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ELC-10-23-2494 & PLC-11-23-2719Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 11300 NE 2ND AVE ADRIAN, Miami Shores, FL 33161 Contacts Permit NO.: ELC-10-23-2494 Permit Type: Electrical - Commercial Work Classification: Generator Permit Status: Approved Issue Date:10/1012023 Expiration:04/10/2024 Parcel Number 1121360000050 BARRY COLLEGE Owner R & R ELECTRIC OF BROWARD INC Contractor 11300 NE 2 AVE, MIAMI SHORES, FL 33161 ERIN RICHARDSON Mobile: 3058993790 lyao@barry.edu 7958 PINES BLVD SUITE 238, PEMBROKE PINES, FL 33024 Business: 9543195630 rrelectricofbroward@gmail.com Description: GENERATOR RELOCATION, INSTALL ELECTRIC AS Valuation: $ 70,000.00 In ection Re ests: PER DRAWING -ADRIAN BUILDING Total Sq Feet: 0.00 I�11�111111� Fees Amount Payments Date Paid Amt Paid 25% Renewal Fee $612.50 Total Fees $612.50 Total: $612.50 Check # 3838 10/10/2023 $612.50 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 regula' g constructio and�/thermore,authorize the above named contractor to do the work stated. Au horized Signature: Owner / Applicant / Contractor / Agent Da October 10, 2023 Page 2 of 2 Miami Shores Village RECEIVEDOCT 10 2023 Building Department BY: 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756.8972 INSPECTION LINE PHONE NUMBER: (305) 752-4949 FBC 202,0 - BUILDING Master Permit No. ELC-12-21-3284 PERMIT APPLICATION Sub Permit No. 0&C--11)- 2-3-2L-lIJ BUILDING ❑ ELECTRIC ROOFING REVISION ❑ EXTENSION ©RENEWAL r-JPLUMBING MECHANICAL CHANGE OF CANCELLATION SHOP CONTRACTOR DRAWINGS iOBADDRESS: 11300 NE 2ND AVE - ADRIAN City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-2136-000-0050 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: __Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): BARRY COLLEGE Phone#: 305-495-7544 Address:11300 NE 2 AVE LAVOIE BLDG 2ND FL RM 204 city: MIAMI SHORES state: FLORIDA zip: 33161-6628 Tenant/Lessee Name: Phone#: Email: Jyao@barry.edu CONTRACTOR: Company Name: R & R ELECTRIC OF BROWARD, INC. Phone#: 954-319-5630 Address: 7958 PINES BLVD., SUITE 238, PEMBROKE PINES, FL 33024 Email, rrelectricofbroward@gmail.com 4ualif(erName: ERIN RICHARDSON Phone#: 954-319-5630 State Certification or Registration #: EC13006319 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: ate: —zip: Value of Work for this Permit: $ 70,000 Square/Unear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of work: GENERATOR RELOCATION, INSTALL ELECTRIC AS PER DRAWING. Specify color of color thru tile: Submittal Fee Scanning Fee $ Permit Fee $ DCA Fee $ _ CCF$ _ CO/cC$— DBPR $ +ll' i ``r� j Note Technology Fee $ Training/Education Fee $ 1Double Fee $ Structural Reviews $ P&Z Review $ Bond $ / TOTAL FEE NOW DUE $ / L% • ��� (Revlsed04/05/2022) Bonding Company's Name (if applicable) Bonding Company's Address CityState Mortgage Lender's Name (if applicable) _ Mortgage Lenders 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 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 (71 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 IS4"44116P4 Signature _ OWNER orAGENT CONTRACTOR The foregoing instrument was acknowledged before me this _- k daryof 0(1fb3C- . 20Z-2✓ , by ggrak V 20Sbr`L��l , who is personally known to The foregoing instrument was acknowledged before me this !b --day of ©C�o i�Bv' . 20 _Z3 _-' by E_RIN RICHARDSON 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. NOTARYPUB)L: NOTARY PUBLIC: i � 1 r Sign: t 1 l Sign: Print: I!yLPrint: ,V. ....i�„Puntiu"q Yao Vivee Seal: JEFFRYJ.YAO .--_- ii Seal: CommisraarNHH286920 Comm..HH222410 - dp:Nem"bu 1Z2126 �:, .