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ELC-06-22-1506Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address PermitNo.: ELC-06-22-1506 Permit Type: Electrical - Commercial Work Classification: Repair Permit Status: Approved Issue Date:12/19/2022 Expiration:06/19/2023 Parcel Number 11300 NE 2ND AVE, Miami Shores, FL'33161 1121360000050 Contacts BARRY COLLEGE Owner 11300 NE 2 AVE, MIAMI SHORES, FL 33161 Mobile: 3058993790 jyao@barry.edu ELECTRIC AVENUE INC Contractor CARLOS DE IESUS 11621 SW 22 CT, Davie, FL 33325 Home:9544458108 electrician@yourservicefast.com Description: INSTALLATION OF TWO (2) EV CHARGERS, PANEL, Valuation: $ 15,940.00 Ins e762-4 49 nests: SINGLE PHASE FOUR 40 AMP CIRCUITS. TAP FROM FPL 305-762-4949 TRANSFORMER - KELLY BUILDING Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $9.60 DBPR Fee $7.17 DCA Fee $4.78 Education Surcharge $4.80 Permit Fee $428.20 Scanning Fee $9.00 Structural Review ($60) $60.00 Structural Review ($60) $60.00 Technology Fee $47.82 Total: $681.37 Payments Date Paid Amt Paid Total Fees $681.37 Credit Card 06/14/2022 $50.00 Credit Card 12/19/2022 $631.37 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 gAFFIDAVIT: I rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws r g lilting onstruct� mg. Futhennore, I authorize the above named contractor to do the work stated. tM///K,/o <uthorized Signature: O / Applicant / Contractor / Agent Date December 19, 2022 J Page 2 of 2 Miami Shores Village R-C, CEUVL_-_ J U iV 1,11 A Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 P V Tel: J305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-0949 FBC 20 ELC—d(P-Z27 5W BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. ❑BUILDING N ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOBADDRESS: Kelly building City: Miami Shores County Miami Dade zip: Folfo/Parcel#: 11'Ll-I 0c w S o Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): BarryUniversity Phone#: 305.899.3995 Address: 11300 NE 2nd Ave City: Miami Shores State: FL Zip: 33161 Tenant/Lessee Name: Phone#: Email: iyao@bany.edu CONTRACTOR: company Name: Electric Avenue Inc. Phone#: 954-445-8108 Address: 11621 SW 22Ct city: Davie state: FL Zip: 33325 Qualifier Name: Carlos A. De Jesus Phone#: 954-445-8108 State Certification or Registration #: EC13001809 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: _State: _Zip: Value of Work for this Permit: $ 15,940.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New [] Repair/Replace ❑ Demolition Description of Work: Installation of Two (2) EV Chargers ,Panel, Single phase four 40amp circuits. Tap from FPL transformer. Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $_ (Re vi5cdC2/24/2C1? Permit Fee $ Radon Fee $ Training/Education Fee $ CCF $CO/CC $ DBPR $ Notary $„ Double Fee $ Bond $ _ TOTAL FEE NOW DUE $ _ ._3, .3 Bonding Company's Name (if applicable) Bonding Company's Address City St 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 low 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 relnspectfon fee will be charged. OWNER or AGENT The foregoing instrument was acknowledged before me this day of ,�' , 20 J by who Is personally