REV-18-1931Miami 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 ❑ ELECTRIC ❑ ROOFING
cEIVSD
L 18'2018
(T
FBC 20
Master Permit No��CC-3-18-667
� D� Sub Permit Noll v (1 - (� 31
❑ EXTENSION ❑ RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Barry University - 11300 NE 2nd Ave Landon - Bookstore
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type:
Load: Construction Type:
OWNER: Name (Fee Simple Titleholder): Barry University
Address: 11300 NE 2nd Ave
Flood Zone:
BFE: FFE:
Phone#: 305.899.3995
City: Miami Shores State: FL zip: 33161
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Dade Construction Phone#: 786.592.1268
Address: 13372 SW 128th Street
City: Miami State: FL Zip: 33186
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #: f. iG I , / 2.-04 J
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for.this Permit: $
1)L7OO`=
Square/Linear Footage of Work:
Type of Work: ❑ Addition I i Alteration I 1 New ❑ Repair/Replace I I Demolition
Description of Work: Latest revision / N-evi Corc1re-t-e. p r
La.ncion boo aftke,c G
Specify color of color thru tile:
TQl
Submittal Fee $ Q Permit Fee $ 1 •• C ) CCF $ O - �Q Co/cc $ 9)
Scanning Fee $ —1 • Q Radon Fee $ 2" W DBPR $ 2- Gil Notary $
Technology Fee $ 0 - Training/Education Fee $ c3 - ZO Double Fee $
Structural Reviews $ , `'l.) Bond $ ql
TOTAL FEE NOW DUE$ 1 -' • Gc
(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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
OWNER or AGENT
The foregoing instrument was acknowledged beforemethis
7j-(In day of Su LY , 20 l a , by ( U
47142&40000-16QL , who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUB
Sign:
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, A
.diarhaLam.
"7" .Ili;
No
N Public Stets of Florida
Jeffry J Yao
,per My Commission FF 168481
lad' Expires 11/12/2018
as
Signature , li
I
CONTRACTOR
The foregoi g instr ent was acknowledged before me this
day of �( , 20 1 IJ , by
1 ` . 4who is ' sr orally known to
as
me or who produced
identification and who did ake an oath.
NOTARY PUBLIC: 1
Sign:
Print:
Seal:
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********************************* ****** **$************************
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APPROVED BY
j�G3
Jennifer Widgeon
Commission $ GG186946
I Expires: February 18, 2022
** 'tfb'll`Jiar' oittsrlr"********
Plans Examiner Zoning
Structural Review
Clerk
(Revised02/24/2014)
DEMO SLAP
117 .1,0"
SAW CUT ON EXISTING
SCORE LINES AND
REMOVE —EXISTING
CONC. SLAB
SAW CUT ON
EXISTING
SCORE LINES
AND REMOVE
EXISTING
GONG — SLAB
BY:
a /
NEW CONCRETE /
SLAB. ( MATCH — ; • a
EXISTING SCORE
LANES)
1rr• 21'.O
PROPOSED SLOP SLAB AND LANDSCAPE
NEW LANDSCAPE
AREA (O MATCH'
EXISTING
LANDSCAPE)
mi SOores'Viitage
APPROVED
ZONING
STATE AND COUNTY R ES AND RFGU IUNb e9.Z
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VENTURA
michael a. ventura
11870 w state rd 84 #C14
davi=, florida 33325
•hon : (954) 423-1362
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rev►sl.ns: •.�.•.
A 06.16-18 •
/L\ SITE REVISION •
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Drawn by:
Pedro Rincon
•
date:
2-16-18
A-1.1
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