DS-12-19-2899 CanceledMiami 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: (30S) 762-4949
CANCELLED
BUILDING Master Permit
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: 11300 NE 2nd Ave - Garner
Sub Permit No.
ECE1E
AUG 2 1 2025
BYE �`�
FBC 20
DS-12-19-2899
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑■ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City Miami Shores County: Miami Dade Zip:
Occupancy Type: Load: Construction Type:
the Building Historically Designated: Yes NO
Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Barry University Phone#: 305.495.7544
4,,,4,0«.11300 NE 2nd Ave
City: Miami Shores
FL
Tenant/Lessee Name: Phone#:
Email: Jyao@barry.edu
33161
CONTRACTOR: Company Name: Dade Construction Phone#: 786.564.7623
Address: 12240 SW 131 Ave
City: Miami State: FL Zip: 33186
Qualifier Name: Jonathan Cuesta Phone#:
State Certification or Registration #: CGC1520491 Certificate of Competency #:
DESIGNER: Architect/Engineer: TWR Phone#:
Zip:
Value of Work for this Permit: $ Cj .f 5 00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: (v% i lr -(ce_+- ni- ;„ 47et � y
O-vv ct aA-l-C to %SS : n gem rz- c (tom —b o.1," T( r , . —I. -(- L. W 4_I,6 . at .
Specify color of color thru
Submittal Fee $
Scanning Fee $_
Technology Fee $
Structural Reviews $
Permit Fee $ CCF $ CO/CC $
Radon Fee $ DBPR $ Notary
Training/Education Fee $ Double Fee $ _
Bond $
(Revised02/24/2014)
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
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 low 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.
OWNER or AGENT
The oregoing instrument was acknowledged before me this
ir
/d}a��y�of �� . 20 IS' , by
I(+17i; rib w�personallyknown o
� or who has produced
identification and who did take an oath.
NOTARY P9M: a �
Seal: "N- .'.,JEFFRYJ.YAO
i� commission # HH 2BM20
.e Exdres November 12, 2M
APPROVED BY
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of
as me or who has produced
20 by
who is personally known to
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
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Plans Examiner _
Structural Review
as
Zoning
Clerk
(Revised02/24/2014)