BP-02-1225CONTRACTOR
RA
Name B A., r7�,
, ts +;-. (7 ,
Addc 2
c_ c3c4';i
Address �'2.- 1.
Ad ams Lt? s,AA t-& /L_C-A
Business Telepho
Fag
"e isl i e— 1454S- _ 0 go) c l Fax ( - 0
1 1
Qualifier Nam , r 1 (___ (LL t_ c S ` .
PROPERTY OWNER
Name B A., r7�,
1
LRL+ V
Addc 2
License No A_. 0 z_i_t
Address �'2.- 1.
Home Telephone 5 a.— e q _ 0 2 4 - 1 9
Business Telepho
Fag
ARCHITECT
Name hi\ ® h ® - 0 p
Name OCR I
P, i J i C—
License No A_. 0 z_i_t
Address �'2.- 1.
��??
Gx51 . t i
Telephone #2
0 0° 4 L 1 j ® °_
Fax - 3 S
-- L— (® — (� 7 3
ENGINEER
Name hi\ ® h ® - 0 p
LicenseNo. V e s- 4 04
Ad Ag0
1 A-- r
— C
3 7 7 C3 3
Telephone3) 5 ,_-
`.4q3 c) c. 1
Fax 3 C.D '
3 — c,
TYPE OF MANAGEMENT (✓ )
New Construction
Enclosure
Alteration Exterior
Repair
Alteration Interior
Demolish
Relocation of Structure
Shell Only
Foundation Only
Add'l Attachment
Other
Add'I Detachment
Other
INSTRUCTIONS - The following steps must be taken to obtain a permit from the Miami Shores Village:
Step 1.
Complete the attached permit application which must be signed bythe pr operty o wner 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.
PERMIT TYPE (✓ )
Building
Electrical
Mechanical
Plumbing
LPGX
Roofing
Fence
Other
Master Permit No.
PERMIT APPLICATION
Subsidiary Permit No. ,+ // f c9.0 O '
Step 2. $ubmit 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: 1 1 300
P Addr , r Apt.
Folio Number 11 - 2-13(o (o - 000 - 00 4)
50-52-'41 ( or;
l VIok Le3s e a eS 4 tots W L oafing
PERMIT CHANGE (✓ )
Chg. Contractor
Renewal
Revision
Extension
Supplement
Reinspection
City
Description of Work
Flood Zone 1-1/ A-
Base Floor Elev.
Zip
7774i cc9°t-S
�� �����`` Linear Feet
Current Use of Property P frra -t e4 Square Feet f ! + 2-50 Units Floors
Proposed Use of Property ® carr at c Value of Work* 5; 5170 Bldg Value i1 l A-
Tenant Information iiI 614_ p` T Tax Assessed/Appraised Value
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 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 F1.FCTRICAL, 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 fmancing, 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, P' 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.
ST TE OF FLORIDA, COUNTY OF MIAMI-DADE 5 .► OF FL �. ' � . , CO
�
s of Contractor /Qualifier
fc . V/ficc4 idkor _ .r)-,/d Ciaav
Print Name / Print Name
Sworn to and subscribed before me this 2:3 day of 0 , and and subscribed before me day of
d
_
W02- .
okciAAAsuut—,—Q
Signature of Notary Public - State of Florida
SEAL: O P&,„ OFFICAL NOTARY SOL
-N ae, CLAD SANDOV
a
^, 0 COMMISSION NUMBER
, ,;p1 11 i a. D0015552
�� �� ,4' MY COMMISSION EXPIRES
cation
Type of Identification Produced:
ignature of Notary Public - State of
SEAL:
Personally known
PERMIT APPLICATION
OF MIAMI -DADE
1
0V'„� ' enise r Rusinque
* 71 *My Cgmrr .ssion CC847108
Exp dune 10, 2002
OR, Produced Identification
Type of Identification Produced:
ELECTRICAL
TYPE
Minimum Fee
QTY.
TYPE
Dryer
Q Y.
TYPE
Outlet, Appliance
QTY.
T YPE
Service Repair
Q7 I.
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 Window
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 Sere, Construction
Compactor
Low -volt, Burglar
Refrigerator, Domestic
Temp for Test - 30 days
Deep Freezer
Low -volt, Fire
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.
TY PE
Condensate Drain
QT TYPI
Generator
QTY. TYPE
Refrigeration, Tons
Q'I'Y.
A/C Central, Tons
Q Y.
Cooling Tower
- Heating Strips, each
Vent Hood, Cost
A/C Wall/Win. 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
QTY.
TYPE
Drains, Roof
QTY.
TYPE
Miscellaneous Fixture
QTY.
1 PT:
Soakage Pit
Q Y.
