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BP-02-1813 (2)
PROPERTY OWNER \Name 1?:Cirry On Uer5 HY Address 1(330 r , . AAg4mi Artie Home Telephone Business Telephone Fax TYPE OF MANAGEMENT ( ) New Construction Enclosure Alteration Exterior Repair Alteration Interior Demolish Relocation of Structure Shell Only Foundation Only Add'I Attachment Other Add'l 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 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 roofmg 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 Department for processing. During the processing of your application, you may be asked to submit additional information. A PPLICATION Job Address: 1 i 5O0 . I l.Li i /I ue, N, l sFt or s 33io Address PERMIT APPLICATION Master Permit No. P) 1` n 900 /;;{ 3 Subsidiary Permit No. Apt. City State Zip Folio Number ascription of Work anFory s 1 3 rr1-14 Lot Block OD FT F s l l P V C S L I ? Subdivision PB PG Zoning Linear Feet Current Use of Property Square Feet Units Floors Proposed Use of Property ) < Value of Work 3 ( Ofl Bldg Value Tenant Information Assessed /Appraised Value 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 Flood Zone Base Floor Elev. ENGINEER Name License No. Address Telephone Fax CONTRACTOR el3 Name Rf.Crae / .i-f 2r1riquez License No. a i Address 3 j , 3 SW 1 , f Au& `=1Ir r r Fl 330 7- Telephoneg69 g 50m/_1 e / 'axg Qualifier Name R. ` Ss I ` rl , .JCoJ 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 FT.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 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, Floor, (305) 679 -1078. Once recorded, the Notice of Commencement must be POSTED Al' 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, C • UNTY OF MIAMI-DADE SEAL: Signature of Owner Print Name Sworn to and subscribed before me this day of Signature of Notary Public - State of Florida Personally known OR, Produced Identification Personal ersonally known X OR, Produced Identification Type of Identification Produced: Type of Identification Produced: STA Signature .ntractor / Qualifier /216,-,44C, /�/2r z day of Ceb Print Name Swor�n3 and subscribed before me this Signa i e of No Is l i c S r t o of Fl. . . 0 ,74 % Ma • = Hen * ?1 **Commission CC803603 ,,/ Expires March 3, 2003 SEAL: , COUNTY OF MIAMI -DADE PERMIT APPLICATION ELECTRICAL TYPE Minimum Fee QTY. TYPE, Dryer QTY. TYPE: Outlet, Appliance Q'I'Y. 'TYPE; Service Repair Q 1. A/C Central 1 -3 Ton Dryer Vents, Number of Fan Ventilation, Cost Outlet, Wall Ductwork, Cost of Service, Temporary Periodic Inspections A/C Central 4-7 Ton Fire Sprinkler System Fire Pump Outlet, Switch Fireplaces, Number of Signs A/C Central 8 -15 Ton Fixture - Fluorescent 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 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 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 MECI- IANICAL TYPE Minimum Fee QTY. 11 PE Condensate Drain QTY. TYPE QT1 . Generator TYPE QTY. Refrigeration, Tons A/C Central, Tons 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 Bath Fan - Vented, # Fireplaces, Number of - Pressure Vessel PLUMBING TYPE A/C Condensate QTY. TYPE Drains, Roof QT Y. TYPE Mlscellaneous Fixture QTY. TYPE: Soakage Pit TV. 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 ) ,/ j . 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: 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) $ed s ¢ft. x/1000 (¢.005 /sq.ft.) $ (¢.Ol /sq.ft.) SECTION Zoning Electrical Mechanical Plumbing Fire Public Works Structural Building Official BY DATE PERMIT APPLICATION ❑ CONDO ASSOCIATION APPROVAL (Attach) ❑ BPR APPROVAL (Restaurants) ❑ CONTRACTOR REGISTRATION (On File) PERMIT FEES TOTAL $ r 0 ISSUING OFFICIAL REVIEWED AND PREPARED BY: DATE: CONDITION OF APPROVAL Revised July 2001 10050 N.E. 2 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: 2 /27/2003 Applicant: BARRY UNIVERSITY Owner: STUDENT UNION JOB ADDRESS: 11300 N MIAMI AVE Contractor R & H SONS Local Phone: 954 -450 -6647 Parcel # 1121360000040 If there is no permit packag fee is $50.00, which must be F This Permit is granted to the contract ordinances pertaining ther - to and with t and approved by the prop r municipal a authorization. A further c ndition upon i ordinances and re'ulatio ., pertaining k by his agen e : nts .; employees. 3 Sign In consid with the plans, myself, my a the issuance to me ngs, sta ments or nt, servants •r employe: TO THE ORDER OF FOR F RH AND SONS INC NO 2 P O BOX 170388 HIALEAH, FL 33017 Legal Description: Plumbing Permit Permit Number: PL2003 -60 Flret Union National Bank N m fIrstunion.com Org. 003 R/T 067006432 STUDENT UNION BARRY UNIVERSITY Contractor's Address: 3399 SW 142 AVE Fees: Description Amount FEE2003 - 1215 . Building Fee $480.00 Total Fees: $480.00 Total Fees: $480.00 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 8/25/2003 Construction Value: Work: SANITARY SEWER 3 MH 500 SQ FT 8" PVC SEWER LINE Page 1 of 1 ,J 63- 643/670 /� DATE `" 1 J D$ B RANCH 13098 c.� ho2L5 V1WLa%I $ 480, W Q i u L- ]W,1c x XII f', DOLLARS ,j Universe 00044 1411' ' 1:06 70064 3 21: 200000 7 6 4414 gVIZZ t psl.11. 0sok. NP r, r, :y', • Miami Shores 10050 NE 2nd Avenue Phone: 305 - 795 -2204 Printed: 2 /27/2003 Applicant: BARRY UNIV Owner: STUDENT U JOB ADDRESS: 11: Contractor R & H SONS Local Phone: 954- 450 -664' Parcel # 1121360000040 sI�dTloa 001 Jx x 8 Qo 'O8. $ i iOwB9 OL9/£49 Fees: FEE2003 - 1215 Description Building Fee Total Fees: Amount $480.00 $480.00 Total Fees: $480.00 Total Receipts: $0.00 Permit Status: APPROVED Permit Expiration: 8/25/2003 Construction Value: Work: SANITARY SEWER 3 MH 500 SQ FT 8" PVC SEWER LINE 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 dition 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 regulation . 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. Si i f f • 31va Legal Description: Sig �'��_/ � ;,,�'. (INSPECTOR) BY: 2, 000002:12 Eh9O02,90: olht hh 00•ll 1S1011U(1 asv9oot9o� r u lit* ,ruse feuoneN uofun 7BJId t Contractor or Builder) BY: 7( J1 / - 2. no 0g 177 L LOEE 1d'HYTIVIH 88E0L 4 X08 O d 3 ON ONI SNOS ONY HH In considera 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, ' .wings, 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 - t, servants or mployes. and AO 3� 01 he followin pages were originally attached to plans with the following permit # 0433(p - (fl39Q Scope of Work: Signature: For Office Use Drop Off Review: Approved Permit Information (Check one.) ❑ Stand -alone Permit ❑ Subsidiary Permit ❑ Master Permit MIAMI -FADE eOU FIRE RESCUE REOUEST FOR PLANS REVIEW Previous Track # © (i 1 Permit # Master Permit # (If subsidiary) Fire Dept. Plan Tracking # Fire Dept. Application # _�� Building Dept. Process #?(4#2.130q 12.,V 71 Permit Type (Check one. ❑ 1W Permit ire Alarm Permit ❑ Sprinkler System Permit ❑ Fire Suppression /System Type: ❑ Water Main Ext./Fire Hydrant Permit ❑ Other Permit i LQ s2 ' JURISDICTION / BUILDING DEPARTMENT (Check one.) ❑ Miami -Dade County (OR) ❑ Municipality: City of YY)1 OM 1 S h S PLEASE PRINT ALL INFORMATION CLEARLY Project Name: Job Address: City: Contact Person: ' Company Name: , � ("re Phones: #1 ( ,, } � c � , � C # 2 ( ›-C7O-) 7f Permit Relationship: (i&Owner, Arch., Eng., Expeditor, Contractor, etc.) Cost of Contract: $ 0 t Square Footage: Number of Stories: Number of Heads/Devices: Number of Units: NOTE,:,.