MC-18-489Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit No. SIC-2-18-489
Permit Type: Mechanical - Commercial
Per ' Work Classification: Addition/Alteration
Permit Status: APPROVED
Parcel Number
Issue,oate:411112018 1 Expiration:10/08/2018
Applicant
11300 NE 2 Avenue Number: Garner Buildin 1121360000050-25 BARRY UNIVERSITY INC
Miami Shores, FL 33138-0000 Block: Lot:
Owner Information Address Phone Cell
BARRY UNIVERSITY INC 11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
Contractor(s) Phone Cell Phone
JV & VR SERVICES CORP (786)301-3029
Additional Info: HVAC WORK, FANS + GRILL AND DUCT WO
Classification: Commercial
Approved: In Review
Comments: Date Approved:: In Review
Date Denied: Type of Work:
Scanning: 1
Fees Due
Amount
CCF
$13.80
DBPR Fee
$10.35
DCA Fee
$6.90
Education Surcharge
$4.60
Permit Fee
$690.00
Scanning Fee
$3.00
Technology Fee
$18.40
Total:
$747.05
In consideration of the issuance to m of this per
pertaining thereto and in strict conformi with the ph
accepting this permit I assume respo
n ibility for all
required for ELECTRICAL, PLUMPING, MECHANIC
OWNERS AFFIDAVIT: I certify tiatia
construction and zoning. Futher r I
Valuation: $ 23,000.00
Total Sq Feet: 1540
Pay Date Pay Type Amt Paid Amt Due
Invoice # MC-2-18-66581
04/11/2018 Credit Card $ 697.05 $ 50.00
02/26/2018 Credit Card $ 50.00 $ 0.00
Authorized Signature: (bWner— Apb4iaant /
Building Department opy
April 11, 2018
Avaname, inspections:
Inspection Type:
Ventilation
Final
Rough
Rough Duct
Review Mechanical
Duct Detector Test
perform the work covered hereunder in compliance with all ordinances and regulations
statements r specifications submitted to the proper authorities of Miami Shores Village. In
-eftos If, my agent, servants, or employes. I understand that separate permits are
DOORS, OOFING and SWIMMING POOL work.
,id that all work will be done in compliance with all applicable laws regulating
do the work stated.
Agent
April 11, 2018
1
�y Miami Shores Village Rr ETN �. ,
Building Department AF2 6 018
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Bu
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (30S) 762-4949 �1 4
FBC 201 `F
BUILDING Master Permit No. GC /mil 7 ;`'Fry%
PERMIT APPLICATION Sub Permit No. C 18 ` 1 ' LO)�
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS:..../ 00 `
� I O Ak ' �'�'' V Ni S A tit—'
City Miami Shores Countv: Miami Dade Zip:
Follo/Parcel#:11-7.1 3 6y0U OOS-0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): p►a'�'l V AIIV Phonei����5yq
Address
City: / i' I A-eyl !
Tenant/Lessee Name: _/i/N r'
Email:
CONTRACTOR: Company Name:
Address:
Qualifier Name:
State Certification or Registration #:
Ii
q-V 5yfP I l
DESIGNER: Architect/Engineer: �%�// !�Y iA-/NI f//` *A Phone#-Ln ' ` Jr y"> I
Address:�l��/ s'�' ii� b ' City: State: Zip:
Value of Work for this Permit: $ 3 U G Square/Linear Footage of Work: 0 .SQ�
Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru file:
Submittal Fee $ y) I Permit Fee $ YJ 1.� CCF $ CO/CC $
Scanning Fee $ Radon fee $ DBPR $ Notary $
Technology Fee S Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
A A .
e
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.V
absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
OWNER or AGENT
The foregoing instrument
pwas acknowledged before me this
ZIS dayof -D�WAZ 20 l� by
EwwMWML, who is personally known to
`meor who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
c1
at1i)
Sign:
Print:
t
Notary Public State ofFlorlde
Jeffry J Yao
My Commisslon FF 188481
,pe!► Expires 11/12/2018
*s*ssssssss*s**ssssssssss*ssssss*ssss **s*�s*s *�
APPROVED BY
The foregoing instrument s acknowledged before me this
day of __20 by
a,1Ae-,0a LreiNil , who�onallyto
me or who has produced _
Seal:
ns Examiner
Zoning
(Revised02/24/2014)
Structural Review
Clerk