PLC-16-654 �'M 'A�11'13
Miami Shores Village E ; '
10050 N.E.2nd Avenue NE M
Miami Shores,FL 33138-0000
Phone: (305)795-2204
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Expiration: 01107/2017
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Project Address Parcel Number Applicant
11300 NE 2 Avenue Number: Landon Studer 1121360010160-32
Miami Shores, FL 33138-0000 Block: Lot: BARRY UNIVERSITY INC
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 Valuation: $4,350.00
GO PLUMBING INC (954)554-1780 Total Sq Feet: 0
Type of Work:INTERIOR BUCKY'S COVE Available Inspections:
Type of Piping: Inspection Type:
Additional Info:
Top Out
Classification:Commercial Re Pipe
Scanning:1 Main Drain
Heater
Water Service
Final
Water Main
Lavatory
Review Plumbing
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $3.00
Invoice# PLC-3-16-58994
DBPR Fee $4.50 08/11/2016 Check*2000042-, $320.00 $0.00
DCA Fee $4.50
Education Surcharge $1.00
Permit Fee $300.00
Scanning Fee $3.00
Technology Fee $4.00
Total: $320.00
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, LUMBI ,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
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OWNERS AFFI VIT: certi at the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction a zoni . Fut a re authorize the above-named contractor to do the work stated.
August 11,2016
Autho ed u er / Applicant / Contractor / Agent Date
Building Department Copy
August 11,2016 1
Miami Shores Village -ED
�,.
Building Department I,-b 2016
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBCi 20
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL
rE-IPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOBADDRESS: 11300 NE 2 Avenue Landon Building
City Miami Shores County: Miami Dade Zia:
Folio/Parcel#:1121360010160-02 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: n,r,
OWNER:Name(Fee Simple Titleholder):Barry University, Inc. Phone#: 3®✓� � 9_ 3^/irk
Address:11300 NE 2 Avenue
Cit,. Miami Shores State: FL. Zip. 33161
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Go Plumbing Phone#: 954-554-1780
Address: 72
2 7 & Ing ,gy}� �,,,.�•��
City: J:?a I ;a State: FL Zip: oz
Qualifier Name: Mark Gasch �+ / Phone#:
State Certification or Registration#: C F-C f`t Z !R n OCertificate of Competency#: cc//
DESIGNER:Architect/Engineer: Phone#: ��—
Address: City: State Zip:
Value of Work for this Permit:$ S-0 Square/Linear Footage of Work:
Type of Work: ❑ Addition 0 Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: As Built plumbing drawings to close permit
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014) �3-'70. 00
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 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 arged.
Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
1 day of 1%9W42 20 1(0 ,by /5 day of 20 I fa ,by
swuo who is personally known to Mod(- Crick who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: ` NOTARY PUBLIC:
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Sign. Sign:
N4P
Pri 10 off Print:
Se Camnhwbn PP 160461 Seal: * WCOMMISSIONFF022429
q 11H?/Z016 ;� EXPIRES:July 28,20i7
Bonded Tnru Nobry Pudic Undewders
APPROVED BY �—(�, Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
0811112016 11:28 TAX) P.0011001
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