ELC-17-2263 Miami Shores Village RECEIVED
17-3107 Building Department sEF ,era
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
F C 20 �(
BUILDING Master Permit No.�I c 171 z z( �
PERMIT APPLICATION Sub Permit No.
❑BUILDING_ FE-1 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF /CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 11300 NE 2 Avenue- Landon Hall
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:1121360010160-09 1 1 Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: _ Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):Barry University Inc- 'o
Address:
11300 NE 2 Avenue
City: Miami Shores State: FL Zip: 33161
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Tirone Elea i , Phone#: 954-989-7162
Address: 6151 Pembroke Road
City: Hollywood FL _ Zip: 33023
Qualifier Name:
Curtiss Morgan �� �, _ Phone#: 954-989-7162
State Certification or Registration#: EC0003059 �,, U , � ificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$540.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Relocation of 1 existing receptacle _-
u tJ J
6b
I
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ c � 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)
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$2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature ,/4 le- �
OWNER or AGENT CONT O
The foyregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
�=IF==
day of �ufi>U,Sr 20 1+7 by 22 day of August ZO 17 by
SUSAN Ir EP 6
,IHw AU who is personally known to Curtiss Morgan who is personally known to
m�or who has produced as me or who has produced PERSONALLY KNOWN as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUB NOTARY PUBLIC:
Sign: Sign:
Print: VA U Print: Hilary Clem s
Notary Public State of Florida Seal: Notary PtAft gtate Of Fie
. Jeffry J Yao H@ary Clements
+� My CommW*m FF 188481Lill*
My Commission Ga tow@
a,µ Exp m 11/1212018 07f W021
a*•,e**
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
TIROME
o
inc 6151 PEMBROKE RD
HOLLYWOOD, FL 33023
AE10.1r,
MIAMI-DADE (305) 625-2600
ADJv/sJonoPTlroBROWARD (954) 989-7162
�.; FAX (954) 894-0334
EC0000345
EC0003059
CANCELLATION OF PERMIT
ELC-9-17-2263
09/27/2017
To whom it may concern,
We would like to cancel Permit# ELC-9-17-2263 for Barry University - LaVoie Hall
at 11300 NE 2nd Avenue. This permit was supposed to be for Barry University—
Outside of the Landon Bldg.
Respectfully submitted,
State of
�
Curtiss Morgan � County of_
Sr. Estimator/VP of Operations Sworn to and subscribed.before me on
EC0003059
N.%q P S1gnature '
My Commission Expires
RE C E I'V
MY CMMW$bn GG 906W
NECK
CSi�
YplIONAI EIECIRUL CANIRACIO¢S ASS(1[IATIOW CORPORATE
MEMBER
,.A �I �p
� Miami Shores Village
2_ Building Department
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 S P 2 0 2017
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(30S)762-4949
FBC 20
BUILDING Master Permit No. (Etc, ZZ,c03
PERMIT APPLICATION sub Permit No.
BUILDING rE-1 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
10B ADDRESS:_11300 NE 2 Avenue- LaVoie Hall
City: Miami Shores County: Miami Dae Zip:
1121360010160-09
Folio/Parcel#: Is the Building,liistor'ically Designated:Yes NO
Occupancy Type: Load: Cons"r ti nAtype; Flood Zone: FFE:
OWNER:Name(Fee Simple Titleholder):harry University Inc ;�''- Phone#:
Address:11300 NE 2 Avenue
City: Miami Shores State: FL Zip: 33161
Tenant/Lessee Name: �� Phone#:
Email: \JM� '\��
CONTRACTOR:Company Name: Tirone Electric,It1C" Phone#: 954-989-7162
Address: 6151 Pembroke Road
City: Hollywood State: FL Zip: 33023
Qualifier Name: Curtiss Morgan Phone#: 954-989-7162
EC0003059
State Certification or Registration#: Certificate of Competency##--
DESIGNER:Architect/Engineer:
Address: City_�' �� � State: Zip:
Value of Work for thii $650.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Installation of 1 new receptacle
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ ° CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$ A
(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: 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
957
OWNER or AGENT CONTRA OR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of AWA SF 20J by 22 day of August .20 17 ,by
.SI,IS�N $ + '�l� who is personally known to Curtiss Morgan who is personally known to
me or who has produced as me or who has produced PERSONALLY KNOWN as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLI NOTARY PUBLIC:
Sign: Sign:
Prin Print: Hilary Clements
0 b ry Pu stab of Fleii
Seal ;p is"J Yao Seal: Nam, of Florida
Loa Exptrea 11N2120181eE481 Hi�ry Clemer
MY Commiaotan Ge 10W49
Exoms 07I2?J2021
�� • r **r*x.�*r*�x*�*
APPROVED B /� a� €�P(an Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)