PT-10-447 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 138374 Permit Number: PT- 3- 10447
Scheduled Inspection Date: March 23, 2010 Permit Type: Paint
Inspector: Bruhn, Norman
Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: New
Job Address: 11300 NE 2 Avenue Soccer Stadium
Miami Shores, FL 33138 -0000 Phone Number
Parcel Number 1121360010160 -37
Project: <NONE>
Contractor: TGSV ENTERPRISES INC Phone: (305)323 -5755
Building Department Comments
paint exterior of new soccer entrance
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
March 22, 2010 For Inspections please call: (305)762.4949 Page 8 of 11
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Miami Shores Village'
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
3.
Phone: (305)795 -2204
Expiration: 010112999
Project Address Parcel Number Applicant
11300 2 Avenue Number: Soccer Stadium 1121360010160 -37
Miami Shores, FL 33138 -0000 Block: Lot: BARRY UNIVERSITY INC
Owner Information Ad dress Phone cell
BARRY UNIVERSITY INC 11300 2 Avenue
MIAMI SHORES FL 33161 -6628
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
TGSV ENTERPRISES INC (305)323 -5755
Total Sq Feet: 0
Type of Work: Exterior Available Inspections:
Color: Inspection Type:
Additional Info:
Classification: Commercial Final
Color. Approved Code Comments: SOCCER ENTRANCE - BEIGE
Color: Approved_ Color. _Denied
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.80 Invoice # PT- 340 -37335
Education Surcharge $0.20
Permit Fee $80.00 03/19!2010 Credit Card $ 61.60 $ 0.00
Technology Fee $0.80
Total: $61.60
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated
March 19, 2010
Authorized Signature: Owner / Applicant / Contractor / Agent Date
Building Department Copy
March 19, 2010 _" 1
Miami Shores Village 1I Zoo
Building Department �Y: �� K--�-
f0050 N.E.2nd Avenue, Miami Shores, Florida 33138 ...............m_o
%k (305) 795..2208 *.. 305) 756
BUILDING Permit No. 9 t 4 �
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type: PAINT PERMIT
Owner's Name (Fee Simple Titleholder) r Phone #
Owner's Address q U-ej
City ► l ��D( & ate l Zip 5L ?j$
Tenant/Lessee Name Phone #
E- MAIL:
Job Address (where the work is being done) I 00 Ay en(}e--�
City Miami Shores Village County Miami -Dade Zip —51S- 35
FOLIO / PARCEL # 1 3Cp D m co 5D
Is Building Historically Designated YES NO __>�,__
Contractor's Company Name - TWW E '�'Q.r se's Phone # C 2 `5
Contractor's Address
City Q IPA,1/) State o✓ Ol I Zip 12 i �(� L Y 23-5 7P55
Qualifier Name to 0 A' Phone # C �A
State Certificate or Registration No. g Certificate of Competency No.
OWNER BUILDER:
Value of Work For this Permit $ Type of Work: [Addition / ❑ Alteration
ti / []New / ❑ Repair/Replace
Describe Work: b a j yr (� U 1 �....QJC °-
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.....
"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 just 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.
Permit Fee $ CCF $ Technology Fee:
Training/Education Fee $ Notary $ Code Enforcement $
Double Fee $ Zoning $ Total Fee Now Due $
See Reverse side -�
C 4
9
PAINT COLOR APPROVAL AND AGREEMENT
All elements on the site must be listed and indicate the color to be painted
Directions: Please circle corresponding number to appropriate color sample.
Walls: 1 2 3 4 Attach color samples 'with name and
Fascia: 1 2 3 4 number.
Drip Cap/Drip Edge: 1 2 3 4
Soffit: 1 2 3 4 1
Roof: 1 2 3 4
Flower Bins: 1 2 3 4
I
Shutters: 1 2 3 4 &
Awnings: 1 2 3 4 2
Chimney 1 2 3 4
Doors and Door Jams: 1 2 3 4 •
Garage Doors: 1 2 3 4
Railings: 1 2 3 4 3
Fences: 1 2 3 4
All brick (simulated or regular): 1 2 3 4
Stucco Banding:. 1 2 3 4
Any other Stucco Features: 1 2 3 4 4
Accessory Buildings S' ° ``'`'" Other:
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in
compliance w all applicable laws regulating construction and zoning.
Signature Signature / ���
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this �� The foregoing instrument was acknowledged before me this t v
day of 20 LO by , ha. G Q y, day of , 20 L, by �OJ rl Q U eta
who is A onally knower me or who has produced who is .personally known to me or who has produced
As identification w did Aej& as identification and who did take an oath.
NOTARY PUBLIC- _ l.OIDA S. MTTS TARY UB C:
Sign: f Nagy Ma . SW of Flof�t T bou 16, 201
Print: d , S .1 �"! r # W 88 31 t
My Commission Expires: 1 A> Commission Expires: �; �.£ �ypp X11
EXPIRES: June 14, 2010
Bonded Thru Plotety AubUo Utxlenvrfters
APPLICATION APPROVED BY: Plans Examiner
�� t Preservation Board
./► �"1' 3 �' �t� Code Enforcement
(Revised 04 /24/07)
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s.,. ,,,,,M Miami Shores Village
Building Department
J�`j- tiRIDA 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT #: DATE: CL 'vZt�l
I ,
Contractor
• Owner
• Architect
Picked up 2 sets of plans and (other) _[C `fIC,�( -- Fa2
Address: I ` J O(D n 6, 2 -
From the building department on this date in order to have corrections done to plans
And /or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
Acknowledged by:
PERMIT CLERK INITIAL:
RESUBMITTED DATE:
PERMIT CLERK INITIAL: