MC-05-159Inspection Date: 03/20/2006
Inspector: Perez, JanPierre
Owner: VILLAGE, MIAMI SHORES
Job Address: 10050 2 Street NE
Miami Shores Village, FL 33138-
Project: BARRY UNIVERSITY MEDICAL
of ■IC1Uf'`C DI F'€
Contractor: HILL YORK SERVICE CORP
Building Department Comments
Thursday, March 16, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Mechanical - Commercial
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060131960
Lot:
Phone: (305)756 -6501
Page 2 of 2
Passed
Inspector Comments
V 3 /2cA
wk,e,"1------5".1- 01/_....._
i7 % ,'
reili
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
Inspection Date: 03/20/2006
Inspector: Perez, JanPierre
Owner: VILLAGE, MIAMI SHORES
Job Address: 10050 2 Street NE
Miami Shores Village, FL 33138-
Project: BARRY UNIVERSITY MEDICAL
of ■IC1Uf'`C DI F'€
Contractor: HILL YORK SERVICE CORP
Building Department Comments
Thursday, March 16, 2006
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Block:
Permit Type: Mechanical - Commercial
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1132060131960
Lot:
Phone: (305)756 -6501
Page 2 of 2
BUILDING
PERMIT APPLICATIO
FBC 2001
Permit Type (circle): Building Electric : Plumbing
Owner's Name (Fee Simple Titleholder) Mr-AY G1"/? /ve S/ Zy Phone #
Owner's Address `/ 3 00 / 2 411 Av'E
City /4-'r')/ State �C
Tenant/Lessee Name
Job Address (where the work is being done) 5.4'n F . fie
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name NR-C... L iaitL Z 6 Phone # (3 655 2I ``
Contractor's Address /0 750 /1W -e/-1 0-e
City tr? /47
Qualifier /7r
State Certificate or Registration No. nt1 C 0 29 3 6_U
Architect/Engineer's Name (if applicable) Phone # -79 $ Value of Work For this PermiW /C
Type of Work: ❑Addition ['Alteration ❑New
Describe Work:
/ EPt fi7 Cy 60 104 G1 0 ” 5 el Fn Cc
Notary $ Training/Education Fee $ I . CO Technology Fee $ 7O . CCD
Scanning $ 3 . . Radon $ Zoning Bond $
Submittal Fee $
Code Enforcement $
Z 3 -7 . O0
Total Fee Now Due $ -
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Te 1 7 .2204 Fax: (305) 756.8972
State Zip 1
****************************F
Permit Fee $ CCF $ 48.0 CO /CC.
Structural Plan Review. $
Certificate of Competency No.
Zip 3
Phone #
Mechanical
Square Footage Of Work:
❑ Repair/Replace
Permit No. HC...0 F — ) 69
Master Permit No.
LO
Roofing
❑ Demolition
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: 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 certffied 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
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20 by
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
chc 05/13/03
Signature
Contractor
The foregoing instrument was acknowledged before me this
day of ,20 ,by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
* * * * * ** * * * * * ** air * * * * * * * * * ** * * ** * * * * ** air*********** ***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
. **rk**rk+ ****R******* **** *** #**** * #*** ***** ** * * #*** * ** ***** ** * *�** * ** * *�k*** * *** *rlr�k*�k** �r�(r** * *#�k�k�k****�I**
APPLICATION APPROVED BY: Y ( 2 V . , Plans Examiner
Engineer
Zoning
At
/ PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 1/ D /' hS Job Address //340 4 CPA ld Tax Folio // 01434p - 400 - OOSD
Legal Dfiscliption .1`c? W 1 10 1 C S /,�z/ exc Historically Designated: Yes No
SUE ` /s/ LASS h iia r her 5/7 / S @0 12e. ' 7
Owner/Lessee / Tenant . : i Master Permit #
O w n e r ' s A d d r e s s / i 3 D N g ' " a/1d 4Ua, //'4'-,, I 'L J/� 3 / Phone
Contracting Co. 1/14 6 a7i.. s & (JLG� / f Address a-Id - 0 NW 494{ G7; WA"-l/ /—
7 9/a o
Qualifier /-/dRA K '?/'
State # CAC-- ec9i f,56 Municipal # Competency # Ins. Co.
Architect/Engineer //A, Address
Bonding Company // Address
Mortgagor ° V /V Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBINGCMECHANICAI, ROOFING PAVING FENCE SIGN
WORK DESCRIPTION
2u /z-2 M/,
Square Ft. Estimated Cost (value) 17, D ()
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for F.LF.CTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
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. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of Vfi ier and/or Condo President
NOTARY PUBLIC- STATE OF !,ORIDA
Aida Byrne- Parrinello
ooa sio¢ #DD3864nn
-.VI, 2009 Date
Atlantic Bonding Co., Inc.
FEES: PERMIT RADON
C.C.F.
ignature of
APPROVED:
Zoning Building
Mechanical
ss# PhoneC.34
o p TU a ,t) 5cl
Notary as to Contractor or
My Commission Expires:
er- Builder
NOTARY PUBLIC-STATE OF FLORIDA
Aida Byrne.Parrinello
ocomission #DD386
Expires: JAN, 17, 2009
Bonded Thru Atlantic Bonding Co., Inc.
NOTARY BOND
Electrical
TOTAL DUE
Plumbing Structural Engineer
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 11/23/2005
Applicant: BARRY
Owner:
JOB ADORES S: 11300 NE 2
Contractor: HILL, YORK SERVICE CORE?
Local Phone: 305451 -91 CO
Parcel # 1121360010160
Mechanical Permit
Permit Number: MC2005 -159
UNI
AVE.
C e of racfvr'S A cad MSS: 1 v75O N W G CT
Le93l i escr NEW /40)4i SHORES ESTS P1351 -6D LIT 16
Permit Status, A-PPROVEA Permitfxp' ration: 5JZ01 Construction val $79 a0.00
word; REPLACEMENT t1<60 7 RTU ON SC 1JCt Eta
Page 1 of 1
Blx 1 LOT SIZE 11240
Fees:
FEE2005 -14774
FEE2005 -14775
FEE2005 -14776
FEE2005 -14777
FEE2005 -14778
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$2,800.00
$48.00
$16.00
$70.00
$3.00
$2,937.00
Tel ree$2,937.00
Tofu Recei pts: $0.00
DEC 15 PAID
CAL 4#
)Z,
Signed: (INSPECTOR)
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY: