PLC-15-1740cc
141992 --
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-238898 Permit Number: PLC -7-15-1740
Scheduled Inspection Date: August 20, 2015
Inspector: Diaz, Osvaldo
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Wiegand & Annex
Miami Shores, FL 33138-0000
Project: BARRY UNIVERSITY
Permit Type: Plumbing - Commercial
Inspection Type: Final
Work Classification: Gas
Contractor: HORIZON PLUMBING & MECHANICAL CONTRACTORS INC
Phone Number
Parcel Number 1121360010160-09
Phone: (305)592-6389
Building Department Comments
LAB GAS RENOVATION
Infractio Passed Comments
INSPECTOR COMMENTS
False
Passed
711 'Spector Comments
Failed
Correction
Needed
Re -Inspection
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
August 19, 2015
For Inspections please call: (305)762-4949
Page 16 of 41
08/24/2015 4:47 PM FAX 3055920686
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August 24, 2015
Plumbing Official of Miami Shores Village
10050 NE 2n° Ave NE
Miami Shores, FL 33138
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Horizon Plumbing and Mechanical Contractors, Inc. certified the system at Barry
University at 11300 NE 2nd Ave Miami Shores for the Lab WA104 and has
successfully passed the drop test for the Gas line.
9.4 W.C. Test
20 minutes
edifier
S -,z v -
Date
Sworn to and subscribed before me this T day of
My Commission ex
Personally known
CHARLENE. A CHAPLIN
Notary Public • State of Florida
My
i Commlaalon # EE•055374
!ondod Though gond Nota Y Ann•
mm.
or produced ID
2015
%tM
iic)
42-6--2
(Notary par
(type of ID produced)
HORIZON PLUMBING & MECHANICAL CONTRACTORS, INC.
10871 SW 1$$th Street - Suite 1 • Miami, FL 33157 - (305) 592-6389 - Fax: (305) 592'0686
08/24/2015 4:47 PM FAX 3055920686
HORRIZON
August 24, 2015
Plumbing Official of Miami Shores Village
10050 NE 2rd Ave NE
Miami Shores, FL 33138
Horizon Plumbing and Mechanical Contractors, Inc. certified the system at Barry
University at 11300 NE 2nd Ave Miami Shores for the Lab WA102 D and has
successfully passed the drop test for the Gas line.
9 W.C. Test
20 minutes
-
rtifier Signature
S -29- /5
Date
Sworn to and subscribed before me this < ( day of
Vr ,,,,. CHARLENE A CHAPUN
"YIE Notary Public - Stats 0t Florida
My commission e ; . ,\ „„ res Ooc 14. 2018
Q Commission # EE
Bonded Through Nations! Nohty Assn,
2015
la0003/0004
Personalty know or produced ID (type of ID produced)
otary public)
HORIZON PLUMBING & MECHANICAL. CONTRACTORS, INC_
10871SW 188th Street - Suite 1 - Miami, FL 33157 • (305) 592-6389 • Fax: (305) 592-0886
08/24/2015 4:47 PM FAX 3055920686
HORRIZON
August 24, 2015
Plumbing Official of Miami Shores Village
10050 NE 2nd Ave NE
Miami Shores, FL 33138
Horizon Plumbing and Mechanical Contractors, Inc. certified the system at Barry
University at 11300 NE 2nd Ave Miami Shores for the Lab WA102 C and has
successfully passed the drop test for the Gas line.
10 W.C. Test
20 minutes
4644,4
rtifier Signature
Date
Swom to and subscribed before me this 62
My commission ex
,,,,,.,,� CHARLENE A CHAPUN
1 •+ µ,1- Notary Public • Stirs of Sodda
1 My comm. Wins Dec 14 2016
IsiwA. SII1o�n • EE 855374
�h ria. pw TIMougtl
1
•
2015
14 //Ail
(Nota public)
Personally known 1/ or produced ID (type of ID produced)
HORIZON PLUMBING & MECHANICAL, CONTRACTORS, INC.
