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ELC-17-2815• Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. ELC-11-17-2815 Permit Type: Electrical - Commercial Work Classification: New Permit Status: APPROVED Issue Date: 12/6/2017 Expiration: 06/04/2018 Parcel Number Applicant 11300 NE 2 Avenue Number: Andreas Buildi 1121360000050-23 Miami Shores, FL 33138-0000 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 CeII Phone Valuation: Total Sq Feet: $ 1,640.00 0 Type of Work: INSTALL POWER FOR NEW ADA DOOR AT A Additional Info: INSTALL POWER FOR NEW ADA DOOR AT A 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 $2.00 $0.40 $150.00 $3.00 $1.60 $160.45 Pay Date Pay Type Amt Paid Amt Due Invoice # ELC-11-17-65762 11/29/2017 Credit Card $ 50.00 $ 110.45 12/06/2017 Credit Card $ 110.45 $ 0.00 Available Inspections: Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical W. W. Underground 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. Futhermore, I authorize the above-named contra ort/.o t - work stated. December 06, 2017 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date December 06, 2017 1 \\06\° Miami Shores Village 17-3131 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 BY: INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 I' S+h Master Permit No. ELC, f1 — 2-$15 Sub Permit No. BUILDING PERMIT APPLICATION ❑BUILDING • ELECTRIC ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL 0PUBLIC WORKS CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 11300 NE 2 Avenue - Andreas Rms 122 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1121360010160-09 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Barry University Inc Address: 11300 NE 2 Avenue Phone#: 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 954-989-7162 Phone#: State Certification or Registration #: EC0003059 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 1,640.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace n Demolition Description of Work: Install power for new ADA door at Andreas 122 R. Specify color of color thru tile: Submittal Fee $ O Paid Permit Fee $ /-6—me®D CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (0 - LI s (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 OWNER or AGENT The foregoing instrument was acknowledged before me this day ,of`,��/►`It , 20 17 , by StAaN Qts%lt NNL ,o is personally known me or who has produced as identification and who did take an oath. Sign: Print: Seal: ************************** APPROVED B (Revised02/24/2014) The foregoing instrument was acknowledged before me this 16 day of November , 20 17 by Curtiss Morgan , who is personally known to me or who has produced PERSONALLY KNOWN as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Hila Seal: ****************s***************************************ssssss*****s**s*******s* �dl✓ j y Plans Examiner Zoning Structural Review Clerk 2017 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT FILED DOCUMENT# 711458 Apr 27, 2017 Entity Name: BARRY UNIVERSITY, INC. Secretary of State CC2519040112 Current Principal Place of Business: 11300 N.E. SECOND AVENUE ROOM 105 FARRELL HALL MIAMI, FL 33161 Current Mailing Address: 11300 N.E. SECOND AVENUE ROOM 105, FARRELL HALL MIAMI, FL 33161 FEI Number: 59-0624364 Name and Address of Current Registered Agent: DUDGEON, DAVID 11300 NE SECOND AVE LAVOIE HALL #209 MIAMI, FL 33161 US Certificate of Status Desired: No The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Officer/Director Detail : Title S Title T Name DUDGEON, DAVID Name ROSENTHAL, SUSAN Address 11300 NE SECOND AVE Address 11300 N.E. SECOND AVENUE City -State -Zip: MIAMI FL 33161 City -State -Zip: MIAMI FL 33161 Title D Title PD Name BUSSEL, JOHN Name BEVILACQUA, SISTER LINDA Address 11300 NE SECOND AVE Address 11300 NE SECOND AVE City -State -Zip: MIAMI FL 33161 City -State -Zip: MIAMI FL 33161 Title VP Name MURRAY, JOHN Address 11300 N.E. SECOND AVENUE City -State -Zip: MIAMI FL 33161 Date I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: DAVID DUDGEON GENERAL 04/27/2017 COUNSEL/SECRETARY Electronic Signature of Signing Officer/Director Detail Date Property Search Application - Miami -Dade County Page 1 of 1 OFFICE OF ROPERTY APPMISER Summary Report Property Information Folio: 11-2136-001-0160 Property Address: 2015 Owner BARRY UNIVERSITY INC Mailing Address 11300 NE 2 AVE MIAMI SHORES, FL 33161-6628 PA Primary Zone 8200 SCHOOLS & CHURCHES Primary Land Use 8066 VACANT GOVERNMENTAL : EXTRA FEA OTHER THAN PARKING Beds / Baths / Half 0 / 0/0 Floors 0 Living Units 0 Actual Area 0 Sq.Ft Living Area 0 Sq.Ft Adjusted Area 0 Sq.Ft Lot Size 11,240 Sq.Ft Year Built 0 Assessment Information Year 2017 2016 2015 Land Value $44,960 $44,960 $44,960 Building Value $0 $0 $0 XF Value $7,393 $7,521 $5,755 Market Value $52,353 $52,481 $50,715 Assessed Value $52,353 $52,481 $50,715 Benefits Information Benefit Type 2017 2016 2015 Educational Exemption $52,353 $52,481 $50,715 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description NEW MIAMI SHORES ESTS PB 51-80 LOT 16 BLK 1 LOT SIZE 11240 SQUARE FEET OR 17747-2611 0897 2(8) Generated On : 11/29/2017 Taxable Value Information 2017' 2016 2015 County Exemption Value $52,353 $52,481 $50,715 Taxable Value $0 $0 $0 School Board Exemption Value Taxable Value $52,353 $52,481 $50,715 $0 $0 $0 City Exemption Value $52,353 $52,481 $50,715 Taxable Value Regional $0 $0 $52,481', $0 $0 Exemption Value Taxable Value $52,353: $O I $50,715 $0 Sales Information Previous Sale Price OR Book - PageQualification Description 08/01/1997 $4,222,800 17747-2611 Deeds that include more than one parcel The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 11/29/2017 -LLBUSINESS1 AX"RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2017 THROUGH SEPTEMBER 30, 2018 DBA: TIRONE ELECTRIC INC Business Name: Owner Name: CURTISS WADE MORGAN Business Location: 6151 PEMBROKE RD HOLLYWOOD Business Phone: 954-989-7162 Rooms Seats Employees 1 Receipt #:ti,ECT2RICAL/ALARMS/CONTRA Business Type: (ELECTRICAL CONTRACTOR) Business Opened:09/14/2012 State!County/Cert/Reg:EC 0 0 0 3 0 5 9 Exemption Code: Machines Professionals For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 o.00 0._OP - 0.00 0.00 27:00 THIS RECEIP MUST BE POSTED CONSPICUOUSLY IN YO THIS BECOMES A TAX RECEIPT WHEN VALIDATED Mailing Address: CURTISS WADE MORGAN 6151 PEMBROKE R HOLLYWOOD, FL 33023 UR PLACE OF BUSINESS This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. 2017 _ - 2018 R ceipt #032-16-00000867 Paida07/25/2017 27.00 OR