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ELC-18-631 { 1 ' Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-301366 Permit Number: ELC-3-18-631 Scheduled Inspection Date: April 11, 2018 Permit Type: Electrical'-'Commercial Inspector: Dt evaney, Michael Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification`: Low Voltage Job Address:11300 NE 2 Avenue Lehman Hall Miami Shores, FL 33138-0000 Phone Number Parcel Number 1121360000050-24 Project: BARRY UNIVERSITY Contractor: TIRONE ELECTRIC INC Phone: (954)989-7162 Building Department Comments` RELOCATION OF DATA TO NORTH SIDE OF.ROOM IINNSPECSPEC Passed Comments TOR COMMENTS False Inspector Comments Passed YORDANIS 786-333-9637 f Failed Correction AP l b Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. April 10,2018 For Inspections please call: (305)762-4949 page 23 of 24 Permit No. ELC-3-18.631 �eNO1s L,� Miami Shores Village M Permit Type:Electrical -Commercial 10050 N.E.2nd Avenue NE ram Per I Waris Classification:Low Voltage Miami Shores,FL 33138-0000 Phone: (305)795 2204 Pe►mit Status:APPROVED F�ORtDA issueoete:3116/2018 Expiration: 09/1112018 9 i Project Address Parcel Number Applicant 11300 NE 2 Avenue Number: Lehman Hall 1121360000050-24 BARRY UNIVERSITY INC Miami Shores, FL 33138-0000 Block: Lot: Owner Information Address Phone Cell BARRY UNIVERSITY INC 11300 NE 2 Avenue MIAMI SHORES FL 33161-6628 11300 NE 2 Avenue MIAMI SHORES FL 33161-6628 Contractor(s) Phone Cell Phone Valuation: $ 350.00 TIRONE ELECTRIC INC (954)989-7162 � ._. _..,.. ....- _ ...... Total Sq Feet: 0 Type of Work:RELOCATION OF DATA TO NORTH SIDE OF Available Inspections: Additional Info:RELOCATION OF DATA TO NORTH SIDE OF Inspection Type: Classification:Commercial Scanning: 1 Review Electrical r r Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee Invoice# ELC-3-18-66751 $2.00 03/15/2018 Credit Card $ 108.60 $0.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $100.00 t Scanning Fee $3.00 Technology Fee $0.80 Total: $108.60 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 zonin . Futher re, I authorize the above-named contractor to do the work stated. March 15, 2018 thorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy March 15, 2018 1 ����� � �� �. a p i � .� 1 y E r-' OS (00 C, t b C, Etc 8 _ 0 n �O 17-3135 Miami Shores Village _= ,D Building Department MAR 12 2018 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 -INSPECTION LINE LINE PHONE NUMBER:(305)762-4949 FBC 200 VIA BUILDING Master Permit No.Uc — �J PERMIT APPLICATION Sub Permit No. BUILDING 0 ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL f PLUMBING ❑ MECHANICAL [:]PUBLICWORKS CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 11300 NE 2nd Avenue- Lehman 102 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1121360010160 Is the Building Historically Designated:Yes i NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: 1 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: Tirone Electric, Inc 954-989-7162 CONTRACTOR:Company Name: Phone#: N 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#: } � t DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$350.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition De'scription of Work: Relocation of data to north side of room. r '< 4 •i7c,s/i"aa:iY.F ;,i��rN..i'r,, Specify color of color Irhru tile: ttS{i1 ,gt 10 t Submittal Fee$ Permit Fee$ /1`�d�fD0 CCF$ Scanning Fee$ Radon Fee$ DBPR$ `' ;•NoSary$ M Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ Lo TOTAL FEE NOW DUE$ C (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address _ s , City State Zip Mortgage Lender's Name(if applicable) 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 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 Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this SZ day of M�rc h 20�J by 5th day of March 20 18 by Q R I who is personally known to Curtiss Morgan who is personally known to me or who has produced 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. ,Wim- 0- "Q_ � Sign: _6 C�D AA Print: E1►CNI D e Print: Hilary Clements Seal: ICMCRRE Seal: • fwwr PMNs'>�a Of Florida Eyp�:MNotary PublicState of Florida =, ilary Clements;F COIBIII.Ex My Commisalon GG 105848�� � =0?0Expires 07/22/2021 ***** APPROVED BY lZdef Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) t 2017 FLORIDA NOT FOR PROFIT CORPORATION ANNUAL REPORT FILED DOCOMENT#711458 Apr 27, 2017 ;Entity Name: BARRY'UNIVERSITY`INC. Secretary of State Current Principal Place of Business: CC2519040112 11300 N.E.SECOND AVENUE 'ROOM 105 FARRELL HALL MIAMI, FL 33161 r Current Mailing Address: 11300 N.E. SECOND AVENUE ROOM 105, FARRELL HALL MIAMI, FL 33161 FEI Number: 59-0624364 Certificate of Status Desired: No Name and Address of Current Registered Agent: DUDGEON,DAVID I 11300 NE SECOND AVE I LAVOIE HALL#209 MIAMI, FL 33161 US The above named entity submits this statement for the purpose of changing its registered office or registered agent,or