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ELC-18-1728Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address ilt Issue Da Permit NO. ELC-6-18-1728 Permit Type: Electrical - Commercial Work Classification: Low Voltage Permit Status: APPROVED 6/26/2018 Expiration: 12/23/2018 Parcel Number Applicant 11300 NE 2 Avenue Number: Wiegand CentE 1121360000050-10 Miami Shores, FL 33138-0000 Block: Lot: BARRY UNIVERSITY INC Owner Information Address 11300 NE 2 Avenue MIAMI SHORES FL 33161-6628 11300 NE 2 Avenue MIAMI SHORES FL 33161-6628 Contractor(s) Phone TIRONE ELECTRIC INC (954)989-7162 CeII Phone Phone Cell Valuation: Total Sq Feet: $ 1,650.00 0 Type of Work: ADD RECEPTACLES FOR PROJECTORS IN R Additional Info: Classification: Commercial Scanning: 3 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-6-18-68029 06/25/2018 Credit Card 06/26/2018 Credit Card Amt Paid Amt Due $ 50.00 $ 110.45 $ 110.45 $ 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. Futhermor autFyrfize 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 17-3210 A Vt, 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 RECV'\7 N 2;5.2018 CP114 FBC 20 BUILDING Master Permit No.t,\ZA---/c12 PERMIT APPLICATION Sub Permit No. ❑ BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 11300 NE 2 Avenue - Weigand Hall 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 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: $ 1,650.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration n New ❑ Repair/Replace ❑ Demolition Description of Work: Add receptacles for projectors in room 116 East, 116 West, & 254. Specify color of color thru tile: Submittal Fee $ E3 ' M Permit Fee $ ice', OO CCF $ E ,,NCO/CC $ Scanning Fee $ Radon Fee $ g• , DBPR $ ' ,9 5 Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ ' , • T (Revised02/24/2014) Bonding Company's Name (if applicable) n into 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 � -juju-, r\ 1 7,0 day ofrV�c� b , 20 by 18 day of June S'(�, i 13U�ijAL w110 -5.42auctiu44413Dwn to Curtiss Morgan , who is personally known to moor who has produced as me or who has produced PERSONALLY KNOWN as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal jritY 1 P Notary Public State of Florida P Jeffry J Yao .1 My Commission FF 188481 pow Expires 11/12/2 APPROVED BY, identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Hilary Clements Seal: ,20 18 .by 018 **************************** 5Z ZI .T1N 1!' Plans Examiner * * pfr 4P Notary Public State of Florida Hilary Clements ig My Commission GG 105649 '1a Expires 07/22/2021 ** *** ******************* Zoning (Revised02/24/2014) Structural Review Clerk