ELC-18-3686Permit NO.: ELC-12-18-3686
Miami Shores Village D } ` !-L, Permit Type: Electrical - Commercial
10050 2 Ave �%
Miami Shores FL 33138 work classification: Low Voltage
-1 _Uj i —
305-795-2204 Permit status: Approved
issue Date:12/17/7.018Expiration:06/17/2019
Location Address Parcel Number
L1300 NE 2ND AVE, Miami Shores, FL 33161 1121360000050
Contacts
BARRY UNIVERSITY INC Owner
11300 NE 2 AVE, MIAMI SHORES, FL 331616628
Tirone Electric, Inc Contractor
Curtiss Morgan
6151 Pembroke Road, Hollywood, FL 33023
Business: 9549897162 cwmorgan@tirone-electric.com
e
Description: PROVIDE DATA LINE BY PODIUM Valuation: $ 830.00 1 Ins ction Requests:
752 4949
Total Scl 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
12/17/2018 $60.30
Credit Card
12/13/2018 $50.00
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
regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
December 17, 2018 Page 2 of 2
Miami Shores Village
18-3263 Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
BUILDING
PERMIT APPLICATION
INSPECTION LINE PHONE NUMBER: (305) 762-4949 r0 '\
aEG2IVED
DEC 13 1018
FBC 201q_ �j(0
Master Permit No. 6-1 C lu ' U
Sub Permit No.
BUILDING ❑■ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION DRENEWAL
PLUMBING ❑ MECHANICAL ❑ PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 11300 NE 2 Avenue - BU Adrian 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:
Email:
Phone#:
CONTRACTOR: Company Name: Tirone Electric, Inc Phone#: 954-989-7162
Address: 6151 Pembroke Road
City: Hollywood State: FL
Qualifier Name: Curtiss Morgan Phone
State Certification or Registration #: EC0003059 Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone
Address: City:
Value of Work for this Permit: $ 830.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑Repair/Replace
Description of Work: Provide data line by podium
33023
954-989-7162
Zip:
❑ Demolition
Specify color of color thru tile: �}-
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ &0 •30
(Revised02/24/2014)
r`4k
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 Sign
OWNER or AGENT
The foregoing instrument �w�ass acknowledged before me this
I�{Z't-",� day of , 0-4c � . 20 by
who is Personally I
me or who has produced as
identification and who did take an oath.
NOTARY
Sign:_
Print:
The foregoing instrument was acknowledged befor me this
day of 201 V, , 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:
JEFFRfJ.YA0 '
Seal: I' "• Comm OG249916 Seal: b� ��
a - Expires November 12, 2022
`�' BordedThtoTreyFalnNartna80a38et)0�9
APPROVED BY �- /-/FPlans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)