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DS-11-1815Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756-8972 Inspection Number: INSP- 174116 Permit Number: DS -10 -11 -1815 Scheduled Inspection Date: May 30, 2012 Inspector. Bruhn, Norman Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Miami Shores, FL 33138- Project: BARRY UNIVERSITY Contractor: MOSS & ASSOCIATES LLC Permit Type: Driveways /Sidewalks/Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360010160 Phone: (954)410 -3250 Building Department Comments ADDITION OF CONCRETE FLAT WORK AT EXISTING ATHELITE FACILITY, BATTING CAGE ONLY. 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- 165086. IF ANY QUESTIONS PLEASE CALL JASON AT 954 -668 -9743. May 30, 2012 For Inspections please call: (305)762 -4949 Page 33 of 47 BUIL NG Miami Shores Village Building Department 0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit Revision PERMIT APPLICATION FBC 20 CE E NAY 1 1 2012 Permit No. Master Permit No. DS -10 -11 -1815 Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): Barry University Phone #: 305- 899 -3050 Address: 11300 NE 2nd Avenue City: Miami Shores State: FL zip: 33161 Phone #: Tenant/Lessee Name: Same Email: bedwards @mail.barry.edu JOB ADDRESS: 11300 NE 2nd Avenue City: Miami Shores County: Miami Dade Zip: 33161 Folio/Parcel #: 11-21360000040 Is the Building Historically Designated: Yes NO X Flood Zone: CONTRACTOR: Company Name: MOSS & Associates Address: 2101 N. Andrews Ave. Suite 300 Phone#: 954 - 769 -8107 City: Fort Lauderdale State: FL zip: 33311 Qualifier Name: Cheryl Lynn Werner Phone#: 954410 -5099 State Certification or Registration #: CGC 1506887 Certificate of Competency #: Contact Phone#: 954410 -5099 Email Address: swerner@mossemail.com Phone #: 954- 524 -3330 DESIGNER: Architect/Engineer: EDSA / Kona Gray Value of Work for this Permit: $ $5200 Square/Linear Footage of Work: 700 Type of Work: ❑Addition CI Alteration UNew URepair/Replace UDemolition Description of Work: Additional sidewalk at athletic fields ****+ x*** ********** * **********nva+******* *F ************ ******* *************** * *** ***** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ w V 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 Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced ontractor / The foregoing instrument was acknowledged before me this 1 day of who is personal , 20 14, by c 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: Sign: Print: My Commission Expires: APPROVED BY NOTARY PUBLIC: sign`-- 6,6 Print: MICHELLE A. BAGLEY My Commission ' >' ~ Notary Public - State of Florida u •E My Comm. Expires Jul 6, 2014 a, or FIV � Th fission # DD 972411 Plans Examiner Zoning gn. Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) P(•11%\ - BUILDING PERMIT APPLICATION FBC 20 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 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): Address: O ©� �d/ t i.7 i¢ v. City: A/I rep ai i S 4I c k;-e5 Tenant/Lessee Name: 54 ku-p Email: IOedlit,,,i�rr.+f5 e% .4/( 6'ir"1m r� 61 cI t L ye ROOFING arr/ ✓.e rst ry Permit No.