CC-12-921Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 178477 Permit Number: CC -5 -12 -921
Scheduled Inspection Date: September 19, 2012
Inspector: Bruhn, Norman
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Thompson Hall
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: QUIRINO CONSTRUCTION CO
Permit Type: Commercial Construction
Inspection Type: Final Building
Work Classification: Alteration
Phone Number
Parcel Number 1121360010160 -02
Phone: (305)892 -1987
Building Department Comments
REMODEL EXISTING RESTROOMS AT THOMPSON HALL
Infractlo Passed Comments
INSPECTOR COMMENTS
False
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- 173892. Provide fire final. NB
September 18, 2012
For Inspections please call: (305)762 -4949
Page 18 of 27
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MIAMID�� MUNICIPAL INNUANAm
MUNivIPAL NO.2012-043122 PROCESS NO. M2012007647 FOLIO: 1121
JOB SITE ADDRESS 11300 NE 2 AVE
PROPOSED USE SCHOOL BUILDINGS
II I NU
ii44194JAW(ECORD 06/07/2012
REQUIRED INSPECTIONS
FIRE
0001 FIRE INSPECTIONS RECOMMEND
200 FIRE HYDRANTS
208 FIRE TCO INSPE
211 PRELIMINARY
209 FIRE FINAL
/REMD REST THOMPS HL
INIT DATE
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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
L ING Permit No.CciI
MAY 2 illi
BY : - -. e
PERMIT APPLICATION
FBC 20 `D
Permit Type: BUILDING
Owner's Name (Fee Simple Titleholder) Barry University
Owner's Address 11300 NE 2 °a Ave
City Miami Shores State FL
Tenant/Lessee Name
Master Permit No.
Phone # 305.297 .3995
Zip 33138
Email J''i 6 E /AA 1 tay' r 00-
Phone # 305 ft? S995
Job Address (where the work is being done) Afifiy (AN WCTSATY - TH PS6 M r ■qeb f) V
City Miami Shores Vill: a County Miami -Dade Zip 33 (o
FOLIO / PARCEL # 11- 2136 -000 -0050
Is Building Historically Designated YES NO AlfO
Contractor's Company Name Oki 1(lj No T Orito
Contractor's Address 1, V/ A/. wet tW QO 4 D
City A)- f4 & a 4 t State Pt •
Qualifier Name Jm ttA) A . a toe
State Certificate or Registration No. C6C 63144 G
Contact Phone 305 gt' • P9 $1
Flood Zone
Phone # s • a°t Z • 19 g7
Zip '331 Bl
Phone # '305 :77 • l947
Certificate of Competency No.
E-mail £ V I& JO CO e a 0 L. COM
Architect/Engineer's Name (if applicable) Aiwa Sy NA Lo vsks Phone # q s4 • Qa • 1040 G
Value of Work For this Permit $
Type of Work: ['Addition
Describe Work:
.4 . .
fr
1
['Alteration
Square / Linear Footage Of Work:
['New ❑ Repair/Replace
1004
❑ Demolition
,r * * * **** ** * * *** * *** *year * * *** * * * ** ** * ** ** *** ***** **** ** ******* * * **** *** ***** *** * * **
efff
Submittal Fee $ Permit Fee $
CCF $ CO /CC $
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Bond $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $ O. O
See Reverse side -�
•
•1
Bonding Company's Name (if applicable) "'°,
Bonding Company's Address
City State •"*. Zip 0'
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State '7 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 a ; reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this 1
day of fI Ik'/ , 20 7, by BOACE 10a2)0S
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY ' UBLIC:
Sign:
Print:
My Commission Expires:
APPROVED BY
Signature
Co) tractor
The foregoing instrument was acknowledged before me this a
day of 20 /) , by -„,/,,A4 ' act./nine,
who is perso y known to me or who has produced e: a et;,
_Irk.' ter / e, s e._ as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commissio
7 • 1:'1' -41i
=WIN
NOTARY PUBLIC
STATE OF FLORIDA
Comm* EE005645
Expires 8/16/2014
Plans Examiner Zoning
Engineer
(Revised 07 /10 /07XRevised 06/10/2009)
Clerk checked
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
PERMIT NO. TAX FOUO NO.
STATE OF FLORIDA:
COUNTY OF MIAMI -DADE:
THE UNDERSIGNED hereby gives notice that improvements wig be made to certain real
property and in accordance with Chapter 713, Florida Statutes, the following Information
Is provided in this Notice of Comm rent.
1. Legal d of avid s et/addrrms: NVbQ NDV .r
OMi MOs
2. Description of Improvement l
111111111111111111111111111111111111111111111
CFN 2012R0387722
OR B 28132 Ps 4063; (ips)
RECORDED 06/01/2012 16 :00t21
HARVEY RUVIPIr CLERK OF COURT
MIAMMI —DADE COUNTY, FLORIDA
LAST PAGE
Space above reserved for use of recording office
lG 2-c A .
0
, i11'14i a EI11S1i l IIIER R! ;< Y' h'2 EATS[!9i�'�'tE
3. Owner(s) name and address
Interest in property:
Name and address of fee simple titleholder
4. Contractor's name, address and phone number:. 0410 NO CM NIA MOO tA
S. Surety: (Payment bond required by owner from contactor: if any)
Name, address and phone number
Amount of bond $
6. Lender's name and address:
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., Ronda Statutes,
Name, address and phone number:
8. In additlon to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section
713.13(1)(4, Florida Statutes.
Name, address and phone number,.
9. Expiration date of this Notice of Commencement
lUro expiration date's 1 year ham the date of recording unless a different data Is wetted}
WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE E7(PIRATION OFTHE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWIOE 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 OF COMMENCEMENT.
Signature(s) of Owner(s) or ►! fins)' Authorized Officer /Director/Partner/Manager
Print�Name� ,,f�r�ee. Eeiin/cawri 5 Print Niamey
Title/Office, V Alco0;106 a1nJ g arlcC Title/Office
STATE OF FLORIDA
COUNTY OF MIAMI -DADE �.
The f oh t instrument was acknowledged before me this _ day of 14°11 . �„ ➢ �'
"Individually, Cu V4
",Individually, or as for
Personally known, or 0 produced the following type of id
Signature of Notary Public:
Print Name:
(SEAL)
Under penalties of perjtuy, i declare that l have read the for
that the facts stated in it are true, to the best of my
Slgnature(s) of Owners
By
s Authorized Officer/Director/Partner/Manager who signed above:
123.01.62 PAG 3 ono
BY
Miami Shores Village
Building Department
10030 N.E 2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Permit No.
Job Name
PLUMBING CRITIQUE SHEET
Miami
Shores Viitage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
RECEIPT
PERMIT #:al 22 I
DATE.
V aAkr■n0
I,
\Contractor
o Owner
o Architect
her
,0
Address:
From the building department on this date in order to have corrections done t I
And /or get County stamps
Shores Village Building ,'e
o • ans
. I understand that the plans need to be brought back to Miami
t continue permitting process.
Acknowledged by:
PERMIT CLERK INITIA
RESUBMITTED DATE:
pa
PERMIT CLERK INITIAL:
P it No: 12 -921
Job Name:
June 1, 2012
Miami Shores Vivage
Building Department
Building Critique Sheet
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
1) Provide approval from Miami Dade Fire.
2) Provide approval from Miami Dade County DERM.
3) Provide all permit applications prior to any further review.(plumbing)
Plan review is not complete, when all items above are corrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
Norman Bruhn CBO
305 - 762 -4859