ELC-13-1331Miami. Shares Village .
Building Department JUN 12 zoic
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 20 00
BUILDING Permit No.1 f
PERMIT APPLICATION Master Permit No. CTI a - 9'
Permit Type: Electrical rActUT�75 WAAIJ,
JOB ADDRESS: f ,,
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#;
Is the Building Historically Designated: Yes NO X Flood Zone:
OWNER: Name (Fee Simple Titleholder): Barry University Inc Phone#:
Address: 11300 NE 2nd Ave
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 Rd
City: Hollywood State: FL Zip: 33023
Qualifier Name: Carmelo Tirone Phone#: _954-989-7162
State Certification or Registration # EC -0000345 Certificate of Competency. #: EC -0000345
Contact Phone#: 954-989-7162. Email Address: kshields@drone-electdc.com
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ 8,980:00. Square/Linear Footage of Work:
Type of Work: MAddress L]Alteration 4ANew L].Repair/Replace ❑Demolition
Description of Work: Install Data Cabling in Modular Building.
Submittal Fee $ Permit Fee $ CCF $ CO/CC $
Scanning Fee $_ Radon Fee $ DBPR $ Bond.$
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW. DUE �...
s
A
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 regulting
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 co rzcersent must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued I the absence such poste tice, the
inspection will not be ap ed 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
day of �A ice, 20 �, by Aon k i 9 day of 20L3_, by &Afi?e10 11 �-e�k.Q,,
who is y known to meorwho has produced - who is• a a -*M to me or who has produced
As identification and who did take an oath. as identification and who did take an. oath.
NOTARY PUBLIC: NOTARY PUALIC jam)
1
Print:. ire, i
My Commission Expires: Cl
APPROVED BY
M
November 12, 2014
r FL NoWy Dkwmt A8= Co.
Plans Examiner
Structural Review
{Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(itevised 3/15/09)
Sign: _-,
Print: J
My corm
CYMFHA ROSALES Ig
MY COMMISSION I EE 114018 IIjI
DRRES: September 7, 2015
Zoning
Clerk
Facilities Modulars
Moduw"e
SUBJECT TO COMPLIANCE WITH ALL FEDERAL ,
:TATE AND COUNTY RULES AND REGUTAT1101d5
CITY
COPY
TIRONC
NAM NINE 11116m
N'1t
6151 PEMBROKE ROAD
HOLLYWOOD, FL 33023
PH: (954, 989—,7�
Project Name and Address
BARRY UNIVERSITY
CCHMM
320 NW 115TH STREET
MIAMI SHORES, FL 33161
General Notes
INSTALL DATA CABLING IN
MODULAR BUILDING
JUN 12 2013
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Project Name and Address
BARRY UNIVERSITY
CCHMM
320 NW 115TH STREET
MIAMI SHORES, FL 33161
General Notes
INSTALL DATA CABLING IN
MODULAR BUILDING
i
JUN 122013
TWROSMS
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Notary' ft* UmtE-
Project
Sheet
1 of 1
Date
06-11-13
Scale NTS
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