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ELC-18-2421Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Permit NO. ELC-9-18-2421 Permit Type: Electrical - Commercial Work: Classification. Low Voltage Permit Status: APPROVED Issue Date: 9/14/2018 Expiration: 03/13/2019 Parcel Number Applicant 11300 NE 2 Avenue Number: Landon Studer 1121360010160-26 Miami Shores, FL 33138-0000 Block: Lot: Owner Information Address BARRY UNIVERSITY INC 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) Phone INDUSTRIAL ELECTRICAL SYSTEM C Cell Phone Valuation: $ 1,500.00 Total Sq Feet: 3556 Type of Work: LOW VOLTAGE Additional Info: Classification: Residential 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 Amt Paid Amt Due Invoice # ELC-9-18-68846 09/14/2018 Credit Card $ 160.45 $ 0.00 In consideration of the issuance to me of this permit, I agre pertaining thereto and in strict conformity with the plans, drawin accepting this permit I assume responsibility for all work done required for ELECTRICAL, PLUMBING, MECHANICAL, WINDO OWNERS AFFIDAVIT: I certify that all the foregoing in construction and zoning. Futhermore, I authorize the abov Authorized Signature: Owner / Applicant / Available Inspections: Inspection Type: Review Electrical to perform a wo covered hereunder in compliance with all ordinances and regulations s, statement- o ifttations submitted to the proper authorities of Miami Shores Village. In by either •- • 4 my agent, servants, or employes. I understand that separate permits are S, Do •' �• •FING aid lSl�-iMMlNG POOL work. 0 •cwra e I • - ontr ct•', t a ra, for / Agent II ill be done in compliance with all applicable laws regulating September 14, 2018 Date Building Department Copy September 14, 2018 1 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 FBC 20 Master Permit No. CC-18-1545 Sub Permit No. E t-C-(B ( ❑ BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑ RENEWAL • ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 11300 NE 2 AVE (LONDON HALL) City: Miami Shores • . Folio/Parcel#:11-2136-000-0040 , County: • Miami Dade Zip: Is the Building Historically Designated: Yes - NO X Occupancy Type: Load: Construction Type: ' 'Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Address:11300 N MIAMI AVE BARRY UNIVERSITY Phone#: 305-586-5109 City: MIAMI SHORES State: FL zip: 33168 Tenant/Lessee Name: SAME Phone#: Email: mvoutsinas@barry.edu CONTRACTOR: Company Name: INDUSTRIAL ELECTRICAL SYSTEMS, CORP Phone#: 305-388-4648 Address: 14050 SW 84 ST SUITE 206 City: MIAMI State: FL Zip: 33183 Qualifier Name: NESTOR I CORVEA State Certification or Registration #: EC 13002182 DESIGNER: Architect/Engineer: MIKE VENTURA Phone#: 954-423-1362 Address: 11810 W STATE RD 84 City: DAVIE State: FL Zip: 33325 Value of Work for this Permit: $ 1, 500.00 Square/Linear Footage of Work: 3,556 Phone#: 305-388-4648 Type of Work: ❑ Addition Alteration Certificate of Competency #: ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: LOW VOLTAGE AS PER APPROVED PLANS. Specify color Vt. thru tile: Submittal Fee $ , Permit Fee $ 1. �d • ©G CCF $ CO/CC $ Scanning Fee $ Radon Fee $ , c� DBPR $ 2 • 2 S Notary $ r. Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ 16 o ' 4 (Revised02/24/2014) Yiri Y - �.t�h4t�• t NOTARY P Sign: - Print: .,r. .... identficatio an who t .3" r ',-,,3 , me r who has produced, -, as me or who has produced ,s identification and who d take an oath. • id take . oath. t. - r � , 1' q 7 bi' 4 ,' Bonding Company's Name (if applicable) 14 Bonding Company's Address City State Mortgage Lender's Name (if applicable) '" i x to ` •- Mortgage Lender's Addres's4 City y, .. :. e..� Pkrr, Stater. ...Le. Zip _ .. Zip 'o 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'prior7to the issuance'.of a permit and that' ''allt.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 applicable laws regulating construction and zoning. is accurate and that all work will be done in compliance with all "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." ;{1 - j a x .511 ii'S Notice to, Applicant: As a condition to.the issuance -of a building permit with an estimated value exceeding $2500,�the'tipplicant must promise in good faiththat 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. y , Signature Signature } OWNER or AGENT CONTRACTOR The fpregoing instrument was acknowledged before me this —The foregoing instru~ nt was acknowledged before me this 7day off L�i� , 20 1 a , liy day,of . �4ih'bK r'" 20 l , by ,,i rr , I n - who is personally:knownt Fi O' V�t A . ,.: o to � ,who is personally known riVNRY C4:10as Peitt-5-4 YANADY PRIETO ,'MY COMMISSION # FF 214031 • EXPIRES: March 25, 2019 •. of i bonded Tnru Notary Public Underwriters *******************************************************************s* NOTARY PUBLIC: Sign: Prin Seal. Notary Public State of Florida tt_ Jeffry J Yao My Commission FF 168481 %o, Expires 11/12/2018 APPROVED BY Seal: - r p/6TPlans Examiner **********- Zoning (Revised02/24/2014) • Structural Review Clerk •