ELC-17-1151 Miami Shores Village
16-4816 Building DepartmentCEIvEo
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 5 2017
Tel: (305)795.2204 Fax: (305)756.8972
INSPECTION'S PHONE NUMBER: (305)762.4949 ��jt (�-�(•
FBC 201 Q
BUILDING Permit No. ELC-4-17-1151
PERMIT APPLICATION Master Permit No.
Permit Type: Low Voltage
JOB ADDRESS: 11300 NE 2 AVENUE- Podiatry Rm 107
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: CWMORGANt7a TIRONE-ELECTRIC.COM
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $0.00 Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition
Description of Work: CANCELLATION OF PERMIT#ELC-4-17-1151
Submittal Fee$ Permit Fee$ Od 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
1
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 Contractor
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 1 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:
17'\
Sign: Sign:— P
Print: Print: HILARY CL ENTS
My Commission Expires: My Commission Expires:
HILARY CLEMENTS
* MY COMMISSION#FFO� 1
EXPIRES July 22.2017
d0� 306.0153 Flohd®NoterySorvico.com
APPROVED BY �� �I� /��1 I Y Plans Examiner ing
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
TIROME
... INC. 6151 PEMBROKE RD
HOLLYWOOD, FL 33023
MIAMI-DADE (305) 625-2600
A Division of Drone Elle-ct�ric B R O W A R D (9 5 4) 989-7162
FAX (954) 894-0334
EC0000345
EC0003059
_TjRC) dU_ELEL'?RIG�OM
May 5, 2017
CANCELLATION OF PERMIT
#ELC-4-17-1151
To whom it may concern,
We would like to cancel Permit# ELC-4-17-1151. This is for the Podiatry
Bldg at Barry University. Due to an Administrative mix-up, this permit is a
duplicate of Permit# ELC-4-17-945.
Respectfully submitted,
Z //all,
Curtiss Morgan (DC'
Sr. Estimator/ VP of Operations
EC0003059
NEC
"TIONK EM—AL MNTRKTORS ASSOCiAIION CORPORATE e
MEMBER
Miami Shores Village
16f-4816 Building Department RECEIVED
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 APR 2 6 2017
Tel: (305)795.2204 Fax: (305)756.8972
INSPECTION'S PHONE NUMBER: (305)762.4949 (� /
FBC 20 �l
BUILDING Permit No. eA C t-q —I �J
PERMIT APPLICATION Master Permit No.
Permit Type: Low Voltage
JOB ADDRESS: 11300 NE 2 AVENUE- Podiatry Rm 107
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 y
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: $4,000.00 Square/Linear Footage of Work:
Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition
Description of Work: RELOCATION OF DATA-WTLET TO PODIUM
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$ -3, L)0
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 Signatur
Owner or Agent Contract
The foregoing instrument was acknowledged before me this l ' The foregoing instrument was acknowledged before me this 29
day of WAIU ,20 Q,by V4AN fhSFjKVA j day of MARCH ,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:
Sign: T Sign:
Print: �.J C. YAO Print: HILARYNlIq
..... ......
al� ry rufflic Vam of rivildak `° a HILARY CLEMENTS
Je J Yao
My Commission Expires:11,lZ. �Y My Commissio ==x s:.
My Commission FF 188481 MY COMMISSION#FF038541
V,Td�' Expires 11/12/2018 '�—' °' EXPIRES July 22.2017
,�f OF F�°p'
-1071398.0153 Florida NotaryService.com
t�
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)