CC-14-1466Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-219865
Scheduled Inspection Date: September 18, 2014
Inspector: Rodriguez, Jorge
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Landon Student
Miami Shores, FL 33138-0000
Project: BARRY UNIVERSITY
Contractor: JWR CONSTRUCTION SERVICES INC
Building Department Comments
Permit Number: CC -7-14-1466
Permit Type: Commercial Construction
Inspection Type: Final Building
Work Classification: Alteration
Phone Number
Parcel Number
1121360010160-32
Phone: (954)480-2800
DEMOLITION AND RENOVATION OF GRAB N GO Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed VEV I CALL 954-464-7012
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
September 17, 2014 For Inspections please call: (305)762-4949 Page 32 of 33
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
JUL 09 '4014-D
7AO 14' 1
BY:
FBC 20 0z),
Master Permit No.co Q4 !
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
F-1 PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 11300 NE 2 Ave(
Com: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Barry University Phone#:
Address: 11300 NE 2 Ave
City: Miami Shores State: Florida Zip: 33161
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: JWR Construction Services, Inc. Phone#: 954-480-2800
Address: 1311 W Newport Center Dr. Suite C
City: Deerfield Beach State: Florida Zip: 33442
Qualifier Name: Jerry DuBois Phone#: 954-480-2800
State Certification or Registration #: CGC034031 Certificate of Competency #: 180-2092
DESIGNER: Architect/Engineer: Gallo Herbert Architects Phone#: 954-974-0300
Address: 1311 W Newport Center Dr. Suite A city: Deerfield Beach state: �dFL Zip: 33442
Value of Work for this Permit: $ 0 1000- Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑Repair/Re lace Demolition
Description of Work: Demolition C-% rab v n — &io y
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $
Technology Fee
Structural Reviews $
(Revised02/24/2014)
Radon Fee $
Training/Education Fee $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 44 L4 G . 00
Bonding Company's Name (if applicable) N/A
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
N/A
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of posted notice, the
inspection will not be approved and a reinspection fee will be charged. 'I/,
OWNER or AGENT
The foregoing instrument was acknowledged before me this The
day of ��L 20 by _
SAW 94SENN+�- who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Seal: My COMMISSION 0 EE36029
E aqm: November M 2014
as me or who has produced
was acknowledged before me this
r 20 by
�J who is personally known to
as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Seal: " MY COMMISSION # EE876792
EXPIRES June 05.2017
*�x�x��*x�**sx��*x�*�*�*���**�r� ��x��*x��*� x�*s*e��tx�x�w*�**x�*�x*���*x�*er�w****x�r�$rye*+���x�w�x�xx�*x��**�r•�r�•*��9wx��x��ax��
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)