WS-18-1770 (2)gHURES t�!
Miami Shores Village
10050 N.E. 2nd Avenue NE
" lot "'
Miami Shores, FL 33138-0000
Phone: (305)795-2204
�LORtOp'
Permit No. INS-6-18-1770
Permit Type: Windows/Shutters
tork Classification: Window/Door Replacem
Permit status: APPROVED
Issue Date: 7/1112018 1 Expiration: 01/0712019
vroject 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
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
VENTURA ARCHITECTURE DEVELOP (954)423-1362
,e of Work: STORE FRONT DOOR WINDOWS
of Openings: 6
iitional Info: STORE FRONT DOOR WINDOWS
ssification: Commercial
inning: 1
Fees Due
Amount
CCF
$11.40
DBPR Fee
$2.40
DCA Fee
$2.00
Education Surcharge
$3.80
Permit Fee
$160.00
Plan Review Fee (Engineer)
$45.00
Scanning Fee
$3.00
Technology Fee
$15.20
Total:
$242.80
Valuation: $ 18,880.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # WS-6-18-68072
07/11/2018 Credit Card $ 192.80 $ 50.00
06/28/2018 Credit Card $ 50.00 $ 0.00
Avallame I
Inspection Type:
(Window Door Attachment
Final
Review Building
Review Building
Review Structural
Review Structural
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 thereto 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 informatio is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zonin hermor , I aut�z ie above- ed contractor to do the work stated.
July 11, 2018
Autho zed Signature: O / plicant / Contractor / Agent Date
Building Department Copy
July 11, 2018 1
'1I `t' 1 j� , c4a'k-oS
BUILDING
PERMIT APPLICATION
JOB
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 ❑ ELECTRIC ❑ ROOFING
(R.E CE IM E-D
Sh
FBC 201�i
Master Permit No. C C . 1 ---3 ^ 29 �l
Sub Permit No. I/)� 1� " 1 —4
❑ REVISION ❑ EXTENSION ❑ RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR I DRAWINGS
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: / —A)3 [ — 4 0-- P% 0Q�0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): / ty) W w'g Phone#:3as= Fn, 3 n5 -
i _ . _
Address
City: it ��' State: , Zip: ly
`' ! Phone#:3�r'gg7
Tenant/Lessee Name: �%N )/Y b�� 1-----`�
CONTRACTOR: Company Name VD
Addres �AV)E
8 20A �y /
City:
i
Qualifier Name: /
State Certification or Registration #:
DESIGNER: Architect/Engineer: M1
Pholie#:9��/' 1:J / " )��
Certificate of Competency #:
Zip:
Zip:333
Value of Work for this Permit: $ U , �� Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration 21 New ❑ Repair/Replace ❑•Demolition
Specify color of color thru tile:
Permit Fee $ ' Lto- c.'-) CCF $
Submittal Fee $
Scanning Fee $
Technology Fee $
Radon Fee $
Training/Education Fee $
DBPR $
CO/CC $
Notary $.
Double Fee $ _
Structural Reviews $.
(Revised02/24/2014)
Bond $ f
TOTAL FEE NOW DUE v• �10
•Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
F,
Zip
Zi
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 ill be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of c mmencemen must be p sted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the abse of s posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signat
OWNER or AGENT
:q
The foregoing instrumenAAt11w�s acknowledged before me this The foregoing instru n was acknowledged before me this
_ day of 20 � b by day of 20 I� by
/�t1S N AL/ who is personally known to C., LC who is pers Wally kno n to
ne r who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC:
e---,
Sign:
Print
A0
Seal: Notary Public State of Florida
Jeffry J Yao
,per My Commission FF 168481
OFpd" Expires 11/12/2018
APPROVED BY
NOTARY
(sw
;: 'k. LIN is R. W G TON
1191
Seal: Commission M GG 11911
My Commission Expires
W:;;' October 12, 2020
Plans Examiner Zoning
(Revised02/24/2014)
Structural Review
Clerk