DS-17-1508 Porn
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s°. S� Miami Shores Village �` 1 e 77?T!�pe L rk0*W W3Id&Wal1W� l4ir '.
10050 N.E.2nd Avenue NE
Miami Shores,FL 33138-0000
y Phone: (305)795OR
2204 Permit_ t's�.AI I� �/ .
Expiration: 12117/2017
Project Address Parcel Number Applicant
11300 NE 2 Avenue Number: Renne M. Hall 1121360000050-20 BARRY UNIVERSITY INC
Miami Shores, FL 33138-0000 Block: Lot:
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 Cell Phone Valuation: $ 6,200.00
FLORIDA CONTRACTORS AND CONS (305)812-0582
_....... __..... N ... Total Sq Feet: 100
Approved:In Review Available Inspections:
Comments: Inspection Type:
Date Approved::In Review Final
Date Denied: Foundation
Type of Work:MOTTRAM-DOSS SIDEWALKS REPAIRS Additional Info:MOTTRAM-DOSS SIDEWALKS REP Review Planning
Bond Return: Classification:Commercial Review Building
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $4.20 Invoice# DS-6-17-64237
DBPR Fee $2.00
DCA Fee $2.00 06/20/2017 Credit Card $74.20 $50.00
Education Surcharge $1.40 06/06/2017 Check#:6271 $50.00 $0.00
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $5.60
Total: $124.20
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: I4rtth,a tall the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zonin Furp6r¢ I uthor' a the above-named contractor to do the work stated.
June 20,2017
Auth rized Signature wner / Applicant / Contractor / Agent Date
Building Department Copy
June 20,2017 1
9V
Miami Shores Village RECEIVED
Building Department
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JUN n s 10V
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 /�
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20th
BUILDING Master Permit No. �� I� 1150
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 11300 NE 2nd Avenue - Barry University Mottram-Doss
City: Miami Shores County Miami Dade zip:
Folio/Parcel#:1121360010160-30 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):Barry University Phone#:(305) 899-3000
Address:11300 NE 2nd Avenue
City, Miami Shores State: Florida Zip: 33161
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Florida Contractors and Consultants Corporation Phone#: (305) 812-0582
Address: 12405 SW 22nd Terrace
City: Miami State: Florida Zip: 33175
Qualifier Name: Jose M. OjedaPhone#: (305) 812-0582
State Certification or Registration#: CGC1511409 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State Zip:
Value of Work for this Permit:$6200 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New Q Repair/Replace ❑ Demolition
Description of Work: Mottram-Doss sidewalk repairs
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
e
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 Signature 4ve4j?
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrum nt was acknowledged before me this
Fq'I�
L day of R/ 20 17 by day of �� 20/7 by
,<44A who is personally known to who is personally known to
...��
Me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an o
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
. " bel Garcia
Pri Print: �'�.
Se -VU11111 U11#Miff
a Jeffry J 6izr—)
• "= Ire3 March 28,2020
My ComSeal: 'a,q Expires ''���i�� O``` Bonded Ylrll Aaron Notary
APPROVED BY �' (n Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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