ELC-16-2804 EL,C,�6.?9pyC
Permit NO. ELC-10-16-2-$04
s�O1S y�' Miami Shores Village Permit Type:Electrical-Commercial
10050 N.E.2nd Avenue NE
Work Gtasstfrcation:,Law Voltage
Miami Shores,FL 33138-0000 Per I
Permit,Status:APpRt31/EQ
Phone: (305)795-2204
FCORLDp` - '
issue Date: 10/18/2016 Expiration: 04/16/2017
Project Address Parcel Number Applicant
11300 NE 2 Avenue Number: Fine Arts Quad 1121360010160-06 BARRY UNIVERSITY INC
Miami Shores, FL 33138-0000 Block: Lot:
Owner Information Address Phone Cell
BARRY UNIVERSITY INC 11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
y 11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
Contractor(s) Phone Cell Phone Valuation: $110,900.00
TIRONE ELECTRIC INC (954)989-7162
Total Sq Feet: 0
Type of Work:LOW VOLTAGE PERMIT Available Inspections:
Additional Info: k Inspection Type:
Classification:Commercial Review Electrical
Scanning:'1
:k
l
1
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $6.60 Invoice# ELC-10-16-61668
DBPR Fee $4.91
DCA Fee $4.91 10/18/2016 Credit Card $307.42 $50.00 E
Education Surcharge $2.20 -10/17/2016 Credit Card $50.00 $0.00
Permit Fee $327.00 c
Scanning Fee $3.00
Technology Fee $8.80
Total: $357.42
i
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 l 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 tha Il theregoing i tion is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. F ther e,I a rize th ov -named contractor to do the work stated.
October 18, 2016
Authorized Signature:Ow er / Applicant / Contractor / Agent Date
Building Department Copy
October 18,2016 1
Miami Shore's Village �&-°�°��" �'•�
RECEIVED
�\5 Building De artment
� p , ocI 17 '2016
10050 N.E.2nd Avenue, Miami Shores,Florida 33138 n -�-
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.—I(z�- 280
❑BUILDING ❑ ELECTRIC C] ROOFING ❑ REVISION ❑ EXTENSION, ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
K CONTRACTOR DRAWINGS
JOB ADDRESS: 11300 NE 2ND AVE r �lN£ d2ts C1Ul LDS VeitA -
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:. 1s the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): BARRY UNIVERSITY Phone#:
Address: 11300 NE 2ND AVE
City: MIAMI SHORES State: FL Zip: 33161
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR:Company Name: Tirone Electr(OJnc. Phone#: 954-989-7162
Address: 6151 Pembroke Rd
City: Hollywood State: FL " Zip: 33023
Qualifier Name: Curtiss Morgan Phone#: 954-989-71612
State Certification or Registration#: EC0003059 Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ $10,900.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration New t ,�� F-1 Repair/Replace E] Demolition
Description of Work: INSTALLATION OF DATA DROPS V L-TiNo.,
Specify color of color thru tile:
_
Submittal Fee$ LD)' 6�) oa CCF$Permit Fee$ _ CO/CC$
Scanning Fee$ 3• � Radon Fee$ T• DBPR$ q::• Notary$
Technology Fee$ 8 , eg Training/Education Fee$ 2 • 20 Double Fee$
i'
Structural Reviews$_7- Bond$ -
TOTAL FEE NOW DUE$ O '
(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..... 0113
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 on 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,��_oO�Z,.4
OWNER or AGENT CONTRACT
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
(� day of Dab , 20 QIP . by 10 day of OCTOBER 20 16 ,by
SUSAN A0SGKML who is personally known to CURTISS MORGAN who is personally known to
me or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: J` _�J� Sign: &Xd4�
Print: DONETTE VILLEGAS
N ry Public State of Florida
Jeffry J Yao •Seal: r'r DONEITE TE A.VILLEGAS
My Commission FF 168481 MY COMMISSION#FF 181029
p}� Expires 11/1212018 �: ; EXPIRES:December 4,2018
'%;;of n4W Bonded Thru Notary Public Underwriters
*#***4**#**###**#**#*** **##**###*#####***###*###**#**s***t**►###**##-+t*#*+s*assss*sss**#**############
APPROVED BYf Y SSP lans Examiner Zoning
Structural Review Clerk
{Revised02/24/2014} �