ELC-19-815Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
11300 NE 2ND AVE, Miami Shores, FL 33161
r'nntartc
■ .: INS _ /� 1
� II
Issue Date: 04/25/2019
Parcel Number
1121360000050
Perna No.: i tC-W19-816
Permit Type: Electrical - Commercial
Work Ctossificotfon: Low Voltage
Permit Status: Approved
Expiration:10/22/2019
BARRY UNIVERSITY INC Owner
BARRY UNIVERSITY
11300 NE 2 AVE, MIAMI SHORES, FL 331616628
EXCEED ELECTRIC INC Contractor
NICHOLAS SHULLAR
5530 S FLORIDA MINING BLVD, JACKSONVILLE, FL 33025
Business: 9049987227
Inspection Requests:
Description: UPGRADE AUDIO VISUAL EQUIPMENT AND LOW Valuation: $ 1,244.00 Inspec i n Re
VOLTAGE CABLING
49
ADRIAN 202 Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.20
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.40
Permit Fee
$50.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$117.10
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$117.10
Credit Card
04/25/2019 $67.10
Credit Card
04/15/2019 $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
regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner ! Applicant / Contractor / Agent Date
April 25, 2019 Page 2 of 2
I]
Ic
Miami Shores Village1 2019
Building Departments: VA'
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 201-1 V4_�
BUILDING
Master Permit No. UL 04 -11
PERMIT APPLICATION
Sub Permit No.
BUILDING 0 ELECTRIC
ROOFING ❑ REVISION EXTENSION RENEWAL
[—]PLUMBING [_j MECHANICAL
❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Barry University - 11300 NE 2ND AVE- ADRIAN 202
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 University Phone#: 303-899-3995
Address:11300 NE 2nd Ave.
City: Miami Shores
State: FI Zip: 33161
Tenant/Lessee Name:
Phone#: 305-899-3000
Email: lyao@barry.edu
�XC C_-F—� CLC—CTKIC�2�C .
CONTRACTOR: Company Name: hone#: 904-998-7227
Address: 5530 S. Florida Mining Blvd
City. Jacksonville State: FI Zip: 32257
Qualifier Name: Nicholas A Shullar Phone#: 904-998-7227
State Certification or Registration #: Florida Certificate of Competency #: EC 13008039
DESIGNER: Architect/Engineer: Ray Ricoarango Phone#: 305-781-2071
Address:11470 Interchange Circle North city: Miramar State: FI Zip: 33025
Value of Work for this Permit: $1244.00 Square/Linear Footage of Work:
Type of Work: El Addition ❑ Alteration ❑ New Repair/Replace ❑Demolition
Description of Work: Upgrade audio visual equipment and low voltage cabling
ti� a
Specify color of color th u tile:
r .. ' jV r
Submittal Fee $ b Q 1 Permit Fee $ CCF $
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.
III MEMMAIM11-WE
OWNER or AGENT
The f regoing instrument was acknowledged before me this
F', day of "LL., 20 , by
U RAR ��j'{�i
"-1I who is personally known to
-.ne or who has produced
identification and who did take an oath.
NOTARY PUBLIC: --7�
Sign:
s ►y,. JEFFRYJ.YAO
Cone dWw #t GG 249916
Expires November 12, 2022
+�..RK, ' BandedRnTWyF*YarrenaA00,1�7019
APPROVED BY
as
CONTRACTOR
The foregoing instrument was acknowledged before me this
3rd /day of April 20 19 by
1 Au 16twho is personally known to
me or who has produced�bpw�---ag, t( f~ F as
identification and who did take an oath.
