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PLC-07-1766Project Address Owner Information Building Department Copy Wednesday, August 22, 2007 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Address Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $6.60 $2.20 $330.00 $3.00 $8.25 $350.05 Expiration: 02/18/2008 Parcel Number 11300 NE 2 Avenue Miami Shores Village, FL 33138- 1121360010160 Block: 1 Lot 2 BARRY UNIVERSITY Type of Work: LP GAS FOR GENERATORS Type of Piping: LP GAS Additional Info: SECOND SOURCE POWER Classification: Commercial Contractor(s) Phone AMERIGAS PROPANE AND SUBSIDIA 305 -883 -8600 Cell Phone BARRY UNIVERSITY 11300 NE 2 Avenue MIAMI SHORES FL 33161 -6628 (305)899 -3052 Valuation: Total Sq Feet: $ 11 ,000 .00 0 Authorized Signature: Owner / Applicant / Contractor / Agent Phone Applicant Available Inspections: Cell Inspection Type: ROW Final Press Test 1 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 information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. August 22, 2007 Date 1 BARRY UNIVERSITY ADDING LP LINES TO EXISTING STAND BY RUNNING ALL NATURAL GAS AS SECOND SOURCE OF POWER. GAS TANKS AND GENERATORS AN EMERGENCY 1 00 ®2® ®1 Passed sp ctor Comments Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 10/29/2007 Inspector: Levrock, James Owner: , BARRY UNIVERSITY Job Address: 11300 2 Avenue NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: AMERIGAS PROPANE AND SUBSIDIARIES Building Department Comments Friday, October 26, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Plumbing - Commercial Inspection Type: Final Work Classification: Gas Phone Number (305)899 -3052 Parcel Number 1121360010160 Block: 1 Lot: 2 Phone: 305 - 8834600 Page 2 of 2 BARRY UNIVERSITY ADDING LP GAS TANKS AND LINES TO EXISTING STAND BY GENERATORS RUNNING ALL NATURAL GAS AS AN EMERGENCY SECOND SOURCE OF PO d ir ( sEp 24201 I ctor Comments Passed Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled until re- inspection fee is paid. Inspection Number: INSP -59282 Permit Number: PLC- 8- 07 -1 '' 765 Inspection Date: 09/21/2007 Inspector: Levrock, James Owner: , BARRY UNIVERSITY Job Address: 11300 2 Avenue NE Miami Shores Village, FL 33138- Project: <NONE> Contractor: AMERIGAS PROPANE AND SUBSIDIARIES Building Department Comments Thursday, September 20, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Plumbing - Commercial Inspection Type: Press Test Work Classification: Gas Block: 1 Phone Number (305)899 -3052 Parcel Number 1121360010160 Lot: 2 Phone: 305 - 883 -8600 Page 1 of 2 BUILDING x$12 -�-1 C�k -�:= PERMIT RMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) (3Al2 i- U (.✓TS 1711 Phone # ?0S -gt -30 S Owner's Address ! 1'300 N e City 11(Ae`1 t S E'i'D' State Ft- Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) (( 300 6.)e 2. AVE City Miami Shores Villa 'e County Miami-Dade Zip 3 316 1 FOLIO /PARCEL (t - Zt 3(0--Ooo -. OoSo NO Is Building Historically Designated YES Contractor's Company Name weft & o Pw /6D S Z Y1 1 8 9 City / ' c .. / State /1 /C Q dC� Qualifier Name ` p / 7� � - / /ISV kf Contractor's Addres State Certificate or Registration No. E -MAIL: 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Td: (305) 795.2204 Fax: (305) 756.8972 Architect /Engineer's Name (if applicable) Miami Shores Village Building Department 0115 1/6 Value of Work For this Permit $ 1 b, .500 (49— Training /Education Fee $ Radon $ 2 -2e 1 it j ZC 7. AU )) 66 �JJ21 2007 BY: :�.�' Permit No. 1 C" 1' �7 C Master Permit No. Zip 33((c I Phone # Submittal Fee $ Permit Fee $ Notary $ Scanning $ f2•00 DPBR $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Phone # �� ) croc=, Zip S3 Phone # 3o$ —W3 °c'6 o Certificate of Competency No. , 8' 9 cj Type of Work: Otddition ❑Alteration New ❑ Repair /Replace ❑Demolition Describe Work: 1? u (Zuni AA. vi.S LP--a. s +auks c *. t, Lines 4e At t U 5 4110.4.1b 2s 124.,t, v, n u h a-tc N a tutiD VGA CIA OJA C Scut Ce tT1 Pr/ u) (J? ****** * * *** * **** * * * * * * * ** * * * * ** *** *** *F ** *, *, ***** * * * ** * * *** ** ** *** * *** ***** * *** CCF $ (o '(Q 0 CO /CC Technology Fee $. '25 Total Fee Now Due $ Zoning $ - 3,)o o5 See Reverse side - SE' 06 PAM Bonding Company's Name (if applicable) Bonding Company's Address City 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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." State 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 be approved and a reinspection fee will be charged. Fo& Garry <)�t vrrc r 'r Signature Sign Assoc.. -Le ve Owner or Agent The foregoing instrument was acknowledged before me this day of ilr.. .