ELC-18-668BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department UN °5 '18
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BYE._.._. �4
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
Master Permit No.
FBC 20
2- 6()-
Sub Permit No. jC I C3 — 0)a
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL El PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 11300 NE 2ND AVENUE
City:
Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11-2136-000-0050
Is the Building Historically Designated: Yes
Occupancy Type: Load: Construction Type: CBS Flood Zone: BFE: FFE:
NO NO
OWNER: Name (Fee Simple Titleholder): Barry University
Address: 11300 NE 2ND AVENUE
Phone#: (305)899-3790
City: Miami Shores State: FL Zip: 33161
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Novoa Electrical Contractors phone#: 305-824-2858
Address: 8171 NW 91st Terr. Unit #4
City: Medley State: FL
Qualifier Name: Osvaldo Monier
State Certification or Registration #: EC13006771
Zip: 33166
Phone#: (786)287-4220
Certificate of Competency #:
DESIGNER: Architect/Engineer: Ventura Architecture Phone#: 954-423-1362
Address: 11870 W State Rd 84 #C14 City: Davie State: FL Zip: 33325
Value of Work for this Permit: $ 2700
Square/Linear Footage of Work: 4000 Square Feet
Type of Work: ❑ Addition ❑■ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: General Electrical rewiring as per plans
C,'t1Or -c_ Of QD cC or
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ lie' ! 4:7)0 CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ (1O . CO
(Revised02/24/2014)
Bonding Company's Name (if applicable) N/A
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address N/A
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 abse osted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature jiit4aVi;t
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of(S4 , 20 by
SUs. ibtrialcA , who is personally k��" ' t
_,r who has produced as
identification and who did take an oath.
NOTARY P LIC:
Sign:
p.
Signatur
CONTRACTOR
The fore oing instrument was acknowledged before me this
Z da of J , 20 8 , by
��‘ �V 14 V' ' I ' , Ywho is personally known to
me or w as produced' D as
identifica tTon'Sna w o ditake an oath.
NOTARY PUBLI a
Sign: �\ Print: . C Km
Notary Public Stets of Florida
Jeffry J Yao Seal: 714
rIr/
My Commission FF 188481 ,
d" Expires 11/1zn018 Y �''_ Commission
__4e '', "_ Expires: February 18.
APPROVED BY
�`rr4�Y /6 Plans Examiner Zoning
(Revised02/24/2014)
Structural Review
Clerk
Signature
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
/ CHANGE OF CONTRACTOR / ARCHITECT
Permit N. `(1 &D 7
Owner's Name (Fee Simple Title Holder): yJ14 V,V i V P
Owner's Address: / / 300 /V1,.52.. At&
City: 0/ I A-evo $ 14vxe State :
Phone<3a5/ Mo oq
Zip Code: 3 3•l C /
Job Address (Of where work is being done): [ / 30 6 11/-b d4VO i4 C 6-4 tiD I ' 14—>
i C ty: Miami Shores State: Florida Zip Code:
Contractor's Company Name DUS+a4 A 1-- 6TLkvoC._ u'Lfiltone 44a `() 9 3% f 7
Address: /W.) S?„) SO. I FL/ ,;-1
City: /14 i ArvvI State: F<-- Zip Code:-3 31 3,
Qualifier's Name : f /&5 Th ti ro,iuiet.j
Lic. Number. 07C, /
rc 13 t! Engineer of Record Name: /1/ V/ the- A Phone #: 5'1 5-/ (/ 3 / 3 6C2-'
Address: / / Q76 7 ,?2o �y
City vAltb _ State:
Zip Code: 33-32�
Describe Work
1 hereby certify that the work has been abandoned and/or the contractor/architect
is unable or unwilling to complete the contract. 1 hold the Building Official and the
Miami Shores harmless of all legal involvement.
Signature 1.(-6e i Luu j
Owner or Agent
The foregoing instrument was aknowledged before me
this day of j'[r,201t ,by kcal ir1.Q 144 L thir7 day of
Who is Personally known to me or who has produced who is
as indentificatic:;t1"-
Notary I' :
Sign: r/. 'IA ).,
Seal: &,.M..
Mary
Publi
c State of Florida
Jeffry J Yao
+d 0 My Commission FF 168481
4 Olv Expires 11/12/2018
Contractor or Architect
The foregoing instrument was aknowledged before me
20 by
me or who has produced
�i�e✓ .... . as 'n ..., _...:....o
�/'� uis entificatia5t
:
No Public:
Seal:
-
�:.
Notary Public - State of Florida.,
Commission # FF 898655.
.o:= :'My Comm. Expires Oct 25, 2019
'cite a Bonded through National Notary An.
!,! � ...,
Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Pe
Permit NO. ELC-3-18-668
Permit Type: Electrical - Commercial
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 6/1812018
Expiration: 12115/2018
Parcel Number
Applicant
11300 NE 2 Avenue Number: Landon Studer 1121360010160-26
Miami Shores, FL 33138-0000 Block: Lot:
BARRY UNIVERSITY INC
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
INDUSTRIAL ELECTRICAL SYSTEM C
Cell Phone
Valuation:
Total Sq Feet:
$ 2,700.00
5861
Type of Work: GENERAL ELECTRICAL RE -WIRING AS PER
Additional Info: GENERAL ELECTRICAL RE -WIRING AS PER
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.80
$2.25
$2.00
$0.60
$150.00
$3.00
$2.40
$162.05
Pay Date Pay Type
Invoice # ELC-3-18-66795
06/18/2018 Credit Card
Amt Paid Amt Due
$ 162.05 $ 0.00
Available Inspections:
Inspection Type:
Final
Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
Underground
W. W.
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 respon 'bility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, ECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I c= hat I the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. yore 1 atthorize the above -named contractor to do the work stated.
June 18, 2018
Authorized gnat e:O ner licant / Contractor / Agent
Building D
rtment Copy
Date
June 18, 2018
1
1
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 El ELECTRIC ❑ ROOFING
❑ REVISION
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF
_ CONTRACTOR
JOB ADDRESS: 11300 NE-MIAMI AVE (Landon Hall Book Store)
City: Miami Shores
Folio/Parcel#:11-2136-000-0040
Occupancy Type:
County:
RECEt\6-
MAR 14 ?WI
FBC Old"
Master Permit No. C-C t B -Co (6.-*
Sub Permit No. F t 8 40 (p5
❑ EXTENSION ❑ RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
Miami Dade Zip:
Is the Building Historically Designated: Yes
Load: Construction Type: Flood Zone:
OWNER: Name (Fee Simple Titleholder): Barry College
Address: 11300 NE 2nd AVe
NO
BFE: FFE:
Phone#: 305-586-5109
City: Miami Shore
State: FL
Zip: 33161
Tenant/Lessee Name: 6A Viv'I r rt--S t
Email: 1444 ' V &__-- wl l/(t-t• _ Pe e_c-4- I+ c.f i& o
CONTRACTOR: Company Name: INDUSTRIAL ELECTRICAL
Address: 14050 SW 84 ST SUITE 206
Phone#: Site
SYSTEMS, CORP phone#: 305-388-4648
City: MIAMI State: FL Zip: 33183
Qualifier Name: NESTOR I CORVEA
State Certification or Registration #: EC 13002182
DESIGNER: Architect/Engineer: /V11 k_t\,' -J Ut
Address: // F-7 6 tnJ S1- O
Permit: $ o
•
Value of Work for this
quare inear Footage of Work:
Type of Work: ❑ Addition Alteration New ❑ Repair/Replace
Phone#: 305-388-4648
Certificate of Competency #: (� I
Phone#:q �c 7 i L3 ! 3 & 7--
City: D AV t, 6 StateFC Zip: 3g
7S-6
❑ Demolition
Description of Work: - IN i , A P
tve, Nis
Specify color of color thru
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
tile:
Permit Fee $ /O' / Oi" CCF $ CO/CC $
Radon Fee $ DBPR $ Notary $
Training/Education Fee $ Double Fee $
Bond $ d
TOTAL FEE NOW DUE $ 12
(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. 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 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.
OWNER or AGENT
The foregoing instrument�was acknowledged.lbefore me this
day of Y - 1 tQQM , 20 (8' , by
Q
Lho is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign`
Print:
Seal:
r"" (C
El 1 C-= N� c LC�j(c�t2t r--
aiNETTE MELCNIORRE
NoIaty Idle =Sat. of Florida
i • = Commisslon L FF` 09S29S
:= My Comm. Expires kp 19, 2020
os v.�:•� `
APPROVED BY
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
05th day of March
NESTOR I CORVEA
20 18 , by
, who is personally known to
me or who has produced as
identification and who did tak'
NOTARY PUBLIC:
Sign: 4-lc 2.
Print: Francisco P. Morales
Seal:
Plans Examiner
FRANCISCO P. MORALES
Notary Public — State of Florida
Commission # GG 158509
My Comm. Expires Nov 17, 2021
.7 pII"." Bonded through Naiona: Notary Assn.
--vor Nov
Zoning
(Revised02/24/2014)
Structural Review Clerk