EL-04-318Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 11/15/2004
Applicant: BARRY UNIVERSITY
Owner: STUDENT UNION
JOB ADDRESS: 11300
Contractor POWER PRO
Local Phone: 305 - 687 - 7080
Parcel # 1121360000040
N MIAMI
Legal Description:
Signed: (INSPECTOR)
Signed: (Contractor or Builder)
Electrical Permit
Permit Number: EL2004 -318
STUDENT UNION
BARRY UNIVERSITY
AVE
Contractor's Address: 18800 NW 2 AVE
Fees:
FEE2004 -11013
FEE2004 -11015
FEE2004 -11016
FEE2004 -11017
FEE2004 -11018
Description
Building Fee
CCF
Notary Fee
Training and Education Fee
Technology Fee
Total Fees:
Amount
$100.00
$0.60
$5.00
$0.20
$2.50
$108.30
Total Fees: $108.30
Total Receipts: $10830
Permit Status: APPROVED Permit Expiration: 5/7/2005 Construction Value: $250.00
Work: ADD ONE SPEAKER HORNE STRUBE
In consideration of the issuance to me of this permit, 1 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.
BY:
Page 1 of 1
214
BUILDING
PERMIT APPLICATI
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Titleholder)
Owner's Address 1 l b Q .) iv
City(ot\e\�V'�'� -,
Tenant/Lessee Name �)�u
Contractor's Company Name
Type of Work:
Describe Work:
Submittal Fee $
City Miami Shores Village
Is Building Historically Designated YES NO
ddi
L # , r..
Miami Shores Village
Building Department
Notary $ �J . <Dd Training/Education Fee $ t 0.0
Scanning $ Radon $ Zoning
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ t ••' 0 - C,
(Continued on opposite side)
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Permit No. E104-- 3 e
Master Permit No.
ECEPVED
NOV 8 8 2004
Ji y
'
ONO
umbing
❑Alteration New
�
Job Address (where the work is being done) 1 k 0 0 /� ,. o 0A4A, / " /
Contractor's Address rJ l J Y l V V ii G/ e
City , State C
Qualifier e lit 1n
Mechanical Roofing
hone # b c) 1 - 3 1 e —
Phone #
County Miami -Dade Zip
Permit Fee $ (0 (')
Phone # O S - 6 � �� 0
Zip
State Certificate or Registration No. G_- C C) 0 0 1.1 () 3 Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
�J
o
$ Value of Work For this Permit °1! 1,1-)
Square Footage Of Work:
'/ -zJ /4'
❑ Repair/Replace
e. g/ ****************************F
Demolition
A
CCF $ ( Q2 d • • CO /CC
Technology Fee $ c2- •
Bond $
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
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."
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.
Chc 05/13/03
Signature
Owner or Agent
The foregoing instnunent was acknowledged before me this The foregoing instrument was acknowledged before me this ej
day of , 20 , by , day of 1/0 , 20
who is personally known to me or who has produced who is personally kno • o me or who has produced_
As identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: Print:
P pYP
My Commission Expires: My Commis ion Expires: ; zq
Contractor
9 �OF FL
y lP p krpo
ntification and who did take an oath.
1
DD231' 84
113 2■07
Atlantic Rnhding Co.. Inc
*************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * ** *************** * ** ** ** ** * ** ** ** * ** ** * * *** ** * **
APPLICATION APPROVED t:g� , )w laps Examiner
Engineer
Zoning