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WS-18-3159 (2)Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Permit NO.: WS-10-18-3159 ` L� Permit Type: Windows/Shutters Work Classification: Door Replacement Permit Status: Approved Issue Date:10/22/2018 I Expiration: 04/15/2019 Parcel Number Project 11300 NE 2 AVE Library, Miami Shores, FL 33138-0000 1121360000050-03 BARRY UNIVERSITY I Contacts BARRY UNIVERSITY INC Owner BARRY UNIVERSITY INC Applicant BARRY UNIVERSITY BARRY UNIVERSITY 11300 NE 2 AVE, MIAMI SHORES, FL 331616628 11300 NE 2 AVE, MIAMI SHORES, FL 331616628 DADE CONSTRUCTION CORP Contractor JONATHAN NORMAN CUESTA 13372 SW 128 ST, MIAMI, FL 33186 Business: 7865647623 Description: LIBRARY DOOR Valuation: $ 1,500.00 1305-762-4949 Inspection Requests: TotalSq Feet: 450.00 Fees Amount Application Fee - Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Scanning Fee $3.00 Technology Fee $2.75 Windows/Shutters Fee $60.00 Total: $121.35 Payments Date Paid Amt Paid Total Fees $121.35 Credit Card 10/15/2018 $50.00 Credit Card 10/22/2018 $71.35 Amount Due: $0.00 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 ELEPTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNER FFIDAVIT: certi that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regula . c Instructio and z mg. Futhermore, I authorize the above named contractor to do the work stated. /a Authorized Signature: Owner / Applicant / Contractor / Agent Date October 22, 2018 Page 2 of 2 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 ❑ ELECTRIC ❑ ROOFING BCI Q20 7 Master Permit No. - `O — Sub Permit No. (AS « — 3 `S l ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP /�,, CONTRACTOR DRAWINGS JOBADDRESS: RJ�NUI y ( ub2SlrV — �laoV mib /zea AW .� mg'2,4� City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): 13A' LA,,/ _(JMVEI s L iD/ Phone#:30.r• 215 • g I as, Address: 11 3D 0 IA�lk1 7-0 a� City: A sA 11tia 0161 State: Zip: 3 31 6 1 Tenant/Lessee Name: Phone#: Email: \\ (�I �^ CONTRACTOR: Company Name: Av'e Phone#: � Ro' J�� "-xoa3 Address: 1 -6 `T0- ) 12- b � City: l --,L_` ` State: ✓1 Qualifier Name: `.,a -P State Certification or Registration #:1�//NL I Sa ©4 "t DESIGNER: Architect/Engineer: Lip: Phone#: _ of Competency #: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ So�O. O O Square/Linear Footage of Work: Type of Work: ❑ Addition n , ❑ Alteration AA ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee $ so 20k I Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $_ Structural Reviews $ Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) _ Mortgage Lender's Address City State Zip 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. of .40\ Signature �Lov, �/�ih � //L OWNER or AGENT The foregoing instrument was acknowledged before me this The fo n day of O CAN P, I _ 20 J by XS� f6V who is personally known to 49 who has produced identification and who did take an oath. NOT4PUC: n:gSi Print�� U Seal: �0 APPROVED BY (Revised02/24/2014) istrument was acknowledged before me this of () (LU �XX 20 � R by as me or who has produced who is personally known to as identification and who did take an oath. • Iwo? _ Seal: Notary Public State of Florida PAW 030ft a Yao # (�mission FF 168481 4w: 4 /iV 21112/2018 OWN Plans Examiner Zoning Structural Review Clerk