(1) J 1 Master Permit No. State: F(oriolci Phone #: 305 -c' 9 — 305 0 JOB ADDRESS: 1 ! j 00 City: Miami Shores Folio/Parcel #: ((°' Z 2) 000 00 tj (a Is the Building Historically Designated: Yes 3 3 1 6 f Phone #: S c 4� -SAsoN q_ 9 Miami Dade County: Zip: 33 l 6 Flood Zone: Phone #: C(Sy— 767- J / 07 zip: 3' 3 ( Phone #: SK -'(I D -S("cj7 NO CONTRACTOR: Company Name: 055 + AS S oL l a re 5 Address: 'i ( 01 A, �a.dv�c,5 veewe_ Srir-tc 3 o City: For-r Lruvd4re,% k.. State: F tor toil Qualifier Name: C. I4 .e ry ( L y yvt IA/ Jets ri .e._ 0 State Certification or Registration #: L & L ( 5 0 b $ $ 7 Certificate of Competency #: Contact Phone #: q S Li - 91 tom% - S 0 q Email Address: 5 14.A.flieveg Q Mos c v.14 DESIGNER: Architect/Engineer: e D'S4 _ l< 0 Pi mt %- rq r Phone #: 9 5'i - 5 Z'.(- 3330 Value of Work for this Permit: $ 517. ®0 Square/Linear Footage of Work: 7 00 Type of Work: ❑Addition DAlteration ONew ❑Repair/Replace ❑Demolition Description of Work: Ado( t,,,�. of (0 ,,,,,-�te_ f kc,l -,p a,-!c. At-'r -e-Frstr4 /9 4-1-11 e I at -E qt., ( , t-' i 6a rt t4-3 le_ n iv 1 yo ©f vi -err ar -e' are_ cI t-u P-e.. p. * * * * * * * * * * * ** * * * ** *** * * ** * * ** * * * *** * ** Fees************* * * * * * * * ** * *** * ** * *** * * * * ** * * * ** o� Submittal Fee $ Permit Fee $ ) CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ r Q 1 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 approve' a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this 3 o day of ,20 /( by .A® who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission E N Notary Public State of Florida • : Cheryl Baide Gerber I My Commies on DD988128 /40,0,de Expires 05/08/2014 Signa Contractor The foregoing instrument was acknowledged before me this day of be",20!,by- , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: 4 pew MICHELLE A BAGI Ey G� ^ Notary Public • State of Florida '' i t ; ° My Comm. Expires Jul 6, 2014 �,;oQw' Commission # DD 972411 1 Bonded Through National Notary Assn. • 4 My Commission' APPROVED BY i t sC% %1% Plans Examiner Zoning Structural Review (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Clerk A1.110',., E E( til`(' E'll' Ili '. L7' 7, ,,11 0k: H'E 69111 OHS, ;hf,i 000045 (H) .` TREWS AVE EE. 33311 2 O %K E P PL d.y 2 (PLR-4-SE &GNI » PFFTFICATE ?AND / t AEON RE zRECEIPT' s m ) DtP < :� 2 STATE OF FLORIDA, COUNTY OF DADE 1 ,HEREBY CERTIFY that t5 1S is a true copy of U.;e WITr5 HAT Cour NOTICE OF CO ENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. 0 4- t �7� (( - J 15 TAX FOUO NO. (1-- 2 b Cc..:1 c ✓1 0 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: 1 111111 11111 11111 11111 11111 11111 11111 1111 1111 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: t f 54 NC , 1#JCw�/Z CFN 2011R0688674 OR Bk 27557 Ps 4939; (1p s ) RECORDED 10/13/2011 14:24 :03 HARVEY RUVINo CLERK OF COURT MIAl1I -CDADE COUNTYr FLORIDA LAST PAGE Space above reserved for use of recording office Nt:uvr; gkw'6.7 -Lt t-46e.4` rite- S 4✓ /il 2. Description of improvement "'i *�-��� �j 0' Lt LO •�, e{ to S t jn 3. Owner(s) name and address: 3 r ^7 7 Interest in property: Name and address of fee simple titleholder: (3r,rr r.: t(� r 4-(e,¢ Rarri 4. Contractor's name, address and phone number. M ,; y 5 + - r es L t, C 1 1.1-7 t (^ «I 07 ,f,i,,rtee.