CREATED AS
REINSPECTION FOR INSP- 134532. CREATED AS REINSPECTION FOR
INSP- 129289. Unable to find plans or permits. NB
Failed El SAme comments. I called Mr. Yao and he will reschedule. NB
Work not completed as per plan, accessible improvements have not been
Correction done. NB
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid
For Inspections please call: (305)762 - 4949
May 19, 2010 Page 1 of 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores,. Florida 33138
Tel: (305) 795.2204 Fax:, (305) 756.8972
BUILDING Permit No.
PERMIT APPLICATION Master Permit NO- 0 9'9 �
FUC 2004
Permit Type (circle): Building Roofing
Owner's Name (Fee Simple Titleholder) % � V ®� �, p q+
,) Phone #
Owneer,s Address 1130 N I;
City I e� State Zip 6� I
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name A 91h9( � Phone # 3� — "33K—W ZR
Contractor's Address 00 fUCj :2
City _ "' A (— t State ) Zip o
Qualifier Name /C Phone # 3a� 7,.7e" 9 e 7 ¢�
State Certificate or Registration No. Certificate of Competency No. z<___ 439.
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ Square / Linear Footage Of Work:
IOU
.oyf,Y
Type of WoP , ❑Addition nAlteration ) ONew if% Q >+ /Replace El Demolition
Describe Wor4:, t . F
.�.;.
Submittal Fee $ Permit Fee $ CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ r Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
See Reverse side -�
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, 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the persona
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not b p a reinspection fee will be charged
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 30 The foregoing instrument was acknowledged before me this 41
day of , 20 .t,, by � Y'" �C. E JW a ar �-� day of / , 20 i ®, by 9 C - APPLEBAuf l ,
who is personally known t o me or who has produced ho is personally known to me o ho has produced
As identification and who did take an oath. as t entification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: r MITT gn:
Print: ,1dY #9tary Pudic . State of ftitia 16, 2013 t: /�E�e1e Sffi s$
�1���,� p� ��j(�y�
f'OMM1800 # YY $&V31
My Commission Expires: y Commission Expires:.
i httai IbeA.
APPLICATION APPROVED BY: �C7 Plans Examiner
Engineer
Zoning
(Revised 07/10/07)
Inspection History
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Project: <NONE>
Owner: BARRY UNIVERSITY
Phone:
Job Address: 11300 2 Avenue Parcel: 1121360010160
Miami Shores, FL 33138- Block: 1 Lot: 2
Scheduled Insp # Inspection Type Inspection Status Inspector Date Completed
01/21/2010 INSP- 129289 Final DENIED Norman Bruhn 1121/2010
Unable to find plans or permits. NB
03/09/2010 INSP- 134532 Final DENIED Norman Bruhn 3/11/2010
CREATED AS REINSPECTION FOR INSP- 129289. Unable to find plans or permits. NB
SAme comments. I called Mr. Yao and he will reschedule. NB
03/15/2010 INSP- 137677 Final DENIED Norman Bruhn 3117/2010
CREATED AS REINSPECTION FOR INSP- 134532. CREATED AS REINSPECTION FOR INSP- 129289. Unable
to find plans or permits. NB
SAme comments. I called Mr. Yao and he will reschedule. NB
Work not completed as per plan, accessible improvements have not been done. NB
05/19/2010 INSP- 138281 Final APPROVED Norman Bruhn 5/19/2010
CREATED AS REINSPECTION FOR INSP- 137677. CREATED AS REINSPECTION FOR INSP- 134532.
CREATED AS REINSPECTION FOR INSP- 129289. Unable to find plans or permits. NB
SAme comments. I called Mr. Yao and he will reschedule. NB
Work not completed as per plan, accessible improvements have not been done. NB
s
Wednesday, May 19, 2010 Page 1 of 1
May 18 10 09:51a Marleen 3058368356 p.1
�.,RI1i�E�►Y a
B.......
"Serving our Customers Shoe ;956"
UC:NSMMD INSURED
Faxed to: 305 756 -8972
May 18, 2010
Miami Shores Village
10050 NE 2 Avenue
Miami Shores, FL 3313 8 -0000
Re: Permit # DS -11-09 -1885
Dear Sir ! Madam:
We kindly request an extension for Permit # DS -11 -09 -1885 for a period f 90 days -
Please fax back a copy of this letter to: 305 836 -8356 when the permit ha been
extended.
Thank you for your prompt attention to this matter.
Sincerely,
Marleen T. Applebaum
Mall: RO Box 430350 -South Miami, Florida 33243 -0350 -Yard. 1100 N.W 73rd Street • Miami, Flori • (30S) 444 -8741
fr€ r
7 L l f -5
° Miami Shores Village .
