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MC-14-1852Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 %" ( — i � l r, (/,n 2, Inspection Number: INSP-224282 Scheduled Inspection Date: December 03, 2014 Inspector: Perez, JanPierre Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Garner Building Miami Shores, FL 33138-0000 Project: BARRY UNIVERSITY Contractor: COLTEC ENGINEERING INC Building Department Comments Permit Number: MC -8-14-1852 Permit Type: Mechanical - Commercial Inspection Type: - Lt Work Classification: Addition/Alt ration o� Phone Number Parcel Number 1121360010160-22 Phone: (305)256-0046 RESTROOM RENOVATION Infractio Passed Comments INSPECTOR COMMENTS False �3 Inspector Comments Passed fI Al CREATED AS REINSPECTION FOR INSP-218452. ok to wrap metal Failed Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. December 02, 2014 For Inspections please call: (305)762-4949 Page 27 of 28 City: I AM I St{a�te: �f'' Zip: Qualifier Name: �� u4�� Phone#:� State Certification or Registrations M Certificate of Competency M DESIGNER: Architect/Engineer: J�I�1L1�C��SIF� 1 �(e t1b �ltl , 1 -LC Phone#: Address: 00 f -Pe " / a Lie 5i)> °fie ` 00 1 . / � � City: �� r�ea-i.%�k State: Zip: Value of Work for this Permit: $ C7® Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 1Fz'rQ?-00M rekou,4-"I op Specify color of color thru tile: (� Submittal Fee $ � ` Permit Fee $ v V V CCF $ �- 0 CO/CC $ Scanning Fee $ Radon Fee $e DBPR $� Notary $ Technology Fee $ Training/Education Fee $ 0. 20 Double Fee $ Structural Reviews (Revised02/24/2014) Bond $ M TOTAL FEE NOW DUE $ �� Miami Shores Village - REM Building DepartmentA 25 20% 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972'' INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No. 4/'— /1-/ — 66;2 PERMIT APPLICATION Sub Permit No.MQ-` Ig- LQS2 ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING [MECHANICAL ❑PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑SHOP n CONTRACTOR DRAWINGS JOB ADDRESS:— I , Dl� �l ° �- (::�Ckme r iia/ City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): fxl f r� yli [SMV 3e Phone#: Address: 11 50C1 JU?— 0-n` j6Lrz City: M d ami SJ7ofe5 State: '� lor1C'A Zip: I Tenant/Lessee Name: Phone#: Email:�7 CONTRACTOR: Company Name: Ido®d�T�l/ (� ) ��'t Phone#: �1.� -� �-6✓a I Address: 1','?( C®"I /,a) [--�l City: I AM I St{a�te: �f'' Zip: Qualifier Name: �� u4�� Phone#:� State Certification or Registrations M Certificate of Competency M DESIGNER: Architect/Engineer: J�I�1L1�C��SIF� 1 �(e t1b �ltl , 1 -LC Phone#: Address: 00 f -Pe " / a Lie 5i)> °fie ` 00 1 . / � � City: �� r�ea-i.%�k State: Zip: Value of Work for this Permit: $ C7® Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 1Fz'rQ?-00M rekou,4-"I op Specify color of color thru tile: (� Submittal Fee $ � ` Permit Fee $ v V V CCF $ �- 0 CO/CC $ Scanning Fee $ Radon Fee $e DBPR $� Notary $ Technology Fee $ Training/Education Fee $ 0. 20 Double Fee $ Structural Reviews (Revised02/24/2014) Bond $ M TOTAL FEE NOW DUE $ �� 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 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 brochuPntu elivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of mmencemposted at thejob site for the first inspection which occurs seven (7) days after the building permit is issu d. In thea ch posted notice, the inspection will not be approved and a reinspection fee will be charged. n , Signature Signature OWNER or AGENT CONTRA The oregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of A1A % . 20 — �� by '� O day of —�U N , 20 0 q , by S(ASAO !2WV AL- , who is personally known to l MI -04k NPAD&-,7who i erso y_knflae to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: &W Print.--::� Seal :_ my col mosioN # EE36829 E WUM: Nov®ba 12,2D14 R — FL Nom Dlsmud ASM Co. as me or who has produced I -- identification and who did take an oath. NOTARY PUBLIC: as &�k�k�k�k**�k�k�k+k�kakM�k�k*�k�kale�R�k*�kF�k*�k�k�k4�k�k�k�k+R�k��ky�k�k�kakkUeak�k�k+R+R�k�k�k�k�k*�k+k�k�k�+R�kffi�k4�k�k�k�kKe�kateak�k*�k&Ne�k�k*�k*�kMe�kye�k*�k�k+k�eakak�kakt��k�F+R�k&��k�k�k�F+k APPROVED BY CJ e2 P a4 ('tpminer Zoning Structural Review Clerk (Revised02/24/2014) W - u A1_0 Miami Shores Village Uh� `� - Building Department by: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 PERMIT NUMBER: MC��-- This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets are not acceptabl Job Address (where the work is being done): I I -�? Do i� 1 City: Miami Shores Village County: Miami Dade Zip Code: ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED Change disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: Phone: State Certificate or Registration No. Certificate of Competency No. Signature Date: (Qualffiees signature) (Revised02/24/2014) UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER AHU or PKG. UNIT MODEL # COND. UNIT MODEL # KW HEAT NOM TONS AHU CU PKG 1) M.C.A AHU CU PKG AHU CU PKG 2) M.O.P AHU CU PKG AHU CU PKG 3) VOLTS AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES NO YES NO NEW RETURN PLENUM BOX YES NO 1. Minimum Circuit Ampacity (Wire Size): 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3. Voltage of Circuit (208/240/480): 4. Size Disconnecting Means: Contractor's Company Name: Phone: State Certificate or Registration No. Certificate of Competency No. Signature Date: (Qualffiees signature) (Revised02/24/2014)