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ELC-19-44Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 issue Date: 01/09/2019 Location Address Parcel Number 11300 NE 2ND AVE, Miami Shores, FL 33161 1121360000050 Contacts Permit No.: ELC-01-19-44 Permit Type: Electrical - Commercial Work Classification: Low Voltage Permit Status: Approved Expiration: 07/08/2019 BARRY UNIVERSITY INC Owner Tirone Electric, Inc Contractor 11300 NE 2 AVE, MIAMI SHORES, FL 331616628 Curtiss Morgan Business: 3058993995 JYAO@BARRY.EDU 6151 Pembroke Road, Hollywood, FL 33023 Mobile: 3054957544 Business: 9549897162 cwmorgan@Trone-electric.com Description: PROVIDE 120V TO ADA DOOR AT THOMPSON Valuation: $ 1,990.00 Inspection Requests: 305-762-4949 BLDG Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $50.00 Scanning Fee $3.00 Technology Fee $2.50 Total: $111.10 Building Department Copy Payments Date Paid Amt Paid Total Fees $111.10 Credit Card 01/09/2019 $61.10 Credit Card 01/08/2019 $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 requlatinq constr�ioyyan�4ning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date January 09, 2019 Page 2 of 2 Miami Shores Village 18-3238 BUILDING PERMIT APPLICATION Building Department RE.i.-IEIVED 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 JAN 0 8 2019 Tel: (305) 795-2204 Fax: (305) 756-8972 � � � _ INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 T_�_ Master Permit No. _ lj Sub Permit No. BUILDING Q ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION DRENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 11300 NE 2 Avenue - Thompson Building 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 Address: 11300 NE 2 Avenue City: Miami Shores State: FL Tenant/Lessee Name: Email: CONTRACTOR: Company Name: Tirone Electric, Inc Address: 6151 Pembroke Road p: 33161 one#: Phone#: 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: $ 1,990.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Provide 120V to ADA door at Thompson bldg. Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $_ Structural Reviews $ Permit Fee $ Radon Fee $ Training/Education Fee $ CCF $_ DBPR $ CO/CC $ - Notary $ Double Fee $ Bond $ / f� TOTAL FEE NOW DUE $ v (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 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�_i AAqo &nl) I # 4 J* OWNER or AGENT The foregoing instrument was acknowledged before me this day of 0CfKM.1- 20J by SUSAN 2os6NtNA(i ,, who is personally me or who has produced identification and who did take an oath. Signature CONTRACTO The foregoing instrument was acknowledged before me this 4 day of October 20 18 by Curtiss Morgan as me or who has produced who is personally known to PERSONALLY KNOWN as identification and who did take an oath. NOTARY P LIC: NOTARY PUBLIC: Sign: Sign: Pri t: Print: Hilary Clements S I:� Notary Public State of Florida Jeffry J Yao Seal: IN Publtc State of Florida Hilary ��� Clements My Commission FF 168481 e My 105649 a w Expires 11/12/20`18 � Pjroos tm7�2y202G ********************************)********************************************************* * ******** oe APPROVED BY f Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)