`�= Expires: Jan.31,2026 o Notary Public • Stale of Florida APPROVED BY _ D 0 `i' Plans Examiner Zoning Structural Review Clerk (Revised04/05/2022) 20/22/24 kW LNOV�023 INCLUDES: • True Power" Electrical Technology • Two-line multilingual digital LCD Evolution" controller (English/Spanish/French/Portuguese) • 200 amp service rated transfer switch available • Electronic governor • Standard Wi-Fi® connectivity • System status & maintenance interval LED indicators • Sound attenuated enclosure • Flexible fuel line connector • Natural gas or LP gas operation • 5 Year limited warranty • Listed and labeled by the Southwest Research Institute allowing installation as close as 18 in (457 mm) to a structure.' 'Mustbe located away from doors, windows, and iresh air intakes and in accordance with local codes. https://assets.swri.org/library/DirecloryOf istedProducts/ Constmctionlndushy/973_DoC_204_13204-01-01_Rev9.pdf FEATURES 0 0 re7 U INNOVATIVE ENGINE DESIGN & RIGOROUS TESTING are at the head of Gen- erac's success in providing the most reliable generators possible. Generac's G- Force engine lineup offers added peace of mind and reliability for when it's needed the most. The G-Force series engines are purpose built and designed to handle the rigors of extended run times in high temperatures and extreme operating conditions. TRUE POWER- ELECTRICAL TECHNOLOGY: Superior harmonics and sine wave form produce less than 5% Total Harmonic Distortion for utility quality power. This allows confident operation of sensitive electronic equipment and micro -chip based appliances, such as variable speed HVAC systems. TEST CRITERIA: ✓ PROTOTYPE TESTED ✓ NEMA MG1-22 EVALUATION ✓ SYSTEM TORSIONAL TESTED V MOTOR STARTING ABILITY MOBILE LINK" CONNECTIVITY: FREE with select Guardian Series Home standby generators, Mobile Link Wi-Fi allows users to monitor generator status from any- where in the world using a smarlphone, tablet, or PC. Easily access information such as the current operating status and maintenance alerts. Users can connect an account to an authorized service dealer for last, friendly, and proactive service. With Mobile Link, users are taken care of before the next power outage. GENERACC GUARDIAN® SERIES Residential Standby Generators Air -Cooled Gas Engine Standby Power Rating G007038-1. GO07039-1. G007038-3. G007039-3 (Aluminum -Bisque) - 20 kW 60 Hz G007042-2, G007043-2 S007042-3, 3007043-3 (Aluminum - Bisque) - 22 kW 60 Hz G007209-0. G007210-0 (Aluminum - Bisque) - 24 kW 60 He Et4 or C US Qvi�T „' c us LISTED ua Note: CETL or CUL certification only applies to unbundled units and units packaged with limited circuil switches. Units packaged with the Smad Switch are ETL or UL certified in the USA only. O SOLID-STATE. FREQUENCY COMPENSATED VOLTAGE REGULATION: This state-of-the-a-t power maximizing regulation system is standard on all General; mod- els. It provides optimized FAST RESPONSE to changing load conditions and MAXI- MUM MOTOR STARTING CAPABILITY by electronically torque -matching the surge loads to the engine. Digital voltage regulation at -1%. O SINGLE SOURCE SERVICE RESPONSE from Generac's extensive dealer network provides parts and service know-how for the entire unit, from the engine to the small- est electronic component. O GENERAC TRANSFER SWITCHES: Long life and reliability are synonymous with GENERAC POWER SYSTEMS. One reason for this confidence is that the GENERAC product line is offered with its own transfer systems and controls for total system compatibility. O PWRVIEW" TRANSFER SWITCH: The Generac PWRview Automatic Transfer Switch integrates the PWRview energy monitor to provide real -lime energy con- sumption data that can help lower a home's electricity bill. Using a convenient mobile app, homeowners can access energy usage and alert information while under utility power or generator power. The PWRview energy monitor is a simple to use and low cost tool which helps save money over the life of the generator. Included with model G007210-0. —'GENERAC GENERA? _'iPROMISE �O O PWR 20/22/24 kW GENERlt C' Features and Benefits Engine • Generac G-Force design Maximizes engine "breathing" for increased