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CT-13-928 (2)3 0 -- j I'-- -) bl�, _5 qq -) Miami Shores Village l® 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 ►ASV (1 � ��`i� bF oom00000awa�aoav®®- Permit No -Or 13 -In Master Permit No. FBC 20 Permit T e: BUILDING ROOFING Owner's Name Si older) Barry University Phone # 305.899.3995 Owner's Address 11300 NE 2nd Ave City Miami Shores State FL Zip 33138 Tenant/Lessee Name Email Phone # Job Address (where the work is being done) Barry University- Facilities- Modulars at CCHMM City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # 11-2136-000-0050 Is Building Historically Designated YES NO Flood Zone Contractor's Company Name N//q Phone # Contractor's Address City Qualifier Name State Certificate or Registration No. Contact Phone Architect/Engineer's Name (if applicable) State Zip. E-mail Phone # Certificate of Competency Phone # Value of Work For this Permit $ IJ�J Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New ❑ Repair/Replace ❑ Demolition Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: j Structural Review. $ Total Fee Now Due $ ��) lJ � See Reverse side -10 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 approveond a reinspection fee will be charged. Signature a Signature Owner or Agent The foregoing instrument was acknowledged before men ^ this 36t,-\ 13 3® day of App , 20 , by �-k Lap + - ' who is persona4 known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: ,n Sign: Print: My Commission Expire Ls APPROVED BY (Revised 07/10/07)(Revised 06/10/2009) *WMXba 12, 2014 - - Fl. NotmY MW0=As= CD. Contractor The foregoing instrument was acknowledged before me this day of .20 _, by who is personally known to me or who has produced as identification and who did take an oath. IT/V131/ Plans Examiner Engineer NOTARY PUBLIC: Sign: Print: My Commission Expires: Zoning Clerk checked NOTICE OF COMMISICEMIENT A RECOROEO COPY MOST BE POSTEO ON THE JOB SITE AT TIME OF RRST INSPECTION PERMIT NO. TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI-DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following Information Is provided in this Notice of Commencement. 1. Legal description of property and streettaddress: Barry University, 11300 NE 2nd venue} 2. Description of improvement: Install mciular trailers ior office shale. 3.Owner(s) name and address: Barry University, 11300 NE 2nd Avenue, Miami Shores FL Interest In property: Name and address of fee simple titleholder: 4. Contractor's name and address: N/A, _ 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond S 6. Lender's name and address: 7. Persons within the state of Florida designated by Owner upon whom •notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: __ 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expira3Eed) is Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different Signature of Owner Print Owner's Name Brim dwardg Prepared by Sworn to and sub7�1 d before me this 91) qday of , 20 A A Address: Notary Public Print Notary's Name My commission expires: 123.01-32 PAGE 4 8/02 MY C'OMIv1MON N BE36829 E)aq i4: Novamba 12, 2014 t _ _ FL Nay DI ANN Co. T ,. Miami shores Village Building Department RECEIPT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 PERMIT#: ��1 DATE: �'� I Contractor Owner ❑ Architect Picked up 2 sets of plans arld (other) Address: From the building department on this date in order to have corrections done 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: 'If ✓ '"" - `� `� (Signature) PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: Miami Shores Village Building Department - 10010 N E 2nd Avenu NLatru Shores. Flonda 3313 Tel: (305) 79i 220 Faa: (301) 756 897 Permit Job Nam PLUMBING CRITIQUE SHE�/ 05/10/2013 09:16 FAX 1 800 885 7330 DATA SCAN FIELD SERVICES TRANSMISSION OK TX/RX NO RECIPIENT ADDRESS DESTINATION ID ST. TIME TIME USE PAGES SENT RESULT Building Departmi-ril 10050 N.F.2tui Avenue Miami Shores, nor—ida 33138 Tel: (305) 795,'M4 �ax: (105) 756.8972 Permit No: 13-928 Job N,aine: May G, 2012 Building Critique Sheet ********************* *** TX REPORT *** ********************* 3601 93058993058 05/10 09:15 00'57 2 OK paf;e 'J of f. fd1001 .3) BAsed ort Florida Statute 553.73 this building is exempt from the FRC except for ttie accessibility prCavi%iom. No review hos been pKforrried except for the requirements shown in Florida Statute 553,7 3. (110) The following buildings, strur:tures, and f;,ac'.ilitir-sv'are exempt from that Florida Building Code as provicled by law, and ,any further exemptions shall be as de+termiric-d by the Lcgislatur-e and pi-ovided by law: (e) Mobile or modular- structures used as temporary offices, except that the provisions of !sari it relating to accessibility Aby persons with disabilikies apply to such mobile or madulitr structures. 7) Provide appfoval from Miami Dade County fires L?etas, Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 13-928 Job Name: May 6, 2012 Building Critique Sheet Page 1 of 1 1) Based on Florida Statute 553.73 this building is exempt from the FBC except for the accessibility provisions. No review has been performed except for the requirements shown in Florida Statute 553.73. (10) The following buildings, structures, and facilities are exempt from the Florida Building Code as provided by law, and any further exemptions shall be as determined by the Legislature and provided by law: (e) Mobile or modular structures used as temporary offices, except that the provisions of part II relating to accessibility by persons with disabilities apply to such mobile or modular structures. 2) Provide approval from Miami Dade County Fire Dept. 3) Provide approval from Miami Dade County DERM/PERA. 4) Provide approval from Miami Dade County HRS/DOH. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re -submittal drawings.