MCC-19-1397Miami Shores Village SEP 2 3 2019
Building Department -kw
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 W C •
INSPECTION LINE PHONE NUMBER: (305) 762-4949 •
FBC 20
BUILDING Master Permit No. CC-12-18-3721
PERMIT APPLICATION _ _°�aag Sub Permit No.
MCC-06-19-1397
❑BUILDING ❑ ELECTRIC ❑ ROOFING Q REVISION ❑ EXTENSION ❑RENEWAL
[—]PLUMBING A MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 11300 NE 2nd Ave, Weber Hall
City: Miami Shores County: Miami Dade Zip:
Folio/Parcels:11-2136-000-0050 Is the Building Historically Designated: Yes NO X
Occupancy Type: Load: Construction Type. _Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Barry University Phones: 305-981-1157
11300 NE 2nd Ave
City: Miami Shores
_ State: FL
Tenant/Lessee Name: Phone#:
Email:
33161
CONTRACTOR: Company Name: Hill York Service Company, LLC Phones: 954-525-4200
Address: 2125 S. Andrews Avenue
City: Ft. Lauderdale State: FL Zip: 33316
Qualifier Name: Michael J. Senecal Phones: 954-525-4200
State Certification or Registration N:
DESIGNER: Architect/Engineer: Car
Address: 1560 Wilson Bouleva ,
Value of Work for this Perml S
Certificate of Competency #: CIVIC 1250643
Design I Phone#:703-907-2339
City: Arlington State: VA Zip: 22209
Square/Linear Footage of Work: 45,466
Type of Work: ❑ Additi n MOAlterati ID New ❑ Repair/Replace ❑ Demolition
Description of Work: Reno tion r Hall A d of AHU
Specify color of color thru tile: 1,A5 f1 'd
Submittal Fee $ —Permit Fee $ CCF $ (0E6 CO/CC $
Scanning Fee $ Radon Fee $ 38 - S 0 DBPR $ S IS Notary $
Technology Fee $ - ZS' Training/Education Fee $ Double Fee $_
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
4,t37,Zs
Bonding Company's Name (if applicable) N/A
Bonding Company's Address
City 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. 1 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 a, the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such post notice, the
inspection will not be approved and a reinspection fee will be charged. ,-
OWNER or AGED
The f strument was acknowledged before me this
day of ✓ 20 �� by
who is personally known to
me or who has produce - as
identification and who did take an oath.
Print:
Seal:
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APPROVED BY
(Revised02/24/2014)
P5:•'r SION ••' ���
'�'•oJ C`'o�n•ic
The foregoing instrument was acknowledged before me this
12 day of September , 20 19 by
Michael J. Senecal who is personally lLo to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
ith Rivera
�pIIVfTSSTON # GG069375
9 •• , \�eal: +xirF •' EXPIRES February 02, 2021
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r\ \%ans Examiner
Structural Review
Zoning
Clerk