ELC-17-1314Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit Type: E)e•
crira
�t rit tas f€ ipn: Add
Parcel Number
Comme..
on/Alteration
APPROVED
2017 Expiration: 11/18/2017
Applicant
11300 NE 2 Avenue Number: Library
Miami Shores, FL 33138-0000
Owner Information
1121360000050-03
Block: Lot:
Address
Phone
BARRY UNIVERSITY INC
Cell
BARRY UNIVERSITY INC
11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
Contractor(s)
SENTECH ELECTRIC, INC.
Phone
954-327-1881
CeII Phone
rValuation:
Total Sq Feet:
Type of Work: REPLACE COOLING TOWERES AND INSTALL
Additional Info: REPLACE COOLING TOWERES AND INSTALL
Classification: Commercial
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$4.20
$5.18
$5.18
$1.40
$345.00
$3.00
$5.60
$369.56
Pay Date Pay Type
Invoice # ELC-5-17-64005
05/11/2017 Credit Card
05/22/2017 Credit Card
Amt Paid Amt Due
$ 50.00 $ 319.56
$ 319.56 $ 0.00
Available Inspections:
Inspection Type:
Final
Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
W. W.
Underground
In consideration of the issuance to me of this perm t, I agree to perform the work covered hereunder in compli ince with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the pror er 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, MECHANICA'., WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDA IT: I certify that all the regoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction mermore, I au orize the above-named contractor to do the work stated.
rized Signature: 0 e / Applicant / Contractor / Agent
Building Department Copy
May 22, 2017
Date
May 22, 2017
1
60)
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
®BUILDING p(ELECTRIC 0 ROOFING
Master Permit No.
Sub Permit N
RECEIVED
MAY 11 7017
FBC 20 IQ
ty5c7
K C=1- ►1
❑ REVISION ® EXTENSION ❑ RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
DRAWINGS
. v ADDRESS:
Cit:
CONTRACTOR
Miami Shores
3ai6� /
Miami Dade Zir:
Foli /Parcel#: //" 2i 3 ‘)� C. "t is the Building Historically Designated: Yes
Occupancy Type: Load: Construction Type:,ex,:,>wr.- Flood Zone: BFE:
NO
FFE:
WNER: Name (Fee Simple Titleholder): e� �d+ 1U'�.�. Phone#:
Address:
City: State: Zip:
Tenant/Lessee Name: Phone#:
Email:
'TRACTOR: Company Name:
Address:
City:./ C- o) /A ' )
State:
Phone#:
Qualifier Name: S..42,64,- 6 11 aty
State Certification or Registration #: Certificate Certificate of Competency #:
Phone#:
Zip: 3.,®7
u
ESBGNE :: Architect/Engineer:
Address:
ViOiSo °
Value;•fW.,rkfrthis Permit: $� `
Type of Work: ❑ Addition ❑ Alteration
Description of Work: %v-t,,,a'� '‘V�'gr'
Phone#:
City: State: Zip:
d(' -
Square/Linear Footage of Work:
0 New
Repair/Replace 0 Demolition
Specify c Ior r f color thru tile:
Submittal Fee $
Scanning Fee $
Permit Fee $
Rad •-n Fee $
6" CCF $ CO/CC $
k6 DBPR $ S• Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $' t d • 56.
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
Bondintco nay'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 alt 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
The for
OWNER or AGENT
oing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of OVA l/ , 20 1 7 .
by 1'7 day of ftp.,, 1 , 20 17 , by
v�G'i7r) ��� , who
9)6 41 1l k7J% t1 AL, who is personally known to
_ma or who has produced as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
identification and who did take an oath.
NOTARY PUB
Sign:
Print:
Seal:
tttttt
Notary Public State of Florida
Jeffry J Yao
4 My Commission FF 188481
opµ Expires 11/12/2018
AO
APPROVED BY ./
**
Sign:
Print:
Seal:
���pRY PV�c
*. c.} *
ROGER BOYCE
MY 60MMiSSION # FF 036830
EXPIRES: July 27, 2017
Honed rnruBudget Notary Serv(ces
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'-c/ _ 1/ %(/1 l f Plans Examiner
Structural Review
(Revised02/24/2014)
Zoning
Clerk
Ardie R Copas State Veterans Nursing Home
Port St Lucie
HEROES SERVER ROOM AC Split System (QTY -1)
AI DI
Space Stat (Furnished by MFG)
1
CCU Interlock Low Voltage Wiring
1 Factory Supplied Thermostat
Any questions please call:
Dan Perez — 347-234-3736
04/3/17