©ur department will make every effort to have Fast Track review within 3 -5 business days and Drop Off review within 9 business days. - live read the above NOTE and I am requesting a Special Request Plans Review to be scheduled as soon as possible at the rate of $190 rot th first ur and $65 per each additional hour in addition to the review fees. Minimum charge one -hour. For inspections call: Miami -Dade County Fire Prevention (786) 331 -4798 08 /03MCW Rev. 12/03 isapproved Fee Due Fast Track Review: .11.9 1 L' . ❑ Not Applicable for Fire Revie ❑ Other Review Status (Check all that apply.) U New Permit Application ❑ Rework of a plan still in process ❑ Revision to an existing permit ❑ Expired Permit or Renewal ❑ Restamp ❑ Other Print Name: , 1 t i C Registered by: Fire Dept. Application # Project Name: 8 ri Job Address: 11 DO r ) City: •/ 'SVt- Contact Person: Signature: For Office Use Only. Drop Off Review: Approved PLEASE PRINT ALL INFORM Disapproved Fee Due Permit # Phones: #1 (32 ) L h 7-(0.3 Z # 2 ) 3 is- l 1_3 For inspections call: Miami -Dade County Fire Prevention (786) 331 -4798 08 /03MCW Rev. 12/03 Fast Track Review: DATE: ct- q y MIAMI -DADE COUNTY FIRE RESCUE A/2 '/ /2 REQUEST FOR PLANS REVIEW Fire Dept. Plan Tracking # / Previous Track # 2 e Building Dept. Process # Master Permit # (If subsidiary) Permit Type (Check one.) ❑ Building Permit ire Alarm Permit ❑ Sprinkler System Permit ❑ Fire Suppression/System Type: ❑ Water Main Ext./Fire. Hydrant Permit ❑ Other Permit Permit Information (Check one.) ❑ nd -alone Permit Subsidiary Permit ❑ Master Permit Scope of Work: Review Status (Check all that apply.) ❑ NN w Permit Application O'R ework of a plan still in process ❑ Revision to an existing permit ❑ Expired Permit or Renewal ❑ Restamp ❑ Other ❑ Not Applicable for Fire Review ❑ Other JURISDICTION/ $UILDING DEPARTMENT (Check one.) ❑ Miami -Dade County (OR) unicipality: City of �JY TION CLEARLY State: Zip: Company Name: Permit Relationship: (i.e. Owner, Arch., Eng., Expeditor, Contractor, etc.) Cost of Contract: $ 0 -- Square Footage: aJ 0 OD Number of Stories: Number of Heads/Devices: c:9- S C7 Number of Units: NOTE: Our department will make every effort to have Fast Track review within 3 -5 business days and Drop Off review within 9 business days. X I have read the above NOTE and I am requesting a Special Request Plans Review to be scheduled as soon as possible at the rate of $190 for the first hour and $65 per each additional hour in addition to the review fees. Minimum charge one -hour. Print Name: u` Q, `ke tAA r S S Oki 07 a Registered by: V Approved Disapproved Fee Due MIAMI -DADE COUNTY FIRE RESCUE REQUEST FOR PLANS REVIEW / Fire Dept. Plan Tracking # 2 sc Previous Track # `42 Fire Dept. Application # Permit # Building Dept. Process # Master Permit # (If subsidiary) Permit Type (Check one.) ❑ uilding Permit hire Alarm Permit ❑ Sprinkler System Permit ❑ Fire Suppression/System Type: ❑ Water Main ExtJFire Hydrant Permit ❑ Other Permit Permit Information (Check one.) ❑ r Stand -alone Permit Subsidiary Permit ❑ Master Permit Scope of Work: ,' 2/z . JURISDICTION/ BUILDING DEPARTMENT (Check one.) ❑ Miami -Dade County (OR) ❑ Municipality: City of City: "AM/ -es For Office Use Only. Drop Off Review: .r/!7 ✓��.d�C.e��G.ldi�'t� PLEASE PRINT ALL INFORMATION CLEARLY Project Name: Job Address: ✓7 300 /A°°n Aat'/V (6 State: P Zip: 33/ Contact Person: Company Name: Sc IOP 6-eEC re /G,4C, Phones: #1 (3 ) S z/5"'- '/9 3 Permit Relationship: (i.e. Owner, Arch., Eng. Cost of Contract: $ 1 Quo Number of Heads/Devices: .25 Review Status (Check all that apply.) 0)1ew Permit Application IfRework of a plan still in process 0 Revision to an existing permit ❑ Expired Permit or Renewal ❑ Restamp ❑ Other ❑ Not Applicable for Fire Review 0 Other # 2 ( 90 ) `0, 8 , Expeditor, Contractor, etc.) (.° 04/6- -c- DATE: *0 Square Footage: Number of Stories: 3 Number of Units: 56 NOTE: All Plans must be picked u, within two (2) weeks of notification of completion. am requesting a Special Request Plans Review to be scheduled as soon as possible at the rate of $190 for the first r and $65 per each additional ho - in addition to the review fees. Minimum charge one -hour. Print Name: Registered by: For plan review information call: Miami -Dade County Fire Engineering (786) 315 -2771 For inspections call: Miami -Dade County Fire Prevention (786) 331 -4798 08 /03MCW Rev. 12/03 fiA /* Aoo a a C`1.) \.../ Fast Track Review: