DS-14-604Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 210601
Scheduled Inspection Date: April 10, 2014
Inspector: Rodriguez, Jorge
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Landon Student
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: PP3 CONSTRUCTION CORP
tsunamg uepartment comments
REPAIR REPLACE CURB AND PATH Asphalt AS
REQUIRED AT LANDON HALL PARKING
Permit Number: DS -3 -14 -604
Permit Type: Driveways /Sidewalks/Slabs
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number
INSPECTOR COMMENTS False
1121360010160 -32
Phone: (305)389 -0065
Inspector Comments
Passed / CREATED AS REINSPECTION FOR INSP- 209771. No permit on site
Failed
Correction ❑
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
April 09, 2014 For Inspections please call: (305)762 -4949 Page 23 of 34
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Faz. (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: CEO>
C IVES,
MAR 2 6 0%
.--
FBC 20 LID
Permit No. c�
Master Permit No. 31 Li
ROOFING
JOB ADDRESS: 11300 NE 2nd Avenue
City: Miami Shores County: Miami Dade Zip; 33138
Folio/Parcel#: 11- 2136 -000 -0050
Is the Building Historically Designated: Yes
NO X Flood Zone:
OWNER: Name (Fee Simple Titleholder): Barry University, Inc. Phone#: 305 - 899 -3797
Address; 11300 NE 2nd Avenue
City: Miami Shores State; Florida Zip; 33138
Tenant/Lessee Name: NA Phone#:
Email: EWojtynek @barry.edu
CONTRACTOR: Company Name: PP3 Construction, Corp. Phone#: 305 - 389-0065
Address: 750 NE 96th Street
City: Miami Shores State: Florida Zip: 33138
Qualifier Name: Gabriel Rodriguez Phone#: 305 - 389 -0065
State Certification or Registration #: CGC1516509 Certificate of Competency #:
Contact Phone #: 305- 389 -0065 Email Address: 9abe@pp3construction.com
DESIGNER: Architect/Engineer: NA Phone#;
Value of Work for this Permit: $ 2,300 Square/Linear Footage of Work: 200
Type of Work: OAddition OAlteration ONew ORepair/Replace ODemolition
Description of work: Repair /replace curb and patch asphalt as required at "LANDON HALL PARKING ISLAND"
Color thru tile:
Submittal Fee $S® Permit Fee $ CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable) NA
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable) NA
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
Signature ��1F �✓ ��-v�
Owner or Agent
The foregoing instrument was acknowledged before me this
day of 2% , 20 A, by W MA A . I'.t%/��(1N
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY
Sign: V "
Print:
My Commission Expires: l Y J. O EE
COM1vIISSION# Elai6824
1%.m7V-�TEXPnMs: N'wiember 12, 2014
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MMARv FL NW" Dhm= As= C0.
Signature
ontractor
The fore oing instrument was acknowledged before me this
day of 1i g . 20 A by(_ Z4dJ- �2i 1p Z
who is personally known to me or who has produced
as identification and who,,+�11i�
NOTARY PUBLIC: °����• '%:; o�''' ��
o•
Sign: _ ° ' a r"' _
Print %� :`,� Q�pca�a ya
My Commission Expires:
Structural Review
(Revised 3 /1=012XRevised 07 /10/07)(Revised 06110n2009)(Revised 3/15/09)
Clerk
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