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ELC-18-3412Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 11300 NE 2ND AVE, Miami Shores, FL 33161 Contacts IJD11(1�GUAIM Issue iRate:11/13/2018 Parcel Number 1121360000050 Permit No.: ELC-11-18-3412 Permit Type: Electrical - Commercial work Classification: Alteration Permit Status: Approved Expiration: 05/07/2019 BARRY UNIVERSITY INC Owner 11300 NE 2 AVE, MIAMI SHORES, FL 331616628 TIRONE ELECTRIC INC Contractor CURTISS WADE MORGAN 1401 NW 159 AVE, PEMBROKE PINES, FL 33028 Business: 9549897162 Description: 120V POWER FOR NEW AUTOMATIC DOOR ACCESS Valuation: $ 2,500.00 Inspection Requests: 762-d949 SYSTEMS FOR NORTH AND SOUTH LOBBY DOORS 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 $3.00 Technology Fee $2.50 Total: $111.90 Payments Date Paid Amt Paid Total Fees $111.90 Check # 91586 11/08/2018 $50.00 Check # 91588 11/13/2018 $61.90 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above named cont p0tor,iBcj$the Wo"rPstated. Authorized Signature: Owner / Applicant / Contractor / Agent Date November 13, 2018 Page 2 of 2 k` � joW 18-3250 i BUILDING PERMIT APPLICATION Miami Shores Village RECEIVED Building Department NOV 0 8 1018 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 C14 Tel: (305) 795-2204 Fax: (305) 756-8972 ti INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC � t201 Master Permit No. V 18 — 0A 2 Sub Permit No. ❑BUILDING ■❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 11300 NE 2 Avenue - BU Dalton & Dunspaugh 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 Zip: 33023 Qualifier Name: Curtiss Morgan Phone#: 954-989-7162 State Certification or Registration #: EC0003059 Certificate of Competency M DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 2,500.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: 120V Power for new automatic door access systems for north and south Lobby Doors Specify color of color thru tile: Submittal Fee $ Permit Fee $ C �o'r CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ DBPR $ Notary $ Double Fee $ Bond $ Q TOTAL FEE NOW DUE $ ( ( O (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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature LQ01LA4 Aj OWNER or AGENT The foregoing instrument was acknowledged before me this �— day of OC.�8 eq/ 20 l g by SU SAN f2kS tNU4A�- who is per y k own to me r who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: �° % Notary Public State of Florida Jeffry J Yao orp,�My Commission FF 168481 Expires 1111212018 f. Signature CONYACT 47 The foregoing instrument was acknowledged before me this 29 day of October Curtiss Morgan 20 1$ , by who is personally known to me or who has produced PERSONALLY KNOWN identification and who did take an oath. NOTARY PUBLIC: as ryublic State of Florida Sign: Hilary C ments mission GG 105648 Print: HilaryClements o,WoExpires07/22/2021 Seal: ***'Jr�E�11k1Rs��11r*„1k:At!*g117R**********©*s***s******************************************************** APPROVED BY / Pml% 1 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)