PLC-15-1939 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone:(305)795.2204 Fax:(303)756-8972
Inspection Number INSP-251811 Permit Number. PLC-7-15-1939
Scheduled Inspection Date:February 01,2016 Permit Type: Plumbing -Commerci
Inspector. Diaz,Osvaldo
Inspection Ty
Owner. ,BARRY UNIVERSITY Work Classification:Additi Alteration
Job Address:11300 NE 2 Avenue Cor Jesus Chaps L
Miami Shores,FL 331384000 Phone Number
Parcel Number 11213600101 -01
Pmjec t <NONE>
Contractor AL HILL ENTERPRISES CORPORATION Phone.X687-9963
Building Department Comments
WATER SUPPLY TO AHU CHILLER hdractio Passed Comments
INSPECTOR COMMENTS False
pector Comments
Passed CREATED AS REINSPECTION FOR INSP 251734. ROUGH CONDENSED
PIPING
BY BERNARDO
Failed
Correction ❑ � s,,I�.
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re•inspectlon fee Is paki.
January 29,2016 For inspections please call:(305►762-4949 Page 22 af 36
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INS P-244115 Permit Number: PLC-7-15-1939
Scheduled Inspection Date: September 29,2015 Permit Type: Plumbing - Commercial
Inspector: Diaz,Osvaldo
Inspection Type: TCC/TCO
Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration
Job Address:11300 NE 2 Avenue Cor Jesus Chaps
Miami Shores, FL 33138-0000 Phone Number
Parcel Number 1121360010160-01
Project: <NONE>
Contractor: AL HILL ENTERPRISES CORPORATION Phone: (305)687-9963
Building Department Comments
WATER SUPPLY TO AHU CHILLER
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-243998. CALLED
CONTRACTOR AND HE DID NOT CALL FOR THIS INSPECTION ..
HENRY9/23/15
Failed
/ I
Pe
Correction
Needed ❑ �� �o� c�►v S i
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
September 28,2015 For Inspections please call: (305)762.4949 Page 27 of 44
Miami Shores Village 3 `"
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000
3
Phone: (305)795.2204
Expiration: 02J1?!2016
Project Address Parcel Number Applicant
11300 NE 2 Avenue Number: Cor Jesus Cha 1121360010160-01 BARRY UNIVERSITY INC
Miami Shores, FL 33138-0000 Block: Lot:
Owner Information Address Phone 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: $ 11,000.00
AL HILL ENTERPRISES CORPORATIC (305)687-9963 _ Total Sq Feet: 00
Type of Work:WATER SUPPLY TO AHU CHILLER Available Inspections:
Type of Piping: Inspection Type:
Additional Info: Top Out
Classification:Residential Re pipe
Scanning:3 Main Drain
Heater
Water Service
Final
Water Main
Lavatory
Review Plumbing
Review Plumbing
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $8'80 Invoice# PLC-7-15-56553
DBPR Fee $4.95 08/21/2015 Credit Card $316.50 $50.00
DCA Fee $4.95
Education Surcharge $2.20 07/31/2015 Credit Card $50.00 $0.00
Permit Fee $330.00
Scanning Fee $9.00
Technology Fee $8.80
Total: $366.50
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,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS 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 zo ing. Futhermore,I authorize the above-named contractor to do the work stated.
