CC-14-1885BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department SEP 2 6 2014
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 - 1
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 2�0 �j
Master Permit No?c` (C` — �9_
Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL F-] PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
10BADDRESS: 11SO®
City: Miami Shores County: Miami Dade Zia: 33161
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): 6Aaa,4 U ru,t`ms Phone#:_ 363 -,?'15 '3717,5'-
Address:
3i%SAddress: 11306 N. C 2 /tel Ute-
city: M ( AMI S iJ 0055 State: Fj. zip: 3.714 1
Tenant/Lessee Name: Phone#:
Email
CONTRACTOR: Company Name: _Phone#: 7,f
Address: 2-1 S`r42Ll1j4 /0 6
City: MqA) l' AL744 State: i 1 , Zip: -3300 f -
Qualifier Name: /t%(gej- du.AA_6�c S Phone#;
State Certification or Registration #: 4 7.5 Certificate of Competency #:
DESIGNER: Architect/Engineer: C If 0l C�4 ,Qi 2G i I ; }CVe: i udt= Phone#: C 3' S
Address: 63 2.3 Al , int: iZ s*T. , .� �.. i T G i o ( City: O o o -A L State: Ft. Zip:
Value of Work for this Permit: $ y�61 ovo , &0 Square/Linear Footage of Work:
Type of Work: F-1Addition L� Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: V1 7-64 (z A/y1) LAo,:51S
Specify color of color thru tile:
Submittal Fee $ -__ e 0 0 _Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $
Structural Reviews
(Revised02/24/2014)
Training/Education Fee $
Double Fee $
Bond $ a
TOTAL FEE NOW DUE $�� 3 70.
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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.
L4P�4—
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Signature Signature
OWNER or AGENT
The for going instrument was acknowledged before me this
Z1 day of �bN►�rb�✓ 20 �'1 , by
$UISQN 14.% �, who is personally kn to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
A
MY C0?^USSION # EE3MW
MMM: Novw&a M2014
fl.TiotsyffiioaeKl�o0.d'Qk
CONTRACTOR
The foregoing instru nt was acknowledged before this
V11 LJ
day of T 20 by
1r K 'C'tVlliM, I C*S, who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
"rP
Gllda Pereda''•.
Print: .��?R• �B
. x. .. s t „r, 4 91
.Q=
Seal r_... nor EXPIRES: DEG. 07, 2G15
to,. WWw.AARUNNOTARY.com
APPROVED BY J 6 Plans Examiner Zoning
Vlmh Structural Review Clerk
(Revised02/24/2014)
Miami shores Villag
Building Departme
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
8-31- I k -
Permit No: ($ $S
Structural Critique Sheet
91
Page 1 of 1
Laed j,:j
Yr�C¢sj tom.., '
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STOPPED REVIEW
Pian 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.
Mehdi Asraf
51
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-218738 Permit Number: CC -8-14-1885
Scheduled Inspection Date: February 05, 2015 Permit Type: Commercial Construction
Inspector: Rodriguez, Jorge Inspection Type: Final Building
Owner: , BARRY UNIVERSITY Work Classification: New
Job Address: 11300 NE 2 Avenue
Miami Shores, FL 33138 -
Phone Number
Parcel Number 1121360010160
Project: BARRY UNIVERSITY
Contractor: EMERALD CONSTRUCTION CORPORATION Phone: (305)310-4543
tiutlalnq Department t;omments
INSTALLATION OF ST. DOMINIC STATUE WITH
CONCRETE PEDESTAL, 2 CONCRETE BENCHES 4
LIGHTS AND BRICK PAVER WALK AREA. BRONZE
STATUE 3 SHADES OF GRAY PAVERS
IN THE REAR OF THE FINE ARTS AREA
INSPECTOR COMMENTS False
February 04, 2015 For Inspections please call: (305)762-4949 Page 7 of 39
Inspector Comments
Passed
786-251-1331 RALPH
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
February 04, 2015 For Inspections please call: (305)762-4949 Page 7 of 39