ELC-15-553Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
mit
Permit NO. ELC-3-15-553
Permit Type: Electrical - Commercial
Work Classification: Repair
Permit Status: APPROVED
Issue Date: 3117/2015
Expiration: 09/13/2015
Parcel Number
Applicant
11400 NW 6 Avenue
Miami Shores, FL 33138-0000
11-2136-036-0010
Block: Lot:
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)
TIRONE ELECTRIC INC
Phone
(954)989-7162
Cell Phone
Valuation:
Total Sq Feet:
$ 1,640.00
0
Type of Work: REPLACE 100 AMP SERIVCE RISER WIRES
Additional Info:
Classification: Commercial
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.25
$2.25
$0.40
$150.00
$3.00
$1.60
$160.70
Pay Date Pay Type
Invoice # ELC-3-15-54785
03/17/2015 Credit Card
03/13/2015 Credit Card
Amt Paid Amt Due
$ 110.70 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Review Electrical
1
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. Futhermor, I au t orize the a av named contractor to do the work stated.
March 17, 2015
Authorized Signature: Ower Applicant / Contractor / Agent
Building Department Copy
Date
March 17, 2015 1
+ 4z
i
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
JOB ADDRESS: 11300 NE 2nd Ave.
MAR18015
1- +7.
FBC 20 1CD
Permit No.
C is --5s3
Master Permit No.
City: Miami Shores County: Miami Dade
Folio/Parcel#: //,,j136 " 03 6 - OHO
Is the Building Historically Designated: Yes NO Flood Zone:
Zip: 33161
OWNER: Name (Fee Simple Titleholder): Barry University
Address: 11300 NE 2nd Ave. //447)0 / W /7,/ ,q1/
Cit Miami Shores State: Fl- Zip: "143 36�_
Y
Tenant/Lessee Name: Phone#:
.'hone#:
Email:
CONTRACTOR: Company Name: Tirone Electric, Inc. Phone#: 954-989-7162
Address: 6151 Pembroke Rd
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: crosales@tirone-electric.com
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $1640.00
Square/Linear Footage of Work:
Type of Work: ❑Address DAlteration ❑New ❑Repair/Replace ❑Demolition
Description of Work: Electric Feed.
Rey) Me F e -X iSh /00 AMP�eAv/Gt Rtlie wig_e s
Fae0 M ft FPI- 61,4r o 14=46 /00 Ai" 1 P se's 1, /c c W3 r//,YN
%/'c` xi 5' 6 If Wire e l i kre-i 9 -(7k /e el j'/ ,sf _ce,e gJ
***************************************Fees********************************************
Submittal Fee $ Permit Fee $ / Ce'' °PU CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $• • Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ V
p
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days fter the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection f e will be charged.
Signature
Owner orAgent—
The foregoing instrument was acknow dged before e this The foregoing instrument was
acknowledgedacbefore me this I
day of i/.1741.4, 20/ by X40 O ii /day of �' , 20 by Cbt-r-ii4$ f4Cr/
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:
Signature
Contractor
NOTARY PUBLIC:
• . Sign:
i. . Print:
My Commission Expi
********************'�**************************************************:k*******
l4if12 Plans Examiner
Sign: (f)l,,v"`^-.
Print:
My Commissi
APPROVED BY
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
DONETTE A VILLEGAS —
MY COMMISSION a FF 181029
EXPIRES: December 4, 2018
Bonded Thru Notary Pubic Underwriters
*
Zoning
Clerk