+. -S ofveAe e_ t s ,. rd. ;00 ' Farr t.uv.lr -. J (e_ Ft 3 3 `5 1 I 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number. Amount of bond $ 6. Lender's name and address: 4/14 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number 5h-err/ iateretr.t` ; St= .ae:.F AUst d' wS� - 76e{ -sSID 7 7 le,! /It• ,t,nrutr.ew.c; ��r�.,,�t 1, P �.,.; per-r- Is �tYr�ttrP f L. 3'551( 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number. ft%(o-a - is r L L. i t 5 . • RifT 1,uv611"4 fe-7 E.. g, '?i;i{ __t. — '76,`'1 — 9' /i 7 9. Expiration date of this Notice of Commencement: .Tl,/ 11 ?, i 'r-1 7. j (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE 9F COMMENCEMENT. f! c2O 4J(;` 2 k�� . ,�. �,; L4e... , Ft,. Signature(s) of Owner(s =r(s)' Authorized Prepared By Print Name /wee & tk a 3 Title/Office 404ets op/ STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoing instrument was acknowledged before me this - day of v c--1.:0 " . -2." // By .9- 4,45 �J I��,,dividually, or 1:11 as 7 /j'� bus for 3,x- 7 �,'d"Personally known, or ❑ produced the following type of identific Signature of Notary Public: i' Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. Officer/Director/Partner/Manager Prepared By Print Name Vase v eet:444 �,c .J h;Viltr Trtle/Office sr, e Ll.,vrc =5 may. �5 Signature(s) of Ow. ,el" • _ • By ner(s)'s Authorized Officer/Director/Partner/Manager who signed above: By 7n 0 /too 2. NOTE: ALL SHEET MUST BE REVIEWED MIAMI -DADE COUNTY BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT Herbert S. Saftir Permitting and Inspection Center 11805 SW 26th Street (Coral Way) • Miami, Florida 33175 -2474 • (786) 315 -2100 APPLICATION FOR MUNICIPAL PERMIT APPLICANTS THAT REQUIRE PLAN REVIEW FROM MIAMI -DADE FIRE RESCUE AND /OR DEPARMENT OF ENVIRONMENTAL RESOURCES MANAGEMENT MUNICIPAL PROCESS NUMBER HERE LOCATION OF IMPROVEMENTS `PROVIDE IVG iy6f Job Address 1 130 0 71, ,l✓e CONTRACTOR INFORMATION Contractor No. Last four (4) digits of Qualifier No. 6 S!V 1 Folio [(14; 6 0 00 00 Ll 0 Contractor Name M055 J- i4SS0c.tq ref Lot Block Qualifier Name Sherry (4/- jri-c/' Subdivision PBP9 Address 74 0( !i/• ,4 re<-S .Xfre Metes and bounds City fin L,4,d. -4 le_ State Ft Zip 3 33 // f4 TYPE OF IMPROVEMENTS [ 1 New Construction on Vacant Land [ ] Alteration Interior [7Q, Alteration Exterior [ ] Relocation of Structure [ ] Enclosure [ ] Repair [ ] Repair Due to Fire [ ] Demolish [ ] Shell Only [ ] Addition Attached [ ] Addition Detached [ ] Re -Roof [ ] Foundation Only ' " U Current use of property .A-t'11 L 6h L F I,(c/ - Description of Work A-PDrrI9//AL Sfbew/fG C5 Sq. Ft. p Units Floors Is /b Value of Work 5 - CEO • '' '' ¢ If [fit.] MBLD* d/ Category REVIEW STATUS [ 1 Chg. Contractor [ ] Re -Issue [ ] Re -Stamp [ ] Revision [?4 Not Applicable for Fire OWNER'S NAME Owner e'Arr7 LklIvrrS: t% Address (13 O ilic - ,f' City NtbAt; 5ka-e5 State R. Zip 3 3161 [ ] MELE Phone 3 0,c- Qgi — 05 [ ] MLPG Last four (4) digits of Owner's Social Security No. [ ] MMEC [ ] FIRE PERSON TO PICK UP PLANS Name 3714011 kg WIND ARCHITECT/ ENGINEER Owner L: f?Sari' .tivC- Address (5(2. Eese 13.0,.. 13(( sir re HO Address ([ 300 ,v id 1- Ave. City E( (, .c4' €(e_ State P[ Zip i330/ City Miu/Al Sltet5 State FL Zip 3.16 Phone (Is LI -5 7.4- 3 33 0 Phone eiSi,( -66cc--R 7L.L 3 FIRE SPECIAL REQUEST PLAN REVIEW (SRI) 1 am requesting a Special Request Plan Review (SRI) to be scheduled as soon as possible at the rate of $190 for the first hour and $65 per each additional hour in addition to the review fees. Minimum charge one -hour. 1 st Request: Date: 2'"' Request: Date: 3'4 Request: Date: 1DERM OPTIONAL PLAN REVIEW (OPR) 1 am requesting Optional Plan Review (OPR) to be scheduled as soon as possible at the rate of $75 for each discipline. Additional review fees may apply. 1st Request: Date: 2n° Request Date: V Request: Date: 123 01 -192 12/09