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PLC-15-1582 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-237649 Permit Number: PLC-6-15-1582 Scheduled Inspection Date: July 16, 2015 Permit Type: Plumbing - Commercial Inspector: Diaz, Osvaldo Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration Job Address: 11300 NE 2 Avenue Adrian Hall Miami Shores, FL 33138-0000 Phone Number Parcel Number 1121360010160-07 Project: <NONE> Contractor: MARLIN PLUMBING OF MIAMI INC Phone: 305-652-6108 Building Department Comments RUN WATER, DRAIN & SUMP PUMP FOR NEW SINK& Infractio Passed Comments FAUCET INSTALL WATER & DRAIN LINE ARE TO BE INSPECTOR COMMENTS False CONNECTED TO EXISTING WATER & DRAIN LINES. Inspector Comments Passed Failed J 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 10 of 37 7115K6s o,� Miami Shores Villager�" � � \ { Il?�lttll (s1l 10050 N.E.2nd Avenue NEz �z Miami Shores,FL 33138-0000 Phone: (305)795-2204 P t P OWED, FCORtOQ` � ' ,, 01201 Expiration: 12/27/2015 Project Address Parcel Number Applicant 11300 NE 2 Avenue Number: Adrian Hall 1121360010160-07 BARRY UNIVERSITY INC Miami Shores FL 33138-0000 Block: Lot: Owner Information Address Phone Cell BARRY UNIVERSITY INC 11300 NE 2 Avenue m � MIAMI SHORES FL 33161-6628 11300 NE 2 Avenue MIAMI SHORES FL 33161-6628 Contractor(s) Phone Cell Phone Valuation: $ 4,300.00 MARLIN PLUMBING OF MIAMI INC 305-652-6108 _._.... Total Sq Feet: 0 Type of Work:RUN WATER,DRAIN&SUMP PUMP FOR NE Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Classification:Commercial Re Pipe Scanning:3 Main Drain Heater Water Service Final Water Main Lavatory Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.00 Invoice# PLC-6-15-56114 DBPR Fee $3.38 06/30/2015 Check#:2332 $ 198.76 $50.00 DCA Fee $3.38 Education Surcharge $1.00 06/25/2015 Check#:2330 $50.00 $0.00 Permit Fee $225.00 Scanning Fee $9.00 Technology Fee $4.00 Total: $248.76 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 pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBINGO S,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I cerA&AL, n formati is accurate and that all work will be done in compliance with all applicable laws regulating construction and zo ab ve-n ed contractor to do the work stated. June 30, 2015 Author' d Sign / Contractor / Agent Date Building p De a ment Copy� ' June 30,2015 1 Miami Shores Village _ �c_yi ;�.� Building Department JUN 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 'E3Y'-� ------ -""- INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 O BUILDING Master PermitNo PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL OPLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 11300 NE 2ND AVENUE-ADRIAN BLDG 217 /218 Citv: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-2136-000-0050 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: OWNER:Name(Fee Simple Titleholder):BARRY UNIVERSITY Phone#:305-899-3797 Address: 11300 NE 2ND AVENUE City: MIAMI SHORES State: FL Zip: 33161 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: MARLIN PLUMBING OF MIAMI, INC Phone#: 305-652-3031 Address: 20145 NE 16TH PALCE City: NORTH MIAMI BEACH State: FL 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:$4,300.00 Square/Linear Footage of Work: Type of Work: ❑ Addition A Alteration ❑ New ❑ lace Re air Re p / p El Demolition Description of Work: RUN NEW WATER, DRAIN & SUMP PUMP FOR NEW SINK & FAUCET INSTALL WATER & DRAIN LINE ARE TO BE CONNECTED TO EXISTING WATER & DRAIN LINES Specify color of color thru tile: Submittal Fee 'w Permit Fee$ ' CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) a 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 will be charged. Signature ,�� Signature � OWNER or AGENT CO CTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this -Z +t- day of SUK ,20 L_,by o? 5— day of Tun¢,_ 12015 by S(AZkN RO NCj��— who is personally known to Edtt)AA T VJ6.1kA-e- 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: Sign: �I v";cxr =M� OJ7 P Print: NNM'Public Stals d Plaids a•u��•�... ,INhy J Yso Seal: I .`s THERESA MCCDe My CsmmWbn FF IU"l Notary Public-Sta�1' Expires It/t�1018 • c My Comm.Expires Commission P F ****** APPROVED BY lb-X /f Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) L • •• Sao ••• • ••• JUN 5 2015 . . *so 00 ✓� F 7 ILECOP C!he�1C VAivL �(Zgi+�J�SufUS PLUMING PLANS Approved /--, -�Date"5 Disapproved Date S i rJ 1c w TIC IA.-) l;l iVers; - Adricwi � .Q /�/'�Zlg -- -- ---- -- ��r �i n t�lurr�'i ng o� A.Ii� M;iL aolys n1£ !� �lac� 1ISod n!E Xd A- e- N. M;4,u; ��, 1`L 33119- 30s=6sa-3v3i �o ian,ti Sees F -3 r s' �s a,+o• ��, MttltbAM EERY . Notary Public-S to of Florida +, o. My Comm.Expires Dec 6,2017 Commission#FF 070897