known to me orwho has produced as identification and who did take an oath. NOTARY PUBLIC: Commission i GG 24991g Expires November 12.2022 Signature t Z/ =� l CONTRACTOR The�orforJegoing Instrument was acknowledged before me this day of AlOVEMft9- .20 Z! by CA 94-4)S A. DIP I&SKUo Is personally known to me or who has produced D %T.9.i 4JCek3e as identification and NOTARY PUBLIC: Print: Seal: asrsrrs+rrrrrssraspssrsrrssssss»rrrsrssMwrrssrrrrsrssr� APPROVED 81: � ? s Examiner Structural Aevlew iltavi"02124120141 did take an oath. Katherine De �FbiErt EE GOM RSWn NNegaaa 2/oaaM (O v &� Zoning Clerk ENTERED 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 * ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MEC/HA�N�IIC�AAL JOB ADDRESS: building �\ T City: Miami Shores Folio/Parcel#:.-_...__.-.. Occupancy Type: Load: _ Master Perrnit No. Sub Permit DC U 8 2022 By:_3�+-- FBC 20 ❑ REVISION ❑ EXTENSION ❑RENEWAL WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS County: Miami Dade - 210: Is the Building Historically Designated: Yes NO _. Construction Type:_ --Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder):_-, Barry. University Address: 11300 NE 2nd Ave City: _ _Miami Shores- --_ State: FL Tenant/Lessee Name: Email: lyao@barry.edu 305.899.3995 --_--._ Zip:-.33161 Phone#: CONTRACTOR: Company Name: Electric Avenue Inc- Phone#: 954-445-8108 Address: 11621 SW 22Ct City: Davie ...-- — ---. --.State: FL ---- --— --- Zip: 33325 Ouallfier Name: Carlos A. De Jesus - - _ Phone#: 954-445-8108 State Certification or Registration #: EC13001809 _ Certificate of Competency #: DESIGNER Architect/Engineer.. Phone#: Address: Value of Work for this Permit: $ 15,940.00 _ Square/Unear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New [011 Repair/Replace Description of Work: Installation of Two (2) EV Chargers,Panel, Single phase four 40amp dreuits. Tap from FPL transformer. Specify color of color thru tile:_ SubmRtal Fee Scanning Fee $ _ __ Technology Fee $ Structural Reviews S Permtt Fee $—'- Radon Fee $ _ Training/Educadon Fee $ State: Zip: _ ❑ Demolition CCF$_..... _.. _ CO/cc $_ DBPR$Notary$.____. _.._ Double Fee $ . __-- Bond $ TOTAL FEE NOW DUE $ (RenSed02/2412014) Miami Dade County Department of Regulatory and Economic Resources - Job Copy 1123002475 - 12/5/2022 3:01:18 PM BD - Campus - Kelly - Pemit application..pdf 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 Application 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 moat the standards of all taws regulating constnxtion 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 WrM 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 $25M the applicant must promise In good folth that a copy of the notice of commencement and construction Hen law, brachure will be delivered to the person whose property Is subject to attachment Also, a certlfkd copy of the recorded notice of commencement must be posted at the Job site for the first Inspection which occurs seven (7) days Ow the building permit is Issued. In the absence of such posted notice, the Inspection will not be approved and a reinspecdon fee will be charged. OW NER or AGENT The foregoing instrument was acknowledged before me this day of .� "------_' 20 , by who is personally known to me or who has produced ...____. _._._ as identification and who did take an oath. NOTARY PUBLIC: APPROVED BY iaewkad0t%4/:0I41 Signature CONTRACTOR The foregoing instrument was acknowledged before me this -_ IT dayof OV ffile- .20_ 4 .by CA R43 A. ka is personallybxwm to me or who has produced j_A&ff.k..f LICPAISc as identification and I did take an oath. NOTARY PUBLIQ Print: Seal: �o Ki eDgiagaguue a` d` Ewr ttmaptatbrt9e Plans Examiner Zoning Structural Revhw Clark Miami Dade County Department of Regulatory and Economic Resources - Job Copy 1123002475 - 12/5/2022 3:01:18 PM BO - Campus - Kelly - Pemit application..pdf A Florida Power and Light'v�� / \ AVENUE EV READY SET GOI r ,_ —T7'D Jl;• 4 t CITY 240V O 2#3/0 COPY 20ev single phase 1# 6 G 200amp Main breake Nema3 panel. NO NUETRUAL Hand Whole NO NtI iT . EVla 2 1' EVib EV2a EV2b -- #6 4 8 4 8 I -� SG 8C' 2 r I �.PPROV D BY---F DATE 6jjj(3 CrEV2 7.2E .2Kw 7.2K Oamp : imp 208v 40amp 208V 2#8 #8 2#8 #8G SG #8G ZON{NG 72b ELECTRICAL .2Kw PLUMBING amp 8a+--. #8 �8G 412HM117 726285430 is do 2-11 0o o 0 _ E T m �r J .> � Q _— N O co m z can 14 E-1 7.2Kw x 4 handles=28.8Kw/240v=120amps*1.25= 150amps- 200 OCP RECEIVED $F: Florida Power and Light'v%— ELECTI(i, AVENUE EV READY SET GO! 954-445-8108 electrician@yourservicefast.com ELEt I kIc;AL ZPT Z—? �APPROVE2g L DATE Kelly campus site detail JUN 14 &.-jZZ E-4 " Z j�GI..1 D J APPR6i45 ____. ..r 'PV• JUN 14 2022 i' AS Wall • 11 � tl �j{j7E • ,.r 9 y'�'.i m I I r a ve PR ji tS/�i 4 i1d51i�ip pf rQr� #}� PAR �� —51 _.V `�c�s� H �I` a ��fa ` � a i�- a• r I' I, rR. IGi'�� !: - III ] 1f I:'•�%�' �f� I� a�' ru r7" • � _ M' jf a �� I W i iISI� + u '.. �' -�,�—�.,�.� _ � r,.:�s a rl f r ��.�ar�Y• 1`rYl i+� I 11� 1 ��.'a.•S$`Z��n F9 glAlq 4 �.. f cif WAq Aga malmmml ................. See E-`j VJQftj E _5 "CHARGING STATION PADS" "TOP" "BOTTOM" 7/8" x 8' INSERTS x 8" INSERTS `- REBAR GRADE 60 "GRAY CONCRETE EDGE AND BROOM FINISH" REBAR GRADE 60 a' INSERTS ATLANTIC COAST PRECAST 533 N.E. 33rd Street Oakland Park, FL 33334 Phone: (954) 564-6245 JUN 14 2QZZ BY: CT4000 Level 2 Commercial Charging Station Specifications and Ordering Infor ELECTRICAL REVIEW Ordering Information APFFOVEDA DATE Specify model number followed by the applicable code(s). The order code sequence is: Model -Options. Software, Services and Misc are ordered as separate line items. Hardware kescription Order..• Model 1830 mm (6') Single Port Bollard Mount CT4011 1830 mm (6') Dual Port Bollard Mount CT4021 1830 mm (6) Single Port Wall Mount CT4013 1830 mm (6) Dual Port Wall Mount CT4023 2440 mm (8') Dual Port Bollard Mount CT4025 2440 mm (8) Dual Port Wall Mount CT4027 Options Integral Gateway Modem - USA -GWI Integral Gateway Modem - Canada -GW2 Misc Power Management Kit CT4000-PMGMT Bollard Concrete Mounting Kit CT4001-CCM Software & Services ChargePoint Commercial Service Plan CTSW-SAS-COMM-n' ChargePoint Service Provider Plan CTSW-SAS-SP-n' ChargePoint Assure CT4000-ASSUREiP Station Activation and Configuration CPSUPPORT-ACTIVE ChargePoint Station Installation and Validation CT4000-INSTALLVALID Note: All CT4000 stations require a network service plan. ' Substitute n for desired years of service (1, 2, 3, 4, or 5 years). ' Substitute n for the duration of the coverage (1, 2, 3, 4, or 5 years). Order Code Examples 1830 mm (6) Dual Port Bollard USA Gateway Station CT4021-GWI with Concrete Mounting Kit CT4001-CCM ChargePoint Commercial Service Plan, CTSW-SAS-COMM-3 r' 3 Year Subscription ChargePoint Station Installation and Validation CT4000-INSTALLVALID- ' 2 Years of Assure Coverage CT4000-ASSURE2 CT4021 1830 mm (6') Single Port Wall Mount Station CT4013 ChargePoint Commercial Service Plan, CTSW-SAS-COMM-5 The First 5 Year Subscription 4 Years of Assure Coverage CT4000-ASSURE4 ENERGY STAR* Certified EV Charger Station Activation and Configuration CPSUPPORT-ACTIVE ChargePoint CT4000 Family CT4021 1s�o n,m o, ) CT4025 2440 nim (8�) Bollard 347 mm (13.7") CT4025 2426 mm (95.5") CT4021 1811 mm (71.3") 289 mm (11.4") 233 mm (9 2") 470 mm (18.5") CT4023 is3o mn, (6') CT4027 2440 min (s ) Wall Mount CT4027 2426 mm (95.5") CT4023 1811 mm (71.3") jC:AL REVlE\/J2>.r'I4/ �F; ;:OVE _._-_ __ 347 mm (13.7") T!:O 7--'C r" T JUN 14 2022 302 mm (11.9") 33 mm (9.2") 483 mm (19.0") 2 chargepoint.com a ?irV RECT7TVED CT4000 Family Specifications ju;; 14 Single Port Dual Portfti- — Electrical Input ic - — Standard 30A One 40A branch circuit 40A dual pole 30A x 2 Two Independent 40A 40A dual pole (non-GFCI type) branch circuits (non-GFCI type) x 2 Standard Power Share n/a n/a n/a 32A One 40A branch circuit 40A dual pole (non-GFCI type) Power Select 24A 24A One 30A branch circuit 30A dual pole 24A x 2 Two independent 30A 30A dual pole (non-GFCI type) branch circuits (non-GFCI type) x 2 Power Select 24A Power Share n/a I n/a n/a 24A One 30A branch circuit 30A dual pole (non-GFCI type) Power Select 16A 16A One 20A branch circuit 20A dual pole 16A x 2 Two independent 20A 20A dual pole (non-GFCI type) branch circuits (non-GFCI type) x 2 Power Select 16A Power Share _ n/a n/a n/a 16A One 20A branch circuit 20A dual pole (non-GFCltype) Service Panel GFCI Do not provide external GFCI as it may conflict with internal GFCI (CCID) Wiring - Standard . 3-wire (1-1, L2, Earth) 5-wire (LI, LI, 1-2, L2, Earth) Wiring - Power Share n/a 3-wire (LI. L2, Earth) Station Power 8W typical (standby), 15W maximum (operation) Electrical Output Standard 72kW (240V AC @ 30A) 72kW (240V AC@30A) x 2 Standard Power Share n/a 7.2kW (240V AC@30A) x 1 or 3.8kW (240V AC@16A) x 2 Power Select 24A 5.8kW (240V AC@24A) 5.8kW (240V AC@24A) x 2 Power Select 24A Power Share n/a !, 5.8kW (240V AQa24A) x 1 or 2.9kW (240V AC@12A) x 2 Power Select 16A 3.8kW (240V AC@16A) 3.8kW (240V AC@16A) x 2 Power Select 24A Power Share n/a 3.8kW (240V AC@16A) x 1 or 1.9kW (240V AC@8A) x 2 Functional Interfaces Connector(s) Type -- SAE J1772'" SAE 11772" x 2 Cable Length -1830 mm (6') 5.5 m (18') 5.5 m (18') x 2 Cable Management Cable Length - 2440 mm (8') n/a 7 m (23') Cable Management Overhead Cable Yes Management System LCD Display 145 mm (5.7") full color, 640x480. 30fps full motion video, active matrix, UV protected Card Reader ISO 15693, ISO 14443, NFC Locking Holster Yes Yes x 2 -Lt I N1,AL RtvIEVV z o�Z� --• APPROVED DATE chargepoint.com 3 ChargePoint CT4000 Family and Co rlectivity Features TZyE Cr"TVEr1D �UN 14 z0Z2 Jay:--� Ground Fault Detection 2l CCID with auto retry Open Safety Ground Detection Continuously monitors presence of safety (green wire) ground connection Plug -Out Detection Power terminated per SAE J177214 specifications Power Measurement Accuracy +/- 2% from 2% to full scale (30A) Power Report/Store Interval 15 minute, aligned to hour Local Area Network 2.4 GHz Wi-Fi (802.11 b/g/n) Wide Area Network 3G GSM, 3G COMA Safety and Operational Ratings Enclosure Rating Type 3R per UL 50E Safety Compliance UL listed for USA and cUL certified for Canada; complies with UL 2594, UL 2231-1, UL 2231-2, and NEC Article 625 Surge Protection 6kV @ 3000A. In geographic areas subject to frequent thunder storms, supplemental surge protection at the service panel is recommended. EMC Compliance FCC Part 15 Class A Operating Temperature -300C to +50°C (-22°F to 122°F) Storage Temperature -30°C to +60°C (-22°F to 140°F) Non -Operating Temperature -400C to +60°C (-40°F to 141 Operating Humidity Up to 85%@ +50°C (122°F) non -condensing Non -Operating Humidity Up to 95%@ +50°C (122aF) non -condensing Terminal Block Temperature Rating 1i (221°F) Charging Stations per 802.11 Radio Group Maximum of 10. Each station must be located within 45m 050D "line of sight" of a gateway station. ChargePoint, Inc. reserves the right to alter product offerings and specifications at any time without notice, and is not responsible for typographical or graphical errors that may appear in this document. Contact Us 0 Visit charoeooint corn lO Call +1.408.705.1992 Q Email sales(o charoeooint corn APPROVEL _DATE -chargepoin+ ChargePoint, Inc. Copyr,ght P 2018 ChargePoint Inc. All rights reserved. CHARGEPOINT,sa U S. registered trademark/service mark, and an EU 240 East Hacienda Avenue registered logo mar¢ or ChargePoint. Inc. All other products or services mentioned are the Irademarki service marks. registered Campbell, CA 95008-6617 USA trademarks or registered service marks of heir respective owners. M CT4000-05. Anil 2015 ON 73-001020 0i-11 -1.408.841.4500 or +1.877.370.3802 US and Canada toll -free Gated by Underwriters d @us chargepoint.com Laboratories Inc. LIMB Signage o N 3: LU Y J Q J W Y L a_ Electric 1 < Vehicle Charging Pavement striping NOTE: ALL SHEETS MUST BE REVIEWED - MIAMI-DADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES Herbert S. Saffir Permitting and Inspection Center 11805 SW 26th Street (Coral Way) • Miami, Florida 33175-2474 • (786) 315-2000 APPLICATION FOR MUNICIPAL PERMIT APPLICANTS THAT REQUIRE PLAN REVIEW FROM MIAMI-DADE FIRE RESCUE AND/OR ENVIRONMENTAL SERVICES PROVIDE MUNICIPAL PROCESS NUMBER HERE Barry University 11300 NE 2nd Ave, Miami Shores:FL 33161 Kelly Building EC13001809 Contractor No. - �F Job Address =Z 0 o Last four (4) digits of Qualifier No. 7150 o f Folro ° Contractor Name Electric Avenue Lot 1121360000050 Block �¢ 00 -- Zp Qualifier Name Carlos A. De Jesus o Subdivision Pepg, V z Address 11621 SW 22ct Davie FL 33325 City, Davie State FL Zip 33325 - Metes and bounds [ ] New Construction on [ ] Demolish Current use of property Barry University w Vacant Land [ ] Shell Only LL [ ] Alteration Interior [ ] Addition Attached 02 W W [ ] Alteration Exterior [ ] Addition Detached Description of Work Relocation of Structure ( ] Re -Roof Installation four charging Ports Sq. Ft. Enclosure [ ] Foundation Only 9 [x] Repair [ ] Tent -Units -Floors $15940 [ ] Repair Due to Fire Value of Work [x] MBLD` 01 [ ] Chg. Contractor W Owner Barry University Address 11300 NE 2nd Ave W Category [ ] MELE n F [ ] Re -Issue f w [ ] Re -Stamp CityMiami Shores State FL Zip 33161 r ( ] MPLU w I ]Revision Phone 305-899-3995 W [ ] MLPG [ ] Not Applicable for m ___._ Last four (4) digits of a. [ ] MMEC ¢ O [ ] FIRE Fire Owner's Social Security No. Name Carlos De Jesus Owner N/A O�qN' cc ow Address 11621 SW 22ct Address oa CL z wY City Davie State FL Zip 33325 oZ City State _Zip a Phone 954-445-8108 �dW Phone I am requesting a Special Request Plan Review (SRI) to be scheduled as soon as possible. There is a minimum charge of 0 < ¢ one -hour. Please contact the Fire Department for current rate. darn yZw 1'rRequest: Date: maw 2ntlRequest: Date: LLw¢ 3itl Request: Date: If the applicant is a known named violator with: unpaid civil penalties; unpaid administrative costs of hearing; unpaid County investigative, enforcement, testing, or monitoring costs; or unpaid liens, any or all of which are owed to Miami -Dade County pursuant to the provisions of the Code of Miami -Dade County, Florida, a hold on the review may be placed on this application. Miam&,,Pi&& sPpunty Department of Regulatory and Economic Resources - Job Copy 1123002475 - 12/5/2022 3:01:18 PM Kelly Building Barry Universty Fire application.pd£ Examiner Date Time Stamp Trade Stamp Name AQUIT, SUYIN 11/28/2022 3:35:59 PM FIRE Not Applicable BUILDING PERMIT CATEGORIES CATEGORY DESCRIPTION PERMIT TYPE BUILDING 01 , GENERAL BUILDING -COMMERCIAL MBLD 02 SUB -GENERAL BUILDING -RESIDENTIAL MBLD 08 CANVAS AWNING MBLD 10 COMMUNICATION TOWER MBLD 15 DEMOLITION MBLD 29 METAL AWNING & STORM SHUTTER MBLD 48 SCREEN ENCLOSURES MELD 51 MURAL SIGNS (NON -ELECTRICAL) MBLD 55 SWIMMING POOL MBLD 56 TENNIS COURTS (SURFACE PAVING) MBLD 86 TRAILER TIE DOWN MBLD 88 WALK-IN COOLER MBLD 91 MARINAS MBLD 92 LOW SLOPE APPLICATIONS (GRAVEL, SMOOTH MODIFIED, SINGLE PLY) MBLD 95 SHINGLES (ASPHALT, FIBERGLASS) MBLD 96 SHINGLES (METAL ROOFS/WOOD SHINGLES & SHAKE) MBLD 97 STAGE 2 VAPOR RECOVERY SYSTEM MBLD 99 SOIL IMPROVEMENT MBLD 0100 BULK STORAGE PROPANE TANK MBLD 0101 REMOVABLE STORM PANELS MBLD 0107 TILE ROOF MBLD 0110 WATER MAIN MBLD 0111 SITE PLAN MBLD 0112 INDOOR EVENT/EXHIBIT MBLD ELECTRICAL 04 FIRE ALARM SPECIALTY MELE 16 SPECIALTY WIRING MELE 38 GENERATORS MELE 40 BUILDING PUBLIC RADIO ENHANCEMENT SYSTEM MELE 0020 SEWER CONNECTION TO PUBLIC SYSTEM (THIS CATEGORY IS USED WHEN NO BUILDING PERMIT EXIST) MPLU 0024 INTERCEPTOR/GREASE TRAPS (REPLACEMENT OR INSTALLATION THAT IS NOT PART OF A BUILDING PERMIT) MPLU LPGX 01 LIQUEFIED PETROLEUM GAS MLPG 02 MISCELLANEOUS MLPG 04 LIQUEFIED PETROL. GAS/STATE MLPG MECHANICAL 09 ABOVE/BELOW GROUND TANKS/PUMPS & POLLUTANT STORAGE