August 21,2015
A ed Sig a re:Owner / Applicant / Contractor / Agent Date
Building Department Copy
August 21,2015 1
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-240405 Permit Number: PLC-7-15-1939
Scheduled Inspection Date: September 09,2015 Permit Type: Plumbing - Commercial
Inspector: Diaz,Osvaldo Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration
Job Address:11300 NE 2 Avenue Cor Jesus Chape
Miami Shores, FL 33138-0000 Phone Number
Parcel Number 1121360010160-01
Project: <NONE>
Contractor: AL HILL ENTERPRISES CORPORATION Phone: (305)687-9963
Building Department Comments
WATER SUPPLY TO AHU CHILLER Infractlo Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
September 08,2016 For Inspections please call: (305)762.4949 Page 15 of 44
4 ' 0\!- a
g� Miami Shores Villa _ivED
Building Department JUL 31.2015
• 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
f
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 2�y '
BUILDING Master Permit No.CC-3-15-572
PERMIT APPLICATION Sub Permit No.�� A --
—12i/a�
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
QPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:] CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 11300 NE 2nd Avenue: Cor Jesus Chapel
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 1121360010160-01 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):Barry University Phone#:
Address:11300 NE 2nd Avenue
City: Miami Shores State: Florida Zip: 33138
Tenant/Lessee Name: Phone#:
Email:
Al Hill Cor ^�i^e f 305-687-9963
CONTRACTOR:Company Name: p• Phone#:
Address: 13740 NW 19th Avenue, Bay#12
City: Opa Locka State: Florida Zip: 33054
Qualifier Name: Al Hill Phone#: 305-970-3939
State Certification or Registration#: CFC058101 Certificate of Competency M
DESIGNER:Architect/Engineer: McHarry Associates Phone#: 305-445-3765
Address:2780 S.W. Douglas Road, Suite 302 City. Miami State: FL Zip: 33133
Value of Work for this Permit:$ 11,000.00 Square/Linear Footage of Work: 10000
Type of Work: ❑ Addition 0 Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Water supply to AHU Chiller
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ ,`w
�427- CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ '-7?>�� ,
(Revised02/24/2014)
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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature a�_:Xw� Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of v4 20 y- o?o�n''dff day of O--1 _ by
olr tC&L4 who is personally known to At �F��/ w<is know to
me or wht has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: ���11111�N1N//jf� NOTARY PUBLIC:
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APPROVED BY C ,.-_J 9-3-1 5 Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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MIAMI-DADE WATER&SEWER DEPARTMENT
1 METER OPERTATIONS&MAINTENANCE
MIAMaDADE tt �� CROSS-CONNECTION CONTROL UNIT
V 1001 N.W.11th STREET,MIAMI,FL 33136-2209
Phone(305)547.3046 Fax(786)268.5485
BACKFLOW PREVENTION ASSEMBLY TEST REPORT FORM
IFDEVICE: 0
M m-
VE uo.- FAX
ZIP CODE::
OF /7 esTl�l# Da O PFi01�..
Z
C1 P-16-0 ZIP CODE
3 TEST AOT MIKE MODEL#: SERIAL#: / DATE SITE TUBE:
ad Gv 'alp m, ��� �b /� YES
TEST PLEASE MARK: RA` W.U.
MAKE OF ASSEMBLY: MODELIQ. SERILL / SSE:
FINM$A)/MSP'
Y: HAZARDISERVICE M Rp„
4 ANNUAL TEST:
TOFFVALVE#1: SWOFFVALVE412; ,
CLOSED TIGHT: CLOSED TIGHT:
LEAKED: LEAKED: LINE PRESSURE PRESSURE sTAmE:YES-NO
D.C.U. R.P .A. P.Y.B.
CHECK VALVE NO.1 CHECK VALVE NO.2 DIFFERENTIAL RELIEF VALVE AROM CHECK VALVE
H Closed Tight~ Closed Tight~ FAILED TO OPEN: F&OTOOPM_ LEAKM—
12 Leaked: Leaked:
OPENED AT: HELD AT:
PRESSURE DIFFERENTIAL ACROSS CHECK PRESSURE DIFFERENTIA!.ACROSS CHECK
PSI —.?—psi OPENED AT: SL PSI PSI
IF THE ASSEMBLY FAILS FOR ANY REASON COMPLETE THIS SECTION AND NOTE REPAIRS
REMARKS I REASON FOR FAILURE(IF APPARENT):
CHECK VAVLE N0.1, CH�C(VAVENO.2 oIFFERENIIALRELIEF VALVE ,PV:$.
y CLEANED: CLEANED: CLEANED: CLEANED:
OG
a REPLACED: REPLACED. REPLACED: REPLACED:
W
D.C.V A, R.P.ZA P.Y.B.
CHECK VALVE NO.I CHECK VALVE NO.2 oIFFMM REUEF VALVE AIR NLET CHECK VALVE
Closed Tight" Closed Tight~ FAILED TO OPEN: FM0 M 0PI `— LEAKED:*_
LU OPENED
EAKED:—
OPENED AT: HELD AT:
Of Leaked: Leaked:
PRESSURE DIFFERENTIAL.ACROSS CHECK PRESSURE DIFFERENTIAL.ACROSS CHEgCPSI PSI
OPENED AT: PSI
PSI PSI
I T I Y INANCE WITH THEA.W. ACROSS CONNECTION CONTROL MANUAL.AND THAT ALL THE I 0-MTI IS
A TE TOTNE ST O S
SIGNATURE OF CER D DATE'
NOTE: TEST FORM U B COMPLETED IN ITS ENTIRETY. INCOMPLETE TEST FORMS VVIEVMAIETURNED.
Revised: 5/27/2010 a-mall: CCC@mlamidede.gov web: httpJlwww.miamidade govAaatedcross-con on-backfiow asp