DS-11-1578Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
inspection Number: INSP - 163819
Permit Number: DS -8 -11 -1578
Inspection Date: October 31, 2011
Inspector: Bruhn, Norman
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue
Miami Shores, FL 33138-
Project: BARRY UNIVERSITY
Contractor: EMERALD CONSTRUCTION CORPORATION
Permit Type: Driveways /Sidewalks /Slabs
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1121360010160
Phone: (954)241 -2583
Building Department Comments
NEW CONCRETE SLAB FOR TRASH COMPACTORS AND
CHAIN LINK FENCE.
THIS PERMIT TO REPLACE PERMIT #CC10 -999
PassedL2�
Inspector Comments
/'/(
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
For Inspections please call: (305)762 -4949
November 15, 2011
Page 1 of 1
OikiSttt- (fitul2P--.51 cwile)trz--siArs
tot Sa> "'' Miami Shores Village
Building Department
10050 N.E2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
B DING
PERMIT APPLICATION
FBC 20
17ni_MIE1
AUG 262011
Y:.... .....a
Permit No. 1 —S
Master Permit No.
Permit Type: BUILDING ROOFING
OWNER: Name (Fee Simple Titleholder): n V4 tC °1 , Y
Phone#: 'Si(- Ati 1 -61S4
Address: 1 1130 o NC J, AA-
City
/1// tet/ln i (2 1()(t.S. state: FC- v Zip:
Tenant/Lessee Name: Phone#:
Email: 3 i i
JOB ADDRESS:
6.
P :1 613vc, �•E ��
City: Miami Shores County Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: frietleora i - 6,11 S ve- 6mr Phone #: 415(r- Z(4 )- Z5g3
/1%� Coo
City: 7.4/1 ,� r,� state: Zip: 33€009
Qualifier Name: ,1'4,1 e— c.9 �j1 Phone#: car'1 =4
State Certification or Registration #: Certificate of Competency #:1-6
Contact Phone #: . r.°q M Email Address: 114/14€ 4 at °' `li p r o7y - Col-7
DESIGNER: Architect/Engineer. Phone#:
Address:
Value of Work for this Permit: $ 100 ® Square/Linear Footage of Work: % 1 S M
Type of Work: Addition
Deseription‘of Work:
OAlteration
)(New ORepair/Replace
Demolition
1
Submittal Fee $ Permit Fee $ /Z271'4° CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $ I �
TOTAL FEE NOW DUE $ f 0- ICSLJ
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address —
City f State Zip
y,4
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 appri , nd a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this 1
day of AUC-,, ,201) , by I 14 0107.10,,j
w own to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires: `)
Signature
Contractor
The f o r e g o i n g i n s t r u m e n t was acknowledged b e f o r e m e t h i s 2-2 -
day of 4 . ,20 f , by Mirk- 114011.4 Ld°
who personally known me or who has produced
as identification and who did take an oath.
My Commission Expires l !",71 COMMISSION #E 041198
t,., �:
i.:. -,,y?• EXPIRES: NOV. 09, 2014
nAtrg• wwW.AARONNOTARY.com
* fat +trdF Yeark****eYdr9rdnYdt ***
***IrkeYatrdrinY** s * Ir kdrAttki6*f* nkdadrd ftr*dYeY+A4r9r96iF*foa de+kiFskaSe******** kdFardnttdadriPakdlkirer ****drsYdr***fWrar
APPROVED BY
G d /0 62( "4
(Revised 07 /10 /07XRevised 06 /10/2009XRevised 3/15/09)
Plans Examiner
Structural Review
/p4 Zoning
Clerk
1
Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Folio Number:1121360010160
Owner's Name: BARRY UNIVERSITY
Job Address: 11300 2 Avenue
Miami Shores, FL 33138-
Owner's Phone:
Total Square Feet: 1344
Total Job Valuation: $ 100.00
Contractor(s) Phone Primary Contractor
EMERALD CONSTRUCTION CORPORATION (954)241 -2583 Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 10/19/2011: Yes
Comments:
NOTICE OF COMMENCEMENT
A RECORDED COPY MH BE POSTED ON THE JOB SITE AT TIME OF FIRST F.&WIEN
PERMIT NO. TAX FOLIO NO.
STA1E OF FLORIDA
COUNTY OF MIAMI -DADS
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Legal description of property and street/address: 11300 NE 2 Avenue
Miami Shores, FL 33161
111111111111111111111111111 1111111111 11111111
CF t4 2i i 1 1 R 05 4 33 18
OR Bk 27792 F's 0386; (1 A 9
RECORDED 08/15/2011 12:49:22
HARVEY RUV'IHv CLERK. OF COURT
MIAMI- CDACDE COMM FLORIDA
LAST PAGE
2. Description of improvement: Warehouse Dumpsters
3.Owner(s) name and address: Ba Univers'
11300 NE 2 Avenue, Miami Shores, FL 33161
Interest in property: Owner
Name and address of fee simple titleholder. N/A
4. Contractor's name and address: Emerald Construction Corp. 1086 NW 1 Court, Hallandale Beach, FL 33009
5. Surety: (Payment bond required by owner from contractor, if any)
Name and address: N/A
Amount of bond $
6. Lender's name and address: N/A
7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 'i i 3. 13(10)7. Florida Statutes,
Name and address:
8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes.
Name and address:
9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date is s
`,r
Signature of awne'
Print Owner's Name
Bruce Edwards
Sworn to and subscribed before me this fi day of AUGtrT , 20 t .
Notary Public
Print Notary's Name
My commission expires-
113 01-3B 8/04 PAGE3
Prepared by Jeffry J Yao
Address:
CI k,.
PI!
C
�Y
)IIJFCT TO COMPLIANCE WITH ALL FEDERAL
IMF rF AND COUNTY RULES AND REGULATIONS