MC-14-1847c-iq - 663
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-218416 Permit Number: MC -8-14-1847
Scheduled Inspection Date: May 06, 2015
Inspector: Perez, JanPierre
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue LaVoie Hall
Miami Shores, FL 33138-0000
Project: BARRY UNIVERSITY
Contractor: COLTEC ENGINEERING INC
Isummng uepartment comments
2ND FLOOR RENOVATION
Passed
Failed
Correction ❑
Needed
Permit Type: Mechanical - Commercial
Inspection Type: Final
Work Classification: Addition/Alteration
Phone Number
Parcel Number 1121360010160-12
INSPECTOR COMMENTS False
Inspector Comments
Phone: (305)256-0046
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
May 05, 2015 For Inspections please call: (305)762-4949 Page 4 of 50
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
FBC 20
BUILDING Master Permit No. a - GG3
PERMIT APPLICATION sub Permit No.
❑BUILDING
❑ ELECTRIC
❑ ROOFING REVISION ❑ EXTENSION
❑RENEWAL
❑PLUMBINGMECHANICAL
%X [-]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION
❑ SHOP
CONTRACTOR
DRAWINGS
JOB ADDRESS:
00
bA ���jj����
1'
� V OP� RPA
City:
Miami Shores
County: Miami Dade Zia:
Folio/Parcel#:
Is the Building Historically Designated: Yes
NO
Occupancy Type:
Load:
Construction Type: Flood Zone: BFE:
FFE:
0 -
OWNER: Name (Fee Simple
'�A^^ � nA • v �i
City: V i AfAt !I b jar state: r4� Zip:
Tenant/Lessee Name: Phone#:
Email:
Qualifier Name: �siV /�A /N may,) Phone
State Certification or Registration #: PV y (VL46`a5 Certificate of Competency M
DESIGNER: Architect/Engineer: � e-� Phone
Address:_ )1W LIK )00 U City: St
Value of Work for this Permit: $ Square/Linear Footage of Work: _
Type of Work: ❑ Addition ❑ Alteration
��yy F-1New
/� ❑ Repair/Reenplace
Description of Work: MAM Del , (fek (li (A A FC a4 L
Specify color of color thru tile:,
Submittal Fee $
Scanning Fee $
Technology Fee $_
Structural Reviews $,
(Revised02/24/2014)
te: Zip:
❑ Demolition
►rel
Permit Fee $ CCF $ CO/CC $
Radon Fee $ DBPR $ Notary $
Training/Education Fee $ 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
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 exceedi 500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure i 1 b b delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commenceme t posted at the job site
for the first inspection which occurs seven (7) days after the building permit is iss e . In the ab n s ch posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature J�J_Signature
- OWNER or AGENT CONTRACTOR
The foregoing instru ppent was acknowledged before me this The foregoing instrument was acknowledged before me this
9L day of ,I�hukn , 20 IS by aPl_ day of �� r 201 by
-9494N9� N 1. �A l✓ who is personally�t (bre-At O i'L'-r4 1C7 , who is personally known to
`me gr who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PJJBLIC: ) NOTARY PUBLIC:
i Sign:
Print:
JT50
MyCaemmim RF lowl Seal: �YP�
q Explros 11h 0119 r� c MARITZA GONZALEZ
MY CoM,MSSION # EE79944
EXPIRES: May 28, 2015
APPROVED BY i tans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
C_
KII:K SITU I I, UUVtKNUN
DEPARTMENT OF :BL
CONSTIZUCI
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_'MECHAI1'IALONTRACTfR::
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14,
SEQ # L1408140001984
l
BUILDING
PERMIT APPLICATION
BUILDING
❑PLUMBING
❑ ELECTRIC
MECHANICAL
Miami Shores Village
Building Department AUG 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
Master Permit No. N _ Gros
Sub Permit No.m Q,— , A i P
❑ ROOFING ❑ REVISION ❑ EXTENSION F-1 RENEWAL
❑ PUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: I ( '�� 1,0OB G ;?nd kjo6l QnodgI70A
'City: Miami Shores County: Miami Dade Zia: '3316
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): T -2A ff!j Phone#:
Address: % / b O O 1VF— '217d AL2&1,706
City: h r C/✓n 1 h coy --e } State: /cr ri jo, Zip: 3 31 b I
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company ame: coin E� I �.1 Phone#: ?-22S 051/0-00
Address: LZ 'Sp W ( j
City: MIA In I % / �Sttatte:: 44 A • Zip: 3,- 1 �
Qualifier Name: Lo�1J ZU � lU6W��i�✓ Phone#: 3a,-- b-' 3L L]
State Certification or Registration #: //// Certificate of Competency #: 601�J 1 � �`[
DESIGNER:Architect/Engineer:�naly✓5Ki PI-0mori& -<-C4VPLLC Phone#: g?s4- 96/ C���1
Address: f 000 'l%( ro 4 dr •'2 nU e -i r Soo City: JR Lau&zLl e State: Zip:
Value of Work for this Permit: $ 17, 000 Square/Linear Footage of Work:
Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: -C"- -:F-L100'F' �rMOUW 146
Specify color of color thru tile:
Submittal Fee $ °Q Permit Fee $ v V CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
V (�
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
i
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 noticeof c mencem t be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issue . In the a e ce such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
&A
Signatur A MAR Signatu
OWNER or AGENT
The f regoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20 I by _ ® day of S u LY 20 by
& i 1 / , who is personaLy k,..nnn-wn 0 ;�40 i to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
Seal
MToor
12, 2014
r FL NaWy Dbwmg Aum Ca,
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Print:
MARITZA GONZALEZ
Seal: MY COMMISSION # EE79944
-40''e-, EXPIRES: May 28, 2015
as
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax:(305) 756.8972
AIR CONDITIONING REPLACEMENT DATA
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 acceptable.
Job Address (where the work is being done):
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:
(Qualiflees 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:
(Qualiflees signature)
(Revised02/24/2014)