ELC-15-1950 r, Miami Shores Village ,, F
10050 N.E.2nd Avenue NE .
Miami Shores,FL 33138-0000
Phone: (305)795-2204
Expiration:02/21/2016
Project Address Parcel Number Applicant
11300 NE 2 Avenue Number: Cor Jesus Chaff 1121360010160-01 BARRY UNIVERSITY INC
Miami Shores, FL 33138-0000 Block: Lot:
Owner Information Address Phone Cell
BARRY UNIVERSITY INC 11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
Contractor(s) Phone Cell Phone $ 25,000.00
Valuation:
LANGER ELECTRIC COMPANY (786)251-8585 (305)759-5777
----� --�- Total Sq Feet: 00
Type of Work:FIRE ALARM PER PLANS Available Inspections:
Additional Info: Inspection Type:
Classification:Commercial Final
Scanning:4 Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
Review Electrical
W.W.
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $15.00 Invoice# ELC-8-15-56572
DBPR Fee $11.25 08/03/2015 Credit Card $50.00 $765.50
DCA Fee $11.25
Education Surcharge $5.00 08/25/2015 Check#:6719 $765.50 $0.00
Permit Fee $750.00
Scanning Fee $3.00
Technology Fee $20.00
Total: $815.50
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 t ct1r to do the work stated.
August 25,2015
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
August 25,2015 1
Miami Shores Village quo a zo��
BuildingDepartment p ��:
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC lay
BUILDING Master Permit No.CC-3-15-572
PERMIT APPLICATION Sub Permit No /�-- _42.
❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 11300 NE 2 Avenue - Cor Jesu Chapel
City Miami Shores County: Miami Dade Zip: 33161
Folio/Parcel#:11-2136-000-0050 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):Barry College Phone#:
Address.11300 NE 2 Avenue
City: Miami Shores State: Florida Zip: 33161
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Langer Electric Company Phone#: 954-984-8489
Address. 6500 NW 21 Avenue, Suite#1
City: Fort Lauderdale State: Florida Zip: 33309
Qualifier Name: Roger Langer Phone#: 954-984-8489
State Certification or Registration#: EC0000099 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 01 D B Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration FE-1 New ❑ Repair/Replace ❑ Demolition
Description of Work: fire alarm per plans
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ ®, ®d CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 1
(Revised02/24/2014)
t
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 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 flrst inspection which occurs seven (7) days after the building permit Is issued. the absence of such posted notice, the
will not be approved and a reinspection fee will be charged.
Inspectionpp p f g
Signature Signature
OWNE or AGENT CON RACTOR
The foregging instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
�►` 7 day of 20 ,0 ,by day of ,20 l; ,by
Ut,p�sr �aa2 // o s ersonall kn wn to who is personally known�o
mer who has produced as Mg or who has produced as
identification and who did take an oath. Identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: w � Sign:
Print:
60 lC—� Print• C u J.
►�•
Seal: \`��N11111ttllnfl^/� Seal: ppT ,�
\ ••••. f7
��\�Q•��SSi0ll1'••;�'1��� �'«; :r�E
WCOMMOMHE116M
sip
•�,
***d •
1130
APPROVED BY s Plans Examiner Zoning
lfll INit
rl
Structural Review Clerk
(Revised02/24/2014)
! t
NOTE: ALL SHEETS MUST BE REVIEWED
MIAMI-DADE COUNTY BUILDING DEPARTMENT
Herbert S.Saffir Permitting and Inspection Center
11805 SW 26th Street(Coral Way), -Miami, Florida 33175-2474-(786)315-2100
APPLICATION FOR MUNICIPAL PERMIT APPLICANTS
THAT REQUIRE PLAN REVIEW FROM MIAMI-DADE FIRE RESCUE
AND/OR DEPARTMENT OF ENVIRONMENTAL RESOURCES MANAGEMENT
PROVIDE MUNICIPAL PROCESS NUMBER HERE
Job Address 11300 NE 2 Avenue Contractor No. E 0000099
rnLast four(4)digits of Qualifier No. 4484
o Folio 11-2136-000-0050 0 0
z z on. P Contractor Name Langer Electric Company
Lot Block 1 Qualifier Name Roger Langer
� Subdivision PBpg 0
6500 NW 21st Avenue,Suite#1
�? Address
Metes and bounds City Ft Lauderdale State FL zip 33309
[ ] New Construction on [ ] Demolish Current use of property Education&Church
Vacant Land [ ] Shell Only
Alteration Interior [ ]Addition Attached
c [ ] [ ]Addition Detached Description of Work Provide and install Fire Alarm per plans
[ ]Alteration Exterior [ ] Re-Roof
o [ ] Relocation of Structure
[
Enclosure [ ] Foundation Only] Sq.Ft. Units Floors
[ ] Repair
[ ] Repair Due to Fire Value of Work
[ ] MBLD* [ ] Chg. Contractor Owner Barry college
Category [ ] Re-Issue w Address 11300 NE 2 Avenue
W [ ] MELS < City Miami Shores $tate FL Zip 33161
y [ ] Re-stamp H
[ ] MLPG[ I Phone
MMEC � [ ] Revision] I Last four(4)digits of
[X] FIRE [ ] Not Applicable for
Fire Owner's Social Security No.
w Name Nadine Austerneld Name
zAddress Address
a. iz
x City State Trp ma City State Zip
d Phone 561-239-5516 Phone
I am requesting a Special Request Plan Review(SRI)to be scheduled as soon as possible at the rate of$190 for the first hour and
$65 per each addition hour in addition to the review fees. Minimum charge one-hour.
1$`Request: Date:
2nd Request: Date:
Sd Request: Date:
i
I am requesting Optional Plan Review(OPR)to be scheduled as soon as possible at the rate of$75 for each discipline. Additional
d review fees may apply.
0 lot Request: Date:
E
01 2"d Request: Date:
0
3`d Request: Date:
YAFw==010244oicW P=it ApplicWo"M