FW-12-1071Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 174762 Permit Number: FW -6 -12 -1071
Scheduled Inspection Date: October 10, 2012
Inspector: Bruhn, Norman
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue
Miami Shores, FL 33138-
Project: BARRY UNIVERSITY
Contractor: CARLSON FENCE COMPANY INC
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wire Fence
Phone Number
Parcel Number 1121360010160
Phone: (305)593 -8590
Building Department Comments
FOUL BALL FENCE NETTING
Inspector Comments
Passed
/olaa
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
October 09, 2012
For Inspections please call: (305)762 -4949
Page 11 of 46
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
BUILDING
PERMIT APPLICATION
Permit Type: BUILDING
ii3oD NC A-v& u,E
Miami Shores County:
JOB ADDRESS:
City:
Folio/Parcel #: /1 r a21 3 6 a tm ®(1a 6®
se q.
JUN 12202
FBC 20
Permit No. l 2- —t r_51
Master Permit No. L% / a--Yr,-
ROOFING
Rt +sv- , 1sar7g 6 7 e-6-
Zip: 3316/
Miami Dade
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): 8i ek/ UA l ti 01t 5lT'' Phone #: 30C- $9q'39g,1—
Address: 11300 Al 6- „2.') A1J r3 t.&
City: Mi 01441 5/rf-trg, OS State: Zip: 3314/
Tenant/Lessee Name: Phone #:
Email: o-yko @ M»14 .. &Ivey 4 G-1) a
CONTRACTOR: Company Name: C'o f' &FJ r hic Phone #C30 � .' 'PO
Address: (111 i /U-W. (all
City: IA (
Qualifier Name: 4 Vi
State: Fe.
Zip: 2306
Phone #:
State Certification or Registration #: /74/125 ® Certificate of Competency #: 4/5
Contact Phone #(3a1) 3 `SWO Email Address: i 0i% Y1so,J1Skke• COW4
DESIGNER: Architect/Engineer: MA MCA. sx/iJ A4 O i) 5144 ASS C4i4 7 S Phone #: 9 q6 /'' 6r°6
Value of Work for this Permit: $ of erav• a.
Type of Work: Addition ❑Alteration Description of Work: /'UT 77# /Rc.E
Square/Linear Footage of Work: /2 0 Cif
e
❑Repair/Replace Demolition
Color thru tile:
�k******** * - *** * * ****i ********** *** ** *Fees* �k�k%k�k�R**** ****** k.k�k�k�k�k�Yek *�k%k�E�k*** kaR�k�k� *** **
Submittal Fee $ Permit Fee $ /01e9' CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ t cJ-1. ��
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
N/A.
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
AVA-
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 an reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20 114 by 1:3QM 01,Z; ,
wha.i. ersonally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Ex
Signature"
Contractor
The foregoing instrument was acknowledged before me this, 21
day of MA4 , 20 1.2-, by MA Ma- '1?M4S
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commissi
****************************************** **** *********** ****************
APPROVED BY
Plans Examiner
AW i CAA/
AWN. Notary Public State of Florida
Allan Capuano
,:. ca My Commission EE054592
gsAbice' *4.16s vitki3/41 44 * * * * * * **
Zoning
Structural Review Clerk
(Revised 3 /12 /2012)(Revised 07/10/7;f1.: ' ' 'Thwis:id 3/15109)