ELC-18-1257Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Parcel Number
Permit NO. ELC-5-18-1257
• Permit Type: Electrical - Commercial.
Work Classification: Low Voltage
Permit Status: APPROVED
ue Date: 5/14/2018
Expiration: 11/10/2018
Applicant
11300 NE 2 Avenue Number: Health & Sport 1121360010160-27
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:
$ 950.00
0
•
Type of Work: INSTALLATION OF 2 DATA DROP (LV)
Additional Info: INSTALLATION OF 2 DATA DROP (LV)
Classification: Residential
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$2.25
$2.00
$0.20
$150.00
$3.00
$0.80
$158.85
Pay Date Pay Type
Invoice # ELC-5-18-67505
05/11/2018 Credit Card
05/14/2018 Credit Card
Amt Paid Amt Due
$ 50.00 $ 108.85
$ 108.85 $ 0.00
Available Inspections:
Inspection Type:
Review Electrical
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 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. Frtherore authorize the above -named contractor to do the work stated.
May 14, 2018
Authorized Signature: Owner / Applicant / Contractor / Agent
Date
Building Department Copy
May 14, 2018 1
17-3105
GA'
BUILDING
PERMIT APPLICATION
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 Q ELECTRIC ❑ ROOFING
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS
JOB ADDRESS: 11300 NE 2 Avenue - HSC Gym
RECE VEL
MAY 11 7(.118
h
CQ h FBC. 201�
j
Master Permit No. l C i63 - ` LS
Sub Permit No.
❑ REVISION ❑ EXTENSION
❑ CHANGE OF
CONTRACTOR
❑ CANCELLATION
❑ RENEWAL
SHOP
DRAWINGS
City: Miami Shores
Folio/Parcel#: 1121360010160
Occupancy Type: Load:
County: Miami Dade
Construction Type:
OWNER: Name (Fee Simple Titleholder): Barry University Inc
Address: 11300 NE 2 Avenue
Zip:
Is the Building Historically Designated: Yes
Flood Zone: BFE:
Phone#:
NO
FFE:
City: Miami Shores State: FL Zip: 33161
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Tirone'Electric, Inc
Address: 6151 Pembroke 'Road
Phone#: 954-989-7162
City: Hollywood
Qualifier Name: Curtiss Morgan
State: FL Zip: 33023
Phone#: 954-989-7162
State Certification or Registration #: EC0003059 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State:
Zip:
Value of Work for this Permit: $ 950.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration
Description of Work: Installation of 2 data drops (LV)
❑ New ❑ Repair/Replace
• ❑ Demolition
Specify color of color thru
Submittal Fee $ Permit Fee $';.`tea, !Pa CCF $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $t ,OCu(( •
s S
i
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City a State Zip
Mortgage Lenders Name (f applicable)
Mortgage Lender's Address, _.
J..... ;
City I " J ' `' 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
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
dayof MAY ,20 12 ,by
Sitg*i 1105-J'CJAI../ , who is personally known to Curtiss Morgan , who is personally known to
The foregoing instrument was acknowledged before me this
, 20 18
3 day of May
by
me or who has produced as me or who has produced PERSONALLY KNOWN as
identification and who did take an oath.
NOTARY PUB
Sign:
Print:
Seal:
Notary Public State of Florida
ttP Jeffry J Yao
My Commission FF 188481
aow Expires 11/12/2018
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
io,c43
Print:- Hilary Clements
Seal:
Notary Public State of Florida
Hilary Clements
My Commission GG 105849
'1'orraLlr Expires 07/22/2021
**************
APPROVED BY // Jt/.4-Y,/ Plans Examiner Zoning
(Revised02/24/2014)
Structural Review
Clerk