ELC-16-3394 Permit NO. ELC-12-16-3394
`5 °Res y Miami Shores Village Permit Type:Electrical-Commercial
10050 N.E.2nd ANE
venue Per
' ' Work Classification:Low Voltage
Miami Shores,FL 33138-0000 Permit Status:APPROVED
Phone: (305)795-2204
F<ORtDA
Issue Date: 12/2112016 F Expiration: 06/19/2017
Project Address Parcel Number Applicant
11300 NE 2 Avenue 1121360010160
Miami Shores, FL 33138- Block: 1 Lot: 2 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: $ 2$,000.00
DELPHI ONE SYSTEMS CORP (305)593-9601 (786)258-9605
Total Sq Feet: 0
Type of Work:INSTALLATION OF 14 IP SECURITY CAME Available Inspections:
Additional Info:INSTALLATION OF 14 IP SECURITY CAME Flnie
pection Type:
Classification:Commercial w Electrical
Scanning:2
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $16.80
DBPR Fee Invoke# ELC-12-16-62386
$12.60 12/21/2016 Credit Card $863.00 $50.00
DCA Fee $12.60
Education Surcharge $5.60 12/16/2016 Credit Card $50.00 $0.00
Permit Fee $840.00
Scanning Fee $3.00
Technology Fee $22.40
Total: $913.00
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 strictc nformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume esponsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECT PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDA IT: I ce i t at all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zo i'g. Futhe o e, I authorize the above-named contractor to do the work stated.
December 21, 2016
Authorizeb ign ure: r / Applicant / Contractor / Agent 15ate
Building Olpartment Copy
December 21,2016 1
21<<� FCFxv �
2_1 Miami Miami Shores Village
S� g DEC 16 2016
Building Department
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 2014
BUILDING Master Permit No.�—AC l2 16 —3—:;9 q'
PERMIT APPLICATION Sub Permit No.
❑BUILDING 0 ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOBADDRESS: Barry University, 11300 NE 2nd Ave, Miami Shores, FL 33161
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BEE: FFE:
OWNER:Name(Fee Simple Titleholder): Barry University Phone#:305.899.3995
Address: 11300 NE 2nd Avenue
City: Miami Shores State: FL Zip: 33161
Tenant/Lessee Name: Phone#:
Email: Jyao@barry.edu
CONTRACTOR:Company Name: DELPHI ONE SYSTEMS CORP Phone#: 305 593 9605
Address: 7311 NW 12 Street# 16
city: Miami State: Florida Zip: 33126
Qualifier Name: Francisco Rodriguez Phone#: 786 258 4230
State Certification or Registration#. EG-13000224 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$W,000.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ��- ❑■ New ❑ Repair/Replace El Demolition
Description of Work: Installation of IP security cameras
Specify color of color thru tile:
Submittal Fee$ 1 Permit Fee$ 0!!ed,99'eP CCF$ 1�o. Z9 G CO/CC$
Scanning Fee$ 3.Qo Radon Fee$ 12. 60 DBPR$12• (0� Notary$
Technology Fee$. 22' 4 v Training/Education Fee$5. 60 Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ 863. (30
(Revised02/24/2014)
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: 1 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 sence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
ndwav�rvv I Signature Signature
OWNER or AGENT NTR OR
The foregoing instrument was acknowledged before me this The fo�oing instrume w acknowledged before me this
l` day of D6%m9K 20 lb by I�'�''1 L+ day of �F C'F�"���R 20 140 by
�SArJ U CGJ1gAk, who is personally known to ITMACISCa Ve)4 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 PU
`' li✓Z, A
Sign: i Sign:
Pri Print: 12ICA b LACA-&A
oterIVublit WN of r Ricardo A.Lacalbe
Sea
Jeffry J Yao Seal: NOTARY PUSUC
My Commission FF 1a8481
�+aa F_xPires 11/1212018 STATE OF FLORIDA
Comm#FF925345
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APPROVED BY _ ���/Glans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)