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PLC-15-332F I Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-234387 Scheduled Inspection Date: June 04, 2015 Inspector: Diaz, Osvaldo Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Lehman Hall Miami Shores, FL 33138-0000 Project: BARRY UNIVERSITY Permit Number: PLC -2-15-332 Permit Type: Plumbing - Commercial Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1121360010160-29 Contractor: MARLIN PLUMBING OF MIAMI INC Phone: 305-652-6108 tiunamg uepartment comments REPLACE 4" RPZ BACKFLOW ASSEMBLY INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-228292. BE CONTRACTOR Failed Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. June 03, 2015 For Inspections please call: (305)762-4949 Page 7 of 28 { t E Backflow Prevention Assembly Test Report Test Confirmation # Unsubmitted Manufacturer. AMES Address: 11300 NE 2ND AVE Hazard ID: 1787479 Model: 4000SS Company: BARRY UNIVERSITY Meter #: 04421505 Type: RP Location: Easement 10 south of Lehman Bldl Serial #: 1284660714 Size: 4.O1] Hazard: ❑ I certify the above test is accurate and true, to the best of my ability. I also understand that under Miami -Dade ElCounty Code, the penalty for submitting a false or fraudulent test report is a fine of $1,000. I understand that improperly completed reports will not be accepted. ❑ I certify the backfiow prevention assembly is properly installed. All discrepancies, if any, have been noted. Tester Tester # Test Kit RAUL BRINGAS H03023 491989 Reduced Pressure Principle Assembly PVB/SVB Double Check Valve Assembly Initial Test Check Valve #1 Check Valve #2 Relief Valve AIR INLET 04/13/2015 Did not Open ❑ Leaked ❑ Leaked ❑ Pass Fail Closed Tight EDClosed Tight El Did Did not Open ❑ at PSID X❑ ❑ Held at 9.2 Held at 3.4 Opened CHECK VALVE PSID PSID at 3.4 PSID Leaked ❑ Held at PSID Repairs Comments: ❑ Cleaned ❑ Rubber Kit ❑ Rebuild Final Test Check Valve #1 Check Valve #2 Relief Valve AIR INLET Opened at PSID 04/13/2015 Pass Fail Closed Tight X❑ Closed Tight ❑ CHECK VALVE ❑ ❑ 9•2 Held at PSID Held at 3.4 PSID Opened at 3.4 PSID Held at PSID ❑ I certify the above test is accurate and true, to the best of my ability. I also understand that under Miami -Dade ElCounty Code, the penalty for submitting a false or fraudulent test report is a fine of $1,000. I understand that improperly completed reports will not be accepted. ❑ I certify the backfiow prevention assembly is properly installed. All discrepancies, if any, have been noted. Tester Tester # Test Kit RAUL BRINGAS H03023 491989 9 0 BUILDING PERMIT APPLICATION 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 ❑ ELECTRIC ❑ ROOFING FEB 17 2015 FBC 20 I O_ Master Permit No.?,—, 5 — Sub Permit No ❑ REVISION ❑ EXTENSION [—]RENEWAL OPLUMBING ❑ MECHANICAL OPUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 11300 NE 2 AVENUE+,E, fj ii�%�i /1%•� ` City: Miami Shores County Miami Dade Zia• -26 Folio/Parcel#: 1121360010160 Is the Building Hi(st�otrically Designated: Yes NO Occupancy Type: Load: Construction Type: REPLACE 13*01od Zo� BFE: FFE: OWNER: Name (Fee Simple Titleholder): BARRY UNIVERSITY INC Address: 11300 NE 2ND AVE 305-899-3797 City: MIAMI SHORES State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: MARLIN PLUMBING OF MIAMI, INC Phone#: 305-652-3031 Address: 20145 NE 16 PLACE City: NORTH MIAMI BEACH State: FL Zip: 33179 Qualifier Name: EDWARD WALKER Phone#: 305-652-3031 State Certification or Registration M. CFC048292 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: _ Address: City: State: Value of Work for this Permit: $4200.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace Description of Work: REPLACE 4" RPZ BACKFLOW ASSEMBLY Specify color of color thru the Submittal Fee $ Scanning Fee $ Technology Fee Structural Reviews $ (Revised02/24/2014) Permit Fee $ CCF $_ Radon Fee $ DBPR $ Training/Education Fee $ Zip: ❑ Demolition CO/CC $ Notary $ Double Fee $ Bond $ 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 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. )1 Ann A Signature Signature OWNER or AGENT NTRACTOR The foregoing instrument was acknowledged before me this day of ;`P. zrv-7 20 �cAi�, by who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: S' Print: 7 �Z� Seal: The foregoing instrument was acknowledged before me this H day of Fe 20 IS by EclGJca.rd � �Igdke-r , who is personally known to as me or who has produced identification and who did take an oath. NOTARY PUBLIC: ti• Sign: Print: MTN Seal: hW CSI # ii: W6A MRM, Apd 28 Xis awdw Yhm NvYl} APPROVED BY •/ / $ Plans Examiner Structural Review (Revised02/24/2014) Wei THERESA MCCREERY Notary Public - State of Florida My Comm. ExpireS Doc 8, 2017 as Zoning Clerk RICK SCOTT GOVERNOR 'P ' ' KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AN'D PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD I CFC048292 I The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 WALKER, EDWARD eeAMI I.I -- SEQ # L1408030003298 000862 t Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOTA BILL - DO NOT PAY LBT`Z__ 2503465 BUSINESS NAME/LOCATiON RECEIPT NO. TV, -10y .° EXPIRES MARLIN PLUMBING OF MIAMI INC RENEWAL SEPTEMBER 30, 2015 20145 NE 16 PL 2627108 MIAMI FL 33179 Must be displayed at place of business Pursuant to County Code Chapter 8A —Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMENT RECEIVED MARLIN PLUM3ING OF MIAMI INC 196 PLUMBING CONTRACTOR BY TAX COLLECTOR Worker(s) 1 CFC048292 $75.00 08/25/2014 ECHECK-14-141496 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holder'squalifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT N0. above must be displayed on all commercial vehicles — Miami—Dade Code Sec Ba -276. For more information, visit www miamidade gov/taxcolleetor