SYSTEM MMEC 38 COMMERCIAL HOODS MMEC 43 FIRE CHEMICAL MMEC 46 SPRAY BOOTHS MMEC 48 SMOKE CONTROL MMEC 52 RESIDENTIAL ELEVATOR MMEC MiamiFLde County Department of Regulatory and Economic Resources - Job Copy 11230W475 - 12/5/2022 3:OHIREBSPRINKLER FIRE Kelly Building Barry Universty Fire application.pdf Examiner Date Time Stamp Trade Stamp Name AQUIT, SUYIN 11/28/2022 3:35:59 PM FIRE Not Applicable MIAMI—DADE COUNTY sEPAMIENT OF "REGULATORY AHD ECONOMIC RESOURCES. http:/lwww.miamidade.gov/building/home.asp 12/5/2022 3:01:18 PM Tracking # Process # Permit # 1123002475 M2023002475 2023013613 THIS COPY OF PLANS MUST BE AVAILABLE ON BUILDING SITE OR AN INSPECTION WILL NOT BE MADE. Process # Review Disposition Reviewer Date M2023002475 DERM CORE A DEBASA, JOSE 11/18/2022 M20230.0.2475 FIRE N AQUIT, SUYIN 11/28/2022 M2023002475 DERM PAVING & DRAINAGE A ABDALLAH, MAHMOUD 11/17/2022 M2023002475 UPFRONT FEES A WEB APPLICATION ID 11/15/2022 M2023002475 IMPACT FEES N GUTIERREZ, BEVERLY 11/16/2022 IDisclaimer. Subject to compliance with all Federal, State, and County Laws, rules and regulations. Miami -Dade County assumes no responsibility for accuracy of or results of these plans. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to the property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies or federal agencies. Stamp Name Trade iDisposition Stamp Description Approved DERM A Approved Not Applicable FIRE N/A Not Applicable 3 1/2" (88.9) *A ELECTRIC AVENUE EV READY SET GOf 954-445-8108 electrician@yourservicefast.com EC13001809 Strong -Bolt 5/8 in. x 51/2" in. Zinc -Plated SAMPLE Kelly Building ; Barry University, 11300 NE 2 Avenue,Miami Shores, FL 33161 Miami Dade County Department of Regulatory and Economic Resources - Job Copy Mounting Hardware 1123002475 - 12/5/2022 3:01:18 PM Mounting Hardware.pdf Grass 1 3/4" Steel Bollards Concreted into ground 1'( one foot) Directional bore 1 1/4" Li',_- 0 g 2022 area ♦, 2'-0" ,♦ N Pad o +o Bollards to be installed 3" roO O-+ *= from the concrete pad 0 Curb Curb :m 1 Kelly Building; Barry University, 11300 NE 2 Avenue, Miami Shores, FL 33161 Scale 1/4" = 1' Typical Signage and Pavement Striping Signage Electric Vehicle Charging Pavement striping Miami Dade County Department of Regulatory and Economic Resources - Job Copy 1123002475 - 12/5/2022 3:01:16 PM Signage and Pavement Striping.pdf ❑�a Ron DeSantis, Governor Melanie S. Griffin, Secretary b a STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS' LICENSING BOARD THE ELECTRICAL CONTRACTOR HEREIN IS CERTIFIED UNDER THE ..• • • �• ice• •� �� e � DE JESUS, CARLOS A ELECTRIC AVENUE, INC C' 11621 SW 22ND CT DAVIE v^ FL 33325 O'A LICENSE NUMBER: EC1300180�9= EXPIRATION DATE: AUGUST 31, 2024 Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 14.202Z THROUGH SEPTEMBER 3012023 DBA: Business Name: ELECTRIC AVENUE INC Owner Name: CARLOS DEJESUS Business Location: 11621 SW 22 CT SUNRISE -Business Phone: 9 5 4- 6 2 5- 6 4 4 0 Receipt #:Es CTRICAL/ALARMS/CONTRACTOR 1-2417 Business Type: (ELECTRICAL CONTRACTOR) Business Opened:10 / 19 / 2 0 0 0 State/County/CertiReg:EC 13 0 018 0 9 Exemption Code: Rooms Seats Employees Machines