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:
SECTION
BY
D
Electrical
%�i
- !r,
Mechanical
rIMIPIT
Plumbin _
ing
- f
Fire
_
W
Public Works
Structural
//
Building Official
%�
f
Page 4
OFFICE USE ONLY
CHECKLIST
❑ 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
Notary
❑ PROOF OF OWNERSHIP
(Attach)
❑ HRS / DERM APPROVAL
(Septic / Sewer)
❑ IMPACT FEE
(New Construction)
❑ OTHER
(Specify & Attach)
PERMIT FEES
$ I00
3, 006
(ssq..fL x/1000
x
(¢.005 /sq.ft)
(¢.01 /sq.ft.)
PERMIT APPLICATION
❑ CONDO ASSOCIATION APPROVAL
(Attach)
❑ BPR APPROVAL (Restaurants)
❑ CONTRACTOR REGISTRATION
(On File)
TOTAL $ D3 , C7 0
ISSUING OFFICIAL
REVIEWED AND PREPARED BY: DATE:
CONDITION OF APPROVAL
Revised July 2001
10050 N.E. 2m AVE., MIAMI SHORES, FL • (305) 795 -2207 • FAX (305) 756 -8972 • http : / /www.miamishoresvillage.com
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 7/12/2002
Applicant:
Owner:
JOB ADDRESS: 11300 NE 2
Contractor BEAUCHAMP CONSTRUCTION CO INC Contractor's Address: 247 MINORCA AVE
Local Phone: 305 - 445 - 0819
Parcel # 1121360000050
Fees: Description Amount
FEE2002 -3838 Building Fee $100.00
FEE2002 -3839 CCF $3.00
Total Fees: $103.00
Total Fees: $103.00
Total Receipts: $0.00
Permit Status: Approved Permit Expiration:
Work: TEMPORARY OFFICE TRAILERS
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.
Signed:
Signe
Building Permit
Permit Number: BP2002 -1225
1/8/2003
AVE
Legal Description: 36 52 41 40 AC SE1 /4 OF NE1 /4 LESS E35FT & LESS W4OFT LOT SIZE 1740400
Construction Value: $5,500.00
Page 1 of 1
(INSPECTOR) BY:
In consideration of the issuance to me of this peg it, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity
with the plans, draws s, statements or specifi ns 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, : ants or employes.
(Contractor or Builder) BY:
NOTICE OF COMMENCEMENT
PERMIT NO. TAX FOLIO NO. 11- 2136 -000- 0040 -000
STATE OF FLORIDA:
COUNTY OF 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 in this Notice of Commencement.
1. Legal description of property and street address: 11300 NE 2nd AVE, MIAMI SHORES, FL. 33161
36 52 4140 AC 5E1 /4 OF NF1 /4 I FSS FVSFT Ri 1 FSS w4nFr
2. Description of improvement: TEMPORARY OFFICE TRAILERS AT PROPOSED UNIVERSITY STUDENT CENTER
3. Owner(s) name and address: BARRY UNIVERSTIY, INC. 11300 NE 2nd AVE, MIAMI SHORES. FL
Interest in property: FEE SIMPLE
02840209 1 2002 JUN 27 1023
Name and address of fee simple titleholder. BARRY UNIVERSITY, INC. 11300 NE 2nd AVE. MIAMI SHORES, FL
4. Contractors name and address: DEAUCHAMP CONSTRUCTION CO.. INC.. 247 MINORCA AVE. CORAL GABLES. FL. 33134
5. Surety:(Payment bond required by owner from contractor, if any)
Name and address: NOT APPLICABLE
Amount of bond $ NOT APPLICABLE
6. Lender's name and address: NOT APPLICABLE
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)(a)7., Florida Statutes,
Name and address: MR. FREDDY ULLOA, 11300 NE 2nd AVE, MIAMI SHORES, FL
8. In addition to himself. Owner designates the following person(s) to receive a copy of the Lienors Notice as provided in
Section 713.13(1)(b), Florida Statutes.
Name and address: NOT APPLICABLE
9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a
ditfereM date Is specified) ONE YEAR FROM RECORDING DATE
FOR BARRY UNIVERSITY:
si a
wanner •A soc. V P prezt 6-hes M .vs <
Print Owners Name MR. FREDDY ULLOA •
Swom to and subscribed before me this 2.3- day of Tu e '1.9 W0 L
Notary Public C // J J �—� - L
Print Notary's Name lam- LfAu D,,j- - j ¥ f\/00(i
My Commission Expires:
gTn' r": c 1 ORIDA, COUNT OF DADE
¥ that this is a true co ypt►�h
up itus office on Ay
hand ar' ; ,t Seal.
F. r :ir■,
d" p(% CLAUDIASANDOVAL
2 i y y. COMMISSION NUMBER
if, a
9J DD015552
4 MY COMMISSION DARES
e O F F t.. APR. 4,2005
Prepared by: MR. CHRIS TUCKFR
BEAUCHAMP CONSTRUCTION CO.. INC.
Address: 247 MINQECA OVFNI IF
CORAL GAB F _ 33134