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PLC-11-1612Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 \ A tLt3 Inspection Number: INSP- 163984 Permit Number: PLC -8 -11 -1612 Scheduled Inspection Date: October 26, 2011 Inspector: Hernandez, Rafael Owner: SCHOOL INC, MIAMI COUNTRY DAY Job Address: 107 ST AND 6 AVE STREET 1111ADDA\ /CIIACIUT C4-wwi Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: LANDSCAPING ASSOCIATES INC Permit Type: Plumbing - Commercial Inspection Type: Final Work Classification: Sprinkler System Phone Number (305)759 -2843 Parcel NUMPROVEMENT PROJECT Phone: (305)258 -6310 Building Department Comments INSTALLATION OF IRRIGATION SYSTEM (LAWN SPRINKLER) Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Com gents October 25, 2011 For Inspections please call: (305)762 -4949 Page 9 of 33 .a ' ippEcw7m1 a, .0,067i Miami Shores Village Building Department U 0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTIO 'S PHONE NUMBER: (305) 762.4949 gl BUILDING �I � PERMIT APPLICATION �'sC zo Permit No. p 1_1(0 Master Permit No. C C -6 : //- Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder : L l p ) l ! Phone #: 3C '7 5' % v' �j 3 Address: 60 1 - 10 ? 5 I ,'Z r City: 1 ' l �'� c-, S C�cs fZ e S State: It-- Tenant/Lessee Name: Email: Phone#: 33/599-45 c°C' C' JOB ADDRESS: /C' r1 5 4_ Cs car 1- City: Miami Shores Folio/Parcel #: Is the Building Historically Designated: Yes c County: Miami Dade Zip: ?3 1 g C>C C, CONTRACTOR: Company Name: Address: 2 Q 0 2 j Ii/. /' 7,,�/' NO bC— Flood Zone: City: Qualifier Name: State Certification or Registration #: Contact Phone V° #�� 4-51/117 Email Address: DESIGNER: y frPho &'S/ z.�cC�'/ G,/ Phone {e� o 7 - ,93143 Zip: 3 G Phone#: /3 o 2-C°6 '..?7' Certificate of Competency #: dil 62/ 7 91 Zip: Architect/Engineer: ' 7 ! /" �� 0$/ec. Phone#: ‘7.32ezx Value of Work for this Permit: $ la 6/ Square/Linear Footage of Work: Type of Work: Address ❑Alteration N°New ❑Repair/Replace ❑Demolition Description of Work: /,1`s iV 7/ b /44/ G/g / .57--/ ./ /,i- _574/e ms 6- /24 r/ 5ATCC) . ****************** ***+x************ * *** xFees******* ********** **** **************** ******* Submittal Fee $ Permit Fee �oD CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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. Signature Owner or Agent The foregoing instrument was acknowledged before me this :. day of k , 20 LL, by (Viii-`1 .d&' who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: /14 Print: ?ed/ My Commission Expires: Signature Contractor The foregoing instrument was acknowledged before me this " day of Aq<OC'5+, 20 IL, by J`eda(1( . who is personally tom or who has produced as identification and who did take an oath. NOTARY PUBL / NOTARY PUBLIC -STATE OF FLORIDA Shcllic L. Fulforl Commission #DD850330 My Commission Exp Expires: FEB. 28, 2013 BONDED THRU ATLANTIC BONDING CO., 1NC. *+ ksk+ k******************B*** *****+ l' *************NsKa**+ k********* *********ik****4+U*>K****** Sign: Print: _ L __....a ."p" s U EXPIRES: Ftlk3PUary 19, 20 4 sonad thru Notary Public Newt Plans Examiner Structural Review (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk VALID FOR CONTRACTING UNTIL 09 /30/2011 QUALIFYING TRADE(S) OOC3 LAWN SPRINKLER LOCAL; BUSINESS `fA31 RECEIF ., MI DADE COUNTY' STATE OF FLORI. EXPIRES SBPT. 3A, 2011 STBEaDISPLAI AT PLACE OF; IT `:TO COUNTY DE.0 IRST =C1 S: POSTAGE; PAID iAMI, FL MITNIcc, 416757-3 BUSINESS NAME / LOCATION THIS IS NOT A BILL — DO NOT PAY RENEWAL RECEIPT NO. 435190 -4 LANDSCAPING ASSOCIATES INC OPERATING IN DADE COUNTY OWNER LANDSCAPING Sec. Type of Business THIS Is d?3A .VICE BUSINESS TAX RECEH*T. IT NOT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY FEXISTING REGULATORY OR ?'ONING LAWS OF THE OR DOENTY OH GIMPT ThE DOES IT mMPT E HOLDER FROM'ANY ERs: ;PERMIT OR, LIO 8E' OT A' E CAT O Iola TONHOuEIYSrOUALIFICA °'A YMEiN'T'REOEIVED MIAMI�ADE CUNTI+ TA LLECTORr 07/12/2010 x41013001 00075:.00. ;_. SEE 'OTHER SIDE ASSOCIATES INC BUSINESS EMPLOYEE/S • A CONTRACTORS RECEIPT =134317 -7 OSINESS NAME /.LOCATION LANDSCAPING ASSO DOING BUS IN DADE CO 1 DO NOT FORWARD LANDSCAPING ASSOCIATES INC PETER ROBAU PRES 26002 SW 107 AVE HOMESTEAD FL 33032 111w11111`11, 1111.1 111, 11,1111111111, Mit SIIIM111114010 01 pr LOCAL, BUSINEESS TAB RECEIP MIAMI-DADE COUNTY= STATE OF FLORID 1 x t r x O EXPIRES SEPT. 30,2011 =, MUST BE DISPLAYED AT PLACE OF BUSINESS RSUANT TO COUNTY CODE CHAPTER 8A ART �f 1 y PER! THIS IS NOT A BILL — DO NOT PAY RENEWAL RECEIPT NO. 134317 -7 ASSOCIATES INC CC * 000014994 OWNER LANDSCAPING ASSOCIATES INC Sec. Type of BUti Iness AMY, FL . ITNO 231 :' WORKER/S THIS Is jgr6AgCIALTY PLUMBING CONTRACTOR 3 BUSINESS TAX REC EIP IT DOES:- NOT PERMIT THE }}}��M11OLDER TO VIOLATE ANY STING REGU[ATORYDA ONING ,LA , OF THE . ,COUNTY OR, ITIEEL NOR'. IT EXEMPT THE MOLDER FROM ANY OTHER PEROT. OR-' ".LICENSE REQUIRED BYLAW. THIS -IS : LINT A C CATION OF :'. THE HOLD ttUAU M0A -." PAYMENT-RECEIVED MIAMI +DARE COUNTY T I eDT( 12/2010 010158001 000075.00 SEE OTHER SIDE DO NOT FORWARD LANDSCAPING ASSOCIATES INC PEDRO ROBAU PRES 26002 SW 107 AVE PRINCETON FL 33032 11111,,,11,, 1111 „1111111111 ,111 „,11,111.111,11111,111l,ll1 49 LANDSCAPING ASSOCIATES INC PEDRO ROBAU PRES 26002 SW 107 AVE PRINCETON FL 33032 bills eAlltttAtt tl rtAuallunflablinlf Tii'te MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL :33130 2010 LOCAL BUSINESS TAX RECEIPT 2011 MIAMI -DADE COUNTY - STATE OF FLORIDA EXPIRES SEPT. 30, 2011 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10 THIS IS NOT A BILL — DO NOT PAY FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 416757 -3 RENEWAL BUSINESS NAME / LOCATION RECEIPT NO. 435190-4 LANDSCAPING ASSOCIATES INC OPERATING IN DADE COUNTY OWNER LANDSCAPING Sec. Type of Business cE THIS IS BUSINESS T R CEIPPT.. IT NOT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CITIES. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED MIAMI -DADE COUNTY TAX COLLECTOR: 07/12/2010 0901 0163001 000075.00 SEE OTHER SIDE ASSOCIATES INC BUSINESS A CONTRACTORS RECEIPT EMPLOYEE /S 10 DO NOT FORWARD LANDSCAPING ASSOCIATES INC PETER ROBAU PRES 26002 SW 107 AVE HOMESTEAD FL 33032 II 11n> 111111,II, 11".1) 11 11,t",1.11440) Miami COUNTRY DAY SCHOOL August 29, 2011 Miami Shores Village Building Department RE: 601 NE 107th Street, Miami, FL 33161 To Whom It May Concern: Mr. Gary Butts, Chief Operations Officer, is an authorized signer on behalf of the corporation, Miami Country Day School, Inc., owner of the above addressed property. Sincerely, Anne Paulk, President Board of Trustees Miami Country Day School, Inc. NOTARY P 1BLICNSTATR OF FLORIDA es Shelliu L. Fulford ' r Commission #DD850330 $.4„„,17 Expires: FEB. 28, 2013 BONDED TRRD ATLANTIC BONDING CO., INC. 601 Northeast 107 Street I Miami, Florida 33161 1 305.759.2843 I Fax 305.759.4871 I www.miamicountryday.org Every Student. Every Day.