ELC-18-3685Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Issue Date:12/17/2018
Location Address Parcel Number
11300 NE 2ND AVE, Miami Shores, FL 33161 1121360000050
Contacts
Permit NO.: ELC-12-18.3685
Permit Type: Electrical - Commercial
Work Classification: Alteration
Permit Status: Approved
Expiration: 06/17/2019
BARRY UNIVERSITY INC Owner
Tirone Electric, Inc Contractor
11300 NE 2 AVE, MIAMI SHORES, FL 331616628
Curtiss Morgan
6151 Pembroke Road, Hollywood, FL 33023
Business: 9549897162 cwmorgan@tirone-electric.com
Description: PROVIDE POWER FOR PROJECTOR Valuation: $ 830.00 Inspection Requests:
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$50.00
Scanning Fee
$3.00
Technology Fee
$2.50
Total:
$110.30
Payments Date Paid
Amt Paid
Total Fees
$110.30
Credit Card 12/13/2018
$50.00
Credit Card 12/17/2018
$60.30
Amount Due:
$0.00
Building Department Copy
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
regule4ing construciiel and zoning. F,uthermore, I authorize the above named contractor to do the work stated.
Owner / Applicant / Contractor / Agent
December 17, 2018
Date
Page 2 of 2
RECEIVED
Miami Shores Village
• -� DEC 13 2018
18-3263 Building Department �;
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
10
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949 CA
FB//C'' 20I--
BUILDING Master Permit No. ��1� I2 - S(Pb
PERMIT APPLICATION Sub Permit No.
❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION 0 EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 11300 NE 2 Avenue - BU Sienna NHS Bldg
Citv: 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 Ph
Address: 11300 NE 2 Avenue
City: Miami Shores State: FL Zip: 33161
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Tirone Electric, Inc
Address: 6151 Pembroke Road
hone#: 954-989-7162
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: $ 830.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of work: Provide power for projector
Specify color of color thru the:
Submittal Fee $
Scanning Fee $
Technology Fee $
Structural Reviews $
Permit Fee $ IAd i e—" CCF $ CO/CC $ _
Radon Fee $ DBPR $ Notary $
Train Ing/Education Fee $
Double Fee $ _
Bond $
TOTAL FEE NOW DUE $ coo -30
(Revised02/24/2014)
,1
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 Signatur
OWNER or AGENT CO ACTOR
The foregoing instrument was acknowledged before me this
day of �CM,ti ,20 I k by
&U N who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY P
Print:
S v . JEFkUYA
*: ConunWft $ GG 249916
EvimBonde0lMoTNaFw 1Yaua�ce80038r7019
The foregoing instrument#as acknowledged before me this
day of D22 120 by
Curtiss Morgan , who is personally known to
me or who has produced PERSONALLY KNOWN as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
PrintqHi
Seal:
APPROVED BY rePlans Examiner Zoning
.6)
Structural Review
Clerk
(Revised02/24/2014)