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FW-11-832Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 159541 Permit Number: FW -5 -11 -832 Scheduled Inspection Date: June 16, 2011 Inspector: Bruhn, Norman Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue NEW DORM Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: MOSS & ASSOCIATES LLC Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wire Fence Phone Number Parcel Number 1121360010160 -37 Phone: (954)769 -8107 Building Department Comments TEMPORARY CONSTRUCTION FENCE Passed" t` Failed Correction Needed Re Jnspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 15, 2011 For Inspections please call: (305)762 -4949 Page 10 of 24 Miami Shores Village Building Department 10050 N.E,2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 BUILDING PERMIT APPLICATION PBC 20 Permit uWNER:1iame R® Address City: VI m�Q e: BUILDING imp e eholder): MAY 1 0 2011 Permit No cup ii 7662 Master Permit No. unbver�c�� AY • . lie Phone#: 45 State: P4ori el b Tenant/Le see Name: Erin FA Lotzt r4 net huh vt 0. (Pr . �' 14 JOB ADDRESS: I WO We �� A't t Email: �05 Pho Wei q.3050 City: Miam• Si hares County: Miami Dade p NE 5 '5I % Follo/I'arcel #: II Q O®O� '� 691(0,-.. �% IrE 9 4 \. /1I 6t. Is the Building Historically Designated: Yes NO � Flood Zone: CONTRACTOR: C ompan N ame• ri ®rI Pena L P h o n e # : 305 " 5413- (S 14 Address: y, N • it) . AP4 City: M dam d State: PO( etk, Zip: .d d er tP Phone #: Certificate of Competency #: Qualifier Name: State Certification or Registration #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: ealtr • : moss*. Assceiegtts - dejleft Ate Q64.1!0.6049®1 Value of Work for this Permit: $ geeki � U� � o Work: • C® /ice Square/Linear Footage of Work: oPcOcne, Type of Work: ©Addition - °Altera/tiion Description of Work: Z4v eX� 4,,G Nb✓t. /-E:0"; - 014'w DRepair/Replace °Demolition ******s******************* *************p **************************o***************** ea Submittal Fee $ Permit Fee $ okC'9C9 CCF $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ CO /CC $ Bond $ TOTAL FEE NOW DUE $ 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. 1 understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS. FURNACES, BOILERS, HEATERS, TANKS and 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 properly is subject to attachment. Also, a certtfied 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 approv a reinspection fee will be charged Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this ' The foregoing instrument was acknowledged before me this CP day of , 20 f( , by /5. /gam ��� e ai r S day of NA/4/ , 20 .It, by ■1.P-41' DAVIS who is personaly known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign Print: My Commission Exp NOTARY PUBLIC: Sign: Print: My Commissi GAP4 ( , Notary Public State of Florida a� ; Allan Caption c. t My Commission EE054592 r +oi aow Expues 01 /11/2015 ** *** ** * ** * ******** *****a'r** *ass+ * ****e*********' a: ** ***** *****' *******o .. �, . a.* a *** * ***a** **** APPROVED BY 4 SW f/ Plans Examiner Zoning Structural Review Clerk (Revised 07 /10/07)(Revised 06/10(2009XRevised 3/15/09) N e-� SNOIiVIf1JJH '1V113C13d 11V MEW CINV S I1111 A LN! 103 CJNV 31V1S 1-11.1M 30NVIldWOO 01.1O3tf8fS Iii .1.d30 0019 .Ld30 ONINOZ 311M AEI 03AOUddV - i 0111A saaoNS lweIlN IV 4 u ,.X CT!. (1i', r".. rre rN ktIA r►.." ter Temp. Ve,i'Le• plan qq I 0o0z'A,enuer Io uoneaCrtl� uan�[7 sU l AO umleeVanne uann+n Jowl noYa ^'weep Aue ul aaelhlll o P1.,,u1l1al oa Aew Ivawnaop fiVl la V.d ory'pa of sVlOu 9tl t 10 06!fe0 uvvve�.1