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000 y
Phone: (305)795 -2204 _ _.��
Expiration: 06M 8f201 0
Project Address Parcel Number Applicant
11300 2 Avenue 1121360010160
Miami Shores, FL 33138 Block: 1 Lot: 2 BARRY UNIVERSITY INC"
Owner Information Address Phone cell
BARRY UNIVERSITY INC 11300 2 Avenue
MIAMI SHORES FL 33161 -6628
Contractor(s) Phone Cell Phone Valuation: $ 16,715.00
ALL DADE DRIVEWAY MAINTENANCE (305)836 -8678 Total Sq Feet: 51480
Approved: Yes For Inspections please call:
Comments: (305)762 -4949
Date Approved: 11/1312009: Yes Available Inspections:
Date Denied: Inspection Type:
Type of Work: Additional Info: Final
Bond Return : Classification: Commercial
Fees Due Amount Invoice # Total Amt Paid Amt Due
CCF $10.20 DS -11 -09 -36419 $ 531.65 $ 50.00
Education Surcharge $3.40 **w"
Permit Fee $501.45 DS -11 -09 -36419 $ 531.65 $ 531.65 $ 0.00
Permit Fee $0.00 Check #: 3177
Scanning Fee $3.00
Submittal Fee $50.00
Submittal Reversal Fee ($50.00)
Technology Fee $13.60
Total: $531.65
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: 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. Futhermore, I authorize the above -named contractor to do the work stated.
November 20, 2009
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
November 20, 2009 1
Miami Shores Village
t Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTIO PHONE N UMBER: (305) 762.4949
BUILDING Permit No. � 1
NOV
PERMIT APPLICATION 13 2009 Mister Permit No.
FBC 20 ...��w.,
Permit Type BUILDING ROOFING -
Owner's Name (Fee Simple Titleholder) il, b �k/ Phone #
Owner's Address 1 oo je
City "ll Sk LC State FL Zip
Tenant /Lessee Name - Phone #
Email
Job Address (where the work is being done) f /3e� i c &G -,jLL6
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO Flood Zone
c ontractor's Company Name c V lai 4V Phone # - :7 0-5 -
Contractor's Address /j ,J
City jA? State L Zip
Qualifier Name 1) Phone # _3o S T-7
State Certificate or Registration No. Certificate of Competency No ���-
Contact Phone 7 O �/� - 7 E -mail �, fL1V A,/ 1J &T_
Architect /Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ 146 71S Square / Linear Footage Of Work: S
Type of Work: ❑Addition ❑Alteration ❑New R /Replace ❑ Demolition
P
escribe W ork:
OHf *A K� '
a � .
S iZ54 tU 9SG!r.. ..tY1k4' 41 JOV <
Submittal Fee $ �� Permit Fee CCF $ 10 . 0
Notary $ Training /Education Fee $ y Technology Fee $' V
Scanning $ 00 Radon $ DPBR $ Bond $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $ L4 8 1 . � J
See Reverse side
Bonding Company's Name (if applicable) N o 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, 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 inspect n which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection ll not ea roved and inspection fee will be charged.. C
" 1 Signature I�It �tGe`tMG,✓q, j��( g� nature �
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this .�2 i G The foregoing instrument was acknowledged before me this
day of e V �I�-y- Mecr k)aw�L arw day of _1,L " 20E�J by C(
who is personally known to me or who has produced who personally kn o me or who has produced
As identification and who did take an oath. ' s identification and who did take an oath.
NOTARY PUBLIC: NOT LIC:
`" LINDA S. MITTS �JI ••, USA AHEARN
/ ,111111 /�••
Notary Public - State of Florida r P
Sign: • = 6, 2013 Sig -_: Notary Public - State of Florida
Cornin. hVires Sep 28.,
, Commission #t DD 863031 %�
Print: L H S . Yv1 i '•� 1 ary Assn.
Pi
1 Commission # DID 819415
My Commission Expires: My onl ' son s:
APPROVED BY b `� Plans Examiner Zoning
Engineer ✓� Clerk checked
ell
(Revised 07 /10 /07)(Revised 06/10/2009)
Y Physical Plant
11300 NE 2nd Avenue
UNIVERSITY Miami Shores, FL 33161
voice 305 - 899 -3785
fax 305 - 899 -3794
Division of Business and Finance
November 4, 2009
To Whom It May Concern:
This letter is to authorize Driveway Maintenance Inc. to apply for permits on
behalf of Barry University to do work on the campus and university owned sites.
If you have any questions please call our office at 305 -899 -3785.
Takyo,
k x MacNamara
Director of Facilities
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Miami Shores Village
APPROVED BY DATE
70NING DEPT
BLDG DEPT
SUBJECT TO COMPLIANCE Wf fH ALL FEDERAL I
STATE AND COUNTY RULES AND REGULATIONS
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