NOTARY PUB
Sig /.�L pp �'
Print:
Seal: LORRAINERIVERA
MY COMMISSION t FF 931487
a' EXPIRES: October 27, 2019
"kP• �54�!` BondW Thru Notary Pubic Lkderw tors
IL I t� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
`CCS
Presenting Better Solutions
Value
COMPANY NAME: BARRY UNIVERSITY
QUOTE NAME/NO.: Adrian 202
PROJECT ADDRESS: 11300 NE 2ND AVENUE
CITY, STATE, ZIP: MIAMI, FL 33161
5530 South Florida Mining Blvd
Jacksonville, FL 32257
904-998-7227
www.ccssoutheast.com
CUSTOMER CONTACT: GUILLERMO DOPICO
CCS CONTACT: Ian Weingold
DATE: 4/3/2019
VALID UNTIL:
Make Model Description My Wilt Price
Extended
Epson
V11H871020
Powerl-ite 2250U Video Projector 5000 WUXGA
1
$ 1,104.00
$
1,104.00
Crestron
GLS-ODT-C-CN
10ccupancy Sensor
1
$ 140.00
$
140.00
Sub Total
Sales Tax: Tax Exempt
Grand ofa
$
$
1,244.00
-
1,244.00
1 of 1
Property Search Application - Miami -Dade County Page 1 of 1
oOFFICE 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
PA Primary Zone
11300 NE 2 AVE
MIAMI SHORES, FL 33161.6628
8200 SCHOOLS & CHURCHES
Primary Land Use
_
Beds I Baths I Half
v ._ _.�
7241 EDUCATIONAL/SCIENTIFIC -
EX : EDUCATIONAL - PRIVATE
0/ 0/ 0
Floors
2 .�
Living Units
66
Actual Area
Sq.Ft
Living Area
Sq.Ft
Adjusted Area _
Lot Size
1623,362 Sq.Ft
`
1,740,400 Sq.Ft
Year Built
11954
Assessment Information
Year
2017
2016
2015
Land Value
Building Value
$6.961,600
_
$6.961,600
$6.961.600
$33,497,476
$38.439,360
S36,913,434
XF Value
$2,607,248
S2,828,780
$2,554,483
Market Value
$48,008,208
$46,503,814
$43,013,559
Assessed Value
$48,008,208
$46,503,814
— $43,013,559
Benefits Information
Benefit Type 2017 2016 2015
Educational Exemption $48,008.208 546,503,814 $43,013,559
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board. City, Regional).
Generated On: 2/13/2018
Taxable Value Information
2117
21
2115
County
Exemption Value
$48,008,208
$48,503,814 $43,013.559
Taxable Value
$01
s0
SO
School Board
,-_
Exemption Value
$48.008,208
$4C503,814
$43,013,559
Taxable Value
$0
$0
$0
Cry
Exemption Value
$48,008,208
$46,503,814 01 543,3,55g
Taxable Value S0
SO
-- $0
Regional
-�
Exemption Value
S48,tXI6,208
$46,503,814 $43,013,559
Taxable Value
$0
-------
$01 so
Sales Information
Previous Sale i Price OR Book -Page i Qualification Description
Short Legal Description
36 52 4140 AC
SE1/4 OF NE1/4 LESS E35FT & LESS
W40FT
LOT SIZE 1740400 SQUARE FEET
The Office of the Property Appraiser is continually editing and updating the tax roil. This website may not reflect the most current information on record. The Property Appraiser
and Miami -Dade County assumes no liability, see full dlsdaimer and User Agreement at http•Itwww.mismidwe.govtinfc/discisimer.asp
Version.
http://www.miamidade.gov/propertysearch/
2/13/2018
281Z FLORIDA NOT FOR PEIQFIT CORPORATION ANNUAL REPORT
00CUMENT# 711458
Entity Name: BARRY UNIVERSITY, INC.
Current Principal Place of Business:
11300 N.E. SECOND AVENUE
ROOM 105 FARRELL HALL
MIAMI, FL 33161
Current Mailing Address:
11300 N.E. SECOND AVENUE
ROOM 105, FARRELL HALL
MIAMI, FL 33161
FEI Number: 59■0624364
Name and Address of Current Registered Agent:
DUDGEON, DAVID
11300 NE SECOND AVE
LAVOIE HALL #M
MIAMI. FL 33161 US
FILED
Apr 27, 2017
Secretary of State
CC2519040112
Cartiflcate of Status Desired: No
fie abo►ro peenedf e+Nib'subtnkt thlt atatenbru tur the burp d d w*w & teyia w" d %* wrsyhEded penR wOotA b the Sfefe dFJoride.
