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Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 _ L
INSPECTION LINE PHONE NUMBER: (305) 762-4949 0.1
FBC 2017 Q
BUILDING Master Permit No. � - 5 2S 12
PERMIT APPLICATION Sub Permit No.
RECEIV ED
FEB 2 03 8
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF • CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Barry University - 11300 NE 2nd Avenue - HSC - Baseball & Softball - Locker Rooms
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Barry University
Address: 11300 NE 2nd Avenue
Phone#: 305.899.3995
City: Miami ShoresState: FL zip: 33161
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Emerald Construction Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Cancel Permit No. CC -10-15-2018 - Contract terminated, due to lack of funds.
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)
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
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of��,��,, TA IQ , 20 1 a , by
�oN &cT/�� -144L who is personally known tto.
day of , 20 , by
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 oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:
Prin
Seal
Sign:
Print: Jeffry J. Yao
Seal:
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
arrUniversity
RECEIVED FEB 202018
Facilities Management /
January 8, 2018
Miami Shores Village
Building Department
10050 NE 2nd Avenue
Miami Shores, FL 33138
Attn: Ismael Naranjo
Building Official
aS � Sr
Subject: Permit No. CC -10 -15 -20413 -
Dear Mr. Naranjo,
We would like to formally Cancel, the above referenced permit, for the HSC - Baseball &
Softball Locker Rooms.
Unfortunately, we do not have the funds to proceed with this project.
At this time, we do not know, when we will be able to start this project back up.
Should you have any questions, please feel free to contact us.
Thank you for your help in this matter.
Very truly yours,
Susan Rosenthal
Vice President
The foregoing instrument was acknowledged before me this { day of TANS ,
by Susan Rosenthal , wjioo ' rsonally know r has produced
as identification and who i take an oath.
NOTAR
Sign:
Print:
UBLIC:
�. YAo
Notary Public State of Florida
Jeffry J Yao
j My Commission FF 168481
p Expires 11/12/2018
v—ot:e,)
BUILDING
PERMIT APPLICATION
*BUILDING
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
❑ ELECTRIC ❑ ROOFING
El PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: 11300 NE 2nd Ave 4_160
City: Miami Shores County:
Folio'/Parcel#:!'P' `l — 21 .1L,— Oe i -ODS 0
Occupancy Type: Load:
Construction Type:
OWNERTNatme (Fee Simple Titleholder): Barry University
OrgeAddressf:' 1MittI 00 /U E Z! 4 / J
ity:J4"% kD ' - Stater
Tenant/Lessee Name:
Email:
CONTRACTOR: Company Name: Emerald
Address:' 1211 Stirling Rd Suite 106
City: Dania Beach
Qualifier Name: Ramiro Gamez
c�,xei��l Isas./134!(
FBC 20 )9 •
Master Permit No.a, 15 - 2 10
Sub Permit No.
❑ REVISION ❑ EXTENSION `" ❑RENEWAL
r
❑ CHANGE OF ® CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
Mia
Is the Buildin
State Certification or Registration #: C
DESIGNER: Architect/Engineer: SRS
Address: 1800 Eller Drive Suite 500
C
n Corp.
tate: FL
/777-213 Lb1
NO X
istorically Designated: Yes
,food Zone: BFE:
FFE:
Phone#: •
Phone#: 954-241-2583
zip: 33004
Phone#: 954-241-2583
Certificate of Competency #: CGC1520573
Phone#: 954-961-6806
Value of Work for this Permit: $
100)000 00
Type of Work: ❑ Addition ❑� Alteration
Description of work: Renovation of Baseball and Softball Lockerrooms.
City: Ft. Laudredale State: FL zip: 33316
Square/Linear Footage of Work:
❑ New ❑ Repair/Replace
❑ Demolition
Specify color of color thru tile:
Submittal Fee $ _7O 'c Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
'Structural Reviews $
(Revised02/24/2014)
CCF $ CO/CC $
DBPR $ Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
{
Bonding Company's Address
City State Zip
k i
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—MICE 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.
OWNER or AGENT
The foregoing instrument was acknowledged before me this
2
Signature
OR
The fore• •' g instru was acknowledged before me this
day of S6 [k , 20 Ir , by c day of Q , 20 15 , by
SU,SAJ ILOS 4( t, who is personally known
mtiro (yam C % , who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
*********************************
' APPROVED BY
I: 7
(Revised02/24/2014)
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
Plans Examiner
Te S aA--2-0UE2_
Structural Review
DIANE VAZQUEZ
' = MY COMMISSION # FF 065031
EXPIRES: October 21, 2017
°''' Bonded Thru Notary Public Underwriters
Zoning'
Clerk