MCC-19-1516Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Pero No.: MCC-07-19-1516
Permit Type: Mechanical - Commercial
Work Classification: Kitchen Hood
Permit Status: Approved
Issue Date: 09/04/2019 L.Expiration: 03/02/2020
Location Address Parcel Number
11300 NE 2ND AVE WEBER HALL, Miami Shores, FL 11213600000SO
33161
Contacts
BARRY UNIVERSITY INC Owner
11300 NE 2 AVE, MIAMI SHORES, FL 331616628
Business: 3058993995 JYAO@BARRY.EDU
Mobile: 3054957544
ADVANCED HOOD SYSTEMS LLC Contractor
JEFF THOMAS SEWARD
6601 LYONS RD F4, COCONUT CREEK, FL 33073
Business: 9545712339
Description: INSTALL KITCHEN HOOD SYSTEM. Valuation: Inspection Requests:
p $ 15,000.00 365 71«,2-4949
Total Sq Feet: 45,466.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$9.00
DBPR Fee
$7.88
DCA Fee
$5.25
Education Surcharge
$3.00
Permit Fee
$475.00
Scanning Fee
$3.00
Technology Fee
$13.13
Total:
$566.26
Payments
Date Paid Amt Paid
Total Fees
$566.26
Check # 1798
09/04/2019 $516.26
Check # 1773
07/02/2019 $50.00
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 theto 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 constructii p and zoning. Futhermore, I authorize the above named contractor to do the work stated
Authorized Signature:
September 04, 2019
/ Applicant / Contractor / Agent
Date
Page 2 of 2
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
c
JUL 10 2 3019
IM
FBC 20 '7
Master Permit No.
Sub Permit No. \ "
REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑■ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: q _/j." 5t -bl Ja N6-
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: I I — 7' I ) O —OOU + 001 () Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood.Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 1 (f �o jje�Q Phone)#:
Address: 113Ob WE )-- 4�2 —
City: M,-irni 5 i er, State: 1= �/ Zip: 6T —
Tenant/Lessee Name: Phonett:
Email:
CONTRACTOR: Company Name: Advanced Hood Systems
12550 Wiles rd
Address:
Coral Springs FL
City: State:
Jeff Seward /
Qualifier Name: f
CSC1110285
State Certification or Registration It:
DESIGNER: Architect/Engineer:
Address:
Value of Work for this Per
Type of Work: ❑ Addi
Insta
Description of Work:
$1
Phonett:
33076
ip:
9545712339
Certificate of Competency It:
Phonett:
City: State: Zip:
Square/Linear Footage of Work:
n N Alteratio ❑ New Lscepair/Replace
�tchen Ho System
Specify color of color
ru tile:
Submittal Fee $ �j �w Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $ _
(Revised02./24/2014)
CCF $_
DBPR $
❑ Demolition
CO/CC $
Notary $
Double Fee $
Bond $ /
TOTAL FEE NOW DUE $
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 on estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Wignature &01,J2Z
OWNER or AGENT
The foregoing instrument
was acknowledged before me this
day of Jy� 20 I by
4 .$'4l1,fha , who is personally known to
me or who has produced
identification and who did take an oath.
N OTj
Sign:
Print
as
Signature / l !�1
CONTRACTOR
The foregoing instr, t was acknowledged before me this
it) — day of 20J by
who i ersonally known to
<Zxr who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:fiwa �--
Seal: Seal:
'Zit,, /C S Jk 1O&` ussy Ueio� N~j¢� o119N 4enaya PaPuoB
ZZOZ 'fZ daS saildq •wwo) Aw vdo'
epu013 JO aieIS • nlgnd e10N
3NOIVZNV Vl30NV d Ad�ti`
APPROVED By Pla s Exa ner Zoning
Structural Review Clerk
(Revisedo2/24/2014)