SIGNATURE:
Eleckwic Signature Of Registered Agent Date
Officer/Director Detail
TWO S
Name DUDGEON, DAVID
Address 11300 NE SECOND AVE
C*Stete-Zip: MIAMI FL 33161
Tide D
Name BUSSEL,JOHN
Address 11300 NE SECOND AVE
C"t O-4: MIAMI FL 33161
Tide VP
Name MURRAY. JOHN
Address 11300 N.E. SECOND AVENUE
C*State-Zip: MIAMI FL 33161
TWO T
Nerve ROSENTHAL,SUSAN
Address 1130D N.E. SECOND AVENUE
C1ty-Stete-Zlp: MIHMI FL 33161
Title PD
Name BEVILACQU& SISTER LINDA
Address 11300 NE SECOND AVE
CIY SWO-ZIp: MIAMI FL 33161
Ail d °;.a bww.a a.a mY •�ria�le ap�thM Ne same Awdrd u Merer urdrr
scow, Oren an abofnwR aaf� sYaewAn an�aewa,ad 'Your u ngdl�dby Qr�brei) t9ort7a S(atrXaa: are e1lf mynama apipnrs
SIGNATURE: DAVID DUDGEON GENERAL 04/27/2017
COUNSEL/SECRETARY
Electronic SWature of sipping Oflica omctar Daum
Date
EXCEEI�
ELECTRIC
EXCEED ELECTRIC, INC
5290 Floral Bluff Court
Jacksonville, FL 32211
Ph: (904) 744-6693
E: nshullarOgmail.com
March 27, 2019
State of Florida
County of Broward
Before this day personally appeared Nicholas A. Shullar who, being duly sworn, deposes and
says:
That he will be the only person working at the project located at:
11300 NE 2nd Ave, Miami Shores, FL 33161
Nicholas A. Shullar
Contractor Signature
Sworn to (or affirmed) and subscribed before me this27day of March. 2012, by
Nicholas A. Shullar
Personally know:
OR produced identification: S 4-b-C7 — (o a l - 9(n r 3CN-G
Type of identification:
eliuet2S b cGti'sc--
—i!, LORRAINE RIVERA
005e-�*,'.,
MYCOMMISSION t FF931487
EXPIRES:October 27.2019
11 BowedTh v W.Y PW* U
i
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner - Workers' Compensation 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 AT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
Signature:
Owner
State of Florida
County of Miami -Dade a �1
The foregoing was acknowledge before me this day of Ar1� , 20.
By �a �NJ PASCN'Ci AL who is personally known to me or has produced
121
as identification.
t mnlis+W6dG249916
EVW November 12, 2=
UWW7iroTroyFd0i WX08WarJ.7019
CE FAD
PR 1 20119
BY: JA14
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This CADdrawingardspea ,I —desire
REVISIONS
property of CCS and were prepared ezdusivdy far
die uu of CCS. The. shall o* be used for inmrMtd
purpose only. No other uu or reproduction of then
MARKDATE
N
I
02.08.17
CRE
CAD drawings and spec are permitted in any roan.
hedkr by electronic med.N.L phot000pyb6
`CCS
ph«ogr o.d. recording or other means wid
Ne prior written mn.nt of CCS, and any
utharized u. or reproduction is soiody
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............
. ......... .
ESA. RFiY;UNIYERSi�.*Y
MASYER CASSROIII§I4 PLOW
DRAWING INFO
ENG.: RAY DATE: 04.07.16
PM: RAY SCALE: N.T.S
SALES: GP ISO No. VARIOUS
\WING TITLE:
AV FLOW
ET NQ
TA-00 I