PL-15-1477 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-236938 Permit Number: PL-6-15-1477
Scheduled Inspection Date: July 16, 2015 Permit Type: Plumbing - Residential
Inspector: Diaz, Osvaldo Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration
Job Address: 11300 NE 2 Avenue Wiegand &Annex
Miami Shores, FL 33138-0000 Phone Number
Parcel Number 1121360010160-09
Project: BARRY UNIVERSITY
Contractor: MARLIN PLUMBING OF MIAMI INC Phone: 305-652-6108
Building Department Comments
CAP OFF WATER AND GAS LINES FOR TOTAL OF 4 Infractio Passed Comments
STATIONS, CAP OFF AND RE-INSTALL 4 SINKS, INSPECTOR COMMENTS False
INSTALL EYE WASH STATION AND EMERGENCY
SHOWER. ROUGH & SET STATIONS WATER AND
DRAIN LINES EXISTING.
Inspector Comments
Passed
h.
U
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
July 15, 2015 For Inspections please call: (305)762-4949 Page 7 of 37
z�
WW5'1477
�n "`
Miami Shores Village tMIMI £ itTtilrt3 )
g` 10050 N.E.2nd Avenue NEPW
W
{ I t�� ttas t? diti nlAltei tion ;
Miami Shores,FL 33138-0000
WIN
frmft � APPR�UEL?
Phone: (305)795-2204
FGORtS?p`
1° Expiration: 12/22/2015
Project Address Parcel Number Applicant
11300 NE 2 Avenue Number: Wiegand & Anr 1121360010160-09 BARRY UNIVERSITY INC
Miami Shores, FL 33138-0000 Block: Lot:
Owner Information AddressPhone Cell
BARRY UNIVERSITY INC 11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
Contractor(s) Phone Cell Phone Valuation: $ 6,900.00
MARLIN PLUMBING OF MIAMI INC 305-652-6108
Total Sq Feet: 0
Type of Work:CAP OFF WATER AND GAS LINES FOR TOT Available Inspections:
Type of Piping:
Inspection Type:
Additional Info:
Top Out
Bond Return: Final
Classification:Residential Scanning: 1 Review Plumbing
Review Plumbing
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $4.20
Invoice# PL-6-15-55989
DBPR Fee $3.62 06/16/2015 Check#:2324 $ 50.00 $212.94
DCA Fee $3.62
Education Surcharge $1.40 06/25/2015 Check#:2329 $212.94 $0.00
Permit F1W, $241.50
Scanni4F6e $3.00
TechnolFee $5.60
Total: ' $262.94
r-
c-n
E_+7
h-+
'Fig
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaininereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
acceptingWis permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required ff-6ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
e-z
OWNER, 7,AFFIDAVIT: I certify a e f oing or ation is accurate and that all work will be done in compliance with all applicable laws regulating
construction'and zoning. b -named contractor to do the work stated.
June 25, 2015
4MAhorizpis nt / Contractor / Agent ate
rl.?
Builrng Department Copy
June 25,2015 1
R
Miami Shores Village
115, Building Department i UN. 16 2015
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel: (305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
" IMM TX-3 NLTT 4'7.7U t —rZ FBC 20
mss--r-,-Z Master Permit No.
�(�[ 5— l`t �--
BUILDING
PERMIT APPLICATION sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
FN_]PLUMBING ❑ MECHANICAL PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 11300 NE 2ND AVENUE-WIEGAND-#236 PHYSIOLOGY LAB
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 61-2136- 000-00 SO Is the Building Historically Designated:Yes NO X
Occupancy Type: Load: Construction Type: REMODEL Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):BARRY UNIVERSITY INC Phone#:305-899-3797
Address:11300 NE 2ND AVE
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 16TH PLACE
City: NORTH MIAMI BEACH State: FLORIDA Zip: 33179
Qualifier Name: EDWARD J WALKER Phone#: 305-652-3031
State Certification or Registration#: CFC048292 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$6,900.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑■ Alteration ❑ New N Repair/Replace Q■ Demolition
Description of Work: CAP OFF WATER&GAS LINES FOR TOTAL OF 4 STATIONS,CAP OFF AND RE-INSTALL 4 SINKS, INSTALL
eye- Was h S IA � O car.� E ine,.•,G Q,,..r',1tiJ PN • Qe nk i- S' j 4nl o s
yIL.U-r ra.1 ja l►nes_ eki,s'4 rJ
O
Specify color of color thru tile:
Submittal Fee$50 L� Permit Fee$ Z Z S. -�- CCF$ CO/CC$
i
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
r '
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
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 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 wi be charged.
r
Signature Signature
OWNER or AGENT 61 CONTRACTOR
The foregoing instru nt was acknowledged before me this The foregoing instrument was acknowledged before me this
daaof 20 /' , by �/ day of Mga.A 20 lS by
who esknwn o
F-d1►>n.rd U"\,.lQ L ker ,who is personally known to
me or 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 PUBLIC: NOTARY PUBLIC:
Sign: 10 Sign:
,Ti.S ca• IRISTAq //*'c
Print. ......� 0V i Print: a
'G C4< i
Seal: * �� �tY2B?oma •.• Seal:
o'e_ N: S
• FF220,?37 _ ' THERESA MCCREERY
******r*************r . o
5de1N ** �sO ** .*********** ** s * dt'� p�llbli * 5I' ESIfIS. s*.***■*
My Comm.Expires Dec 6,2017
APPROVED BY /// S S Plans Examiner '%°«r.Q;. Commission#r FF 070897 Zoning
Structural Review Clerk
(Revised 02/24/2014)
v1I i egand - #236 - Physiology Lab •.• ;•; •;•
. . ... . . . . ...
� --� i 1%�—�VSA\1 O ti `� • • i ••• • • •
n
j S
N� • • • • • • • • •
n
JIN F
BIOL GY8VI
J
L BOR TOR 1-T-] /— 5 1�---7
Z OK(A
a
i,
I
r �
---� �'��,�-- �i„�r^ATS a►:: �j � �..�.--,I � ��t�,—�.�,•
i
1�- - - - 11-1-L-1
6;S C j N ecT h}046 A?e vv14A-1( �Inc="2Gc;n�Y s
* Diagrammatical - not exact
�. �i� r►q.i II � t=L 33C7�
ivl, 3I � � �- 1 �:� -�S"a.-3v3f
i a,nti� Shofes3vS
r I'L 3 ' t' �._ �
=�=oa►aY"�e�n,
THERESA MCCREERY p,!•r
` RY s Notary Public-State o1 Florida
My Comm.Expires Dec 6,2017
�'''•,',E,oFr.d;�', Commission #FF 010897
` ` L Y-,
JUN 2L