ELC-19-1744Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
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Issue Date: 09/05/419
Parcel Number
11300 NE 2ND AVE, Miami Shores, FL 33161 1121360000050
:ontacts
Permit No.: ELC-07- 9-1744
Permit Type: Electricat Commercial
work Classification: Low Voltage
Permit Stotm- Approved
Expiration: 02/05/2020
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BARRY UNIVERSITY Curtiss Morgan
11300 NE 2 AVE, MIAMI SHORES, FL 331616628 6151 Pembroke Road, Hollywood, FL 33023
Business: 9549897162 cwmorgan@tirone-electric.com
Description: INSTALL A 12 STRAND FIBER FOR DATA USE Valuation: $ 2,400.00 Inspection1. Requests:
5-762-4949
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$1.80
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.60
Permit Fee
$50.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$117.90
Payments
Date Paid Amt Paid
Total Fees
$117.90
Credit Card
08/05/2019 $67.90
Check # 2583
07/29/2019 $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
regulates constyMion anolz ning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
August 05, 2019 Page 2 of 2
RECEIVED
18-3303
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
❑BUILDING Q ELECTRIC(LV) ❑ ROOFING
PLUMBING ❑ MECHANICAL [:]PUBLICWORKS
10B ADDRESS: 11300 NE 2nd Avenue - Garner
J 9 019
BY:
FBC 20 R``�j 1 4
Master Permit NO.-�70 01 - I `
Sub Permit No.
❑ REVISION ❑ EXTENSION [:]RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
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 Phone#:
Address:11300 NE 2nd Avenue
City: Miami Shores State: FL Zip: 33161
Tenant/Lessee Name: Phone#:
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
State Certification or Registration #: EC0003059
DESIGNER: Architect/Engineer:
Address:
one#: 954-989-7162
Certificate of Competency #: _
Phone#:
City:
State: Zip:
Value of Work for this Permit: $ 2,400.00 Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
Description of work: Install a 12 strand fiber for data use
Specify color of color thru tile:
Submittal Fee $ I—T)) Permit Fee $
Scanning Fee $
Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $
DBPR $
❑ Demolition
CO/CC $ _
Notary $.
Double Fee $ _
Bond $
(Revised02/24/2014)
TOTAL FEE NOW DUE $ !n �) - �1)
Bcnding 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 Signaturj�—,A
OWNER or AGENT CONTRACTOR
The foregoing instrurrpent as acknowledged before me this
day of V 20 Gby
ww we-4- who is personally known to
me or who has produced
identification and who did take an oath.
NOTARY
Sign:
Print
69M
The foregoing instrument was acknowledged before me this
24 day of May
20 19 , by
Curtiss Morgan who is personally known to
as me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: Jo
immyAlb Seal:
Copy do I I#GG249916
Ib* aNa-w&t12,2022
Bad1d11ra1io>j w- — 60005.7019
APPROVED BY TZjeI Plans Examiner
STEPHANIE LEtG'H ANDWAR
�,, State of Florida -Notary Public
Commission # GG 218657
l -
;� o� My Commissidn Expires
May 16, 2022.
as
Zoning
Structural Review
(Revised02/24/2014)
Clerk
t3Niir
Barry University
TRANSMITTAL
Facilities Management
11300 NE 2nd Avenue
Miami, Florida 33161
�F.
Telephone
0
(305) 899-3995
Facsimile
1940'
(305)899-3794
www.barry.edu
DATE: 6/7/19
TO: Tirone Electric
REF: Garner Fiber Installation
ATTN: Carlos Perez
SENT VIA: Pickup
No.
DATE
No. COPIES
DESCRIPTION
6/6/2019
1
Miami Shores Electrical Permit Application - Garner Fiber Installation - SIGNED
Received by:
Print
Date
COMMENTS: For submission of permit for fiber installation in Garner
cc:
SENT BY: Jeff Yao
Construction Manager