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PLC-09-27 PeR quo; P L0-1-49-27 Miami Shores Village Pormtt Type P1uRtbing-Commercial 10050 N.E.2nd Avenue 1 Work Gfassfieeliorr-Se tIG Miami Shores, FL 33138-0000Perm I I> Permk Status'APPROVED Phone: (305)795-2204 ... 1/712 009 Expiration: 07s06f 0 Project Address Parcel Number Applicant ....................................................... ......................................................................................................................................................................................................................... 11300 NE 2 Avenue 1121360010160 Miami Shores Village, FL 33138- Block: 1 Lot: 2 BARRY UNIVERSITY INC Owner Information Address Phone Cell ............................ ............................................... ..................... ..................... .......................................................................... BARRY UNIVERSITY INC 11300 NE 2 Avenue MIAMI SHORES FL 33161-6628 Contractor(s) Phone Cell Phone :. Valuation: $ 5,833.34 STATEWIDE SEPTIC CONNECTIONS 305-661-6633 Total S Feet: 0 _._................... .. ........... _ ........_..._........................._............... q Type of Work:ABANDOMENT OF SEPTIC TANK Available Inspections: Type of Piping: Inspection Type: Additional Info: HRS Approval Classification:Commercial Abandonment Final Rough Landscaping I ]I - I Fees Due Amount Total I Amt Paid Amt Due Bond Type-Contractors Bond $300.00 .............................. CCF $3.00 $492.17 $492.17 $ 0.00 Education Surcharge $1.20 Notary Fee $5.00 Payment Type:Credit Card Permit Fee-Additions/Alterations $175.00 Scanning Fee $3.00 Technology Fee $4,37 Total: $492.17 4y'e-'& E n i � JAN 0 7 2009 In consideration of the issuance to merp� if P SZ fl " vered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the9 § t o Ica§ohs 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. January 07, 2009 Authorized Signature:Owner / Applicant / Contractor / Agent Date LG s—;}}� I 7 1�.,r M.u ryry n c 7 r �§ �rr i IIELG C �t (�i IJ16 §..11 ,s.i�b3i Lf�ijl�L,C .7f.11 Building Department Copy Wednesday, January 7, 2009 1 '3 Inspection Worksheet t Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL �• °Ei� �� Phone: (305)795-2204 Fax: (305)756-8972 ----------------- ---- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- specter � ` $ �e► rt '` . -C - 7 Scheduled Inspection Date: March 17, 2009 Permit Type: Plumbing - Commercial Inspector: Levrock, James Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: Septic Job Address: 11300 NE 2 Avenue Miami Shores, FL 33138- Phone Number Parcel Number 1121360010160 Project: <NONE> Contractor: STATEWIDE SEPTIC CONNECTIONS Phone: 305-661-6633 Building Department Comments Inspector Co ments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. March 16, 2009 Page 2 of 25 , GfYIiIO4i •': En~•i rPI onmentai Health Florida Department of Heath Miami-Dade County Health Department 00 OST a7Septic Tank Division 7769 NW 480 St-Suite 175 inspector a> ,Ft,33166 _�, c..�{ 5�.- __ Date -2, Address Comments Signature . l� �� "1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No.ALU q. -21 PERMIT APPLICATIO REC�0101E�9 Master Permit No. FBC 2004 JAN 0 7 2egg Permit Type: Plumbing --- ' (� o Owner's Name(Fee Simple Titleholder) �a(fy snrYC'r$1'�/ Phone#S &9 C►^ 30 S Z Owner's Address KJE Z Avg , City_ ��(-\O o-e S _State_ L zip - fi Tenant/Lessee Name Q 4,r rm Phoneq3o-S) �C► 9— 30 $Z E-MAIL: Job Address(where the work is being done) h 3oa Ke Z A,-,-- City Miami Shores Village County Miami-Dade Zip FOLIO/PARCEL# 3r— col , h1G0 Is Building Historically Designated YES NO. L,,*' Contractor's Company c G P Y Name S ��.�� G ��z Phone# CGI-CG33 Contractor's Address GI10 S- 1 -W-�c City M,%Y'Q Q or Statei7 Zi 23 l— P Qualifier Name Phone# State Certificate or Registration No. SM b G11 l ZCZ Certificate of Competency No. E-MAIL: Architect/Engineer's Narne(if applicable) Phone# Value of Work For this Permit$ Square/Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New X r/Re Re ailace p p ❑ Demolition Describe Work: EG2t"00%n0V'.