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PLC-15-1938 Inspection Worksheet Miami Shores Village 4 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-246159 PermitNumber: PLC-7-15-1938 Scheduled Inspection Date: September 14, 2016 Permit Type: Plumbing - Commercial Inspector: Hernandez, Rafael Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: Gas Job Address:11300 NE 2 Avenue Weber Hall Miami Shores, FL 33138-0000 Phone Number Parcel Number 1121360010160-13 Project: <NONE> Contractor: AL HILL ENTERPRISES CORPORATION Phone: (305)687-9963 Building Department Comments INSTALL GAS TO DRYERS INSTALL CONDENSATE Infractio Passed Comments DRYWELLS INSTALL ROUGH SANITARY/WATER FOR INSPECTOR COMMENTS False WASHING MACHINE AND FLOOR DRAIN CAP AND SAFE EXISTING FIXTURES Inspector Comments Passed 14 CREATED AS REINSPECTION FOR INSP-240395. Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid September 13,2016 For Inspections please call: (305)762-4949 Page 3 of 44 j U _Ilb Customer Name: . - Cu sto;,n ar;,2�dd ress: AMIE. WE26ER WALL �ND`FWIOM) Perm!'q- Numbar: PL-Cn-—7 L'S Iq SS S'73t�321 L---?-F2t Taot�Inch-so blI.C.)S121g9a A Flow Pressure - Start Pra3swe End Pr2SSUT,26-5 111nne Held Leak DOT Comiments: 9q(u rs�( Gots -z", I t"s-43) Flovv Press Sn-rt Pra3s End Prassure _71nia Helj_I-,rs— Leaks Connimants:_ 1. -T-Z) ?)Tu Flow Pressure_ start Pressure— End Pressurq_ Time Held_ Laa 1z Lock Up T est _ 1v stage 2nd Saga single Stage ! Leak-s Comments: Sin Iff—1 est: U) Custon. -ar given ani C) Appliances present at the time of installations: VkJ/H — DrVer P/H Oven — Grill — Fra/'rC.Coolf-z?r Boller Space HLr Stearn Table — Hood Stove — Other Equipment Check Performed? FQX Fire Systenn Presan,j? —(YT-a Maks Up Air Present? V' P. Nama e: CIC, f Signature: Title: Data: Cm- S Miami Shores Village s Pert T� �BB � ae>' 10050 N.E.2nd Avenue NE Gas Miami Shores,FL 33138-0000 p + }}yam C F�i"noes' Phone: (305)795 2204 0 1/ Expiration: 17!2016 1 : Project Address Parcel Number Applicant 11300 NE 2 Avenue Number: Weber Hall 1121360010160-13 Miami Shores, FL 33138-0000 Block: Lot: BARRY UNIVERSITY INC 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: $ 53,800.00 AL HILL ENTERPRISES CORPORATIC (305)687-9963 _ ... . . ...__.. ... _......mm. Total Sq Feet: 00 Type of Work:INSTALL GAS TO DRYERS INSTALL CONDE Available Inspections: Type of Piping: Inspection Type: Additional Info: Final Classification:Residential Press Test Scanning:3 Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $32.40 DBPR Fee Invoice# PLC-7-15-56552 $24.21 07/31/2015 Credit Card $50.00 $1,707.82 DCA Fee $24.21 Education Surcharge $10.80 08/21/2015 Credit Card $ 1,707.82 $0.00 Permit Fee $1,614.00 Scanning Fee $9.00 Technology Fee $43.20 Total: $1,757.82 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 zin uthermore,I authorize the above-named contractor to do the work stated. lu [ August 21, 2015 A61:11drilzid Signa ure:Owner / Applicant / Contractor / Agent Date Building Department Copy August 21,2015 1 Miami Shores Village C ' = � Building Department JUL � 1. t01� 10050 N.E.2nd Avenue, Miami Shores,Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20/L/ BUILDING Master Permit No.CC-9-14-2030 PERMIT APPLICATION Sub Permit No.,&-a ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL FE—]PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 11300 NE 2nd Avenue: Weber Hall Phase 1A City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1121360010160-13 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: CONTRACTOR:Company