PLC-18-492Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Parcel Number
Permit Iva PLC-2-18-492
Permit Type: Plumbing - Commercial
Worts Classification: Addition/Alteration
Permit Status: APPROVED
issue Date. 4/1112018 1 Expiration: 10/08/2018
Applicant
11300 NE 2 Avenue Number: Garner Buildin 1121360000050-25
Miami Shores, FL 33138-0000 Block: Lot: BARRY UNIVERSITY INC
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
FIAT PLUMBING & GENERAL CONTR, (305)446-6366
Type of Work: INSTALL SANITARY PIPING AND BATHROO
Type of Piping:
Additional Info:
Classification: Commercial
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
Valuation: $ 23,000.00
Total Scl Feet: 1540
Pay Date Pay Type Amt Paid Amt Due
Invoice # PLC-2-18-66584
04/11/2018 Credit Card $ 697.05 $ 50.00
02/26/2018 Credit Card $ 50.00 $ 0.00
In consideration of the issuance to me of this permit, I ag
pertaining thereto and in strict conformity with th plans, drav
accepting this permit I assume responsibility, fo all work do
required for ELECTRICAL, PLUMBING, MFCHA ICAL, WINI
OWNERS AFFIDAVIT: I certify that all
construction and zoning. Futhermore, I
Authorized Signature: Owner /
Building Departmeit Co
Avallanie Inspections:
Inspection Type:
Top Out
Re Pipe
Main Drain
Heater
Water Service
Final
Water Main
Review Plum
Underground
p rform the work covered hereunder in compliance with all ordinances and regulations
statements or specifications submitted to the proper authorities of Miami Shores Village. In
either myself, my agent, servants, or employes. I understand that separate permits are
DOORS- RQDFING and SWIMMING POOL work.
that all work will be done in compliance with all applicable laws regulating
the work stated.
April 11, 2018
nt
1 11, Zulu I 1
AL, �,t
Miami Shores Village
BUILDING
PERMIT APPLICATION
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
i ❑ BUILDING ❑ ELECTRIC ❑ ROOFING
FHB 2 0 2018
FBCZO1`�`'-
Master Permit No'Cc' /v � Zs 7 q
Sub Permit No.1 l z G ` `f
❑ REVISION ❑ EXTENSION ❑RENEWAL
PfUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF []CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: D N- N9 A v-t�; (6A (Z-f;R. A,1 I V LA)
Folio/Parcel#: /IZ/
b U 0o
0 0S 0Is the Building Historically Designated: Yes NO�
Occupancy Type:
Load:
Construction Type: Flood Zone:
BFE: FFE:
OWNER: Name (Fee Simple Titleholder):
�5AA- j V YVI�IER S
/
Phone 30 TC t o
Address: //30 0
Nei Z�
A�
City: Al non
Tenant/Lessee Name:
Email: 11,
S a -67--r State:
1 i'JDon, of
pe-Ok I �`c fi"✓fib h
/
Zip:
Phon #P' 7i3 3�Z
CONTRACTOR: Company Name: / � Phone#: 3o�— �7 6 3 4
Address: 2--7 W 3b VC-*
�
City:
/74 14'Y4 � State: �1i Zip
Qualifier Name: Phon #: i7
State Certification or Registration #: Certificate of Competency #: AT
DESIGNER: Architteect/Engineer. VI�o� 1 Ur'` Nnonex� ' —W
Address: ,j j b l l�J j, j 11 �-� City: �/I r% State: �e)
p
Value of Work for this Permit: $ 3 00 � Square/Linear Footage of Work: �
Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace Demolition
Description of Work: S/\� ✓� Wn'� N�
Ar•-cl ��`I�R-o� �' �k^+, ��s yr s �-- _Qt.>g N �
j
Specify color of color thru tile:
rr.�,� n
Submittal Fee $�! W Permit Fee $ 0 CCF $ CO/CC $
Scanning Fee $ _
Technology Fee $
Structural Reviews $
Radon Fee $
Training/Education Fee $
DBPR $
Notary $
Double Fee $
Bond $ _
TOTAL FEE NOW DUE $
(Revised02/24/2014)
4-
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 in the absence of such posted notice, the
inspection will not by approved and a reinspection fee will be charged.
OWNER or AGENT
CONTRACTOR
The foregoing instrument
nwas acknowledged before me this The fore otng instru ent was acknowledged before me this
Zi s� day of 2019 by day of 20 ` f . by
ak-' l ilW; i�!(1�ac� who is personally known to � ��11� ho is personalty_ klnno_wn o
me or who has produced
identification and who did take an oath.
NOTARY PIj�Bys
�f i n �-
Sign:
Prin : k,
Se : �ow ON. Notary Public State of Florida
Jeffry J Yao
yy,, My Commission FF 168481
-�efp Expires 11/1212018
as me or who has produced
identification and who did take an oath.
NOTARY SUC:
Sign:
Prin
Seal:
'a -
as
t:
•� Commission N GG 11911
My Commission Expires
« October 12, 2020
s sssssQ#'#s**ss****#*##s*ssss**ss*s*s***s**sssss**#*sss*ss#ssss****sss*s*ss
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
s sssssQ#'#s**ss****#*##s*ssss**ss*s*s***s**sssss**#*sss*ss#ssss****sss*s*ss
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)