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
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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.
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