ELC-18-1256Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Pe
Parcel Number
Issue Date: 5
Permit NO. ELC-5-18-1256
Permit Type: Electrical - Commercial
Work Classification: Low Voltage
Permit Status: APPROVED
412018
Expiration: 11/10/2018
Applicant
11300 NE 2 Avenue Number: Landon Studer 1121360010160-26
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
Cell Phone
Valuation:
Total Sq Feet:
$ 1,100.00
0
Type of Work: INSTALLATION OF 1 DATA DROP (LV) -
Additional Info: INSTALLATION OF 1 DATA DROP (LV) -
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
Invoice # ELC-5-18-67504
05/14/2018 Credit Card
05/11/2018 Credit Card
Amt Paid Amt Due
$ 110.45 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Review Electrical
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 andingFuthI authorize the above -named contractor to do the work stated.
A6thorized Signe ufe: Owner / Applicant / Contractor / Agent
May 14, 2018
Date
Building Department Copy
May 14, 2018 1
f
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING 0 ELECTRIC ❑ ROOFING
Master Permit No.
Sub Permit No.
RECEIVED
MAY 11 10'8
62 i-1112:41
FBC 20
eA C 18 -12,SCv
❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF
CONTRACTOR
❑ CANCELLATION ❑ SHOP
DRAWINGS
JOB ADDRESS: 11300 NE 2 Avenue - Landon Events Room & Landon Athletes. Gym
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#: 1121360010160 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
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 `"w° � �.1.
,,
City: Hollywood
Qualifier Name: Curtiss Morgan
State Certification or Registration #:
DESIGNER: Architect/Engineer:
Address: City:
Value of Work for this Permit: $ 1,100.00
State: FL
Zip: 33023
Phone#: 954-989-7162
EC0003059 Certificate of Competency #:
Phone#:
State: Zip:
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Installation of 1 data drop (LV) - Landon Event Room
Installation of 1 data drop (LV) - Landon Athletes Gym
ti
Specify color, of color thru tile:.. " , - _ `er {, yitN -'
Submittal Fee $ Permit Fee $ l4 ,
Scanning Fee $ Radon Fee $
CCF $
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
? 'J
Mortgage Lender's Name (if applicable)
r 1
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
CONTRACTOR
The foregoing instrument�was acknowledged before me this The foregoing instrument was acknowledged before me this
telt\ ndaa'y of MAY , 20 ) a , by 3 day of May , 20 18 by
Su AN 'a1 bj1�VN 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.
NOTARY PUBLIC:
identification and who did take an oath.
NOTARY PUBLIC:
Sign: Sign:
Print:
Seal: Notary Public State of Florida Seal:
Jeffry J Yao
I My Commission FF 188481
0, po Expires 11/12/2018
***********
Print: Hilary Clements
Notary Public State of Florida
Hilary Clements
•
My Commission GG 105849
Expires 07/22/2021
* * ** ******************************************************************
APPROVED BY -r M 1�X tf/,4'4L y /9 Plans Examiner
Zoning
(Revised02/24/2014)
Structural Review Clerk