Professionals 2 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 1 0.00 0.00 0.00 0.00 1 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is nor -regulatory -in -nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: CARLOS DEJESUS Receipt #WWW-21-00248608 11621 SW 22 CT Paid 08/22/2022 27.00 DAVIE, FL 33325 2022 - 2023 BROWARD COUNTY LOCAL BUSINESS TAX_ RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2022 THROUGH SEPTEMBER 30, 2023 DBA: ELECTRIC AVENUE INC Business Name: Owner Name: CARLOS DEJESUS Business Location: 11621 SW 22 CT SUNRISE Business Phone: 954-625-6440 Rooms Seats Employees 2 Receipt #: 181-2417 Business Type: ELECTRICAL /ALARMS/ CONTRACTOR (ELECTRICAL CONTRACTOR) Business Opened:10 / 19 / 2 0 0 0 State/County/Cert/Reg: EC 13 0 018 0 9 Exemption Code: Machines Professionals Signature For Vending Business Only Number of Machines: Vendina Tme: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 Receipt #WWW-21-00248608 Paid 08/22/2022 27.00 ACORO® CERTIFICATE OF LIABILITY INSURANCE �„�•�' DATE (MMIDD/YYYY) 12/19/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 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(ies) must have ADDITIONAL INSURED provisions or 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 endorsements . PRODUCER Marlins Insurance Inc. CONTACT Barbara Garcia NAME: PHONNo,E Emoo (954) 587-7850 FAX No : (954) 587-7778 lADDRESS: madinsii@aol.com 850 SW 40 Ave. INSURERS AFFORDING COVERAGE NAIC it INSURER A: Western World Insurance Company Plantation FL 33317 INSURED INSURER B : INFINITY INSURER C : Scottsdale Insurance Company Electric Avenue, Inc INSURER D : AmTrust ` 11621 SW 22nd Court INSURER E : INSURER F : Davie FL 33325 f►nvGQef_%Pc CFRTIFICOTF NUMRFR* 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 CONTRACT OR 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. ILTR NCE TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMID POLICY EXP MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FRI OCCUR NPP8881195 08/23/2022 08/23/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL S ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITYEa ANY AUTO OWNED X SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 509-82005-2236-001 11/04/2022 11/04/2023 aa�den SINGLE LIMIT $ 11000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ C, UMBRELLA UAB EXCESS LIAR X OCCUR CLAIMS -MADE XBS0168160 08/22/2022 08/22/2023 EACH OCCURRENCE $ 2,000,000 X AGGREGATE $ 2,000,000 1 DIED I I RETENTION $ PR/COMP OPS AGG $ 2,000,000 D WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETORlPARTNERIEXECUTIVE Y 1 N a OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA A TWC4099831 03/29/2022 03/29/2023 PER STATUTE ER E.L. EACH ACCIDENT $ 1,0000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Electrical Apparatus -Installation, Servicing or Repair-NOC Electric Avenue, Inc License # EC13001809 CERTIFICATE HOLDER GANt:tLLA 1 IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village 10050 NE 2nd Ave AUTHORIZED REPRESENTATIVE Miami Shore FL 33138 V 1 Vtlt$-LU! O AIrUKU VUKI UKA 1 IUN. All ngnts reserves. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD