ELC-18-3687M
Miami 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.: Et C-12-18-3687
Permit Type: Electrical - Commercial
Work Classification: Lour Voltage
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 DATA LINE BY PODIUM Valuation: $ 830.00 Inspection Requests:
f05-762-4949
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
Building Department Copy
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
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
regulatir�gstructy�r fr.pnd zoning. Futhdrmore, I authorize the above named contractor to do the work stated.
Owner / Applicant / Contractor / Agent Date
December 17, 2018 Page 2 of 2
k
18-3263
BUILDING
PERMIT APPLICATION
Miami Shores Village
Building Department RECEIVED
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 DEC 13 2018
Tel: (305) 795-2204 Fax: (305) 756-8972 1 INSPECTION LINE PHONE NUMBER: (305) 762-4949 ro
r—IBUILDING ❑■ ELECTRIC ❑ ROOFING
FBC 201
Master Permit No.C
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 11300 NE 2 Avenue - BU Library Rm 153
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:
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: $ 830.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: Provide data line by podium
Specify color of color thru the:
Submittal Fee
Scanning Fee $
Technology Fee $_
Structural Reviews $
Permit Fee $ 11749.1 ZPU CCF $ CO/CC $
Radon Fee $ DBPR $ Notary $
—Training/Education Fee $ Double Fee $
Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
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
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. li
402a
ao—
Signature OLSignatu
OWNER or AGENT
The foregoing instrument was ackn wledged before me this
�_ ay of Oe'6+" "�e 20 f by
SUSkf aAC who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY
Sign: O/
Print: )�
JEFFRYJ.YAO
„ *= Commission 9 GG 249910
;.s Expires November 12, 2022
0"" Thu TM1Fail4ipr M 8*X5-T019
APPROVED BY
as
The foregoing instrument was acknowledged before me this
13 day of T 20 1'�? 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:_1 re
Print: Hilary
Seal: ,
Plans Examiner
Structural Review
,A Y tam ikon p0 tal C, 0M 0112y202
*************************************
Zoning
Clerk
(Revised02/24/2014)