EL-02-314CONTRACTOR
New Construction
Name SG ,vit AGECrie /eM do rein ak /.GC
License No. z 000 / 'ST
17
Address a/ S/ A/W 93'd Aue
/h/AM I F 33/72--
Telephone 3dg- 4.72_(u 9 Fax3 533
- 054/,3
Qualifier Name�� Ai A9/600
TYPE OF MANAGEMENT (✓ )
New Construction
1/
Enclosure
17
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
/
Foundation Only
Add'I Attachment
Other
Add'l Detachment
Other
PERMIT TYPE (✓ )
Building
Electrical
17
Mechanical
Plumbing
LPGX
Roofing
Fence
Other fi a't4EM
/
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
Folio Number
Lot
Subdivision PB PG
Current Use of Property
Proposed Use of Property
Tenant Information
ARCHITECT
Name
License No.
Address
Telephone
F
PROPERTY OWNER
Address
Home Telephone
Business Telephone
F
Block
ame .Z 4et c74' / (/&?$i
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
Master Permit No. oeP 0 /—
'ern
Subsidiary Permit No.
Complete the attached permit application which must be signed by the property owner and qualifier. Both signatures must be notarized. Please
print or type to allow for a more accurate processing of your application. If roofing work will be done, a roofing application must be submit-
ted along with this permit application.
Step 2. Submit the completed application, with all necessary documents to the Building, Planning and Zoning D epartment for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
Job Address: /3io (4//e/es/7 Skz /l PvR/!1/rv/Z,
Ad ass / Apt. City
State
ascription of Work 7RR ALAI 'M
PERMIT APPLICATION
Zip
Zoning Linear Feet
Square Feet Units Floors
>alue of Work //C, OOa . Bldg Value
Tax Assessed/Appraised Value
Flood Zone
Base Floor Elev.
ENGINEER
Name
License No.
Address
Telephone
Fax
Page 2
PERMIT APPLICATION
IMPORTANT NOTICES
1. DO NOT BEGIN ANY WORK WITHOUT HAVING RECEIVED YOUR VALIDATED PERMIT AND PERMIT CARD. Applying for a permit does not grant
the right to begin construction. HOURS OF CONSTRUCTION are limited to: Monday through Friday from 7:30 a.m. to 6:00 p.m., and Saturday from 8:00 a.m.
to 5:00 p.m. No inspections will be conducted on weekends or holidays.
2. All construction of demolition areas MUST BE MAINTAINED IN A CLEAN, NEAT AND SANITARY CONDITION free from construction debris.
3. STREETS AND NEIGHBORING PROPERTIES SHALL BE KEPT FREE FROM DIRT AND DEBRIS.
4. SWALES MUST BE PROTECTED FROM BEING DAMAGED BY EQUIPMENT OR VEHICLES, AND MAY NOT BE USED FOR STORAGE. A bond is
required for work in or near the street/sidewalk.
5. CONSTRUCTION TRAILERS ARE PROHIBITED ON SINGLE FAMILY RESIDENTIAL CONSTRUCTION SITES. Other construction may have a trailer
which requires a separate permit.
6. PORTABLE TOILETS for a construction site require a separate permit.
7. DO NOT DISCHARGE WATER INTO THE RIGHT OF WAY OR STORM DRAINS without approval from the Building, Planning and Zoning Department.
8. EQUIPMENT AND MATERIALS SHALL BE STORED at least 10 feet from the edge of pavement.
9. Department of Health and Rehabilitative Services (HRS) approval is required for applications involving septic tanks. Department of Environmental Resources
Management (DERM) and/or Miami -Dade Water and Sewer Department (MDWASD) approval is required for applications involving sewers.
AFFIDAVIT - Please read carefully.
Application is hereby made to obtain a permit to do work and installation as indicated. I, the OWNER of the property, certify that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
are required for ELECTRICAL, PLUMBING, POOL, EXTERIOR DOOR, MECHANICAL, WINDOW, FENCE, DRIVEWAY,
ROOFING and SIGNS and there may be additional permits required from other governmental agencies.
I, the OWNER of the property, have disclosed all information related to any work at the property performed in the prior twelve
months to the Building Official. Further, I am fully aware that if the cumulative cost of work to my home or business under this and
any other permit equals or exceeds fifty percent (50 %) of the fair market value of the structure, the entire structure must meet the
present federal flood criteria for finished floor elevation. I am also fully aware that if the total cost of work to my home or business
under this and any other permit exceeds fifty percent (50 %) of the replacement cost of the structure, then the entire structure must
conform to the current code requirements of the Building Code.
WARNING TO OWNER: Your failure to record a NOTICE OF COMMENCEMENT may result in you paying twice for
improvements to your property. If you are spending more than $2,500 or intend to obtain financing, you may wish to consult with
your attorney or lender before recording your Notice of Commencement. The Notice of Commencement must be recorded at:
22 N.W. 1st Street, 1" Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED AT THE JOB SITE in
accordance with Section 713 -35 of Florida Statutes. Review the brochure at Village Hall on Construction Lien Law and
Choosing a Contractor.