Name: AI HillRbmaCorp. Phone#: 305-687-9963 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#: DESIGNER:Architect/Engineer: Synalovski Romanik Saye, LLC Phone#: 954-961-6806 Address: 1800 Eller Drive, Suite 500 City: Ft. Lauderdale state: FL Zip: 33316 Value of Work for this Permit:$53,800.00 Square/Linear Footage of Work: 10000 Type of Work: ❑ Addition ■❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: install gas to dryers, install condensate/drywells, install rough sanitary/water for washing machine and floor drain, cap and safe existing fixtures. Specify color of color thru tile: 37- Submittal Fee$ � OC 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) i 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 INTEL® TO OBTAIN FIKIANCING, CONSULT WITH YOUR LENDER OR Ali ATTORNEY BEFORE RECORDING YOUR NOTICE OF C®MMENCEMENT.0 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 w`*� C\� `� Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this ��day of �/ 20 by day of���c, ,ZO by fJ VL 4 Stwho is personally known to A� t�, I who is ersonally kno to meor 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: Si 11111111f1f1 Sign: ,/ Print: la A < \�,•••••0. /%i Print: Il�f P1 GY z 7J-7-es `tom` $ �� er 9 �o,�;;;o8�% VERNARDA1EAL Seal: _ �� N� Seal: * * MYCOMISSIONIFF9075 *: w•® o*= EXPIRES:July 30,2018 Z�q: #FF 220337 ;Q� "'Form"��' BondedThruBud�etN�erYSlrvkes %"�: z�za* * �z xmuo x . sm1iO'i Eils.xm x x �xo�xxm�xmx x �x x . +x �z rix +* ,� wzm* �zu.� �z.*�x** APPROVED BY �-3 /h fffIlilffi lans Examiner Zoning Structural Review Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 SEP ®3 2015 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20N BUILDING Master Permit No. "(30 ab30 PERMIT APPLICATION Sub Permit No.PL L C `71 S 153 ❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL [-PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP �/ `W/ CONTRACTOR DRAWINGS JOB ADDRESS: .1130 - �/�'W ,D jlE. — E L3EjZ_ tl'4L L City: Miami Shores County: Miami Dade zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): 13 ��' u ful tOCz.S jnz Phone#: Address: I fix) _Aic Zn, A City: /G//��ti1 i )'144z( 5 State: T:L Zip: Tenant/Lessee Name: Phone#: Email: /l �/ CONTRACTOR:Company Name: & yILL Pia M131/y6 Phone#: Address: / 3���D �l ��c V 12 City: 0,,;24 — 40cf< /4 State: EL zip: 33 5�l Qualifier Name: 41-&4T ,/ILL.. Phone#: 307- State Certification or Registration#: 6 ,_a�/0/ Certificate of Competency#: 0000 /6"73,-)DESIGNER:Architect/Engineer: /ZS L-L C Phone#: y/o — /Ix Address:/A'0 EL-Z E4- ➢? S U I i E 'mac p City:F4 • ILAy 2-:2 Yate: �� Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition 0"Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: i< L b ki)I/If-77t;A).5 , A294-SE /A F� 4. Specify color of'color thru tile: Submittal Fee$ Permit Fee$ a`i CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ kz�, Q V� (Rev1sed02/24/2014) 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 J4) Signature 24h f OWNER or AGENT CONTRACTOR The for going instrument was acknowledged before me this The foregoing instrument was acknowledged before me this Z day of M(*C-r 20 l by law day of �Q� eE''l�c_ 20 /S by ,SUSAN "k:M1JAL- ,who is personally known to L rr/�L ,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: �TPZSign: sissy mN lel PopgB �,• ., Print: Print: S - 1 p 6l Z'b �e •Wuio ,Ntfry J Yao L9IEI1M!sslbbpAu60 Seal: My My RF 166441 Seal: epm M 11110111- dI Fxpir"11/122018 OAIVS'iN r1111O101883W[A A A F%Ah N ——— APPROVED BY ( �� Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)