ELC-18-1727Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
a
Permit NO. ELC-6-18-1727
Permit Type: Electrical - Commercial
Work Classification: Addition/Alteration
Permit Status: APPROVED
Issue Date: 6/26/2018
Expiration: 12/23/2018
Parcel Number
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
Valuation:
Total Sq Feet:
$ 3,010.00
0
Type of Work: DEMO POWER TO MODULAR OFFICE TRAILE
Additional Info:
Classification: Commercial
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$2.40
$2.25
$2.00
$0.80
$150.00
$3.00
$3.20
$163.65
Pay Date Pay Type
Invoice # ELC-6-18-68028
06/25/2018 Credit Card
06/26/2018 Credit Card
Amt Paid Amt Due
$ 50.00 $ 113.65
$ 113.65 $ 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. Futhermor , I authorize the above -named contractor to do the work stated.
Authorized Signature: Owner
/ Applicant /
Contractor / Agent
June 26, 2018
Date
Building Department Copy
June 26, 2018
1
17-3200 A\••
(0`2
BUILDING
PERMIT APPLICATION
❑ BUILDING
❑ PLUMBING
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
• ELECTRIC ❑ ROOFING
❑ MECHANICAL PUBLIC WORKS
JOB ADDRESS: 11300 NE 2 Avenue - HSC Bldg
Master Permit No.
Sub Permit No.
.
J,N2S 2018
BY: ► .�_
FBC 20jR Cv
E Q_ 9
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores
Folio/Parcel#:1121360010160
County:
Occupancy Type: Load:
Construction Type:
Miami Dade Zip:
Is the Building Historically Designated: Yes NO
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 ▪ Dhone#: 954-989-7162
Address: 6151 Pembroke Road
City: Hollywood State: FL zip: 33023
Qualifier Name: Curtiss Morgan
Phone#: 954-989-7162
State Certification or Registration #,: EC0003059 Certificate of Competency #:
DESIGNER: Architect/Engineer;, Phone#:
Address: City:
Value of Work for this Permit: $ 3,010.00
Type of Work: ❑ Addition ElAlteration
State: Zip:
Square/Linear Footage of Work:
❑ New ❑ Repair/Replace
Description of Work: Demo power to modular office trailer to nearest junction box
-ITDemolition
Specify color of color thru tile:
Submittal Fee $ 170. OD
Scanning Fee $
}rr
Permit Fee $ / Km r ev
Radon Fee $ oZ • C�
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $
DBPR $
• aS Notary $
Double Fee $
Bond $ yo_
TOTAL FEE NOW DUE $ 3 • b
(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
Signature
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of \J VA 1* , 20 , by 18 day of June , 20 18 by
DASA4 f NO 4 , who is*^-
Curtiss Morgan
, who is personally known to
!mg or who has produced as me or who has produced PERSONALLY KNOWN as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
fla40% Notary Pu a 8Mo of Florida
. Joffry J Yao
My Commission FF 168481
p %p,f Expires 11/12/2018
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: Hila
Seal:
HllPlary Clement of Florida
My Commlaslm) GC 105849
"'ransom)
***************************************************************************************s*********************
APPROVED BY / %l,- Z.. 'r%4P w Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)