STATE OF FL O A, COUNTY OF MIAMI -DADE STATE OF FLORIDA, COUNTY OF MIAMI-DADE
Silnature of Owner
Print Name
Sworn to and subscribed before me this day of
SEAL: SEAL:
Type of Identification Produced: Type of Identification luc
X 9,41/,4WO Alpo ' d 6 '
Print Name
Sworn to and subscribed before me this
Signature of Notary Public - State of Florida ignature Notary ' . lic - State of Florida
O 7� 1 P US c7171 AIr :al": ; yt -
I �
0,
1.0.
ANGELA t3y
4 `�! � ' . ' i; �. M 9&1Pe�; o - 1 n �p,. _
Personally known OR, Produced Identification Personally kndir& ' :75 Ok Iden cation
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPE
Outlet, Appliance
QTY.
TYPF.
Service Repair
QTY.
A/C Central 1 -3 Ton
Heating Strips, each
Fan
Outlet, Wall
Service, Temporary
- Paint Booth
A/C Central 4-7 Ton
Fire Pump
Outlet, Switch
Piping, Flammable Liquid
Signs
A/C Central 8 -15 Ton
Fixture - Fluorescent
Process/Pressure Piping
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Pressure Vessel
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Wmdow
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
Garbage Disposal
Range/Range Top
Swim Pool, Residential
Chiller
Generators, etc.
Receptacles
Switchboards
Clear Violations
Heat Recovery
Refrigerator, Comm. (p/PH)
Temp Serv., Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
I
Renew - Temp Service
Water Closet
Demolition
Low -volt, Intercom/Teleph.
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
Service, Number of Amps
Water Heater New
MECHANICAL
TYPE
Minimum Fee
QTY.
TYPE
Condensate Drain
QTY. TYPE
Generator
QTY. TYPE
Refrigeration, Tons
Q7'V.
A/C Central, Tons
QTY.
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C WaWWin. Tons
Dryer Vents, Number of
- Paint Booth
Ventilation, Cost
Air Handler, Tons
Ductwork, Cost of
Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
Process/Pressure Piping
Pump and Abandon
Bath Fan - Vented, #
Fireplaces, Number of
Pressure Vessel
Gas - Appliance
PLUMBING
TYPE
A/C Condensate
Q Y.
TYPE
Drains, Roof
QTY.
'TYPE
Miscellaneous Fixture
Q Y.
TYPE
Soakage Pit
QTY.
Bath Tub
Drinking Fountain
Miscellaneous Repairs
Solar Water Heater
Bidet
Filter Replace
Pool Piping
Sprinkler Repair
Cap - Fixture
Fountain
Pump and Abandon
Sprinkler System
Cap - Water
Gas - Appliance
Pump, Domestic
Supply, AC Well
Cap - Sewer
Gas - Natural
Pump, Fire Stand
Temporary Toilet
Catch Basin
Gas - Propane
Pump, Re- circulate
Temporary Water Closet
Clothes Washer
Gas Piping
Pump, Replace - Pool
Urinal
Dental Chair
Grease Trap
Pump, Sprinkler
Utility - Sewer
Discharge Well
Ice Maker
Pump, Sump
Utility - Water
Dishwasher
Indirect Wastes
Relay Repair
Vacuum Pump
Disposal
Interceptor
Roof Inlet
Water Closet
Domestic Well
Laundry Tray
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
Septic Tank
Water Heater New
Drains, Area
Meter Set (Gas)
Sewer Connection
Water Re -pipe
Drains, Floor
Minimum Fee
Shower
Water Service
Drains, French
Miscellaneous Equipment
Sink
Well, Supply
Page 3
PERMIT APPLICATION
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
RECEIVED AND REVIEWED BY: DATE:
1 SECTION
BY
DATE
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
Page 4
OFFICE USE ONLY
CI-IECKLIST
❑ OWNER - BUILDER FORM
(Attach)
LI FIRE DEPARTMENT
APPROVAL (Commercial /
multi - family)
❑ CONCURRENCY
(New Construction)
❑ OTHER
(Specify & Attach)
$3.00 per page (Scanning Fee)
Miami Shores Village
Bond
Metropolitan Dade County (C.C.F.)
Inspector State Educational Fund
State DCA (Radon)
Code Enforcement Fine
Zoning Review
Notary
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
$ 1/®.S '.5":e7
$ s ,o c)
(s .60 x/1000
x )
(¢.005 /sq.ft.)
(¢.01 /sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $
ISSUING OFFICIAL
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2'''D AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
1 estmg tquipment: ui
itai unamion uric Lou rcequirea i esnng rorce: JD IDF
No.
RESULT
No.
RESULT
No.
RESULT
No.
RESULT No.