�. 1 ,20 rrr {a., U ilpc, who is personally known to me or who has produced NOTARY PUBLIC: A Print: k,": i --5 My Commission Expires: z 4 r 6, 2_06 ***************************************** _ ***** APPLICATION APPROVED BY: (Revised 02/08/06) Zip Contractor The fore oing instrument was acknowledged before me this /SA-f day of , 20 07 , by I bt,r Kt who i personally known to ri or who has milahril ri . bath. . � GO�MgSSION64- � • �JO 2p a s' 9 c as identification a��`�': -c% Sign: Print: My Commission Expires: 4 /it © 7 Plans Examiner Engineer Zoning 08/30/2007 14:23 3056292938 ADMIIN HR NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TiME OF FIRST iNSPECTIION PERMIT NO�Q@ g-1 i TAX FOLIO NO. 1 1- 2j 01 o STATE OF FLORIDA: COUNTY OF MIAMi -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided fn this Notice of Commencement 2. Description of improvement: e adding L-P- Gas -stn S bc..f C riei - trS run »i ng Jti1 3. Owner(s) name and address: Barry Uni versify _D ago N �� x! Ave r'Yl ' eS p L 3 jro r Interest in property: Name and address of fee simple titleholder. � Signa re of Owner Print Owner's Name 122.01-62 PAGE .t VMS Notary Public Print Notary's Name My commission expires: v(, r Pro pare. PAGE 01/01 11111111111111111 11111 11111111111111111 CIF 2OO7ROS414: OR Bk 25092 Pe 2O9Oi' (19g) RECORDED 02/30/2007 1031:5 HARVEY RUVINr CLERK OF CD11E i'1IA1'II -DALE COUHTYr FLORIDA . VIENY/E1 AUG 3 0 AUDI' LW BY: W 1. Legal description of property and street/address: - 1300 1∎ rr 2 '- t✓e. AYYIr Sh ___ FL 33161 uired by owner from contractor if - r `•'yr :. „ ' 4. Contractor's name and address: ,A mete r Gas F 33 1lc'' 5. Surety: (Payment bond re Name and address: Y) Amount of bond 3 6. Lender's name and address: 011 1006 06 n t..) 63q Aver) 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(47., Florida Statutes, Name and address: A - j • Pr© ne �} no 2 fluJ c' �F rr Uri i ver f S. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice in Section 713.13(1)(b), Florida Statutes. • Name and address: a US 9.qzrairation . =te of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a .d ff : , t >> a = is s ifled) • alEr ip • • rovl• 9, 4 2 ! G d d- kled r! 4 Prepared by d Sworn to and subscribed before me this d-•°t n day of y#ee.s_4 . ZO v'7. -ir 1.1 . 'L 8 Tel. 30_ ice; PG 00899 Medley, FI 33178 Fax 305 - 884 -5891 J 11 IQ SI • • . h�Q - • ?I i DAZE: .0 -11 .., ,13,4"0 ED: . . SCALE:. L • S , . • • • • N BY:�.., o y 2 . .. .. e • APPROVED BY: • • •••• • • AFFIDAVIT: • • • ••••' • "'••• This installation sha: coglpjy with N'•F!! 54, NFM, .: as wall as all state &`I8cal'bodes Witi„reQulatiorlt. • GENERAL SITE PLAN Page_. 3 of Signature of Qualifier r I ' - _ PRINT NAME: 1`-C1 T -1A- 8'V, • Qualifier #; • £ 198 O 0 •4' 9 Sworn to . • subscribed before me this day of at . Wi �?� 6 '11-11' p IIHHIN,,, e ANT �//. `1, .• ,msSIo4f c •. ��� by: : c Q t F d, 3 •. • (SEAL) = * •.1 m i * 2 .� NOD 414281 o �� Personally known • nown: i�-� �,.' �\ or Produced Identification: �,' �:trncu re.. l0 Type of identification Produced .1/j s if A ,y �ari lill�K��� ( � LA vk?on Po tb stand �rcl 1 . -a15 - ce-- w I N s r de Scli ai U. ILI l'N i- A VeINIAl2 GRa sc cvt,e 4 &ish n1 s Shand ' eru.tct f81 n SOkL$. � I — "$o, r"e.-S G. twtn-e2.- 13 LA$. loogP L i/an& r p -Rl af.»t•P rteour►.ct, aS 6(LG e- up 1D 47 s# ry J Nallatitro oo ake-t ' pig sfao '# wcal- .� t 'n 1 5� _ Conro base ,i1 d P oll rp tmAu ,Z-- /000/ z Punks aJ or 62-ac -ut - O { ew 1 At i Alr,v5 7141<u gat. acc/0 �eyre�t- ri�af2 ; lJ 0 ?La) Nof 1-0 Scale • UJofe: (t'US fr4LIA'h0+11 ( IF - 64S the. 4 a irtnie,,S 1 &tdl<in Gen e,ta Da. a a. 6a1 oprirl The va cua° cQ. DETERMINE NOR DETERMINE NORTH i P 410 1 AnteriGas, LPG 00899 10052 NW 89 Ave., Medley, Fl 33178 Tel. 305 - 388 -8600 Fax 305 - 884 -5891 !lac / Al�•'3n •� • • DATE: q, •RI;:IySED: • • . • • SCALEiv . `•• IUN BY: • .,:vie e .•.• ' ' •• . • to • APPROVED BY: •• AFFIDAVIT: • • •••• This installation she! coy • with lalaft 54, NSA §§ as well as all state &•lecalicodes sons e9ulatioits. • GENERAL SITE PLAN •• Page of •Signature of Qualifier - - PRINT NAIVE* Po 71 - /� �•1 Ul Sm.) - Qualifier #;. a . oor 9 / Sworn to and subscribed before me this A day of ,l��a� � `\\` \-\\ im f fI /IIII�� /// �` ` I* • by P e1I,. . . o iJ Q e11'a a, .: � s T * N (SEAL) .....• . o: #DD414281 :sr Persona! known: •� • * • -or Produced Identification: 4i l Type of identification Produced °0 /101111.1110 , .. 4 . CD Gds 2cs-t24 SIB} o Ct�. 24a. 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