PLC-14-1851Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-224498 Permit Number: PLC -8-14-1851
Scheduled Inspection Date: February 03, 2015 Permit Type: Plumbing - Commercial
Inspector: Diaz, Osvaldo
Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration
Job Address: 11300 NE 2 Avenue Garner Building
Miami Shores, FL 33138-0000
Project: BARRY UNIVERSITY
Phone Number
Parcel Number 1121360010160-22
Contractor: AL HILL ENTERPRISES COSPORATION Phone: (305)687-9963
comments
REMOVAL OF PLBG FIXTURE/ REPLACE
INSPECTOR COMMENTS False
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-218450. h/c urinals do not meet
E�( clearance width
need to address for final
Failed
Correction
Needed 4
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
February 02, 2015 For Inspections please call: (305)762-4949 Page 16 of 41
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 Master Permit No. q-/&1, '662
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION r-1 RENEWAL
D?fPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR
DRAWINGS
JOB ADDRESS: I i 3 ®® we a �'��'' -- �'eci r n er �4G 11
City: Miami Shores Countv: Miami Dade Zip: 1
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder).. V' A l Ile -
Address: 1 i ;,CS D Nr-- 2-,id
A-u nr?
City: Aj afr) Shore State: rl dc�, Zip: 331 (o 1
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: 4t tt T t U L 6 t Phone#:3 O -4 11-110
Address: I sq'®
City®q L ® C.t�-t State: TL- Zip: 2S3 ® Sq
Qualifier Name: L\.14 -3c Phone#: SOS q TO 3 3 7
State Certification or Registration #: C fe-o Said Certificate of Competency #:
DESIGNER: Architect/Engineer::p�wr aL.ct'k5h Jfty-Say e, p Phone#:
L
Address: l 966 �1��-� �, tea- 58 6 City avJ��e. State: rX, Zip: 3,61, 14
Value of Work for this Permit: $���,/� 01). Square/Linear Footage of Work:
Type of Work: El Addition LTJ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: 1z #- we Q v'a°f bJ� II bA J�t )&� ,- / .4, p/' &Cs
Specify colas of coPorthriu tile:` `;II , >y -
Submittal Fee $ ' " Permit Fee $ CCF $ PO CO/CC $ alc()
Scanning Fee $ ' ®� Radon Fee $ pp DQBPR $ ° Notary $
Technology Fee $t &
Training/Education Fee $ IL `7" ° �4 Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
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 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 such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
-4ww"
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of NAA19 .20 , by
SLSA,le , who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
as
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
)S day of/� �) V5 , 20 J 2'% , by
lb�} 4 �� , who is personally known to
me or who has produced as
identification and who did take an oath. E"P l6/ J7
NOTARY PUBLIC:
Pri 1 Print:
JEFFtY J. YAO ,t0 0-0 A`'� MILDRED Y. GOMEZ
Sea MYCO2�At=1&#M6829 Seal: a Notary Public - State of Florida
`�OPw '4 ioo'n�s: Nom 1Z 201%Ann4 "-;N,� oma; My Comm. Expires Aug 24. 2017
}NO7Aay FL N� Di As= CO' °'•.',Fo �� o:•`' P.— 1. 1or18 Ff 411860
APPROVED BY �� 1- 2-5,1-Y Plans Examiner
Structural Review
(Revised02/24/2014)
Zoning
Clerk