MC-10-339Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INS P- 158270
Permit Number: MC -3 -10 -339
Scheduled Inspection Date: May 16, 2011
Inspector: Perez, JanPierre
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Sage 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 -15
Phone: (305)756 -6501
Building Department Comments
AC condensing Units
Passed
011
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- 137613. CREATED AS
REINSPECTION FOR INSP- 137017. need mark c/u as per code jpp
May 13, 2011
For Inspections please call: (305)762 -4949
Page 7 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 APPLICATION
FBC 20
MAR a4 2010 if
BY: ��--
Permit No. h t(� �� �� ,�
Master Permit No.
Permit Type: MECHANICAL (E- kI LL
Owner's Name (Fee Simple Titleholder) UNNevts-icti Phone # 3 U S
Owner's Address \\560 W' 2_ ku '
City llJat L11 Ii1(teS State %< Zip 3�1
F-Ct C'
9
Tenant/Lessee Name Phone #
Email
Job Address (where the work is being done)
1(3 60 Z At,t
City Miami Shores Village County Miami -Dade Zip !
FOLIO / PARCEL # /i 1 / 3n0 000 Ce 5
Is Building Historically Designated YES
Contractor's Company Name 1 �` \ \t °V- It-
Contractor's
Address t O Co ( (p
NO Flood Zone
Ct
Phone #
— ;� 2 V J �
City 0, vU1k State FI Zip ::;'.1.5( L
Qualifier Name C'1 t)v.)CS Phone #
State Certificate or Registration No. Certificate of Competency No.
e 1 g 1'3(1
E -mail t`� �(� et't "9 1�. � 1 �1 L l
Contact Phone
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ St O9 .0 Square / Linear Footage Of Work:
T yp e of Work: ❑Addition ❑Alteration New a _ .,, � YRcp
air/Replace ❑Demolition
Describe Work: V Cep 1 -1y +'St'
01,..) i`
Submittal Fee $ Permit Fee $
4
TY
CCF $ `f -s0 CO /CC $
Notary $ Training /Education Fee $ '(QQ Technology Fee $ l.040
Scanning $ '3-00 Radon $ DPBR $ Bond $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $ 2S' O�J y{�
See Reverse e—›
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 approved and a reinspection fee will be charged.
Signatures Signature —
Owner or Agent U Contractor
LI
The foregoing instrument was acknowledged before me this 2- The foregoing instrument was acknowledged before me this 91"
day of Febr4.4 .4,1, 20 !o,bY LALla.4.
who is personally known_to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
day of F--eb nirki , 20 , by keio V ,
Sign:
Print:
My Commission Expires:
•♦
osu, LINDA S. MITTS
t? Notary Public - State of Florida
6, 2013
Commission # DD 883031
Ann.
Sign:
Print:
My Commission Expires:
YARISMAR CASTRO
c MY COMMISSION # ZD702722
EXPIRES August Q7, 2011
********* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ************************************ * * ** * * * * * * *** * * * * * * * * * * * * * * * * **
APPROVED BY Cq I V Plans Examiner Zoning
Engineer
(Revised 07 /10 /07)(Revised 06/10/2009)
Clerk chected