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ELC-17-1726 �y ELCMjj yrY R;s i, Miami Shores Village P,07n T � ! }n Intl y 10050 N.E.2nd Avenue NE Moon Miami Shores,FL 3313&0000 Phone: (305)795-2204 Expiration: 1/0 /2018 Project Address Parcel Number Applicant 11300 NE 2 Avenue Number: Andreas Buildi 1121360000050-23 BARRY UNIVERSITY INC Miami Shores, FL 33138-0000 Block: Lot: Owner information Address Phone Celt 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: $ 1,300.00 TIRONE ELECTRIC INC (954)989-7162 Total Sq Feet: 0 Type of Work:INSTALLATION OF 3 RECEPTACLES CLASS Available Inspections: Additional Info:INSTALLATION OF 3 RECEPTACLES CLASS Inspection Type: Classification:Residential 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 $1.20 Invoice# ELC-7-17-64482 DBPR Fee $2.25 DCA Fee $2.25 07/07/2017 Credit Card $ 110.70 $50.00 Education Surcharge $0.40 07/05/2017 Credit Card $50.00 $0.00 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $160.70 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. OWNERS 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. Futh ore,I e the above-named contractor to do the work stated. July 07, 2017 "XL thorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy July 07,2017 1 �� 6 �� s�� y� ��- �/�� Miami Shores Village RF_C91Vnr 16-3096 Building Department Jut 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 BUILDING Permit No.&C PERMIT APPLICATION --- Master Permit No. Permit Type: Electrical JOB ADDRESS: 11300 NE 2 AVENUE Andreas 122 Classroom 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: CWMORGANCa TIRONE-ELECTRIC.COM DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$1,300.00 Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: INSTALLATION OF 3 RECEPTACLES Submittal Fee$ Permit Fee$ 6 ✓�®t CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ 11® ° --:I 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 Contra The foregoing instrument was acknowledged before me this 2Z4 The foregoing instrument was acknowledged before me this 26 day of WN� ,20 0,by. �AS6 At, day of June ,20 1 ,by CURTISS MORGAN whQ 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. NOTAR UBLIC: NOTARY PUBLIC: /+Notary PubBo state of Florida Sign. S . MAWy ew"Ift Print: Print: HILAR T>ixpires07/2202021 M C1 si�Jeffry gc Stag of lkcddzl My Commission Expires: Yao My Comm�sion FF 188481 pop Expires 11/12/2018 �k� �k�ksksksksk:ksk�kak��ksk�k�kak�k�k�&��kak�k�k�k�k�k�k�k�k�&ak�k�k�k�k��ksk�k�k�k�k�k�k�k�k�k�k�k�hnk�k+k��k�ksk�k�k��kak�k�k�k�k�k�k�la APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)