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ELC-19-1086Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: Location Address Parcel Number 11300 NE 2ND AVE, Miami Shores, FL 33161 1121360000050 Contacts Permit No.: ELC45-19-1086 Permit Type. Electrical - Commercial Work Classif caVon: Alteration Permit Status: Approved Expiration: 11/13/2019 Description: INSTALL CIRCUITS FOR DESKS IN GAME ROOM . Valuation: $ 3,000.00 F-762-4949Ins ection nRequests: FOR POWER AND DATA ( EXISTING CIRCUITS) NEW DATA. Total Sq Feet: 0.00 Fees BARRY UNIVERSITY INC Owner BARRY UNIVERSITY 11300 NE 2 AVE, MIAMI SHORES, FL 331616628 LINDMAR ELECTRIC INC Contractor ORLANDO LIND 496 NE 89 ST, MIAMI, FL 33138 Business: 3057561075 lindmarelectric@yahoo.com $50.00 CCF Description: INSTALL CIRCUITS FOR DESKS IN GAME ROOM . Valuation: $ 3,000.00 F-762-4949Ins ection nRequests: FOR POWER AND DATA ( EXISTING CIRCUITS) NEW DATA. Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $1.80 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.60 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $117.90 Building Department Copy Payments Date Paid Amt Paid Total Fees $117.90 Credit Card 05/17/2019 $67.90 Credit Card 05/14/2019 $50.00 Amount Due: $0.00 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 regulatin on on an oning. )thermore, I horize the above named contractor to do the work stated. Authorized Signature: 6wner / Applicant / Contractor / Agent Date May 17, 2019 Page 2 of 2 G l�� Miami Shores Village Py Building Department 610?fT;. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 �•, \ 1� Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No. 0S PERMIT APPLICATION Sub Permit No. ❑BUILDING PD ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING [:]MECHANICAL ❑PUBLICWORKS JOB ADDRESS: C1 ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS - 11!�' 3G/ - City: "Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes Occupancy Type: Load OWNER: Name (Fee Simple Construction Type: Flood Zone:. BFE: NO FFE: ier): �i �j /,��� �� S/�Phone#:� City: 4i&X'& .SLO!i a- State: % Zip: 7" �11 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: /,(i�%/`�ii��T �%L�G�'J?��' /,(,(- , Phone#: :30.5 ' >/- Address: ��A_,516 /) L- - e9 Sr City: 1Z- 7/- 22Z- ���, State: /�L- Zip: Qualifier Name: ( 1/ _ ZZ24L1_ 1-/1---)/, Phone#: State Certification or Registration #: --�_ C % ,�UO;2Vo�, Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Value of Work for this Permit: $�� , Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New [Repair/Replace Description of Work: /9_ ­.- - L Zip: ❑ Demolition Specify color of color thru tile: r , ��,- , .., , ^ kr : �� .. ;:_' e. �s�tn; ra,,l �ar'vi' � ;•_="K:s t Submittal FeL`$ Permit Fee $ CCF '-56migFee" `$ Radon Fee $ DBPR $ Technology Fee $, Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 5�D , (576 Bonding Company's Name (if applicable) Bonding Company's Address City I ,. 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. A _ n n OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this kday of A y 120 1 , by who is personally known to _ nw.,or who has produced identification and who did take an oath. NOTARY Print: as The foregoing instrument was acknowledged before me this day o" -e�, s:4 . 20 11 , by OTZl_PbIQ--,'-> 0 L L! N1> who is personally known to me or who has produced [--- U-(:T7('JSas identification and who did take an oath. NOTARY PUBLI Sign: n Print: �WJEFFRIfJ.YAO Seal: �`= CWCJ8 # GG 249916 SINDIA AL AREZ N r 12.2022 ;vu V IN coulmlSbooll,l #�GrGg2338822773 ! _ t###!!i!######!!!!!#!i3#!#iiii!!!##i#!!!!#ii###i!!!i!i#!I###�9E Ip�t�i#lgY�l►'$aSPsIC1l'�!�►s� i:: Bonded Thru Notary Public Underwriters APPROVED BY S 116 �1 Plans Examiner Zoning Structural Review _ _ Clerk (Revised02/24/2014) Property Search Application - Miami -Dade County Page 1 of 1 OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-2136-000-0050 Property Address: 11300 NE 2 AVE Miami Shores, FL 33161-6628 Owner BARRY COLLEGE Mailing Address 11300 NE 2 AVE LAVOIE BLDG 2ND FL RM 204 MIAMI SHORES, FL 33161-6628 USA PA Primary Zone 8200 SCHOOLS & CHURCHES Primary Land Use 7241 EDUCATIONAL/SCIENTIFIC - EX: EDUCATIONAL - PRIVATE Beds / Baths / Half 0/0/0 Floors 2 Living Units 66 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 623,362 Sq.Ft Lot Size 1,740,400 Sq.Ft Year Built Multiple (See Building Info.) Assessment Information Year 2018 2017 2016 Land Value $6,961,600 $6,961,600 $6,961,600 Building Value $38,119,989 $38,439,360 $36,913,434 XF Value $2,586,435 $2,607,248 $2,628,780 Market Value $47,668,024 $48,008,208 $46,503,814 Assessed Value $47,668,024 $48,008,208 $46,503,814 Benefits Information Benefit Type 2018 2017 2016 Educational Exemption $47,668,024 $48,008,208 $46,503,814 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 36 52 41 40 AC SEI/4 OF NE1/4 LESS E35FT & LESS W40FT LOT SIZE 1740400 SQUARE FEET Generated On : 5/14/2019 Taxable Value Information 2018 2017 2016 County _ —_-- Exemption Value $47,668,024 $48,008,208 $46,503,814 Taxable Value $0 ::::::$10_$0 School Board Exemption Value $47,668,024 $48,008,208 $46,503,814 Taxable Value$0 $0 $0 City Exemption Value $47,668,024 $48,008,208 $46,503,814 Taxable Value $0 $0 $0 Regional Exemption Value $47,668,024 $48,008,208 $46,503,814 Taxable Value $0 $0 $0 Sales Information Previous Sale Price OR Book -Page Qualification Description The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: https://www8.miamidade.gov/Apps/PA/propertysearch/ 5/14/2019 2019 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT DOCUMENT# 711458 Entity Name: BARRY UNIVERSITY, INC. Current Principal Place of Business: 11300 N.E. SECOND AVENUE MIAMI, FL 33161 Current Mailing Address: 11300 N.E. SECOND AVENUE MIAMI, FL 33161 US FEI Number: 59-0624364 Name and Address of Current Registered Agent: DUDGEON, DAVID 11300 NE SECOND AVE LAVOIE HALL #209 MIAMI, FL 33161 US FILED Apr 30, 2019 Secretary of State 6920455029CC Certificate of Status Desired: No The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Date Officer/Director Detail Title S Name DUDGEON, DAVID Address 11300 NE SECOND AVE City -State -Zip: MIAMI FL 33161 Title D Name BUSSEL, JOHN Address 11300 NE SECOND AVE City -State -Zip: MIAMI FL 33161 Title VP Name MURRAY, JOHN Address 11300 N.E. SECOND AVENUE City -State -Zip: MIAMI FL 33161 Title T Name ROSENTHAL, SUSAN Address 11300 N.E. SECOND AVENUE City -State -Zip: MIAMI FL 33161 Title PD Name BEVILACQUA, SISTER LINDA Address 11300 NE SECOND AVE City -State -Zip: MIAMI FL 33161 I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that 1 am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: DAVID DUDGEON SECRETARY 04/30/2019 Electronic Signature of Signing Officer/Director Detail Date ♦ RrES pi .n. EI .....� V� �6 �LORlUp' Notice to Owner — Workers' Com Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 nsation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami -Dade The foregoing was acknowledge before me this day of MAY 20. By%AN who is personally known to me or has produced as identification. Expires November 12, 2022 LardedTheTl yFdnInWM LINDMAR ELECTRIC INC. 496 NE 89 STREET EL PORTAL, FL 33138 Date: State of County of Before me this day personally appeared who, being duly sworn, deposes and says: That he or,- to will be the only person working on the project located at: /;�3 /)/ / GJ,' �AIP Contractor Signature Sworn to (or affirmed) and subscribed before me this I day of 20 -ft by yr ko P.J , �, R� Personally know OR Produced Identification 1✓ Type of Identification Produced —b—," ►' 1 4'k YI S Print, Type or Stamp Nam of Notary N`, oy PRS ,��//// `�Sfyam; •: • N � N• Z AGC WAS Uft ///i STAIMS— \� .. IVDD AY 4 201 r BY: ` =1R ELLI BEAM INSTALLATION GUIDE ' i •�P�"�ea. ,. 7�",--r�+s-/ � kyr �.. :i�t+T�w3Yt "p r»w nr"'W7 1 .f., G �- � yv � � �" ori 3✓ •� ° ; � t �. r •? � ,xw" � �..-.�.,.&..,.,.r,.._,., ,..�._ � �..r. ,�h�..._,..�.�.,.�......, �. . � .._. �a. x•!a.:.t..:°.aG...�,.....,,o..�,�.. :i. `�i 4-2-2 Wain Sdmmft e-vwre shared Neutral '2 + Y - 2 Utility Circuits, 2 Dedicated swim 4 circuits Rocep WW speefficabow - — 4 Lines (12 ga.) 2 Utility circuits Duplex - Up toga ro an urt System rated for connection to a grounded 1201140 V single phase, 20A T 6OHz or 120/208 V, 3 phase. 200. 6Oltr branch circuit for U.S. and 15A "r 2 Neutrals 110 ga.l 2 Dedicated Circuits (Up to 48 per Weed) 2 Grounds (12 gal product is marked with a C -UL Mark Outlets rated 15A marc. US, _ -� b s Village BY D ATE_._ - AP PRO' ED _.- ZONING DEP f - gLDG DEPT ( q G(;tvlPl.l _ WI fi-I At -L c,u JvarloNs .... AfI �= SD�.E�_�_ . • ( IJlvi (r( • • 0000 0000•• STATE ANS L - __------�' • • • • 0000•• •• • 0000•• • 0000•• • • • 0000•• 0000 • • • • • • 0000•• 0000 • 0000• 0000•• 0000 0000• •• •• 0000 0.00.0 66•••• • • • • • • • • 0000-: •••• 0000•• • • 0 00 • •6000• 0 • • Effective April 2018 • • • • • • . • 00000 .. . ••• 0 0 0