MC-13-1152irk
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 192086 Permit Number: MC -5 -13 -1152
Scheduled Inspection Date: July 22, 2013
Inspector: Perez, JanPierre
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Flood Hall
Project:
Contractor:
Miami Shores, FL 33138 -0000
BARRY UNIVERSITY
HILL YORK SERVICE CORP
tiunaing uepartment comments
Permit Type: Mechanical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number
1121360010160 -19
Phone: (305)756 -6501
REMOVE 24 EXISTING EXHAUST GRILLS AND REPLACE I Infractio Passed comments
WITH NEW INSPECTOR COMMENTS False
July 22, 2013 For Inspections please call: (305)762 -4949 Page 9 of 36
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
July 22, 2013 For Inspections please call: (305)762 -4949 Page 9 of 36
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: MECHANICAL
JOB ADDRESS: 11300 NE 2nd Ave - Flood Hall
L MAY 2
FBC 2010
Permit No. M C% Z
Master Permit No. CC13 -1051
City: Miami Shores County: Miami Dade gip: 33161
Folio/Parcel #: 11- 2136- 000 -0050
Is the Building Historically Designated: Yes
NO X Flood Zone:
OWNER: Name (Fee Simple Titleholder): Barry University Phone #: 305 - 899 -3050
Address: 11300 NE 2nd Ave
City: Miami Shores State: FL zip: 33161
Tenant/Lessee Name: Samr - Phone #: Same
Email: bedwards @mail.barry.com
CONTRACTOR: Company Name: Hill York Service Corp. Phone #: 954 -525 -2971
Address: 2125 South Andrews Ave
City: Fort Lauderdale State: FL gip: 33316
Qualifier Name: Mark Kerney Phone#: Same
State Certification or Registration #: CACO29360 Certificate of Competency #: 183- 239619
Contact Phone #: Same Email Address: mkerney @hillyork.com
DESIGNER: Architect/Engineer:.JLRD Inc. Phone #: 561 - 689 -2303
Value of Work for this Permit: $ 3,760 Square/Linear Footage of Work: 1824
Type of Work: ❑Address ❑Alteration ❑New ARepair/Replace ODemolition
Description of Work. Remove 24 existing exhaust grills and replace with new
Submittal Fee
Scanning Fee $
Permit Fee $ 0 CCF $ CO /CC $
Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $
�l
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
zip
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.
d�
Signatur -- Signature
Owner or Agent Contractor Ik
The foregoing instrument was acknowledged before me this 17 The fore omg instrument was ackno ledged before me this
day of X13y , 20 I3, by m /G/meL 62l oro-I day of —,20 !, by (_, ,
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
APPROVED BY
2- r&11(ins Examiner
Structural Review
Revised 3 /12/2012)(Revised (Y7 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My
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