PLC-12-1457Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 176717 Permit Number: PLC -8 -12 -1457
Scheduled Inspection Date: August 17, 2012
Inspector: Hernandez, Rafael
Owner: UNIVERSITY, BARRY
Job Address: 11300 NE 2 Avenue Pool House
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: LANDSCAPING ASSOCIATES INC
Permit Type: Plumbing - Commercial
Inspection Type: Final
Work Classification: Sprinkler System
Phone Number
Parcel Number 1121360010160 -36
Phone: (305)258 -6310
Building Department Comments
LAWN SPRINKLER
PENDING NOC
NOC IN FILE
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
August 16, 2012
For Inspections please call: (305)762 -4949
Page 6 of 17
08/16/2012 10:24 FAX
NOTICE OF COMMENCEMENT
A REOWIDE0 car, MUST BE POSTED ON VE JOB sogg Tow oFforr INSPECTION
PERMIT NOP in 2.- W?, TAX FOLIO NO
MATE OF FLORIDA:
(*UM OF LVAIVII-DADE:
• .
THE UNCIERSIGNED hr oy elves /Wit:GINO )mpfovernenta WI be made to certain null
propertwand hi accorderte with Chapter 713, Florida Statutes, the following infoffnation
provided in this Notice of Consnerseernent. •
REV
a002/002
IIHVE111
1)1
C:FH 2012R0576899
DR ek 28230 Pa 312 (jps)
RECORDED 08/16/2012 09105:47
HARVEY RUVIHr CLERK OF COURT
NAM-DADE COUNTY, FLORIDA
LAST PAGE
1. Legal. descriptionof property and le /2 re/4
2. Description of Improvement 44? f..47
3. qiiii*)end • • -
therlistWn. PraPe*
Name pd address ate simpIe.titfahold
4. ContriotOr's name, address and
reserved
02COPIUM0c0Mo•
4:r-filaralliii7LOYAV/E.11W/7/1111,4VP7A0211V J-...4MWZ727;
. •
5. Suretr (Payment bond. fequired bir owner fronnicadiairtor, N any)
Native, addreis Osiris hull** •
Miofltofbofld$
6. Lender's' nanie and addisett:-
Section 713.136)(1)7., Iiorkia Steatites.
7. PersOrieWithiii the'Stafe of FkIrldidditignated Mater upon whom notices or other documents may be served as provided by
• • •
Ilidre'ss and PholirknUmber:
6. In additiorit‘himielf; (Arnie liesienates the folialidne person(s) to receive a copy of the Pertorallotice,srheroVidS0J1 Section
• • • ..• • • •
713.1E04 Fkidda St84.464.1'‘• **
Name; address and p .0.A‘
hone • •
. .
9. Expiretron dike of this Notice of Pommencernent
•"1
(the expindlon date Ili from the cisitiialeoceriares aileee
•
wmpartaiitrowNskAgipA=Aa BYTHEOWNER AFTER THE * • *NV* gi* 4F • *
TheneftER PAYMENT* Wein • 113; PART.14•SWION 713.13: '" STA Uri • . VINO VIM FOR
ImPRovismgrqra_loyotAR myosin. Nowa OF bril&mz =PENT iot)fst BE-REcoRoith AHD ftersgi ON 4revoEitstrevr-one THE
FifittiNsPECRON: 1130 wittitito totwagnikkray,; bot•ifoLT MAUI:NOM ORAN APrO_RNEy WON _
' . . . • •
erW Auftrifeci QftigitrilTAWtoriPartner/tvlanager
Preluireki, -
P6.1t1wirns • •
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Wiled beforrinie thle. day. of .1114 4‘1317
Print N • "
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th.0 We'"igNe.451-
"46Apioticii Not* Kam •
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Under pedialtiee of jiiy, I deolfire• that I have red the'
that the facts stated in it are trim, to the best of my .
v,•.•••, *
Signature(s) of s Authorized OfEcer/DIrectoriPariner/Maniteer who signed abiwe:
BY
latottat PAGE 3 ma
BY
STATE OF FLOMDA, commit OF DADE „,..,-4,..„„-T47,-,„.
4.'0"-- —'''''
oilgiriai on fiiil m ti*; otti
I HEREfeW CERTIFY ;feat fkvd V-- .11 i9 ii t."1.1.4,31i4 agret: MY.; Or i..I'
A!..1
14/
1
HARVEY Sit.MN, Cifflt o Circuit anti C;a•srety COLtE1 .4
Deputy Cie*:
•
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 APPLICATION
FBC 20
Periattype: PLUMBING
OWNER: Name (Fee Simple Titleholder)• //2/
Address:'-'7 e,6 0/e, 2 /96'''
City:
ad7
Permit No. PLC - L- 5 7
Master Permit No.
442W'l22 Phonet 0a0 ° 6'06
State:
.,„
••••••••
TenantOSeee Name:
Email:•. •
JOB ADDRESS : PZ-14 $,z :
City: Miami Shores
Folio/Parcel#:
Is the Building Designated : Yes
County:
Miami Dade
Zip: 33/e
71‹ e 6
CONTRACTOR: Company Name:491
Address:
City: F-11-4-2ce State:
Qualifier Name: P‘ /20,446,
State Certification6t itegiStratimf#: 40 or a 6 f 901'
Contact Phone#C ef../e) 9-fee°, 7) Email Address:
DESIGNEIi: .Architect/Engineeit 4
NO
•
/1_15"aeo
//J/6
PlOodZone:
Phone(
--Zip: -Z5432
Phonelt:Pes.9 2,,CY216
CertifiCate of doniiiiencik 6/000 1".1,,9,f
4 49 e Ati4 eel°
Phonet 9Jeff-r7
Value of Work for this Permit: $ Ff° Square/Linear Footage of Work:
Type of Work: OAddress
Description of Work:
deAlteration
ONew CIRepair/Replace
•
ODemolition
**************************************
Submittal Fee $
Scanning Fee $
Notary $
Double Fee $
12PsID
*** ****************************************
$ CO/CC $
DBPR $ Bond $
Technology Fee $
Permit Fee $
Radon Fee $
Training/Education Fee $
Structural Review $
TOTAL FEE NOW DUE $ 11,594-
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State
istief
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, PJ.UMBII G, 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 conimenceihent 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 r and a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this ,1 sv
day of Atka ,, 20 R by Getta e
J u b a onal known me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
* ** * * * * * * * * * * * * * * * * * * * * **
APPROVED BY
Signature
Contractor }
The foregoing instrument was acknowledged before me this O I
day of iAkt,b1 , 20 ikby t?i , 1 `-)
who is personally known to me or who, has produced
‘01111nrt ..a
as identification aVArtio did to 4tp oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
o —:
c,rrrrurrrnmt 0NNN
* * * *** *+k** **** eke * ** ** * * * * **** ** ****** *** ***** ** *e * ** * ** * * * *** *s * *** ********
Plans Examiner Zoning
Structural Review
(Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09)
Clerk