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ELC-20-401Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 11300 NE 2ND AVE, Miami Shores, FL 33161 Contacts Issue Date: 03/02/2020 Parcel Number 1121360000050 Permit NO.: ELC-02-20-401 Permit Type: Electrical - Commercial Work Classification: Low Voltage Permit Status: Approved Expiration: 08/24/2020 BARRY UNIVERSITY INC Owner BARRY UNIVERSITY 11300 NE 2 AVE, MIAMI SHORES, FL 331616628 Tirone Electric, Inc Contractor Curtiss Morgan 6151 PEMBROKE RD, HOLLYWOOD, FL 33023 Business: 9549897162 cwmorgan@tirone-electric.com i n Inspection Requests: Description: INSTALL A 12 STRAND FIBER FOR DATA USE TO Valuation: $ 2,400.00 Re Inspec REPLACE PERM IT#E LC-07-19-1744 Total Sq Feet: 0.00 Amt Paid Payments Date Paid Fees Amount 50% Renewal Fee $50.00 Total Fees $50.00 Credit Card 02/28/2020 $50.00 Total: $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 AFFID : I certify that he foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constr f n an . Futhermore, I authorize the above named contractor to do the work stated. 31�I�z� Authorized Si wner / Applicant / Contractor / Agent Date March 02, 2020 Page 2 of 2 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 PERMIT APPLICATION ❑BUILDING Q ELECTRIC ❑ ROOFING Master Permit No. RECEIVED FEB 2 5 2 0 BY: 78 J-VtT FBC 20 �} J Sub Permit NOLL - `l7G 2,0 - I ❑ REVISION ❑ EXTENSION RRENEWAL ❑PLUMBING [:]MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 11300 NE 2nd Ave City: Miami Shores County: Miami Dade Zip: 33161 Folio/Parcel#:1121360000050 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Barry University Phone#: Address:11300 NE 2nd Ave City: Miami Shores State: FL Zip: 33161 Tenant/Lessee Name: Phone#: S Cn 1- 23q " SSI (D Email: \hEb G wnOP.Ym+-3� CONTRACTOR: Company Name: Tirone Electric, Inc. Phone#: 954'969-7162 Address: 6151 Pembroke Road City: Hollywood State: FL Zip: Qualifier Name: Curtiss Morgan Phone#: State Certification or Registration #: ECO003059 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: 33023 Address: City: State: Zip: Value of Work for this Permit: $ 2,400 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Install a 12 strand fiber for date use. Specify color of color thru tile:, Submittal Fee Scanning Fee $ Permit Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ ' (Revlsedo2/24/2014) 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 on 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 Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this cc — day of fibf 20 AQ by 24 day of February 20 20 by A. who is personally known to Curtiss Morgan who is bersonallv known o me or who has produced — r1AA W O-C) ►SQ as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: " r Print: ifi A.AAliac Print: Stephanie And4jar Seal: ` STEPHANIE EIGH ANDUJAR STEPHANIE LEIGH ANDUJAR ;,,,Y Il,1��i Seal: . ;•�Y we �i _State of Florida -Notary Public ,moo ¢;State of Florida -Notary Public E Commission # GG 218657 Commission # GG 218657 My Commission Expires =+;� My Commission Expires `,?, Ma 16, 2022 ''�°.`. May 16. 2022 qm Y APPROVED BY / ���' Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)