ELC-13-1287 (2) Miami Shores Village
Building Department JUN 10 ZUIJ
90050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
FBC 20tD
BUILDING Permit No. ��Ly.,
PERMIT APPLICATION Master Permit No.C—C' L22 --`1 Z3'��
Permit Type:Electrical
JOB ADDRESS: 11300 NE 2nd Avenue(Powers Hall Conference Room 147)
City: Miami Shores County: Miami Dade Zip: 33138
Folio/Parcel#: 11-2136-000-0050
Is the Building Historically Designated:Yes NO X Flood Zone:
OWNER:Name(Fee Simple Titleholder):Barry University, Inc. phone.
Address:11300 NE 2nd Avenue
City: Miami Shores State: Florida Zip: 33138
Tenantffxssee Name: Phone#:305-899-4059
Email:
CONTRACTOR:Company Name: Manuel Linares Electric Phone#:
Address: 11710 Taft Street
City: Hollywood State: Florida 33026
Qualifier Name: Manuel Linares Phone#. 786-295-6047
State Certification or Registration#: EC13002204 Certificate of Competency#:
Contact Phone#: 786-295-6047 Emil Add: mlinare710 @comcast.net
DESIGNER:Architect/Engineer: Synalovski, Romanik, Saye Phone#:
Value of Work for this Permit:$1000 Square/Linear Footage of Work: 380
Type of Work: DAAddress OAlteration ONew ORepair/Replace ODemolition
Description of Work: Divide Existing Conference Room into 2 Offices
Submittal Fee$ `L Permit Fee$ / 10,0® CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$. Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$_M•
s �
+ Bonding Company's Name(if applicable) NA
Bonding Company's Address
City State zip
Mortgage Lender's Name(if applicable) NA
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 ELECTRICAL WORK,PLUMBING,SIGNS,
WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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 such posted notice, the
inspection will not be approve a reinspectcon fee will be charged \i
Signature Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of&X--,20 L,by MA C) =)-i , day of 20�,by g&10& �1 VOYI S ,
who is personally known to me or who has produced who Tonally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTAR Y PUBLIC: NOTARY PUBLIC:
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APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised MV2012)(Revised 0710(0 revised 06110/2009)(Revised 3/15/09)