CC-12-2431Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 184218 Permit Number: CC -12 -12 -2431
Scheduled Inspection Date: January 15, 2013 Permit Type: Commercial Construction
Inspection Type: Final Building
Owner: , BARRY UNIVERSITY Work Classification: Alteration
Job Address: 11300 NE 2 Avenue Browne Hall
Miami Shores, FL 33138 -0000
Inspector: Bruhn, Norman
Project BARRY UNIVERSITY
Contractor: NEW LIVING CONSTRUCTION INC
Phone Number
Parcel Number 1121360010160 -14
Phone: (954)237 -4731
Building Department Comments
REPAIR WATER DAMAGED DRYWALL
Infractio Passed Comments
INSPECTOR COMMENTS
False
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
January 14, 2013
For Inspections please call: (305)762 -4949
Page 18 of 19
1r11a1111 r 111agG
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762A949
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B DING
PERMIT APPLICATION
Permit Type: BUILDING
P e r m i t No. CFBC
Master Permit No.
ROOFING
JOB ADDRESS: big � (4 veal 3 (&a.imie G(4// % /300 ,t/t Z r e
City: Miami Shor i° County: Miami Dade Zip: 33/6/
Folio/Parcel#:
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): a t WS I
Address: / 1 3c ,V p 2! /mt
City: 1i fir- eitt9ieS state: A- zip: 3 3/6/
Tenant/Lessee Name: Phone#:
Email:
Phone#: 30.r -'9 9 — 37f
CONTRACTOR: Co an yN�: "7 1i 4 Phon#:
Address: l 3S 6. J,' // v4k
/ et/ 6/,/i I ` y j
City: /JA / /i*/VO k 6e41 O state: ___ __ Zip: 33 007
Phone#: 301170` rf W7
30S -�6/ m*
�.
Qualifier Name: ,�iT/� % i�j/!� p
State Certification or Registration on #: CSC- 1 /992 913' V G Certificate of Competency #:
Contact Phone#: 3 a - 766 / V yV' Email Address: n/Ar/i N /weeproz ri• 9 tre-7,,Z, GC7T
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ / / 300. Square/Linear Footage of Work: 890 S'9. P%
Type of Work: Addition OAlterationn,, ,, ONew .� ljliepair/Replace L (Demolition
Description of Work: h7, - S A (ec'/ di(y -w -4 /
Color thru tile: /.%�
******** **+ k******* ******+t***** *** ******F ************ *# ******* ****Q+*i*****B*Qa********
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Submittal Fee $ Penult Fee $ 1,0 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL. FM NOW MTIR P 10
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 certled 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 appri and a reinspection fee will be charged
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this t Z
day of DG,( 1, 20 , by Raga la 2f
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commissio
yAo
* * * * * *** ****
Sigaa ,
Contractor
The foregoing instrument was acknowledged before me this Lek
day o f , 20 , , by 'i i
who is personally known to me or who has produced - L-
as identification and who did take an oath.
NOTARY PUBLIC:
Print: A
My C
* * * ***** * * ** *** * * * * * **
APPROVED BY 1/r 1 dt/ `d% Plans Examiner
Structural Review
(Revised 3 /1212012XRevised 07 /10/07)(Revised 06/I0t2009XRevised 3/15/09)
Gr oW )g c<401 - Lew
,,puesl`AMARA GLOWACKA -LEIVA
Notary Public - State of Florida
of My Comm. Expires May 26, 2013
'tits Cif kikatit*PEPAVaistr*
one hrough National Notary Assn.
oning
Clerk
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