10871 SW 188th Street • Suite 1 - Miami, FL 33157 • (30S) 592-6389 - Fax: (305) 592-0686
E10004/0004
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Pe
mit
Permit NO. PLC -7-15-1740
Permit Type: Plumbing - Commercial
Work Classification: Gas
Permit Status: APPROVED
Issue Date: 7/17/2015 Expiration: 01/13/2016
Parcel Number
Applicant
11300 NE 2 Avenue Number: Wiegand & Anr 1121360010160-09
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 CeII Phone
HORIZON PLUMBING & MECHANICAL (305)592-6389
Valuation:
Total Sq Feet:
$ 12,800.00
0
Type of Work: LAB GAS RENOVATION
Type of Piping:
Additional Info:
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$7.80
$3.38
$3.38
$2.60
$225.00
$9.00
$10.40
$261.56
Pay Date Pay Type
Invoice # PLC -7-15-56313
07/13/2015 Credit Card
07/17/2015 Credit Card
Amt Paid Amt Due
$ 50.00 $ 211.56
$ 211.56 $ 0.00
Available Inspections:
Inspection Type:
Final
Press Test
Review Plumbing
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 informati
construction and zoning. Futhermore, I authorize the above-
ccurate a
ontractor t
at all wor /rdone in compliance with all applicable laws regulating
Authorized Signature: Owner / Applica / Contractor / Agent
Building Department Copy
July 17, 2015
Date
July 17, 2015 1
.,
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
0BUILDING ❑ ELECTRIC ❑ ROOFING
JUL 13 20
BY:
FBC 20 /0
Master Permit No. C ed q - I y - I qq2
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
• PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR ,1 DRAWINGS
(LJVr.sc AYv0
JOB ADDRESS: 1 13O lJ NE Ent' J4v2
City: Miami Shores County: Miami Dade
Folio/Parcel#: Is the Building Historically Designated: Yes
Occupancy Type: Load: Construction Type: Flood Zone:
Zip: 33I38
NO
BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Sally UniV�r&t, Phone#:
Address: 113 00 NE Znb Avt J
City: h1l k Qn1 i Shorts
State: FL
Zip:3313
Tenant/Lessee Name: Phone#:
Email: n nn 2
CONTRACTOR: Company Name: 01✓ I/vn'PI 'Plumbing and Meehanic�hlone#: VQ5-5gZ' (038q
106-11 &4) I0O) iBe t" SlYee-f- Unit J.A.
City: M I Orn i State: R—
Qualifier Name: 1-01).ext L• lJ iop hn, n
State Certification or Registration #: C,FC 05logg2 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Zip: 33l5R
Phone#:305 - 5n- (aq
Value of Work for this ermit: $ �000
Type of Work: l7 1 Addition ❑ Alteration
Description of Work:
Square/Linear Footage of Work:
❑ New
n Repair/Replace
n Demolition
Specify color of color thru tile:
Submittal Fee $
L)> CJL9
Permit Fee $
3 2rfr.
CCF $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revi sed02/24/2014)
,sS CLLAf's5'4
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ pC l .
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
bog k
OWNER or AGENT
Signature
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
_1___ da of `7i.)/ , 20 /6 , by 7 day of
t54? v\O�'�y �4/, who is personally known to -R...13,6 ax L. I who is personally knows to
me or who has produced
,20 /5 ,by
identification and who did take an oath.
NOTARY PUBLIC:
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
\ 111111111111111 ���
OS TAR "I
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Si; / •pa p128, FF.•• Sign:
Print: _ 2 `U -7,714.'s� �..7 cal = Print:
Seal: 9 NFF220337 :�` Seal:
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as
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Public State of Florida
•
My Commission EE 836680
orfs Expires 1 0108/2 01 6
APPROVED BY ' •/Y Plans Examiner Zoning
(Revised02/24/2014)
Structural Review
Clerk