RESULT
1 -5
Passed
21 -25
Passed
41-45
Passed
71 -75
Passed
91 -95
6 -10
Passed
26-30
Passed
46-55
Passed
76-80
Passed
96 -100
11 -15
Passed
31 -35
Passed
56-60
Passed
81 -85
Passed
101 -105
16-20
Passed
36-40 Passed
65 -70
Passed
86-90
Passed
106 -200
THIS ROOF HAS PASSED: I NI FAILEV1 THE STATIC UPLIFT IN ACCORDANCE WITH MIAMI -DADE COUNTY PA106
PROPERTY ADDRESS: 100 NE 115 ST
OWNER: Barry University
CONTRACTOR. Obenour Roofing
ROOFING SQUARES: 145 sq
TILE TYPE: Monier
CONTACT PERSON :: Yusi (305)205 - 0327
PERMIT No:
PCA No:
BP2002 - 717
ROOF PITCH :: 3/12
INSPECTION DATE; 06/20/02
TEST DATE: 09/06/02
JOB NUMBER;
091702
m g Providing Solutions To The Construction Industry
ineering &
suiting, Inc. P.O. BOX 770694, MIAMI FL 33177
26
ael Droz -Seda, P.E.
Voice: (786) 486 -6468
CONCENTRATED UPLIFT LOAD TESTING ON ROOF TILE
TO COMPLY WITH METRO - DADE COUNTY PROTOCOL PA - 106
TEST TABULATION
"ROOF SKETCH"
Flatec @bellsouth.net
Lab Report No. 1 02- 090026
34 8 18 16 18 8 18
Certificate No.02- 0501.06
Fax: 305 -408 -1367
Street Address 1 ve.
Approved use by occupancyt Dnimitory
Remarks: Permit No. BP -01 -1165
BUILDING• DEPARTMENT
10050 N.E. SECOND AVENUE
MIAMI SHORES. FLORIDA 33138-2382
TELEPHONE (305) 795-2204
FAX (305) 756 -8972
Temporary Certificate of Occupancy
No. 2069 Date: September 23, 2002
Owner, Agent or Tenant of Building: Barry University
This Temporary Certificate of Occupancy is being issued for a period of ninety (90) days for
the following items to be completed:
1. Landscaping to be completed
Upon compliance and final inspection, a final Certificate of Occupancy will be issued.
CHARLES B. ESHER, BUILDING OFFICIAL
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: EL2002 -314
Printed: 9/30/2002
Applicant: BARRY UNIVERSITY
Owner: UNIVERSITY BARRY
JOB ADDRESS: 11300 NE 2 AVE
Fees: Description
FEE2002 -5446 Building Fee
FEE2002 -5447 Notary Fee
Total Fees:
Permit Status: Approved Permit Expiration: 3/23/2003
Work: FIRE ALARM
Electrical Permit
Contractor SUPERIOR ELECTRICAL CONTRACTORS INContractor's Address: 1407 EL RADO
Local Phone:
Parcel # 1121360000050 Legal Description: 36 52 41 40 AC SE1 /4 OF NE1 /4 LESS E35FT & LESS W4OFT LOT SIZE 1740400
Amount
$405.50
$5.00
$410.50
Construction Value: $16,000.00
Page 1 of 1
Total Fees: $410.50
Total Receipts: $0.00
If there is no permit package accessible on the job -site for inspectors to verify, there will be no inspections. Re- inspection
fee is $50.00, which must be paid in advance before calling for another inspection.
This Permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all
ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to
and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without
authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the
ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done
by his agents, servants or employees.
---- " . "`K Signed:
Sign
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 responisibility for all work done by either
myself, my agent, servants or employes.
4CT'
C
BY:
(Contractor or Builder) BY:
�4.
2151 N.W. 93RD AVENUE
C
MIAMI, FLORIDA 33172
SUPERIOR ELECTRICAL coNrRACTORS, wc. PHONE (305) 477 -6328
FAX (305) 593-0413
THIS CHECK IS IN FULL PAYMENT OF THE FOU.OWINQ
DATE
INVOICE
AMOUNT
OCEAN BANK
760 N.W. 42ND AVE.
MIAMI, FL 33126
lay
63- 1139/660 1
2609
PAY TO THE
ORDER OF
L2 g G-6 Oe /f 5
Daman on mm
S-407
WO,
SUPERIOR ELECTRIC CONTRACTORS, INC.
50
PAY hat,,tn . c4.7zc
DOLLARS
11'00 2 60911' 1:0660 1 1 39 21: 0 /009E18 3 2411'0 5
DATE
CHECK NO.
AMOUNT ;;
The Sunshine State
LICENSE WIASER
REYNALDO MAOISM JR
'1 FERDINAND ST
CORAL GABLES, FL 33134-0000
BIRTH DAM Sat MT. RE IM ENDORSE •
• 124448 M frail A •
. .
. 4 ISSUED WIRES DUPUCATS
10-1945 124443 0340-02
•
SAFE DRNER
02032000118
at nxtor.vehlele constitutes eOnsent to teiyeebeety test rebuked by law.
'f,t • •