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MC-06-526 Miami shores Village ' 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Permit Status: APPROVED Issue Date: 3/8/2006 Expires: 03/02/2007 Permit Number: MC- 3- 06-526 Owner's Name: BARRY UNIVERSITY Phone: (305)899 -3052 Permit Type: Mechanical - Commercial Parcel #: 1121360010160 Work Classification New Block: 1 Lot: 2 Job Address: 11300 2 Avenue NE Section: PB: Miami Shores Village, FL 33138 - Contractor(s) Phone Primary Contractor Total Square Feet: 0 HILL YORK SERVICE CORP (305)756 -6501 Yes Total Valuation: $ 28,000.00 C omments: Reg uired Ins ections INSTALLING 16 CONDENSING UNIT 1 1/2 TON AND SUPPORT STANAS Rough Rough Duct Ventilation Smoke Test Additional Information Hood Smoke Det Test Tons: 1 112 Additional Info: Final Classification: Commercial In consideration of the 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, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due Amount Invoice Number Amt Due Amt Paid CCF $16.80 MC- 3- 06-24050 $1,029.90 (CSL.q 0 Education Surcharge $5.60 Total: �+ Permit Fee - Additions /Alterations $980.00 Scanning Fee $3•00 W 0 8 PAID Technology Fee $24.50 Total: $1,029.90 C,4G �Z 67 Building Department File Copy NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Applicant Signature Hill York RAC NW 6M art • NoW, FL ;3z s Ph: 305.761.9100 • F)c 306.766.66M www.hiffyork.com February 26, 2010 D ME 9 I F 3 0 To Whom It May Concern: MAR 0 12010 Hill York installed equipment at 1 1600 NE 2 Ave, Miami, FL, .Hill York d f . .............. any equipment at I I aOO NE 2M Ave, Miami Shores, FL. The address of 11360 NE 2M Ave was used in error on our part. Please accept our apologies for this error. Sincerely, Asst. ligelissa Milton Asst. Operation Manager Hill York z Miami Shores Village Building Department 10050 N.L.2nd Avenue, Miami. Shores, Florida 33138 Tel. 56.8972 BUILDING MAR 0 2,2.006 Permit No. PERMIT APPLICATION I -- -- aster Permit No FBC 2004 - Permit Type (circle): Building Electrical Plumbing Mechanica Roofing Owner's Name (Fee Simple Titleholder) UAi2iZ14 " 4 ff C "" ` `t Phone # Owner's Address 1 S ~ 2- 1 4/ City r� -'7 ! State Zip 3 Tenant/Lessee Name Phone # JC Job Address (where the work is being done) L 6 3c-o n F 2– /,11 A City Miami Shores Villa e County Miami -Dade Zip FOLIO / PARCEL # / l C2 / 3G - GCIV , Ct SQ Is Building Historically Designated YES NO Contractor's Company Name 1,4 1 C L N O21:7 ' Phone it Contractor's Address lo 75y nW 6 M City 1 Yt 14-Y J State — Zip Qualifier Name 1'nig10jC ` &e n 6 Y Phone # State Certificate or Registration No :::2(� (' ;,S 30 7 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ C "2 (9 alb Square t Linear Footage Of Work: Type of Work ]Addition QAlteration El New ❑ Repair/Replace ❑ Demolition Describe Work- 1A l Y- 74Z,1.i17 G A, CC, o en S/ 1-7 6 601 Submittal Fee $ Permit Fee $ A2 6 1 CCF $ 1'' i5C CO /CC Notary $ Training/Education Fee $ S_ 6 ® Technology Fee $ Scanning $ 3 ` C:) Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ 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 lasses regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SMNS, WELLS, POOLS, FURNACES, BOILERS, BEATERS, 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 FINANC+iNG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICV 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 ,rob site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted no,tLle, the inspection will not be approved and a reinspection fee will be charged Signature Signature _____ Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me t his day of ---- ___ , ,20 _, by day of , 20 ; by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: APPLICATION APPROVE D BY: .Plans Examiner Engineer Zoning (Revised 02/08106) aC7t�l0 PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date v2 r Q Job Address ��3 U� �Ec�iyd �V e . Tax Folio MADricany r t� G wya -�r tior Sly /4 y Y'a 2�e Desi gnated: Yes No Ownerae / Tenant cd Ply/ (/e76s! Lid Master Permit # Owner's Address o?jtJ� Ape. Wi d Ad! Phone contracting Co. I LL-- o 'VG ! C.�'G� Address /a 1dD /UGIJ QMi 4 Q L A76.d w7, C Qualifier SS# ° Ph=6e 4 Y State # (!::- M uni« pal # Competency # ins. Co. Architect/Engineer Address 1 Bonding Company Add Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING 4 1 �CHAN IROOFING PAVING FENCE SIGN WORK DESCRIPTION s 77U,6-11116 C16)1 0. /� � /U �ci j' Syyr'�r �Si��y�l s Square Ft Estimated Cost (value) WARNING TO OWNER YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR D MOVEMENTS TO YOUR PROPERTY OF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I 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, SIGNS, POOLS, ROOFING and MECHANICAL WORK OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in comp ' ce with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. J� ll C� Signs o +� C e Presid Date i o or to o Gztr c er Notary as � C ritractor or Owner - Builder Date M y a Byrne•Par My Commission Expires: NOTARY PUBUC-STATE OF FLORIDA commission #DD386400 Aida Byrne•Parrinello Expires: JAN. 17, 2009 commission #DD386400 Bonded Thru Atlantic Bonding Co., Inc. Expires: JAN. 17, 2009 Bonded Thrn Atlantic Bonding Co., Inc. FEES: PERMIT RADON C.C.F. NOTARY BOND APPROVED: TOTAL DUE Zoning Building Electrical I Mechanical P Structural Engineer I