PL-02-16Village of Miami Shores
10050 NE 2nd Avenue
Miami Shores, FL 33138
Phone: 305 - 795 -2204
Printed: 1 /22/2002
Plumbing Permit
Permit Number: PL2002 -16
Applicant: BARRY UNIVERSITY
Owner:
Contractor RIGHT WAY PLUMBING CO INC Address: DOING BUS IN DADE CO
Local Phone: Cellular:
Parcel # 1121360000050 Legal Description: 36 52 41 40 AC SE1 /4 OF NE1 /4 LESS E35FT & LESS W4OFT LOT SIZE 1740400
Job Address: 11300NE 2 AVE
Fees:
FEE2002 -367
FEE2002 -368
Description
Building Fee
Notary Fee
Total Fees:
Amount
$5,250.00
$5.00
$5,255.00
Permit Status: Approved Permit Expiration: 7/21/2002 Construction Value$
Work: PLUMBING STUDENT HOUSING
If there is no permi
fee is $50.00, which n
This Permit is granted to t
ordinances pertaining theretc
and approved by the props
authorization. A further • d
ordinances and regulatio s p
by his agents, sery . is • r en
f
SignetCl:
In consid ti • '/ a issue
with the plans, drawings, state
myself, my agent, servants or
Signed:
PAY
gRD
RIGHT WAY PLUMBING COMPANY
1329 SHOTGUN ROAD
SUNRISE, FL 33326 -1935
PH (800) 921 -9289
Village of Miami Shores
Building Department
00 1.539 Lo I:0670 L356
Total FeedI5,255.00
Total Receipts: $0.00
WACHOVIA BANK N.A.
WESTON, FL 33331
63- 1356/870 04037
14 252 2420
Page 1 of 1
DATE
NOT VAUD AFTER 120 DAYS
15391
15391
AMOUNT
t. Zti 0
J anuary 21, 2002
� _ �
wo f��
AUTHORG�D SIGNATURE
CONTRACTOR
Name (8
✓`
License No. c Ect: O _ I
2 0
Address 13.)..1 51w'rytn ReA4
S.)665‘ L 333
Telephone 51 4 41 000 D Fax c:t rt.( '(c 3 O(9 8
Qualifier Name
TYPE OF MANAGEMENT (✓ )
New Construction
1/
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'l Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
PERMIT APPLICATION
P o Master Permit No. 13 1 11"(05
Subsidiary Permit No.
Complete the arrarhed 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 submitted
along with this permit application.
Step 2. Submit the completed application with all necessary documents to the Building, Planning and Zoning Department for processing. During the
processing of your application, you may be asked to submit additional information.
APPLICATION
Job Address:
Folio Number
/V4J !/sT
Address
Apt.
City
Description of Work
33/
State Zip
5 d e # 4
Lot Block
Subdivision PB PG Zoning Linear Feet
Current Use of Property Square Feet Units Floors
Proposed Use of Property 4Value of Work S el 4)° ei4 Bldg Value
Tenant Information Tax Assessed/Appraised Value
Flood Zone Base Floor Elev.
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
ARCHITECT
Name
License No.
Address
Telephone
Fax
PROPERTY OWNER
%
Home Telephone
Business Telephone
Fax
ENGINEER
Name
License No.
Address
Telephone
Fax
30 '51 q ( 1 (c )
Page 2
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 PROHIB11'Ell 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, 1a 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 FLORIDA, COUNTY OF MIAMI -DADE
Signature of Owner V \Signature of Contractor / Qualifier
Print Name Print Name
Sworn to and subscribed before me this day of
Swom to and subscribed before me this day of
STATE OF FLORIDA, COUNTY OF MIAMI-DADE
Signature of Notary Public - State of Florida Signature of Notary Public - State of Florida
SEAL: SEAL:
PERMIT APPLICATION
Personally known OR, Produced Identification Personally known OR, Produced Identification
Type of Identification Produced: Type of Identification Produced:
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
QTY.
TYPE
Outlet, Appliance
QTY.
TYPE
Service Repair
QTY.
A/C Central 1 -3 Ton
Fan
- Dryer Vents, Number of
Outlet, Wall
Ventilation, Cost
Service, Temporary
Air Handler, Tons
A/C Central 47 Ton
- Piping, Flammable Liquid
Fire Pump
Outlet, Switch .
Fire Sprinkler System
Signs
A/C Central 8 -15 Ton
Bath Fan - Vented, #
Fixture - Fluorescent
- Pressure Vessel
Oven
Space Heater (kw)
A/C Central 16-20 Ton
Fixture Light
Parking Lot Lights
Spas/Hot Tubs
A/C Central 20+ Ton
Flood Lights
Plugmold/Strip
Subfeeds, No. of Amps
A/C Window
FPL - Load Central
Posts
Swim Pool, Commercial
Air Conditioners
(0
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
r
Renew - Temp Service
1
Water Closet
11Z
Demolition
Low -volt, Intercom/Teleph.
(
Repair Circuits
Water Heater
Dishwasher
Low -volt, Television
j / ?/Septic
Service, Number of Amps
Water Heater New
6'7
MECHANICAL
TYPE
Minimum Fee
QTY. TYPE
Condensate Drain
QTY. TYPE
Generator
QTY. TYPE
Refrigeration, Tons
QTY.
A/C Central, Tons
Cooling Tower
Heating Strips, each
Vent Hood, Cost
A/C Wall/Wm. Tons
- Dryer Vents, Number of
- Paint Booth
Ventilation, Cost
Solar Water Heater
Air Handler, Tons
Ductwork, Cost of
- Piping, Flammable Liquid
Periodic Inspections
Barbecue
Fire Sprinkler System
- Process/Pressure Piping
Cap - Fixture
Bath Fan - Vented, #
Fireplaces, Number of
- Pressure Vessel
Pump and Abandon
PLUMBING
TYPE
A/C Condensate
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture ° d �' ,
QTY.
1 1
TYPE
Soakage Pit
QTY.
Bath Tub
Drinking Fountain
*J
1Vliscellaneous Repairs I!n '
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
(0
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 - (1 N t ft Y'01
r
Roof Inlet
1
Water Closet
11Z
Domestic Well
Laundry Tray
(
Septic Connection
Water Heater
Drainfield, 4" Tile/Res.
Lavatory
j / ?/Septic
Tank
Water Heater New
6'7
Drains, Area
Meter Set (Gas)
Sewer Connection
4
Water Re -pipe
Drains, Floor
1.
Minimum Fee
Shower
4 1
Water Service
Drains, French
Miscellaneous Equipment
Sink
'
Well, Supply
Page 3
INSTRUCTIONS: Please indicate the type of work being performed and quantity(ies) in the space provided below.
PERMIT APPLICATION
RECEIVED AND REVIEWED BY: DATE:
Page 4
OFFICE USE ONLY
CI- IECKLIST
❑ OWNER - BUILDER FORM
(Attach)
❑ 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
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
( sq.ft. = x/1000
x0.60)
$ (¢.005 /sq.ft.)
$ (¢.01 /sq.ft.)
REVIEWED AND PREPARED BY:
SECTION
Zoning
Electrical
Mechanical
Plumbing
Fire
Public Works
Structural
Building Official
BY
DATE
/ -22 -6z
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
PERMIT FEES
TOTAL $
ISSUING OFFICIAL
DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2N AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com