—*re,1 gin Submittal Fee$ Permit Fee$- ��S CCF$ ��y CO/CC Notary$.61 00 Training/Education Fee$ �►7� Technology Fee$ T,,!jj Scanning$ A Radon $ DPBR$ Zoning$ Bond$ J aO Code Enforcem nt$ /!� Wle Fee$ Structural Review.$ tal Fee Now Due$ JAN Q.12009 See Reverse side MIAMI SHORES VILLAGE 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 -'1Zip 4 Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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$2500, the applicant must promise in good.faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection,fee will be charged. Signature Signatu E41-w'rOwner or Agent VP c�(r fj e(��(Contractor The foregoing instrument was acknowledged before me this The for oing instrument was acknowledged before e is-1 day of ar,Ha�. ,20 th, by. " a,{ L) I Iye. Zo ,,,rPt bywho is personally known to me or who has roducedP s personally kn wn to a or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTA Y PUBLIC: Sign. Sign: Print: _ S. �'-�5 tiC ,� f c �. Print: 1, b oU'ci4•�,� My Commission Expires: My Commission Expires: �0l4 ,,,,,,,Co QtiteS_;=c�^ LIN bNTTg 4 e, �� a, Ey$nJ n ti,106, �''�..,,,,,•y9 0 DD 4410M 0� APPLICATION APPROVE A Plans Examiner / rJ Engineer Zoning (Revised 02/08/06) PERMIT #; 13-SG-965313 STATE OF FLORIDA APPLICATION #:AP905940 is DEPARTmNT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT1 / �� SYSTEM y{C,[I�! FEE PAID RECEIPT #: J 0720,0027 7 20,0 DOCUMENT #: PR759723 •rr 1fAiY.-'irrrr-. CONSTRUCTION PZXMIT FOR: OSTDS Abandonmen APPLICANT: (Barry College) PROPERTY ADDRESS: 11300 NB 2 Ave Miami, FL 33161 LOT= BLOCK: SUBDIVISION: PROPERTY ID #: 11-2136-000-0050 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDAIZDS OF SECTION 301.0065, F-S„ AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TINE. ANY CHANGE IN MATERIAL PACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES 140T EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY, SYSTEM DESIGN AND SPECIFICATIONS T [ ] GALLONS / GPD CAPACITY A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ ] SQUARE FEET _ SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM_ [ ] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE [ ] [ / ] [ABOVE/BELOW]BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ ] [ / ] [ABOVE/BELOW]BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.00 ] INCHES EXCAVATION REQUIRED: [ ] INCHES O Have the tank abandoned in accordance with the following procedures:(a)The tank shall be pumped out.(b)The bottom of T the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retaining water, and(c)The tank shall be filled with clean sand or other suitable material, and co;aplelely v eyed with soil.Have the system inspected H by the health department after it has been pumped and ru Y it Lie fi ed sand and covered, E F• R i JAN 0 7 2009 SPECIFICATIONS BY: walfri.do X LAA(— TITLE; Engineer 1, Spccialist II APPROVED BY: W £ri MAWM' S�i l��y{ AWrI� Dade CHD ay. DATE ISSUED: 12/29/ p 8 EXPIRATION DATE: 03/29/2009 DH 4016, 10/97 (Previous Editions May Be Used) Page 1 of 3 v 1.1.4 AP905940 SX-1 TO 39Vd DIld3S 3GIM3iVIS 9800696VSG TO:ZT 6002/LO/TO BARRY Facilities Management 11300 NE 2nd Avenue UNIVERSITY Miami Shores, FL 33161 voice 305-899-3052 fax 305-899-4063 Division of Business and Finance RECEIVED JAN 0 7 2009 January 6, 2009 -_w -------- Building _-Building Official Miami Shores Village 10050 NE 2nd Avenue Miami Shores,Florida 33138 This is to authorize Statewide Septic Service to obtain permits for work to be done on the campus of Barry University. If you have any questions concerning this matter please contact the Facilities Management Department at 305-899-3785. Thank you, Freddy Ulloa Associate Vice President for Facilities Management