both,in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Date 'Officer/Director Detail : Title S Title T I Name DUDGEON, DAVID 'Name ,ROSENTHAL SUSAN; Address 11300 NE SECOND AVE Address 11300 N.E.SECOND AVENUE City-State-Zip: MIAMI FL 33161 City-State-Zip: MIAMI FL 33161 Title D Title PD Name BUSSEL,JOHN Name BEVILACQUA,SISTER LINDA Address 11300 NE SECOND AVE Address 11300 NE SECOND AVE City-State-Zip: MIAMI FL 33161 City-State-Zip: MIAMI FL 33161 a a Title VP Name MURRAY,JOHN Address 11300 N.E.SECOND AVENUE City-State-Zip: MIAMI FL 33161 F i ' I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath;that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 617,Florida Statutes;and that my name appears above,or on an attachment with all other like empowered. SIGNATURE:DAVID DUDGEON GENERAL 04/27/2017 COUNSEL/SECRETARY Electronic Signature of Signing Officer/Director Detail Date Property Search Application - Miami-Dade County Page 1 of 1 OFt`lCtsw OF THE PROPERTY APPRAISE R, Summary Report Generated On: 3/12/ Property Information Folio: 11-2136-000-0050 t Property Address: 11300 NE 2 AVE Miami Shores, FL 33161-6628 Owner _ 'BARRY COLLEGE 11300 NE 2 AVE LAVOIE BLDG 2ND �t �``�";�"` � �" a Mailing Address FL RM 204 MIAMI SHORES, FL 33161-6628 �� _ ;G PA PrimaryZone 8200 SCHOOLS&CHURCHES Primary Land Use 7241 EDUCATIONAUSCIENTIFIC EX: EDUCATIONAL-PRIVATE �ie* Beds/Baths I Half 0/0/0 +�` Floors 2 t Living Units 66 Actual Area Sq.Ft by Living Area Sq.Ft Adjusted Area 623,362 Sq.Ft Taxable Value Information Lot Size 1,740,400 Sq.Ft 2011 2016 2 Year Built 1954 County Exemption Value $48,008,208 $46,503,814 $43,013 Assessment Information Taxable Value $0 $0 Year 2017 2016 2015 School Board Land Value $6,961,600 $6,961,600 $6,961,600 Exemption Value $48,008,208 $46,503,814 $43,013. Building Value $38,439,360 $36,913,434 $33,497,476 Taxable Value $0 $0 XF Value $2,607,248 $2,628,780 $2,554,483 City Market Value $48,008,208 $46,503,814 $43,013,559 Exemption Value $48,008,208 $46,503,814 $43,013. Assessed Value $48,008,208 $46,503,814 $43,013,559 Taxable Value $0 $0 Regional Benefits Information Exemption Value $48,008,208 $46,503,814 $43,013. Benefit Type 2017 12016 2015 Taxable Value $0 $0 Educational Exemption 1 $48,008,208 $46,503,814 $43,013,559 Note: Not all benefits are applicable to all Taxable Values(i.e.County, Sales Information School Board, City, Regional). Previous Sale Price OR Book-Page Qualification Descriptioi Short Legal Description 36 52 41 40 AC SE1/4 OF NE1/4 LESS E35FT&LESS W40FT LOT SIZE 1740400 SQUARE FEET The Office of the Property Appraiser is'continually editing and updating the tax roll.This website may not reflect the most current information on`record.The Property Appra and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at hftp://www.miamidade.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 3/12/2018 + Client#:67379 TIREL ACORD. CERTIFICATE OF LIABILITY INSURANCE FATE(Mv12/2o182018YYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS I CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY.THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S)',AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Kaylee R. Fort Gulfshore Insurance,Inc-SFL A No Ext):239 435-7151 ac No; 239 213-2803 4100 Goodlette Rd N ADDRESS: kfort@gulfshoreinsurance.com Naples,FL 34103 239 261-3646 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A•Amerlsuro Insurance Company 19488 INSURED TI IINSURER B:Commerce S Industry 19410 51 Electric,Ind. INSURER C:Houston Casualty Insurance Company 42374 Hollywood, FL 333023 Pembroke INSURER D:Clear Blue Specialty Insurance Company 37745 Holl INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MWDD/YYY MWDD/YYYY A GENERAL LIABILITY CPP20744430701 1/15/2018 01/15/2019 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea RENTED $1,000,000 CLAIMS-MADE Ex_]OCCUR MED EXP(Any one person) $10,000 l PERSONAL&ADV INJURY $11,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICYFX] PRE LOC $ D AUTOMOBILE LIABILITY AOl YFL00010900 01/15/2018 01/15/2019 COMBINED SINGLE LIMIT Ea accident) 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X rive Oth Car $ B' X UMBRELLA LIAB X OCCUR BE011403200 1/15/2018 01/15/2019 EACH OCCURRENCE $5,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $5,000,000 DED I X RETENTION$O $ A WORKERS COMPENSATION WC20997430301 1/15/2018 01/15/201 X W RSTAMT AND EMPLOYERS'LIABILITY ER OTTH- ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1 000 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Pollution HCC1765169 1/15/2018 01/15/201 $1,000,000 Incident $2,000,000 ,Liability Policy DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) License number EC0003059 CERTIFICATE HOLDER CANCELLATION V t«a�� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE } 4MVmf Miami Shores THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE T ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S1234943/M1234531 KRF16 4 t a ! � A