CC-11-783Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 159217 Permit Number: CC -5 -11 -783
Scheduled Inspection Date: July 12, 2012
Inspector: Bruhn, Norman
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Laundry Room
Miami Shores, FL 33138 -0000
Project: BARRY UNIVERSITY
Contractor: NEW LIVING CONSTRUCTION INC
Permit Type: Commercial Construction
Inspection Type: Final Building
Work Classification: New
Phone Number
Parcel Number 1121360010160 -38
Phone: (954)237 -4731
Building Department Comments
LAUNDRY ROOM RENOVATION
NOC PENDING
AS PER LETTER FROM CONTRACTOR AND APPORVAL
FROM THE B.O, OK TO EXTEND PERMIT 180 DAYS.
1/20/2012 - NOC RECEIVED.
Passed W
Failed
Inspector Comments
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
July 11, 2012
For Inspections please call: (305)762 -4949
Page 1 of 23
NEW IIVING
CONSTRUCTION
New Living Construction, Inc
1835 E. Hallandale Beach Blvd. #426
Hallandale Beach, Florida 33009
Phone: 954- 237 -4731
Mobil: 305 - 761 -4444
Fax: 954 -237 -6325
CGC# 1509848
To: Norman Bruhn
Miami Shores Village
10050 NE Second Avenue
Miami Shores, Florida 33138
JAN 26Z 2
Date: 12/09/2011
Project: Laundry Room (Permit NO. CC -5 -11 -783) - Barry University at 11300
NE Second Ave, Miami Shores Florida
Due to the time frame of this project, we would not be able to complete this over
the winter break. We would then need to commence with this project at the end of
Spring semester and begin by May 7th.
Please let me know what should 1 do to extend the following permits:
- CC -5 -11- 783
- PLC -5 -11- 955
- MC -5 -11- 956
- ELC -5 -11- 954
Sincerely,
Dmitriy Dain, President
New Living Construction, Inc.
Pennit #
Folio
NOTICE OF CONIMENCENIE'NT
Tim undersigned hereby gives notice that improvement win ba made to certain real
property and in accordance with Chapter 713, Rorbia Standes, the following infonnation
Is provided In this Notice of Connnencement
I. Legal Description of Property: Lot Block
Street Address ft avallabiec
2. General description of hoptuventent
3. a. Owner nen* and oddness
b. Interest in property:
a Mem and address orate simple
titleholder (if *Martina Ovate*
4.0. Contract:4w name and addresic
b. Contractor's phone numixtr:
5.0. Surety name and addles=
b. Surety's phone number:
C. Amender bon*
6.0. Lender Sterne and addles=
b. Lenders phone number:
1111111 1111111111 11111 11111 11111 11111 1111 1111
CFN 2011R0833669
OR Sk 27925 Ps 1238; (Ps)
RECORDED 12/13/2011 11:22:03
HARVEY RUVINT CLERK OF COURT
MIAMI-DADE COUNTY FLORIDA
LAST PAGE
Ibbspecacessmedtarteogder.
Unit d Bldg 5 ..0Lengthy legaiettached
6e,.04 ry dig Mr
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itevalovic C,pos-if
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,
7. a. Poisons witidn the State of Florida
by Secdon Tt3.13(1)(47., Florida
sted by • • *Upon irfharanstkcgis crofter documents may be semd as Provided
Name:
Address:
b. Phone mother,
8. a. In addition to himself or head& the Owner designates
to ruche a caproiLienort Notice per Section 713.13(10),Rorida
b. Phone number of pitmen or entity designated by owner
Expiration date °inane. of conenencement :
Wie0a0andatos is 1 year tamale dale of Iscoallm tans o differatchgets specified)
WARNING, TO OWNER ANY PAYMENTS MADE BY THE OWNER AFT THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
• FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING IVIIICE FOR IMPROVENIENTS. TO YOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE .10B SITE BEFORE The FIRST
INSPECTION. IF YOU INTEND T.0 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. •
Signattne(s) of °marts)
eir By
nt
pri Name aim/dr/T- . Name
▪ Oftce
AlrA.11rk
STATE OF FLORIDA
COUNTY OF BROWARD
1 6B Y 1 la a I " Ms
Elbmaidualk or gas
Personaily Imam, or El preducedthetblowinglypeofidutileaan
before moo Ms 241 day of M Y Zbll
for
Signal:we of Notaty pubil=
Print Nanuc
Under penalties of perjuiry,, 1 cledare that I two read
that the facts stab** In it ere *mkt* tie best of my
Signature(s)of
' BY •
Authorized 015cedDirecbuiPartnertalanagerwholigeed above:
By
girecatdr~tac-notIcearcaramencarcatresbedUBT.doc
New Living .Construction,,Inc
1835 E. Hallandale Beach Blvd. #42
Hallandale Beach, Florida 33009
Fhone: 954-237-4731
mobil 305.761 4444
Fax.
954-237-6325
1509848
To: Norman Bruhn
Miami Shores Village
10050 NSecond Avenue
Miami Shores, Florida 33138
Pray Triangle Building - Laundry Room (Permit NO. CC-5-11-78 Bari
University at 11300 Second ;Ave, Miami Shores Florida
tittle `frame:
6111i\_1A-4
— Dh-rwrg-1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
FBC 20
Permit NoCC/
771, r
MAY 0 A 2011
Master Permit No.
Permit Type: BUILDING ROOFING
OWNER: Name (Fee Simple Titleholder): ri 0,vi (/eis; Phone#:
Addresss: /13oo 4/ 2 Ark w (�f /
City: 144-447 i d tq 0 r€ S State: /4L zip: 3316 /
Tenant/Lessee Name: Phone#: 3 899- 3991-
Email:
JOB ADDRESS: A /(7Cya A00,1,
City: Mi. 1I Shores
Folio/Parcel#: 16 (p a i 0
(% F &1 e vee r/ fro ww Cfte.
Coun
Miami Dade Zip:
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: -/� 4/.4/6 WN,S/ fl : �O/?/ Phone#:
Address: �/ S Y//$/ /Am:4.4 &A&j (3//cI
City: HAIliwz k 81ea(+i State: FL.. zip: 33005'
Qualifier Name: pi /Wily Oif i q/ Phone#: . OS' ' .76/ y V y
State Certification or Registration #: (6C it /Sb 98Y 8
Contact Phone#: 30c; 161- y Y'f Email Address: /�/Eak/(l 4Nf CONS�iz•uCf: bov(3 dN,*(• Col
DESIGNER: Architect/Engineer: max a MfMS Phone#: 516/ 99,7-113z_
3os- ,76 /j' ;ley
Certificate of Competency #:
Value of Work for this Permit: $ //r Square/Linear Footage of Work:
Alteration °New °Repair/Replace
ll/0 V�4i ice/
Type of Work: °Addition
Description of Work:
°Demolition
C4-) I * * * * * **
Submittal Fee $ v l
QV a ,
Permit Fee $ J l�'� CCF $ CO /CC $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ -sn
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approve nd a reinspection fee will be charged.
Signature
Owner or Agent
The foregoing instrument was acknowledged before me this 2001
day of Mil_, 20 I 1 , by Z3'21/1 GDV4 142 ,
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
`A
Sign:
Print:
My Commission
Contractor
The foregoing instrument was acknowledged before me this 46—
day of A'°! ,20 ` L , by 7) %%%; y T 24-J49
who is personally known to me or who has produced 11
1-lag identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: NOTARY
My Commission
LIC if OF FLORIDA
Keyi.Gale
ommission #DD931513
Expires: NOV. 21, 2013 •
„a' CBOPiDIIm6'9.,$d6'o
Bono vat Anon
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APPROVED BY
Plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3115/09)
PERMIT # CC i -1
CONTRACTOR: ('�%l�o C
oT .
SUBMITTAL DATE: Z / 4'
II
ADDRESS: bKZ -C...f ` 111-V
NAME:
RESUBMITAL DATES:,
n 2_,,1 11
PROJECT TYPE: (ik fl
,, 9
ZONING
FIRE
STRUCTURAL
IMPACT FEES
t CA-
ELECTRICAL
HRS/DERM
aAir ,44-
PLUMBI
NOC
<17."'Q
MECHANICAL \
p\i',.(.\1/4)\141A
BLD
��v
Miami Shores Viiiage
Building Department
RECEIPT
PERMIT #:C) .. t DATE:
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
1, °A-kk7/
❑ Contractor
❑ Owner
❑ Architect
Picked up 2 sets of plans and (ot e )
Address:
Yofavn
From the building departm$nt on this date in order to ave corrections one to plans
And /or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Department to continue permitting process.
Acknowledged by:
PERMIT CLERK INITIAL
RESUBMITTED DATE:
PERMIT CLERK INITIAL:
-.11(1(1
pttAski
Fi fz1a A? 2- ,
19,1111
07 -27 -2010
ALEX SINK STATE OF FLORIDA
CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS' COMPENSATION
* * CERiiIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE:
PERSON:
FEIN:
09/13/2010 EXPIRATION DATE 09/12/2012
DAIN DMiTRIY P
203075304
BUSINESS NAME AND ADDRESS:
NEW LIVING CONSTRUCTION INC
1835 EAST HALLADALE BEACH BLVD
1 428
HALLADALE FL 33009
SCOPES OF BUSINESS OR TRADE
1- GENERAL CONTRACTOR
IMPORTANT: Pursuant to Chapter 440. 06(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of eiectiva tinder this
section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.0b(121 F.S., Certificates of election to be exempt... apply only within the
scope of the business or trade listed an the notice of election to be exempt. Pursuant to Chapter 440.0611* F.S., Notices of election to be exempt and certificates of
election to he exempt shalt he snbiect to revocation N. at any time after the filing of the notice ar the issuance of the certificate, the person named on the notice or
certificate es longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person
lamed on the cmtifiate to meet the requirements of this section. QUESTIONS? (850) 413 -1609
DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORMS COMPEONATION
CONSTRUCTION INDUSTRY
CERTIFICATE OF ELECTION TO SE EXEMPT FROM FLORIDA
WORKERW COMPENSATION LAW
EFFECTIVE 09/13/2010 EXPIRATION DATE: 09/12/2012
PERSON: DMITRIY P GAIN
FEIN: 203075304
BUSINESS NAME AND ADDRESS:
NEM LIVING CONSTRIXTION INC
1835 EAST HALLADALE BEACH BLVD
It 426
HALLADALE, FL 33009
SCOPE OF BUSINESS OR TRADE
1- GENERAL CONTRACTOR
IMPORTANT
OF Pursuant to Chapter 440.05(14), FS., at officer of a corporation who
elects exemption from this chapter by filing a certificate of election
under this section may not recover benefits or compensation under this
D chapter.
Pursuant to Chapter 440.05(12), F.S., Certificates of election to be
H exempt- apply only within the scope of the business or trade listed on
Rthe notice of election to be exempt
E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt
and certificates of election to be exempt shall be subject to revocation
if, at any time after the filing of the notice or the issuance of the
certificate, the person named on the notice or certificate no longer meets
the requirements of this section for issuance of a certificate. The
department shall revoke a certificate at any time for failure of the
person named an the certificate to meet the requirements of this
section.
QUESTIONS? (850) 413 -1609
CUT HERE
+ Carry bottom portion on the job, keep upper portion for your records.
OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06