Loading...
PLC-12-1221Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 175381 Permit Number: PLC -7 -12 -1221 Scheduled Inspection Date: August 31, 2012 Inspector: Hernandez, Rafael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Andreas Buildin Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: TWIN BROTHER Permit Type: Plumbing - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360010160 -21 Phone: (305)332 -1969 Building Department Comments REPLACE FIXTURES IN RESTROOM Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments August 30, 2012 For Inspections please call: (305)762 -4949 Page 1 of 6 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 BY: Permit No. PICAZ� 1221 Master Permit No.0 )2' 9 Permit Type: PLUMBING 1:4) I OWNER: Name (Fee Simple Titleholder): a i (' U n t vn,c-Sl Phone#: Address: 11300 N 2 J Ave_ a City: 1'k earn; Si asre S State: Zip: 334 1 Tenant/Lessee Name' Phone#;, Email: JOB ADDRESS: 113 0 0 PE City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: I I ' 1136 000 -005-0 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company N r`4 ,5 64 ghone #: 3 0S" 333 if Address: 4° 69ari4 Alm City: ilifiroyi State:- Zip: -3 3 / -5 Qualifier Name: Phone #: i State Certification or Registration #: ' �° 3.--// Certificate of Co petenc %y# �� r_ v- 9- / 6 Contact Phone#: ?�aS '> 3 3 / 16 % Email Address: !�u��t i7�aa�1 a'y e � 'S` • Co�� DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ "a S °v � ° Square/Linear Footage of Work: Type of Work• °Address OA} ration New epair/Replace ®Demolition Description of Work: ° I A- —r •icrC P 5 5T ' . ' 1 L renpsoh 14411 *******************************+ s******* Fees******** * *** *** **** * * * ***** *way ************** 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 $ 1(02:30 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 a ;,. reinspection fee will be charged. 1 Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 L, by who is perso known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Exp' Signature G Contractor The foregoing instrument was acknowledged fore me this LS day of 1 , 20 .a.; by 73)It who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: _ ♦-- Sign: Print: My Com YUDID RODRIGUEZ M• a ,x**** ,x**** x,x+x*,xs,s*,x*,x,x*** * ;, ,x+r**** x, x, x*a:, x+ x********* *x x******** a *s,*,x,x,xa,x,xa,a,********* x* ***+ ,x+x,n,aa,s*+x,x **+x****** APPROVED BY Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk • AU ( MC STATE OF RAMA OrigiREANCIALOFFICES OB"AREI IT OF ~RCM SWISS ORM* F INORKERS, apMPEWSAT 1 * O ELEIMIN e0 BE EXEMPT IMIN-RONtil COMP * * COMPRUCINIti MEW socarnai this• geeing tot to Wad Ned _ has deed b be CORPROMON 1111L . BrECTME-DATE: 00/241E91O PERSON Z NAME — TM WINES PIANDINDt0nnCORP IMO Sit22 NMI - FL SIDIM - iiXPISATION 0ATEr iiiinwzola SCOPES OF BUM= OR TIMOR t- PLUIESINI alt EOM IMPOMUM ransean mMier CUM WS. as Wiser sr : .as effects ceofeseas funs erit ~Er rr UMW a crEarkilla a "l r elk ,settas es, es pager ese des as aresoados coder ate adeteet - mos of Or mss or Sods Med at de tae d dorm le eeee le eked= to be imp[ sled dr safest le eeaBas 9, at Star ee coth es logs cede Os reeektesses cd Stiis mem for • and oe Or eeidnaele ee teat the stafitaases of Ode =dm a 262 =NOM OFBHaw1D6E EMIT N rinaast to a d a to swap a d det 10 OWN, ofttORES . se.afa.ae or de6�afaa4eBeearasl�a#Oee��e� d s tectiliale. ie repalie d eeed'reeela ai oe * say ea for Mae d Oa ante OlN8 413 -16119 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE CISOIFEMSESFELEEMON1DOEBEISWITROMIXSUSI WDEPEREICONFMENEMMILEST as/2a/2030 ENPSRAIZON OM: 60/210/2012 AMMER PIKE 200321rAS7 BUSHIESS NAME AND A TM BROOMS ISPENIM CON cam ma Of 22 MIME A FL 33145 SCOPE OF BUSINESS OR TRACE 1- Eufaula cammcnott • • imiram-Arir fo 1e Manita ES. a officer Of a