PLC-11-1242Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 173047 Permit Number: PLC -7 -11 -1242
Scheduled Inspection Date: May 23, 2012
Inspector: Hernandez, Rafael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue NEW DOORM
Miami Shores, FL 33138 -0000
Project BARRY UNIVERSITY
Contractor: RIGHT WAY PLUMBING CO INC
Permit Type: Plumbing - Commercial
Inspection Type: Final
Work Classification: New
Phone Number
Parcel Number 1121360010160 -37
Phone: (954)423 -0000
Building Department Comments
STUDENT DORMITORY 3 STORY 207 BEDROOMS
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP- 173006. CREATED AS
REINSPECTION FOR INSP - 161906. no final only ground 3rd flr only
May 22, 2012
For Inspections please call: (305)762 -4949
Page 9 of 23
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• 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 R s ( °A/f
PERMIT A
FBC 20
MAY 02 Zili2
Permit No. PLC -7 -11 -1242
Master Permit No. CC -11 -586
Permit Type: PLUMBING
OWNER: Name (Fee Simple Titleholder): Barry University Phone #: 305 -899 -3050
Address: 11300 NE 2nd Avenue
City: Miami Shores state Florida zip: 33161
Tenant/Lessee Name: Same Phone#:
Email: bedwards( mail.barry.edu
JOB ADDRESS: 11300 NE 2nd Avenue
City: Miami Shores County: Miami Dade Zip: 33161
Folio/Parcel #: 1121360000040
Is the Building Historically Designated: Yes NO X Flood Zone:
CONTRACTOR: Company Name: Right Way Plumbing Phone #: 954 - 423 -0000
Address: 1329 Shotgun Road
City: Sunrise State: FL lip: 33326
Qualifier Name: Charles Ermer Phone#: 954- 423 -0000
State Certification or Registration #: CFC 02310 Certificate of Competency #:
Contact Phone #: - >. 305 -997 -9411 Email Address: rwp@rightwayplumbing.com
DESIGNER: Architect/Engineer: cannon / Kamm Phone #:
Value of Work for this Permit: $ 500.0o Square/Linear Footage of Work:
Type of Work: OAddress UAlteration New URepair/Replace
Description of Work: Add three additional washing machine boxes "--6-12e-1-46
ODemolition
Submittal Fee $ Permit Fee $ CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ ln.ao
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
OWNER'S ANFII)AVIT: 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 ( i ` ( 77Th
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 01
day of , 20 _, by , day of May , 20 12 , by Charles Ermer
who is personally known to me or who has produced who is rsonallyl known me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Sign:
t:
M CommissionL ;, -E
*1/4 Pai0 My Florida Notary Ass`.. Inc
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APPROVED BY c7-7-- Plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10/2009XRevised 3/15/09)