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PLC-15-1996 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL CC- Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-270273 PermitNumber: PLC-8-15-1996 Scheduled Inspection Date: November 02,2016 Permit Type: Plumbing - Commercial Inspector: Hernandez, Rafael 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: HORIZON PLUMBING&MECHANICAL CONTRACTORS INC Phone: (305)592-6389 Building Department Comments DEMO FIXTURE, PREP,AND RUN NEW CONDENSATE Infractio Passed Comments LINE INSPECTOR COMMENTS False Inspector Comments Passed V Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid November 01,2016 For Inspections please call: (305)762-4949 Page 48 of 51 J �3 3aa y I , � s y Miami Shores Village �e �Ufti�� { 10050 N.E.2nd Avenue NE • Miami Shores,FL 33138-0000 Phone: (305)795-2204 FtoFi 3 �(y, Expiration: 02/09/2016 61 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 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: $ 4,950.00 HORIZON PLUMBING&MECHANICAL (305)592-6389 Total Sq Feet: 400 Type of Work:DEMO FIXTURE,PREP,AND RUN NEW CON Available Inspections: Type of Piping: Inspection Type: Additional Info: Top Out Classification:Commercial Re Pipe Scanning:1 Main Drain Heater Water Service Final Water Main Lavatory Underground Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.00 Invoice# PLC-8-15-$6649 DBPR Fee $2.23 08/13/2015 Credit Card $ 163.96 $0.00 DCA Fee $2.23 Education Surcharge $1.00 Permit Fee $148.50 Scanning Fee $3.00 Technology Fee $4.00 Total: $163.96 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 accur nd that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-name 9 do the ork stated. August 13, 2015 Authorized Signature:Owner / Applicant / 'fC9AtVacf&Zf A ent Date Building Department Copy August 13,2015 1 Miami Shores Village rfil- C� F 0 2015 Building Department iRy- 10050 AUG N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 ,SDI FBC 20N BUILDING Master Permit No.CC -9 —14— PERMIT l4—PERMIT APPLICATION Sub Permit No. j-C - Cr 6 ❑BUILDING F] ELECTRIC ❑ ROOFING ❑ REVISION [] EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP /� /� / CONTRACTOR //J DRAWINGS JOB ADDRESS !//�/ �t" !//f I �"•`• �✓ '/ City Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Constructio n Type: Flood Zone: BFE: FFE: VOWNER:Name(Fee Simple Titleholder): 1 VPhone#: Address: 1 DO N -6 _ "" A-J Q City:��, S�� 1'e 5 State: L Zip: n,,�,.�l 33 Tenant/Lessee Name: .__ Phone#: Email: /1p�Q CONTRACTOR:Company Name: -f V I (�o I' \ I b in ?Phone#:,7 0 5 -15q2-w V ' Address: lSlJl) jJ� v f City: State: Zip: ,\3315a Qualifier Name: ab ef-v L' Uhodyi nn Phone#: State Certification or Registration : T� vIQL Coraf/icate of Competency#: DESIGNER:Architect/Engineer: 6 Phone#: Address• City: State Zip: O Value of Work for this Permit:$ 9�� • Square/Linear Footage of Work: Type of Work: ❑ Addition Alt ration ❑ New �A� ❑ Repair/Replace �y��1 Dermoolition Description of Work: 17 L� -1 4 �((/,�� lam'//7� , � zl;i? Specify color of color thru tile: Submittal Fee$ Permit Fee$ v CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ O G 3 ° (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: 1 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$2500,the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the fast inspection which occurs seven (7) days after the building permit is issued. in the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. L Signature Signature Z � 1� OWNER or AGENT CONTRACTOR The foregoing instrument.)Nas acknowledged before me s The foregoing instrume t was acknowledged before me this day of 20 by 21 day of 20 5 ,by 1 42 who is personally known to o � V1 ,who is personally known to d me or who has produced as me or who has produced as identification and who d;�`tMb�� identification and who did t c NOTARY PUBLIC: ��\ � .... ,��ii�y NOTARY P B nu® Notary PuaicState of Florida •' `�; Johanna Hidalgo �VO ?py-j�4L Q My Commission EE 836660 ivn� ftflo Fjcpttes 1010612016 �• t:*� Sig Print: o,�• Print: y1 o h�Q- d�,1 r o Seal: 4ii' ICR BfAtf ��` Seal: J/JN�INIIN« sass*�►�a�s�s**��a�+ear**�x*�t*+rs�es$�ssa��r�*aa�sas**s*�e��s��ra*��x**�e��e�*��r*+►s+s�s��r�*�s*�*s*�sa�*s*ens*�e�#*��r*msssst APPROVED BY /v'T Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 01/28/2016 10:52AN FAX 3055920686 HORRIZON T L— i IM 00021 0002 4, iotQ-b BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 1 i S S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL $3301-9895—954-8374000 VALID OCTOBER 1,2015 THROUGH SEP'T'EMBER 30,2016 DBA: Receipt#:182-234 62 Business Name:HORIZON PLUMSI'NG & MECH'ANIC.AL Business Type: PLUMBING/LWN $PRNXL/COxM OR CONTRACTORS, INC PLvtsBxNG) Owner Name:ROBUT L CHAPLIN Business Opened.07/01/2001 Business Location:16871 SW 188 ST #1 State/County/Cert/Reg.cFC056992 MIAMI DAD$ COUNTY Exemption Code: Business Phone:305-592-6389 ! Rooms $eat employes Machines Professionals � 8 For Vv Q{np qu&kw s Onsy i Number of Machtnes: Vending Typo: Tax Amount Transfer Fee .NSF f=ee t�ersa>ty Prior Year$ Co1ledlpr►Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 i THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS SeCOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Browerd County and is non-regulatory in nature, You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Susiness Tax Receipt must be transferred when the business is sold, business name has Changed or you have moved the i business 1008tion.This receipt does not indicate that the business is legal or that it is In Compliance with State or local laws and regulations. i Mailing Address: HORIZON PLUMBING & MSCHANI= CONT 10871 SW 188 ST #1 Receipt MNoovi=14-00123245 MIAMI, FL 33157 Paid 07/15/2015 27.00 2015 . 2016