trepetetan YAW � r ar 1 toefer Otis sew e Dew • Be Panissat 44=1I2L F,S Cfrefirotes it ofection to he r_ mama— =dr only widen the tempo of :the babas or tomb ffstad on R • Erman to Omar mama EL Rakes of eAs ea to -lae eta -a eadifia as e exempt slitS bo a Via► refoodion N„ at aty thee after Os Ong of the maw or De stardatate. the paw alsool on Do mate ar -i Nollgr ' foodluneNt of this swim -fer items of a eertMete. The department sere stool o a tostilitoto at swill= for More of to poises wooed as too cottifictoo to mow the reoftements et - s SUESBOOD 413 -1N9 CLff HERE • -CauY batman pout sae ' job, teep sipper poraoe AT Mr recants. • ,• .0 .0 , ' , 4.4.1.: ... „3:-. -.... . ,1.-,,•,-.- ..:k0--; : g,.. -: '“ --e...-- — u-,..;.,,- - - - - - ..q % -, .1. ,.,..,,..: ,,,..--,.,.,-,_.k.:, i •-:::-. --,---- • r ..-•,,,g re 0";,,; `',3,14,:'@.7ri-l'ii-z.,-; i'.Q :.1. , • .• - TWIN: BROTHERS..PLWIBING: ratifti:.CONTRACTOR: IS ONLY essout: mt..:Ncry IT ThE. intwarGuisraw OR SG CF ThE Mir ORIM: ONEffINNWPAy:! MIT. .� -1101211151ff 1Wl5 BY L*W.1HS 5. DiEE.OTHED SLOE DO NOT TWIN BRO1YHERS PLUMBING cONTRACTORS CORP I - 2930 SW Z2 TERR MIAMI FL 33145 111111111111k$ %ha MISS 161111111111.11A18411111111AdM deetRe CERTIFICATE OF UANILITY INSURANCE PRODUBER VP Insurance 3842 Davie EPS Fart Laudettade. FI.331112 40+9 TtU1aDin1 THE CIERTMicAyEmiSEUED AS AMATTEROF INFIMATION ONLY AND GONFERB HO HIGH=S UPON THE CERTIFICATE tioLOER. THISCERTIFICATE OQES NOTAMEND. MEND OR ALTER THE cOvERADEAFFORDED BY THE POLICES B» HOMERS WORDING COVERAGE Twfi BMWs PbmiluO CON) Swaz Te+r Mist Fl =US 4 k AsOROORUOSSforibm. Lis INSURER 0 INSURER t INSURER 4k INSIMERE COvERAGES THE POLICIES OF INSURANCE LISTED Ha= HAVE BEEN ISSUED TOTHE INSURED NAMED A FOR THE POLICY PERIOD INDCCATEO. NOTIMTNWANDING ANY REQUIREMENT. T MORCONDITIONOFAmcQNT iytCTOROTHER 00CIRIBiT WITHRESpECTTOWFSOWNIN TEOD OR MAY PERTAK THE AFFORDW BYTIEVO1ri2ER 1 k SUNIECTTO ALL Ti E MIAs. ERMUSONSAND POLICIES. ANGINICATELNSTS SHOWNSA Y HAW BERN fEEDMat BY Pio GARR — WSW TYPE OF INSURANCE GERERALIUUSLITY ELAM WOE ® OCCUR ►TE UMW APPLEStOt POUcY pawl= n LOC ARTURO= Lyman MT AUTO ALL OWNED AUTOS ° SIDIEDULEMUTOS tine:mums NOOOVVRED AI OS POLICY MEM 42.44445-2 EACH OECURRME $ =IT ittigt a 8.000 1.000.000 WIDEN tAnyo arw41 5 PERI MRAL& WNana $ 1.000,408 CENERM.ASGRESATE 5 V .otro 1.008,440 143,000 PROVO= -SAGO $ Fire Dames umii — SINGLE MOT BMW NAM *ARAM WIRROY ] immure 1 tAUmin ] cc= D cu s MADE OEDUCTIBLE OMER Miming Wort CERTIFICATE HOLDER CITI MIAMI SHORES Bilding Deparment 10050 N.E 2nd Ave Fl9rida 33138 ACID Ns (2082/1111) VILLAGE Miami Shores, 1SPoctltL pau►'tilla !ONTOONLY-E5ACCIRENT .; ;1 IMACC Aare i EA0NOC4awRENCE $ a EL EACH MIRDEfir Et- - EAeantaAR s EL. oREASE -POLICY M s CANCELLATION A1YOP,RS MORE DE55018191 POW= RE GARREUEO REFORTITOR 30 opYBWIUrf WOO 1i , SOLL TO MI. R O M E TOTIA GOITIFEmatiatosRosozo mum us7t,4aurFigB ETOOD50 mown* GMAT= ORLIAI R VOP AIN RIND 0505 TKE WORM 110At, on auntORORDREPROSESTA DI> G AcORD CORpoRATION 1988 DEp O$ AND PROFESSUNIAL REGULATION CONSTRUCTION INDUSTRZ LICENSING BOARD (850) 487 -1395 1940 HQBTE NORBOE STREET 32399-0783 ALVAREZ BENITO A TWIN BR6THER8 PLYING 2930 St' 22 TRACE FL 3145 With thls keine you became cne of one million bythe Department Our professionals and range from to yacht brokers, from boxers to Intd3eque restaurads. and they keep economy stums. Every day we wodcbo bdpraroe the way we do bushman and to serve you bier r For information ab icier services, N log onto There you czar find more infOrnalion about our +; , ;.; ; + the mold= that Impact you, subscrthe to and ; mom about Department's initiatives. Our mission at the Department k that you Efficiently. �(:.:ei ICit :. Fairly. We Thank yoaya� Florida, and 'aongrabrfations on yaw new Himmel .t d�3Y'z is acs --t., Xsc.: