ELC-18-2420Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Pe
•mit
slue°Da
Permit NO. E LC -9-18-2420
Permit Type: Electrical - Commercial
Work Classification: Addition/Alteration
Pennit Status: APPROVED
9/14/2018 Expiration: 03113/2019
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
CeII
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
CeII Phone
Valuation:
Total Sq Feet:
$ 34,000.00
3556
Type of Work: INTERIOR RENO TO EXISTING BOOK STOR
Additional Info:
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$20.40
$15.30
$10.20
$6.80
$1,020.00
$3.00
$27.20
$1,102.90
Pay Date Pay Type Amt Paid Amt Due
Invoice # ELC-9-18-68845
09/14/2018 Credit Card $ 1,102.90 $ 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 permit, I agree to perf.. e work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, dra ings, state is or specifica i.ns submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work d. ne by eith= n#yself, age t, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WIN OWS, i i o ` -, ROOFING n. SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoin
construction and zoning. Futhermore, I authorize the
i form. ? i- accu :t: :n
b.v= *t;edc,n a t.rtld
ork will be done in compliance with all applicable laws regulating
tated.
September 14, 2018
Date
Authorized Signature: Owner / Applica
t / Co' -ct. / Agent
Building Department Copy
September 14, 2018
1
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
RECEIVE
SEP 11
FBC 2034,
Master Permit No. CC-18-1545
Sub Permit No. 'Ctr-I
❑ REVISION ❑ EXTENSION
PLUMBING ❑ MECHANICAL El PUBLIC WORKS ❑ CHANGE"OF
CONTRACTOR
JOB ADDRESS: 11300 NE 2 AVE (LONDON HALL)
❑ RENEWAL
❑ CANCELLATION ❑ SHOP
DRAWINGS
City: . Miami Shores
Folio/Parcel#:11-2136-000-0040
Occupancy Type: y Load:
OWNER: Name (Fee Simple Titleholder):
Address: 11300 N MIAMI AVE
County: - Miami Dade
Zip:
Is the Building Historically Designated: Yes
Construction Type: Flood Zone:
BARRY UNIVERSITY
. NO
BFE: :, FFE:
•
Phone#: 305-586-5109
city: MIAMI SHORES
Tenant/Lessee Name: SAME
Email: mvoutsinas@barry.edu
State: FL
Phone#:
Zip: 33168
CONTRACTOR: Company Name: INDUSTRIAL ELECTRICAL SYSTEMS, CORP
Address: 14050 SW 84 ST SUITE 206
Phone#: 305-388-4648
City: MIAMI State: FL
Qualifier Name: NESTOR I CORVEA
State Certification or Registration #: EC 13002182
DESIGNER: Architect/Engineer: MIKE VENTURA
Phone#:
Zip: 33183
305-388-4648
Certificate of Competency #:
Phone#:
954-423-1362
Address: 11870 W STATE RD 84 City: DAVIE State: FL
Square/Linear Footage of Work: 3,556
❑ New ❑ Repair/Replace ❑ Demolition
Value of Work for this Permit: $ 34, 000.00
Type of Work: ❑ Addition Alteration
Zip: 33325
Description of Work: INTERIOR RENOVATION TO EXISTING BOOK STORE AND CONVENIENCE STORE
(LONDON HALL).
Specify color of color thru tile:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $ letr2m . O a CCF $ : ' • - "CO/CC $
3(3
Radon Fee $ I G• -O DBPR $ Notary $
Training/Education Fee $ Double Fee $
Bond $
TOTAL FEE NOW DUE $ (/ (0.
(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' -
•
-
,
r .rl
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
..., -c , - :...,�r3 w.w -,, .�_. , .,_ ' }.; .i v t 1 T'
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. f _ a -
"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." ,. $
e `i
n.•i f'4
Notice to Applicant: As y 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 • e charged.
Signature
I Signature
s
OWNER or AGENT , CONTRACTOR -� ,<
}. `wit: `
The foregoing instrument was acknowledged before me this The foregoing instrum- rt was before -me -this
�1h
day of—si7r kfi Ak% Lam- , 20 I b. :by
r 20' l a , by
SMSAW IW S AL ,who is personally known tyo Srar• w A�A - ,who is ersonally known to
_ ._.. _ . ' ...' _.' . `..1 ' '`
agpr who has produced . -as me or who has produced . holt.' \1(t1s`f., as
identification and who did take an oath.
identification
' ! c- , r--,, 4_- . ti .3
NOTARY-PU C: - -II
PUB
r
,,w ` t? .•
Sign:
Print:'
Sea
Notary Public State of Florida
Jeffry J Yao
My Commission FF 168481 .__
Expires 11/12/2018
APPROVED BY
Print:
—Sear`
ADY PRIET
MY COMMISSION # FF 214031
- - = EXPIRES: March 25, 2019
Bonded Thru Notary Public Underwriters
Plans Examiner
Zoning
(Revised02/24/2014)
Structural Review Clerk