ELC-18-3315Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
L?iNU Lr +.J
Issue Date:11/13/2018
Parcel Number
Permit NO.: ELC-10-18-3315
Permit Type: Electrical - Commercial
Work Classification: Temp for Test
Permit Status: Approved
Expiration: 04/29/2019
11300 NE 2 AVE Landon Student, Miami Shores, FL
33138-0000
1121360010160-26
I
Contacts
BARRY UNIVERSITY INC
JEFF YAO
11300 NE 2 AVE, MIAMI SHORES, FL 331616628
Business: 3058993995
Mobile: 3054957544
Owner
JYAO@BARRY.EDU
INDUSTRIAL ELECTRICAL SYSTEM CORP
NESTOR I CORVEA
10257 NW 9 ST 205, MIAMI, FL 33172
Contractor
BARRY UNIVERSITY INC
JEFF YAO
11300 NE 2 AVE, MIAMI SHORES, FL 331616628
Business: 3058993995
Mobile: 3054957544
Applicant
JYAO@BARRY.EDU
Description: TEMPORARY FOR TEST
Fees
Amount
Application Fee - Other
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
-
$50.00
$0.60
$2.00
$2.00
$0.20
$50.00
$3.00
$2.50
$110.30
1
1)
Valuation: $ 100.00
Total Sq Feet: 3,556.00
Inspection Requests:
305-762-4949
Payments
Total Fees
Credit Card
Credit Card
Amount Due:
Date Paid
10/30/2018
11/13/2018
Amt Paid
$110.30
$60.30
$0.00
pleac-e-
.eri4ibur-Se
Building Department Copy
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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regulating strectiop and zol'• • Fu} rmore, I authorize the above named contractor to do the work stated.
//-/3-73
Authorized Sign-. �: Owne / Applicant / Contractor / Agent Date
November 13, 2018
Page 2 of 2
BUILDING
PERMIT APPLICATION
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
FBC201-1
Master Permit No. CC-6-18-1545
Sub Permit No. 1 U 33 1
❑ BUILDING El ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL
['PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 11300 NE 2nd Ave
City:
Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-2136-000-0050
Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Barry College
Address: 11300 NE 2nd AVe
Phone#: 305-586-5109
City: Miami Shore State: FL Zip: 33161
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: INDUSTRIAL ELECTRICAL SYSTEMS, CORP phone#: 305-388-4648
Address: 14050 SW 84 ST SUITE 206
City: MIAMI State: FL Zip: 33183
Qualifier Name: NESTOR I CORVEA
Phone#: 305-388-4648
State Certification or Registration #: EC 13002182 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ -4— Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration
Description of Work: Temporary for test.
❑ New ❑ Repair/Replace
❑ Demolition
Specify color of color thru tile:
Submittal Fee $ 56, W Permit Fee $ /00'✓' ' ' CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $ r/�i./
TOTAL FEE NOW DUE $ (QCJ •✓J
(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
Signature i/e A— aP to
CONTRACTOR
The forgoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 0G/��1, , 20 12 , by 12 day of October Z0 18 by
S�N/�, '4'i� �,/V , who is personally known to NESTOR I CORVEA , who is personally known to
m` 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:
Sign:
Print:
S
rWrt. Notary Public State of Florida
Jeffry J Yao
it My Commission FF 168481
F119. Expires 11/12/2018
APPROVED BY
NOTARY PUBLIC:
Sign:
Print:
Seal:
�?'rt c5 co
FRANCISCO P. MORALES
Notary Public — State of Florida
Commission n GC 158509
My Comm. Expires Nov 17. 2021
Bonded :`roagh Na:icra No:ar: .Assn.
###*********►rk************* r*****rR******** ******1******** *******ski****
T e---/ 0) Plans Examiner
Zoning
(Revised02/24/2014)
Structural Review
Clerk
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972 .
AFFIDAVIT FOR 30 DAY TEMPORARY -ELECTRIC SERVICE
NOTE: ELECTRIC SERVICE WILL BE DISCONNECTED "WITHOUT NOTICE" UPON 30 DAY
TERMINATION UNLESS APPLICATION IS RENEWED.
It is understood that the temporary -electrical approval by the Miami Shores Village, Building Department given
in connection with the building being constructed under:
Building Permit N: Electrical Permit N: ELC-9-18-2420
At Address: 11300 NE 2nd Ave
Miami Shores, FL
For Owners: Barry College , and is being given only for
construction purpose or for testing the following equipment in said
structure:
The owner does herby agree to assume the responsibility of maintaining the installation in such manner that
there is no hazard to life or property. Such approval is in no event to be considered a RELEASE of said
structure for the purpose of use and occupancy, and no occupancy shall be granted or permitted until further
inspections have been called for and approved by the inspection divisions concerned, and/or a Certificate of
Occupancy or Completion is obtained.
The undersigned also understands that the temporary electric approval is subject to rescission and
r:ancellation and electric power can be cut off at the discretion of the building official and will be disconcerted of
ie building concerned is occupied before final inspections are approved and/or obtained a Certificate of
Occupancy or Completion. Note: Failure to comply with the provisions of this affidavit will result in your
being unable to obtain future Temporary for Test permits.
v51c7ka 5e-rol.1 AL , being first duly sworn, depose and say that I am the owner of the
above described property, and that I agree that the structure covered in this agreement shall not be occupied
until the building contractor has obtained approval of final inspections and/or obtained a Certificate of
Occupancy of Completion. Note: Failure to comply with the provisions of t aff' • avit wj1.1,re It in your
being finable to o -tain futur; Te =
E4 d ,r/ F40 P.._ Notary Public State of Florida I J 111441 A,
Jeffry J Yao
Al My Commission FF 168481 Sign. ur. •
of o Expires 11/12/2018
Sign2iture of Owner
I, Nestor I. Corvea
the above -described property and t
if t mpooiarry servic////is connected.
vega-a---' Nestor
Signature of Electrical Contractor
X 1, IdlIGti-A6t, Vern tinaA
of the above describ
been call: d for by th
o .tained : nd that I h
u t ch inal �;r�fj�yl Lid.,siti _
prope
ont
••
n
I• a
FRANCISCO P. MORALES
Notary Public - - State of Florida
Et"' • Commission GG 158509
sY :` My Comm. Expires Nov 17, 2021 Signature of Notary
adnded :nroa0 Na'rana', Nd:ary Assn
say that I am the Electrical Contractor for
now existing will not create a safety hazard
Francisco P. Morales
, being first duly sworn, epose and say that I am the Building Contractor
and that I will not permit occupancy of this building until final inspections have
tors and sub -contractors concerned and final approval by the inspection division
sofar as the owner of said property is concerned to prohibit occupancy
a /nr a nPrtifirata flf jlrriironn r Complq ipn issued.
��Rv ryi �l
LINDA R. WALTO
Commission # GG 1191
My Commission Expir
October 12, 202
Notary
Signature of spector
Signature of Notary