ELC-18-1282Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
Permit
ISsue Da
Permit NO. ELC-5-1 +8-1282
Permit Type: Electrical - Commercial
Work Classification: Addition/Alteration
Permit Status: APPROVED
5/30/2018
Expiration: 11/26/2018
Parcel Number
Applicant
11300 NE 2 Avenue Number: Lehman Hall 1121360000050-24
Miami Shores, FL 33138-0000 Block: Lot:
BARRY UNIVERSITY INC
Owner Information
BARRY UNIVERSITY INC
Address
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
Phone
Cell
Valuation:
Total Sq Feet:
$ 3,390.00
0
Type of Work: INSTALL POWER FOR 2 NEW MINI SPLIT
Additional Info: INSTALL POWER FOR 2 NEW MINI SPLIT
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Amount
$2.40
$2.25
$2.00
$0.80
$150.00
$3.00
$3.20
Total: $163.65
Pay Date
Invoice #
05/30/2018
05/15/2018
Pay Type
ELC-5-18-67533
Credit Card
Credit Card
Amt Paid Amt Due
$ 113.65 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Final
Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
Underground
W. W.
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 AFFJDAVIT: I certify that
construction 1 zoning. Futhermor
f
Authori e61
griature: Owner / Applicant /
the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
uthorize the above -named contractor to do the work stated.
Contractor / Agent
May 30, 2018
Date
Building Department Copy
May 30, 2018
1
17-3119
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department
1 , Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
Master Permit No
RECEIVE
MAY 15 701e
s\
FBC 201
- li "(7 - 793
Sub Permit No. € t C ICJ "V_
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 11300 NE 2 Avenue
City: Miami Shores
County:
Miami Dade Zip:
Folio/Parcel#: 11-2136-000-0050 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
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: State: Zip:
Value of Work for this Permit: $ 3,390.00
Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace n Demolition
Description of Work: Install power for 2 new mini split NC units
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ 7� �` 4°c' CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ 3 OS
(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 reinspeeti arged.
Signature
OWNER or AGENT
Signature
The foregoing instrumentt�wasacknowledgedbefore me this The foregoing instrument was acknowledged before me this
I day of C_ , 20 11 , by 13 day of December , 20 17
by
sU SAN (1hS6KNAl, , w is personally known to Curtiss Morgan , who is personally known to
J1e or who has produced as me or who has produced PERSONALLY KNOWN as
identification and who did take an oath.
NOTARY PU
Sign:
Print:
Seal:
44
Aka
gir
CTh
Notary Public State of Florida
� Jeffry J Yao
My Commission FF 168481
n Expires 11/12/2018
identification and who did take an oath.
NOTARY PUBLIC:
Seal:
Clements
Notary Public State of Florida
Hilary Clements
My Commission GO 108849
Expires 07/22/2021
******************************************************************** ** * * ** **** **********************
APPROVED BY
/41YLY/fans Examiner Zoning
(Revised02/24/2014)
Structural Review
Clerk