DS-09-1210 Permit NO. DS-7-09-1210
�st!T'kls y� Miami Shores Village Permit Type:Driveways/Sidewalks/Slabs
T 10050 N.E.2nd Avenue Work Classification:New
Miami Shores,FL 33138-0000 Perill 't
'
Phone: (305)795-2204 Permit Status:APPROVED
FLORIDA
Issue Date:712412009 Expiration: OV20/201 0
Project Address m Parcel Number J , Applicant
11300 2 Avenue 1121360000050
+ BARRIIUNIVERSITY INC
' Miami Shores, FL 33138-0000 Block: Lot:
Owner Information Address Phone Cell _
BARRY UNIVERSITY INC 11300 2 Avenue 1
MIAMI SHORES FL 33161-6628 C
Contractor(s) Phone Cell Phone _ $ 1,500.00 !
NEW LIVING CONSTRUCTION INC (954)237-4731 (305)761-4444 Valuation:
Total Sq Feet: 1481
Approved:Yes For Inspections please call: t
Comments: (305)762-4949 +
Date Approved:7/21/2009:Yes Available Inspections:
Date Denied: Inspection Type: {
Type of Work:SLAB Additional Info:CONCRETE Final
Bond Return: Classification:Commercial Sidewalk
Landscaping
Foundation
Fees Due Amount Invoice# Total Amt Paid Amt Due
CCF $1.20 DS-7-09-35424 $ 110.10 $60.10 $ �J
Education Surcharge $0.40
Permit Fee $100.00 DS-7-09-35424 $ 110.10 $ 110.10 $ 0,00
Scanning Fee $6.00 Check#: 1147
Submittal Fee $50.00
Submittal Reversal Fee ($50.00)
Technology Fee $2.50
Total: $110.10
In consideration of the issuance to me of this permit, I agree t:,+ 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 accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above-named contractor to do the work stated.
July 27, 2009
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
July 27,2009 ---__.___.__—__._...
m1keq Miami Shores Village D PCM97m
UM
Building Department 'UL 2 1.
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY:__k�...___
Tel: (305)795.2204 Fax: (305)756.8972
BUILDING Permit No. CS Oq �oLl Q
PERMIT APPLICATION Master Permit No.
FBC 2004
Permit Type (circle): Building Roofing
Owner's Name(Fee Simple Titleholder) Jaxrnnr'l (Ay,. Ve-V S��/ Phone# dSZ-
Owner's Address 113 O() t J� Z '•r rt
44' -
City i'1n;g r. 5�;��� State Zip 3 3 1
Tenant/Lessee Name Phone# J
Job Address(where the work is being done) L l 3 CO OV Z =� A-.1---.
City Miami Shores Village County Miami-Dade Zip -_*s, 3 l tc
FOLIO/PARCEL#
Is Building Historically Designated YES NO
Contractor's Company Name 4 I S Phone# .3W_- :*(._ (&!?
Contractor's Address ?-
City 0&)ik�� /Aed-11- State FL Zip 3 Soo 9
Qualifier Name Phone#
State Certificate or Registration No. 15Oq (dD Certificate of Competency No.
Architect/Engineer's Name(if applicable) Phone#
N
Value of Work For hi Pee r 0,00 LS,71u�a�reN/ ineVV otaO
1+egr.3 MM03
fi *nvzt
'Fyffe o ❑Alteration 41
ce ❑Demolition
Describe Work: 1 % /�`/rim 2� K It �
11 1A
1"g
Submittal Fee$ Permit Fee$ V� CCF$ I•�`�J CCCO/ec —
Notary$ — Training/Education Fee$ n ' Technology Fee$ �_uo
Scanning$ 00 Radon$ DPBR$ Zoning$
Bond$ Code Enforcement$ Double Fee$
Structural Review.$ Total Fee Now Due$ O• 10
See Reverse side-4
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 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subje t to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first i p ctio hich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection w l not b oved and a reinspection ee will be charged.
Signatur Signature.�,� �2a_l-J
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this, (L The foregoing instrument was acknowledged before me this---.,)D
day of%kk!l 20 1ft,by ALe,A IJ'Ir t,_Arkin ,,wa. day of TL--(V20 ! ,by tn,+-t-iy Do: h
who ispersonally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification awho-didtak
NOTARY PUBLIC: NOTARY PU k o� LINDA S.MITTS
LINDA :State
=� °��=, Notary Public State of Florida
a mss$
Notary Public- florid>i •E My Comm.Expires Jun 16,2013
s� Commission# DD 863031tiAy Comm.Expi6,2013 ' d Thro h National Notary Assn.
Sign:. i'1 r Sign: F��,r•'
• ` Bonded Through National Notary Assn.
Print: rr.�� S.tri. Print:
My Commission Expires: b(I t,,((3 My Commission Expires: 13
APPLICATION APPROVED BY: 'd Plans Examiner
Engineer
2 Zoning
(Revised 07/10/07)
Miami Shores Village Permit No. D S-7-0 9-1 21 0
go 10050 N.E.2nd Avenue ......-
vew- ays idewa
P&mjt Type:Dri AS WsMabS
Miami Shores,FL 33138-0000
k: New
1. Phone: (305)795-2204 Fax: (305)756-8972 wor
........ Is I sue 11 Date: Not Issued
Expires: ot Issued
..........
Folio Number:1121360000050
............... ....... ........ ............... ........
Owner's Name:NORMA ARISTIDE Owner's Phone: (305)893-1745
Job Address: 11300 2 Avenue Total Square Feet: 1481
Miami Shores, FL 33138-0000
Total Job Valuation: $ 1,500.00
.............*...............................................-.......................................................................................................................--............................................
Contractor(s) Phone Primary Contractor
Planning and Zoning Criteria and Comments
Approved: Yes Date Approved: 7/21/2009 : Yes
Comments:
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (3055"795-2`04 Fax: (305)756-8972
Inspection Number: INSP-121874 Permit Number: DS-7-09-1210
Scheduled Inspection Date: August 14, 2009 Permit Type: Driveways/Sidewalks/Slabs
Inspector: Bruhn, Norman
Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: New
Job Address: 11300 NE 2 Avenue
Miami Shores, FL 33138-0000 TM, Phone Number
Project: <NONE> Parcel Number 1121360000050
Contractor: NEW LIVING CONSTRUCTION INC Phone: (954)237-4731
Building Department Comments
INSTALLATION 12'X12' CONCRETE SLAB FOR TRASH
CANS
Inspector Comments
Passed CREATED AS REINSPECTION FOR INSP-119859.
Failed
V
Correction
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
August 13, 2009 For Ir:.specL:,! o:' p.',:,,ase call: (305)762-4949
Page 10 of 12
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74;)q-.'A
JJ JUS
BY: __ -----
A
PERIi P
Miami Shores Village
APPROVED DTE
ZONING DEPT e
BLDG DEPT
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS