ELC-16-3256 Permit No. ELC-11-16-3256
Miami Shores Village ot Permit Type:Electrical -Commercial
10050 N.E.2nd Avenue NE ' Work Classification:Addition/Alteration
Miami Shores,FL 33138-0000 P(DPermit Status:APPROVED
Phone: (305)795-2204
toR�oA 06/12/2017
Issue Date: 12/74/2016 Expiration:
Project Address Parcel Number Applicant
11300 NE 2 Avenue Number: Dalton Hall 1121360000050-19
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
BASS UNITED FIRE&SECURITY SYS (954)785-7800 Valuation: $ 10,572.50
Total Sq Feet: 0
Type of Work: EMERGENCY EXIT DOORS SECURITY CAMER Available Inspections:
Additional Info:EMERGENCY EXIT DOORS SECURITY CAMER Inspection Type:
Classification:Commercial Final
Scanning: 1 Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
W.W.
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $6.60
DBPR Fee Invoice# ELC-11-16-62219
$4.76 11/30/2016 Check#:20799 $50.00 $297.30
DCA Fee $4.76
Education Surcharge $P.20 12/14/2016 Check#:20800 $297.30 $0.00
Permit Fee $317.18
Scanning Fee $3.00
Technology Fee $8.80
Total: $347.30
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.
OWNE e i that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
ion and mg. uth rmore, I authorize the above-named contractor to do the work stated.
December 14, 2016
A thoriz nature: wner / Applicant / Contractor / Agent Date
Buil ' g Department Copy
December 14,2016 1
��C1 ',
Miami Shores Village NOV 3 0 2016
Building Department BY:
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 201U
BUILDING Master Permit No.EJC 1 (o— 32 S (o
PERMIT APPLICATION Sub Permit No.
[—]BUILDING Q ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
10B ADDRESS: 11300 NE 2ND AVENUE - DALTON
City: Miami Shores County: Miami Dade Zip: 33161
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): BARRY UNIVERSITY Phone#:
Address: 11300 NE 2ND AVE
City: MIAMI SHORES State: FL 33161
Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: BASS UNITED FIRE&SECURITY SYSTEMS, INC. Phone#: (954)785-7800 EXT.134
Address:3000 GATEWAY DRIVE
City: POMPANO BEACH State: FL Zip: 33069
Qualifier Name: BRAD HIGDON
Phone#:
State Certification or Registration#: EF0000084 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ 10,572.50 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: EMERGENCY EXIT DOORS, SECURITY CAMERAS/ DELAYED EGRESS PANIC DEVICES INSTALLATION.
� nS
a1C in 61 C��Z��
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ 31 )',f 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)
.ti
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 charged.
Signature 0
g Signature
OWNER or AGENT CONTRA TOR
The foregoing instrument was acknowledged before me this The foregoing inst nt was a owledged before me this
day of PDOG1�3PE/. 20 11 by 2-7 day of ' 20 So by
SI�S�I�I Q-0� QL who is personally known to 6fA 'KiB0064 who is personally known to
me or who has produced as me or who has produced as
J
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
l'
MICHAeI. ANGER
Sign: Si NOTARY PUBLIC
-+S
Pri Print:
Se Notary Public Stats d Fbrida Expires 10128/2018
Jeftty J Yao Seal:
My Commission FF 188481
o f Expires 11/12/2018
************************************************************************************************************
APPROVED BY lans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)