PLC-14-522Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-209163 Permit Number: PLC -3-14-522
Inspection Date: August 28, 2014 Permit Type: Plumbing - Commercial
Inspector: Diaz, Osvaldo Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration
Job Address: 11300 NE 2 Avenue Villa
Miami Shores, FL 33138-0000
Project: BARRY UNIVERSITY
Contractor: MARLIN PLUMBING OF MIAMI INC
Buildina Department Comments
Phone Number
Parcel Number 1121360010160-26
Phone: 305-652-6108
REPLACE 2/1/2" RPC BACK FLOW AND CERTIFY UNIT
August
Infractio Passed Comments
INSPECTOR COMMENTS False
Passed
Inspector Comments
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
'
8P — 2z-—1
For Inspections please call: (305)762-4949
August 28, 2014 Page 1 of 1
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: PLUMBING
FBC 20
Permit No.
MAP 10 2014
Master Permit No. `
JOB ADDRESS: 11300 NE 2ND AVENUE NHS BUILDING difiVJ I ��
City: Miami Shores County: Miami Dade Zip: 33161
Folio/Parcel#: 11-2136-000-0050
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): BARRY COLLEGE Phone#: 305-899-3995
A,4,4-- NE 2ND AVENUE
City: MIAMI SHORES
State: FL Zip: 33161
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: MARLIN PLUMBING OF MIAMI, INC Phone#: 305-652-3031
Address: 20145 NE 16TH PLACE
City: NORTH MIAMI BEACH State: FL Zip: 33179
Qualifier Name: EDWARD J WALKER Phone#: 305-652-3031
State Certification or Registration #: CFC048292 Certificate of Competency #:
Contact Phone#: 305-652-3031 Email Address: MARLINPLUMBING@AOL.COM
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ 3,480.00 Square/Linear Footage of Work:
Type of Work: UAddress DAlteration UNew 2Repair/Replace
Description of Work: REPLACE 2 1/2" RPC BACKFLOW AND CERTIFY UNIT
NHS BUILDING
Submittal Fee $ \7W f) Permit Fee $ / J� ® CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
UDemolition
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 and a reinspection fee will be charged.
Signatur04 Signature
Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this i Z
day of 20 , by s( u�A Bf�l1ll,ACQu , day of e , 20 Lel, by Ed u>a.J J Wal ko�
who is personally known to me or who has produced who is person known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
r''
Sign: Sign• yy
Print: ® Print: a lel ,!�'"
fres:i 1
M Commission Ex JEFFRY J. YAO
y p My Comm ssi n My CON24MON # EE36829 x ' e P
Novwbw 1% FLNotuyDiswuwAsm�. -;`„1 „B;•.,, THERESAMCCREER1t
w' :° = Notary Public - State of Florida
•',;E °' comnission * FF 070887
APPROVED BY da-
Y Plans Examiner
Structural Review Clerk
(Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)