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PLC-12-1289Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 GC- \2 -x-4;2 Inspection Number: INSP - 175758 Permit Number: PLC -7 -12 -1289 Scheduled Inspection Date: October 15, 2012 Inspector: Hernandez, Rafael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Miami Shores, FL 33138- Project: BARRY UNIVERSITY Contractor: A STREAMLINE PLUMBING INC Permit Type: Plumbing - Commercial Inspection Type: Final Work Classification: Sprinkler System Phone Number Parcel Number 1121360010160 Phone: (754)234 -1405 Building Department Comments REPAIR EXISTING IRRIGATION SYSTEM LINES ON BASEBALL FIELD Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments October 12, 2012 For Inspections please call: (305)762 -4949 Page 9 of 35 th?11 PERMIT APPLICATION 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 FBC 20 8 Y: Permit No. ri �� :_.�% rir Master Permit No. CC— 3 Permit Types PLU1VIBING .. _. __ ... _. OWNER: Name (Fee Ra Simple Tm itleh older): As.t;at e (b 3 I t Phone#: Z30 g- 3 q g 3q1a Address: / / 300 NE a&-is C l X 31 b r City: fir/ t $ho ne#: Tenant/LesseeNam: Email: 'rye MAIL Q Muy JOB ADDRESS: 1/ 30 0 /de a/0 Av iA �T bizek.z. (SJp[ f 6) City: Miami Shores County: Miami Dade Zip: 3S 1 61 Folio/Parcel #: /I at % OQO - Q a Is the Building Historically Designated: Yes NO ✓ Flood Zone: CONTRACTOR: Company Name: A 5i1C2- ►VtLI, e P tm. .14J Phone#: 7C'F 'f°i 5- Address: 6-944 S v3 Q AV E.16 City: 5 't 's State! gip: �- Qualifier Name: _ E,07 CIg 6 Z, L Phone*: 7 -` (/- F ( of State Certification or Registration 0: C f C. / 0 / 5 Certificate of Com jetency # a Contact Phone #: '�� '� I �— e-F7' " Email Address: ,A- <TR..C,Lt' iJ e @Y; CkO ©Cr/k4_ DESIGNER: Architect/Engineer: . `` /0 meek, SKI ft OCtio -' Phone#: q• q 6 613t6 Value of Work for this Permit: $ ® ' Square/Linear Footage of Work: 02- D L' Type of Work: °Address °Alteration °New AItepair/Replace °Demolition Description of Work: A-1 A / d2A.( — l f (A' / C— U Al Cry AT B/ Submittal Fee $ Permit Fee $ f'' `---- CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) ✓ 3 /ft- 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 and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of ,20_,by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY The foregoing instrument was acknowledged before me this '3 day of �� ,20A, by . ,fr9ft �L 64 ,O who is me or who has produced as identification and who did take an oath. �44.Pp°'•.,� Jonathan Cuesta NOTARY PUBLIC: . COMMISSION#EE041198 ' , -ill DPIRES: NOV. 09, 2014 /(f 4 /Pli∎ M W,AAR0NN0TARY.com Si nsoiltwa- -, Commission Expires: ************* * ********** *** * * * * *** * ** * ***** ****s **** **** *** *+r*+r****** *+aa *** '13'1 Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)