MC-10-257 Miami Shores Village k)
10050 N.E. 2nd Avenue "'•
Miami Shores, FL 33138-0000��
Phone: (305)795- 2204 -
Expilration:0812312010
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Project Address Parcel Number Applicant
11300 2 Avenue Number LaVoie Hall 1121360010160 -12 BARRY UNIVERSITY INC
Miami Shores, FL 33138 -0000 Block: Lot:
Owner Informa Address Phone Cell
BARRY UNIVERSITY INC 11300 2 Avenue
MIAMI SHORES FL 33161 -6628
Contractor(s) Phone Cell Phone
Valuation: $ 18,000.00
HILL YORK SERVICE CORP (305)756 -6501
Total Sq Feet: 0
Tons: 10 TON SPLIT & 2 5 TON For Inspections please calk
Additional Info:
(306)762 -4949
Classification: Commercial Available Inspections:
Approved: in Review Inspection Type:
Comments: Date Approved:: In Review Final
Date Denied: Type of Work: MECHANICAL
Ia
, i
Fees Due Amount Invoice # Invoice Total Amt Paid Amt Due f
CCF $10.80
MC -2 -10 -37082 E
Education Surcharge $3.60 $571.80 $571.80 $0.00
Permit Fee - Additions/Alterations
Scanning Fee $ $3.00 Check #: 105888
Technology Fee $1 4.40
Total: $571.80
Building Department Copy
February 24, 2010 — !_— 2
Miami Shores Village 0 T 5T
i iv
B : i ldin Department FEB 16 201
10050jN.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 �Y: � L....
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type MECHANICAL off,
Owner's Name (Fee Simple Titleholder) R?.VYq fitt/e VS 4Q Phone #
Owner's Address Z
Ci State
Zi
ty �� p 331'�l
Tenant/Lessee Name Phone #
Email
Job Address (where the work is being done) ' dy N� Z
City Miami Shores Villaee County NLam i -Dade Zip �JJ
FOLIO / PARCEL # i 9 2� 1 (O OD D D 5
Is Building Historically Designated YES NO Flood Zone
Contractor's Company Name Phone # 30C 7 3 R
Contractor's Address 101 -5 ' M W C
City Rt W4A State
Qualifier Name Phone # gfj4 5
State Certificate or Regis ation a llo. Certificate of Competency No.
Contact Phone E -mail
Architect/Engineer's Name (if applicable) Pp ) Phone #
Value of Work For this Permit $ �� i Square / Linear Footage Of Work:
—�
Type of Work: ❑Addition ❑Alteiration ❑New ❑ Repair/Replace II El Demolition
Describe Work: to�li'g
Submittal Fee $ -- Permit Fee i $ CCF $ CO /CC $
"G
Notary $ Training/tducation Fee $ Technology Fee $ I4
Scan ' Radon $ DPBR $ Bond $
Violation date:
Structural Review. $ Total Fee Now Due $ 5n) - 1 0 V
I
See Reverse side
"y
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 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 ap e a reinspection fee will be charged.
Signature Signature dlx
Owner or Agent Contract
G
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of , 20 10 by e )S - A&& day of , 20 _, b
who is versonallv known to me or who has produced who is personally known to me or who h produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
4
Sign: _ Sign:
. �t , 4 YARiS WIAR CA M0
Print: �� to S . - Stan o� irHNtrida Print: :
2722 Iola
My Commission Expires: ' fig) My Commission Expir - EXPIRES August 07, 2011
S gn7)3 ;.015a ftolYtleNoteryse� co
APPROVED BY I Zoning
Engineer Clerk checked
(Revised 07 /10 /07)(Revised 06/10/2009)
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STATE OF PLORIQA
DEPARTD M OP .BUSINESS AND yRQrZg#SIONAZ itEMLXTSi7N
CAN nNDU�T LICENSING BOARD (55.0) 497 -x.395
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Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
i nspection Number: INSP- 135899 Permit Number: MC -2 -1
Inspection Date: March 10, 2010 Permit Type: Mechanical - Commercial
Inspector: Perez, JanPierre
Inspectivh Type: Final
Owner. , BARRY UNIVERSITY Work Classification: A/C Replacement
Job Address: 11300 NE 2 Avenue LaVoie Hall
Miami Shores, FL 33138 -0000
Phone Number
Parcel Number 1121360010160 -12
Project: <NONE>
Contractor: HILL YORK SERVICE CORP Phone: (305)756 -6501
Building Department Comments
(Va�
&o L VL
Inspector Comments
Passed
vvvi 02)f
Failed
' fy i., LvAev4 Pv+6-obr
Correction �
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
For Inspections please call: (305)762-4949
March 09, 2010 ` Page 1 of 1