PLC-11-947Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
inspection Number: INSP - 160143
Permit Number: PLC -5 -11 -947
Inspection Date: June 27, 2011
Inspector: Hernandez, Rafael
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue NEW DORM
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: RIGHT WAY PLUMBING CO INC
Permit Type: Plumbing - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
L.,„.
Phone Number
Parcel Number 1121360010160 -37
Phone: (954)423 -0000
Building Department Comments
TEMPORARY CONSTRUCTION FOR TRAILER
Passed
Inspector Comments
A�
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
June 27, 2011
For Inspections please call: (305)762 -4949
Page 1 of 1
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
MAY 2 4 2011
Y.
BUILDING Permit No. PIC 0-9'
PERMIT APPLICATION Master Permit No C
FBC 20
Permit Type: PLUMBING
OWNER: Name (Fee Simple Titleholder):
Address: n4O 0 v G 14 LI e
City:
1
tkn C. S A Phone#: (305 I 11-3656
Tenant/Lessee Name:
_��� voN
JOB ADDRESS: 1X00
State:
74 L
Zip: 81)
Phone#:
City: Miami Shores
Folio/Parcel #:
County:
\. P t L O0OcO'+b
Miami Dade Zip: �� k
Is the Building Historically Designated: Yes NO
CONTRACTOR: Company Name:
Address: 13a-
City:
Qualifier Namehqm;l -e-k `"Zmtko
State Certification or Registration #:
Contact Phone#:
�9 Flood Zone:
Phone #: 95-ti - 9 a --000c)
State:
Zip: 3 3 3 -�
Phone#:
Certificate of Competency #: a f 45'4si8 o%--
l��f - -b000 Email Address: DR Qr-i jL 4-(..) lu,S -f Ce, (—
DESIGNER: Architect/Engineer:
were ¢a �.
713
Phone#:
Value of Work for this Permit: $ bel 0 Ci
Type of Work: ❑Address ❑Alteration
Description of Work: eI-1p an5i-+ c- a,
Square/Linear Footage of Work:
glNew ❑Repair/Replace
- Trcae k1/4. i,eS�R14 c�
❑Demolition
)34
Submittal Fee $ �(�,� � 1 1"*". Permit Fee $ / 06 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
*****+ x******************** ** ***********Fees*********** ** x*************** * **** **** * ****
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. I understand that a separate permit must be secured for FT.FCTRICAL 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 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 a1z.' reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
day of , 20U by I), ( -kC irk' S- ,
who is persofially known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign.
Print:
My Commission Expir
Contractor
The foregoing instrument was acknov4dged before ipe thi
day of , 20 LL, by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
It /0
o.. 1+'
1,.
My Commission E`;` Expires 919/2012
£ , Inc
'ii�Cr4ti o Florida Notary Ase^•
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AJARDO
,- 2 Y-4( Plans Examiner
Structural Review
(Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/15/09)
Zoning
Clerk