PLC-18-2299Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
Permit NO. PLC-8-18-2299
Permit Type: Plumbing - Commercial
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 9/14/2018
Expiration: 03/13/2019
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
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
FIAT PLUMBING & GENERAL CONTR, (305)446-6366
Cell Phone
Valuation:
Total Sq Feet:
$ 12,500.00
3556
Type of Work: RUNNING LINES FOR NEW KITHCEN AREA
Type of Piping:
Additional Info:
Classification: Commercial
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$7.80
$5.63
$3.75
$2.60
$375.00
$3.00
$10.40
$408.18
Pay Date Pay Type
Invoice # PLC-8-18-68711
08/28/2018 Credit Card
09/14/2018 Credit Card
Amt Paid Amt Due
$ 50.00 $ 358.18
$ 358.18 $ 0.00
In consideration of the issuance to me of this permit, I agree
pertaining thereto and in strict conformity with the plans, drawings
accepting this permit I assume responsibility for all work done b
required for ELECTRICAL, PLUMBING, MECHANICAL, WI
OWNERS AFFIDAVIT: I certify that all the foregoing infor
construction and zoning. Futhermore, I authorize the above -
Authorized Signature: Owner / Applicant /
work
o spe
1 I.T� i •,,, tt
`
perform t
statement
either my
DOORS,
ontracto / Agent
-s sery
ING and SWI
1II or,
Available Inspections:
Inspection Type:
Top Out
Re Pipe
Main Drain
Heater
Water Service
Final
Water Main
Lavatory
Review Plumbing
Review Plumbing
Underground
vered hereunder in compliance with all ordinances and regulations
'cations mitted to the proper authorities of Miami Shores Village. In
ts, or employes. I understand that separate permits are
ING POOL work.
be done in compliance with all applicable laws regulating
September 14, 2018
Date
Building Department Copy
September 14, 2018
1
Address: //306 A/ Yki/Awl > Avt%
City: //iQ-v✓+ s1'Oj State:
Tenant/Lessee Name:
Email:
'jfs,(\n-yG
JOB ADDRESS:
City:
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
pi BUILDING ❑ ELECTRIC ❑ ROOFING
RFCEifV�o
AU;B 47
18.,6A
011
FBC 2017 Master Permit No. Cr l✓ �- / �7C/
Sub Permit Nord-C- C — 229- I
❑ REVISION ❑ EXTENSION
LUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION
CONTRACTOR
//3o6 ,v rn / , A-W (4-41-1:0"N p �
Miami Shores County:
Folio/Parcel#: // "2- 1 3 6 U 00 OOY
Occupancy Type: Load:
Construction Type:
Miami Dade Zip:
Is the Building Historically Designated: Yes
Flood Zone:
❑RENEWAL
❑ SHOP
DRAWINGS
NO
BFE: FFE:
OWNER: Name (Fee Simple Titleholder): �3/a��/ UN/VIT / Phony#: 3Q cY6
1L.
Phone#:
Zip: 33/6
CONTRACTOR: Company Name: fir VM601 N7 a Ve/aft:
Address: '2i7 L% SIIA/ NtiE
City: {'Y1/'
State:
re_
Qualifier Name: ;�[ /—•/7► 1 -�
State Certification or Registration #: C Fe--0-3Vb.-My Architect/Engineer:/ A � k J_ V t�7' / /F A
Address: // Y7 o 1&, S7 �O a �'
Value of Work for this Permit: $
Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replf ce ❑ Demolition
Pho
#30s)Yq6 63g
Zip: "33t // 33
Phon -%5�07e7 Q�Q(
Certificate of Competency #: c !� 63? / —77
City:
Description of Work:
/2,Coo
Phon l''Y)(/ l31�
State:LZip:
Square/Linear Footage of Work:
Specify color of color thru tile:
Submittal Fee $ C-)•
Scanning Fee $
�``'
Permit Fee $ 3? SCCF $ "CO/COS'° � .,
Radon Fee $ s
Technology Fee $ Training/Education Fee $
Structural Reviews $
DBPR $ F'
Notary $
Double Fee .$
Bond $
TOTAL FEE NOW DUE$ 5Y • Iv
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
MortgageLender's Name (if applicable)
Mortgage Lender's Address
City State Zip
...r r )
•
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 wili.be charged.
Signature
OWNER or AGENT
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
2,-ItIA day of mi st , 20 , by -2;3 day of , , 20 a, by
- S ASYAIV/ aO5 IN'1 L , who i s� ally known t ere r/•AT , who is rsoi_�i ly known to
me or,who has produced _ as me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
identification and who did take an oath.
NOTARY PUBLIC:, -;.t..7-__... _*--
Sig
Print:
Seal:
• GREG NORDI".; ; j
- State bi Florida?
fission# FF 89865SA
IondeJ through NationaLN4ta
/ C
APPROVED BY ` > 9/0 Plans Examiner Zoning -
Structural Review Clerk
(Revised02/24/2014)