FW-12-1370Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: I NSP- 176230
Scheduled Inspection Date: October 10, 2012
Inspector: Bruhn, Norman
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue
Miami Shores, FL 33138-
Permit Number: FW -7 -12 -1370
Project: BARRY UNIVERSITY
Contractor: EMERALD CONSTRUCTION CORPORATION
Permit Type: Fence/Wall
Inspection Type: Final
Work Classification: Wire Fence
Phone Number
Parcel Number 1121360010160
Phone: (954)241 -2583
Building Department Comments
CHAIN LINK FENCE INSTALLATION
Inspector Comments
Passed e'/j
���J /o l • ti-
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 15 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
FBC 20
Permit No. WO ) Z I D dC)
Master Permit No. C C- 3 2— 1 S
Permit Type: BUILDING ROOFING
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: 33)MJ
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): / U /1; 4e.r.54 4.7 Phone#:
Address: // 40e2 //),‘ al n,1
City: ellifilvil 6ilor'tif State: it • Zip: _ -3.3
Tenant/Lessee Name: / Phone#:
Email: j (4C)® /140/ / 647 • e L
CONTRACTOR: Company Name: v '� /� �►L..a! Phone#: /.Szt &i a1 z
Address: /0170 hv i j %� l O ✓r7
City: 11 �/1 ITV �/I State: a. Zip: 33 oe?
Qualifier Name: sr e— - ,$/31./e-4
Phone #:
State Certification or Registration #: (0c i s I $` Li 1. s Certificate of Competency #:
Contact Phone#: Email Address: .4.24/4_,A, Gel/'co'ti
DESIGNER: Architect/Engineer: maid
Phone#:
Value of Work for this Permit: $ 0 O
Square/Linear Footage of Work:
Ze,o
Type of Work: DAddition *,iteration New ORepair/Replace ODemolition
Description of Work: Keloc. d: Ex' 1 n 5 CLAlt d ALL Fel ,
Color thru tile:
*+x**x:****** ** * *** , ************+x*s:****** peeeam* *********+ x* **+ x* *+ x** *****+x*******+x+x****
Submittal Fee $ Permit Fee $ 7e7t) CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
No Training/Education Fee $ Technology Fee $
Structural Review $
TOTAL FEE NOW DUE $ 490 '00
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 FT .RCTRICAL 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
4
Owner or Agent
The foregoing instrument was acknowledged before me this
, 20 17, by grikAckT en vi L'iou
day of
who is personally known to me or who has produced
As identification and who did take an oath.
Signature
Contractor c,
The foregoing instrument was acknowledged before me this j `
day of c� V� 20 l 1—, by �4rtc_ /4-u L
who is�ersonally known tome or who has produced
as identification and who did take an oath.
NOTARY ' UBLIC: NOTARY P
APPROVED BY
Plans Examiner
Structural Review
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Sign:
Print: �L
.ot;v �o, Jonathan Cuesta
My Commission Expiresof.o � � COMMISSION #EE041198
�;v'::'o�' EXPIRES: NOV. 09, 2014
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�2, Zoning
Clerk
1
Planning and Zoning Criteria
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Expires:Not Issued
Folio Number:1121360010160
Owner's Name: BARRY UNIVERSITY
Job Address: 11300 2 Avenue
Miami Shores, FL 33138-
Owner's Phone:
Total Square Feet: 200
Total Job Valuation: $ 1,000.00
Contractor(s) Phone
EMERALD CONSTRUCTION CORPORATION (954)241 -2583
Primary Contractor
Yes
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 7/24/2012: Yes
Comments: