ELC-19-1323 (2)Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
11300 NE 2ND AVE, Miami Shores, FL 33161
Contacts
A-g=m-n"M
Issue Date:
Parcel Number
1121360000050
Permit No.: ELC-06-19-1323
Permit Type. Electrical - Commercial
Work Classification: Alteration
Permit status: Approved
Expiration: 12/09/2019
BARRY UNIVERSITY INC Owner
11300 NE 2 AVE, MIAMI SHORES, FL 331616628
Business: 3058993995 JYAO@BARRY.EDU
Mobile: 3054957544
C DAVIS ELECTRIC COMPANY, INC Contractor
CHARLES DAVIS
Business: 9544324334
Description: ELECTRICAL RENOVATIONS TO WEBER HALL ValLFeet:
Inspection Requests:
305462-49419
Tot�L45,46L&00
71
Fees
Amount
Application Fee - Other
$50.00
CCF
$402.00
DBPR Fee
$301.50
DCA Fee
$201.00
Education Surcharge
$134.00
Permit Fee
$20,050.00
Scanning Fee
$3.00
Technology Fee
$502.50
Total:
$21,644.00
Payments
Date Paid Amt Paid
Total Fees
$21,644.00
Credit Card
06/10/2019 $50.00
Check # 76463
06/12/2019 $21,594.00
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 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. Futherr", !,.futhorizsthe above named contractor to do the work stated.
Authorized Signature: Owner / AppVnt / Contractor / Agent
Date
June 12, 2019 Page 2 of 2
,, \,i,\6 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
F-IBUILDING ❑E ELECTRIC ❑ ROOFING
PLUMBING ❑ MECHANICAL PUBLIC WORKS
10B ADDRESS: 11300 NE 2nd Ave, Weber Hall
PFCE,41 ED
UN10219
BY:
FBC 20
Master Permit No. CC-12-1ff8-3721
Sub Permit No. L- U 0 I
❑ REVISION ❑ EXTENSION RENEWAL
CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:1121360000050 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Barry University Phone#: 305-981-1157
Address: 11300 NE 2nd Ave
City: Miami Shores State: FL Zip: 33161
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: C. DAVIS ELECTRIC CO. INC. Phone#: 954-432-4334
Address: 1701 SW 100 TERRACE
City: M I RAMAR State: FL Zip: 33025
Qualifier Name: CHARLES E. DAVIS JR. Phone#: 954-275-6004
State Certification or Registration #: EC0001038 Certificate of Competency #:
DESIGNER: Architect/Engineer: Cannon Design Phone#: 703-907-2339
Address: 1560 Wilson Boulevard, Suite 200 City: Arlington State: VA Zip: 22209
Value of Work for this Permit: $ 670) 000 Square/Linear Footage of Work: 45,466
Type of Work: ❑ Addition X Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: ELECTRICAL SUB: Renovation to Weber Hall
Specify color of color,thru tile:
Submittal Fee $-5A'5) d Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ 2 F ( 4. 00
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
N/A
State
Mortgage Lender's Name (if applicable) N/A
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
imnprtinn will not hp nnnrnupr/ nnrl n rpimnprtinn fpp will hp rhnrnprl.
Signatu2'nstrum�enWtwas
ONER or AGEThe for`__,acknowledged before me this
day o� ].)r{V� 120 by
JV64QSt0T IK.1 L who ispersonally known to
me.or who has produced
identification and who did take an oath.
if
Signature y— z/
,/�0114TRACTOR
The foregoing instrument was acknowledged before me this
8 day of APRIL 2019 by
CHARLES E. DAVIS JR. who is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: DOUGLAS BERNARD
as
Seal: ��9�••�� F �nxa,� Q Seal: SN'�'bv4.,; DODU�'� �. ERNARD, SR.
, := Commission # FF 899572
11111111N���� Expires July 14, 2019
a Bond.d Thm t ror a8;;• in
aurarwa Bpp.3g6-7019
APPROVED BY v ( Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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
Title
T
Name
DUDGEON, DAVID
Name
ROSENTHAL,SUSAN
Address
11300 NE SECOND AVE
Address
11300 N.E. SECOND AVENUE
City -State -Zip:
MIAMI FL 33161
City -State -Zip:
MIAMI FL 33161
Title
D
Title
PD
Name
BUSSEL, JOHN
Name
BEVILACQUA, SISTER LINDA
Address
11300 NE SECOND AVE
Address
11300 NE SECOND AVE
City -State -Zip:
MIAMI FL 33161
City -State -Zip:
MIAMI FL 33161
Title VP
Name MURRAY, JOHN
Address 11300 N.E. SECOND AVENUE
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 I 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