MC-18-490�` gHOREs t�!
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Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit No. INC-2-18-490
mtPermit Type: Mechanical - Commercial
i Work Classification: Kitchen Hood'
Permit Status: APPROVED
Issue Date: 4/11/2018 1 Expiration: 10/08/2018
vrotect Aaaress Parcel Number Applicant
11300 NE 2 Avenue Number: Garner BUlldin 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
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11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
Contractor(s) Phone Cell Phone
JV & VR SERVICES CORP (786)301-3029
Tons:
Additional Info: INSTALL TYPE II HOOD FOR DUNKIN DO
Classification: Commercial
Approved: In Review
Comments: Date Approved:: In Review
Date Denied: Type of Work:
Scanning: 1
Fees Due
Amount
CCF
$3.60
DBPR Fee
$2.70
DCA Fee
$2.00
Education Surcharge
$1.20
Permit Fee
$180.00
Scanning Fee
$3.00
Technology Fee
$4.80
Total:
$197.30
Valuation: $ 6,000.00
Total Sq Feet: 1540
Pay Date Pay Type Amt Paid Amt Due
Invoice # MC-2-18-66582
02/26/2018 Credit Card $ 50.00 $ 147.30
04/11/2018 Credit Card $ 147.30 $ 0.00
In consideration of the issuance to me of this permit, I agree to
pertaining thereto and in strict conformity with the plans, Prawings,
accepting this permit I assume responsibility foj�, II wo k done by
required for ELECTRICAL, PLUMBING, MECHAiNIAL, INDOW-S
OWNERS AFFIDAVIT: I certify that all the
construction and zoning. Futhermore, I auth
Authorized Signature: Owner /
Available Inspections:
Inspection Type:
Final
Rough Duct
Review Mechanical
the ork covered hereunder in compliance with all ordinances and regulations
p,tr specifications submitted to the proper authorities of Miami Shores Village. In
servants, or employes. I understand that separate permits are
, ROOFING and ISWIMMING POOL work.
at
taat ag rk will be done in compliance with all applicable laws regulating
0 o wbrI4 stated.
April 11, 2018
Building Department Copy
April 11, 2018
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
BUILDING ❑ ELECTRIC ROOFING
Master Permit Nd. / 1 ? �
Sub Permit No - Lc "c i P/ - 49 0
❑ REVISION ❑ EXTENSION MRENEWAL
PLUMBING ECHANICAL MPLIBLICWORKS M CHANGE OF M CANCELLATION r7 SHOP
CONTRACTOR DRAWINGS
i
JOB ADDRESS: 3VV �� A111f�S i ��N i� ALL
City- Miami Shores County: MiamiDade Zip:
Folio/Parcel#: / ZT3— �, 7 V 0y d(�)s- 2) Is the Building Historically Designated: Yes
Occupancy Type: Load: Construction Type: Flood Zone: BFE: _
OWNER: Name (Fee Simple /Titleholder):
Address: / 0y / V E ZN::>
City: 1?�%/A ✓rl l �35'
Tenant/Lessee Name:
Email: . 91)- C
CONTRACTOR: Company Name: v
Address:
City:
Qualifier Name:
State Certification or Registration #: _ill^
M
State: �L-- Zip:
NO
FFE:
'7 A ?,-
DESIGNER: Architect/Engineer: _[Nnoneq: -t , r 7-
Address: 17 City: Ar6 Stated Zip: ?
Value of Work for this Permit: $ quare near Footage of Work:
Type of Work: El Addition -&��Alteration ❑ New ❑ Repair/Replace / ❑ Demolition
—tt M
J�a» 11'e"
Description of Work: y/'/5 1�1i i Y� � /T
AS J(�� e--j 5
Specify color of color thru tile:
Submittal Fee $�- C� Permit Fee $
v
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $ _
EtF $ CO/CC $
DBPR $ Notary $
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. !n absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
PM
Signature Signat6rel
OWNER or AGENT
The foregoing instrument was acknowledged before me this
.21IC-t day ofN�Ra20 12 , by
WOW &SbAU who is personally known to
for who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: •VAO
02&yptu Notary Public State of Florida
. Jeffry J Yao
My Commission FF 168481
qp Expires 11/12/2018
The foregoing instrumen was acknowledged before me this
' day of .20 by
9VA O 0 / N 0 , wh is personall crrbwn to
me or who has produced as
identification and WK'0`did take an oath
NOTARY PUBLIC: : `; GREG NORDTV,
av v�
Notary PubliC - State.. ofFior;da
Commission #,gfF I. -55:; .
My Cosnm. Expires Oc.t25 2019
Print:
Seal:r��
APPROVED BY s Examiner Zoning
i
Structural Review
(Revised02/24/2014)
Clerk