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ELC-17-1150 Miami-Shores Village 14816 Building Department R E C E r V P-D 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 MAY 15 2017 INSPECTION'S PHONE NUMBER: (305)762.4949 FBC 20 lq BUILDING Permit No. ELC-4-17-1150 PERMIT APPLICATION master Permit No. Permit Type: Electrical JOB ADDRESS: 11300 NE 2 AVENUE-Adrian Rm 204 City: Miami Shores County: Miami Dade Zip: 33161 Folio/Parcel#: 1121360010160-09 Is the Building Historically Designated: Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder):BARRY UNIVERSITY INC Phone#: Address: 11300 NE 2 AVENUE City: MIAMI SHORES State: FL Zip: 33161 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: TIRONE ELECTRIC INC Phone#: 954-989-7162 Address: 6151 PEMBROKE ROAD City: HOLLYWOOD State: FL Zip: 33023 Qualifier Name: CURTISS MORGAN Phone#: 954-989-7162 State Certification or Registration#: EC0003059 Certificate of Competency#: Contact Phone#: 954-989-7162 Email Address: CWMORGAN@TIRONE-ELECTRIC.COM DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $0.00 Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: CANCELLATION OF PERMIT#ELC-4-17-1150 Submittal Fee$ Permit Fee$ A CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 Signature Owner or Agent Contr for The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 12 day of ,20_,by day of MAY 20 17 ,by CURTISS MORGAN who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: (t)�Sign: Sign: Print: Print: HILARY CLEMENTS My Commission Expires: My ' HILARY CLEMENTS .= MY COMMISSION#FF038541 (407)398 0153 Florida NotarySorvice.com APPROVED BY ��Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) T I RCI N C INC. 6151 PEMBROKE RD HOLLYWOOD, FL 33023 MIAMI-DADE (305) 625-2600 A Division of Tironne/£'lectrric B R O W A R D (9 5 4) 989-7162 FAX (954) 894-0334 EC0000345 EC0003059 =.r+ww_•....t _--'- _ ._ . ....a..—s �rTT1L3ply��t cCTF3tC.GOM��. May 5, 2017 CANCELLATION OF PERMIT #ELC-4-17-1150 To whom it may concern, We would like to cancel Permit# ELC-4-17-1150. This is for the Adrian Hall Bldg at Barry University. Due to an Administrative mix-up, this permit is a duplicate of Permit# ELC-4-17-943. Respectfully submitted, Curtiss Morgan Sr. Estimator/ VP of Operations EC0003059 Aft �L31CS1- NEC CORPORATE NRilONR1 RU RNLI WNTAK"S ASSOCI.T MEMBER Miami Shores Village 16-4816 Building Department RECEIVED ` 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 ApR 6 ?w Tel: (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 5� FBC 20 l� BUILDING Permit No. f�,l C. R -115 0 PERMIT APPLICATION Master Permit No. Permit Type: Electrical JOB ADDRESS: 11300 NE 2 AVENUE-Adrian Rm 204 City: Miami Shores County: Miami Dade Zip: 33161 Folio/Parcel#: 1121360010160-09 Is the Building Historically Designated: Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder):BARRY UNIVERSITY INC Phone#: Address: 11300 NE 2 AVENUE City: MIAMI SHORES State: FL Zip; 33161 r Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: TIRONE ELECTRIC INC Phone#: 954-989-7162 Address: 6151 PEMBROKE ROAD City: HOLLYWOOD State: FLZip: 33023 Qualifier Name: CURTISS MORGAN Phone#: 954-989-7162 State Certification or Registration#: EC0003059- Certificate of Competency#: Contact Phone#: 954-989-7162 Email Address: CWMORGAN@TIRONE-ELECTRIC.COM DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $400.00 Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: INSTALLATION OF 1 NEW DATA JACK IN EXISTING POWER POLE AT PODIUM. Submittal Fee$ Permit Fee$ P d9 di*oG CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ b!"J • �j\) 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 cop `s eyfV%FV d_e� of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the,Ib�ftct is i sued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. ��6bb [[Cu Signature Signatur d--�'— Owner or Agent Contract r The foregoing instrument was acknowledged before me this_q** The foregoing instrument was acknowledged before me this 29 day of T,201T,by SU,-�AN P0.%4T1 Ak-, day of MARCH ,20 17 ,by CURTISS MORGAN whoi is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: HILARY CLEMENTS Notary Public State of Florida My Commission Expires: �,l, �?,, Jeffry J Yao My Commission Ex pirwYo�,,, My Commission FF 1e84814a�., HILARY CLEMENTS ort Expires 11/12J2016 My COMMISSION#FF038541 a �dR?*r EXPIRES July 22,2017 (4 i*39@=913****�InrltlallotarySorvicocom** APPROVED BY /' J� A/`;T Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)