ELC-17-2049 049
Miami Shores Village 'VeM4 TmEEt td al,.Coor>� meal,
10050 N.E.2nd Avenue NE _ WCtt f )a,SWftcatloh IS1
Miami Shores,FL 33138-0000
s j:)e17?)# vS" APPROVW
Phone: (305)795-22041
Cp,tTpA
Expiration: 0 1 /2018
U6tsat 17
Project Address Parcel Number Applicant
11300 NE 2 Avenue Number: Weber Hall 1121360000050-15 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 $ 24,000.00
Valuation:
PRO SOUND INC (305)891-1000
_. .......w _... ,.,... _... Total Sq Feet: 0
4
Type of Work:INSTALLATION OF MULTIMEDIA EQUIPMEN Available Inspections:
Additional Info:
Inspection Type:
Classification:Commercial Final
Scanning:3 Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
Underground
W.W.
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $14.40 Invoice# ELC-8-17-64859
DBPR Fee $10.80
DCA Fee $10.80 08/14/2017 Credit Card $50.00 $733.00
Education Surcharge $4.80 08/22/2017 Credit Card $733.00 $0.00
Permit Fee $720.00
Scanning Fee $3.00
Technology Fee $19.20
Total: $783.00
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 information is accurate and that all work will be done in compliance with all applicable laws regulating
constructio a d zoning. thermore,I authorize the above-named contractor to do the work stated.
C,_.-L August 22,2017
uthorized ignature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
August 22,2017 1
7 F6 - K(O -Q S�S-6
Miami Shores Village v�®
RECEI
Building Department AUG 1401
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 Sal
FBC 201
BUILDING Master Permit No. d I� �
PERMIT APPLICATION Sub Permit No.
❑BUILDING �ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION -0
RENEWAL
❑PLUMBING F-1 MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION [:] SHOP
CONTRACTOR y DRAWINGS
JOB ADDRESS: ?L-', z-� �j4PS i d <) nl F 2LA &LE E SM> N All
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Ty/p'e:y Flood Zone: BFEE:,.'' d l I�y�,� yFFE:
OWNER:Name(Fee Simple Titleholder): Q ��'�t�� I / fU( 1�4LS f T`� Phone#:, ' - �10
Address: ( r ,0 Q Ar -a-(" � /
City: I A01-k u �� State: FL Zip:13 16 J
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: � �OtJ °� .L )"i C- Phone#:3a " - 0(-)0
Address: 1Z 7 5 N1 1= 1 2
City: /V\(n(VA I State: EL Zip: :3 316 l
Qualifier Name: Konz (C_'.1< � j ru D2� Phone#: 30'5--R9/- t o®�
State Certification or Registration#: f�-5 r)(n o I L(9 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ a=Li 'OlV•C'U Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration 191 New ❑ Repair/Replace ❑ Demolition
Description of Work: ri',J57-4 k,-L N 1&i-J f 1 (= M U--� K.SD LA, 6 U( E Oji Ci,�)J
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ f,70 [O® CCF$ CO/CC$
Scanning Fee$ Radon Fee$ 10•DC7 DBPR$ 10 ° Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ °
(Revised02/24/2014)
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
L-1111: OWNER or AGENT CONTRACTOR
The foregoing instrum,�nt^was ack owledged before me this The foregoing instrument was acknowledged before me this
day of 20 ) ,by �lJ day of 20 / by
®�& A `f- who is personally known to0dI 11-1 /0 LZ) who is personally known to
me or who has produced as me o
identification and who did take an oath. identificat and who did take an oath.
NOTJPUB NOTARY PU CIC:
Sign: Sign:_
PrintPrint:
DEBORAH SADEGH!
Hoary Puft State a FlarmaNOTARY PUBLIC
Seal: Je*y J YeoSeal: W.'rivPlExpires
STATE OF FLORIDA
My Commission RR 1®0491 Comm#FF171�409
Expirea 1111001e 12/7/2018
APPROVED BY S`Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
l PD P,-COAD
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