MC-10-256Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 158271
Scheduled Inspection Date: May 16, 2011
Inspector: Perez, JanPierre
Owner: , BARRY UNIVERSITY
Permit Number: MC -2 -10 -256
Job Address: 11300 NE 2 Avenue Browne Hall
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: HILL YORK SERVICE CORP
Permit Type: Mechanical - Commercial
Inspection Type: Final
Work Classification: A/C Replacement
Phone Number
Parcel Number 1121360010160 -14
Phone: (305)756 -6501
Building Department Comments
REPLACE CONDENSING UNITS
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 137611. CREATED AS
REINSPECTION FOR INSP- 135898. need to mark c/u as per code jpp
May 13, 2011
For Inspections please call: (305)762 -4949
Page 8 of 25
Miami Shores Village
Building Department
10050 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 No. C C. r
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: MECHANICAL A 1A-1L_
Owner's Name (Fee Simple Titleholder) 6(.b -'-1 !i i t VE 6 t kk• I Phone # fit' ' e� I i - _°' � - '
Owner's Address t k300 1,` ",. : `�,d_ a >e , I
City C't 1 L 1Il, 9 State Ft Zip 331 i Q
Tenant/Lessee Name Phone #
Email
ai MOT
No
L'1 FEB 1 6 2010
is �1
Job Address (where the work is being done) i 1'2)0 0 M 7 N.D A- V
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL # i l 2 t 3 Q,;, V C 00 (2‘77)
Is Building Historically Designated YES NO Flood Zone
L '�'. _�cS —1 3 0
'
Contractor's Company Name 4111 \I Cr L Phone # 774:)5 1'3 ( :. t. C'lJ
Contractor's Address \ U 1 ' au j p,J i,d e.;.A
City 1 °4 U li,U State 1-1 Zip i Li-
Qualifier Name C.t -- LCIAS'1"; Phone # ji 7- y Z 2 1
State Certificate or Registration No. 1iii(e.."0 l i Certificate of Competency No. tom'
Contact Phone 4P m'[17;1. 4?1411
Architect/Engineer's Name (if applicable)
E -mail
Phone #
6kaileid uc� slc, Oc c� is s it d wl Iwo C0"'1�','"°IS
Value of Work For this Permit I Ou ' 1- 6-,c7Y � � og fW 1
V uare� /Y:ineart oo a e� ork� ��'
Type of Work: ❑Addition ❑Alteration [New ❑ Repair/Replace ❑ Demolition
Describe Work: 72-1'.`.'. �.3 I r, +,,> , r
I
y{
Submittal Fee $
Vim• ,
Notary $
Scanning $
oub
D le Fee $
Permit Fee $
* ** *Fees * * * * * * **
*** * *: * * * * * * * * * * ** * * * * * * * * *** * * * **
Training/Education Fee $ 3'
Radon $
CCF $ 9-(oO coicc
Technology Fee $ IQ Vj
DPBR $
Violation date:
Bond $
Structural Review. $ Total Fee Now Due $ aca
See Reverse q'de -*
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be app oy < < _ ' a reinspection fee will be charged.
Signature — Signature
Owner or Agent
Contractor
The foregoing instrument was acknowledged before me this / (( The foregoing instrument was acknowledged before me this
day of �F �� 120 b a, by e , day of , 20 , by ir 011 L le ,
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
APPROVED BY
ell L V t Plans Examiner
(Revised 07 /10 /07)(Revised 06/10/2009)
Engineer
Sign:
Print:
My Commission Exp
o r' YARISMAR CASTRO
M ovy • we ' 722
tiC!r'. t 17 2011
398 -0153
FioridaNda ry$orvice.Cem
Zoning
Clerk checked