fuel efficiency. Plateau honed cylinder walls and plasma moly rings help the engine run cooler, reducing oil consumption and resulting in longer engine life. • "Spiny-lok" cast iron cylinder walls Rigid construction and added durability provide long engine life. • Electronic ignition/spark advance These features combine to assure smooth, quick starting every time. • Full pressure lubrication system Pressurized lubrication to all vital bearings means better performance, less maintenance, and longer engine life. Now featuring up to a 2 year/200 hour oil change interval. • Low oil pressure shutdown system Shutdown protection prevents catastrophic engine damage due to low oil. • High temperature shutdown Prevents damage due to overheating. Generator • Revolving field Allows for a smaller. light weight unit that operates 25% more efficiently than a revolving armature generator. • Skewed stator Produces a smooth output waveform for compatibility with electronic equipment. • Displaced phase excitation Maximizes motor starting capability. • Automatic voltage regulation Regulating output voltage to -1% prevents damaging voltage spikes. • ILL 2200 listed For your safety. Transfer Switch (if applicable) • Fully automatic Transfers vital electrical loads to the energized source of power. • NEMA 3R Can be installed inside or outside for maximum flexibility. • Integrated load management technology Capability to manage additional loads for efficient power management. • Remote mounting Mounts near an existing distribution panel for simple, low-cost installation. PWRview Transfer Switch (if applicable) • PWRview energy monitor Energy usage at -a -glance. • Ability to view real-time energy consumption data Better understand the home's energy profile. • PWRview mobile app Access daily energy intelligence and insights. Evolution'" Controls • AUTO/MANUAL/OFF illuminated buttons • Two-line multilingual LCD • Sealed, raised buttons • Utility voltage sensing • Generator voltage sensing • Utility interrupt delay • Engine warm-up • Engine cool -down • Programmable exercise • Smart battery charger • Main line circuit breaker • Electronic governor Selects the operating mode and provides easy, at -a -glance status indication in any condition. Provides homeowners easily visible logs of history, maintenance, and events up to 50 occurrences. Smooth, weather -resistant user interface for programming and operations. Constantly monitors utility voltage, setpoints 65% dropout, 80% pick-up, of standard voltage. Constantly monitors generator voltage to verity the cleanest power delivered to the home. Prevents nuisance start-ups of the engine. adjustable 2-1500 seconds from the factory default setting of 5 seconds by a qualified dealer. Verifies engine is ready to assume the load, setpoint approximately 5 seconds. Allows engine to cool prior to shutdown, setpoint approximately 1 minute. Operates engine to prevent oil seal drying and damage between power outages by running the generator for 5 minutes every other week. Also offers a selectable setting for weekly or monthly operation providing flexibility andpotentially lower fuel costs to the owner. Delivers charge to the battery only when needed at varying rates depending on outdoor air temperature. Compatible with lead acid and AGM -style batteries. Protects generator from overload. Maintains constant 60 Hz frequency. GENERAC 20/22/24 kW Features and Benefits Unit • SAE weather protective enclosure Sound attenuated enclosures ensure quiet operation and protection against mother nature, withstanding winds up to 150 mph (241 km/h). Hinged key locking roof panel for security. Lift -out front for easy access to all routine maintenance items. Electrostatically applied textured epoxy paint for added durability. • Enclosed critical grade muffler Quiet, critical grade muffler is mounted inside the unit to prevent injuries. • Small, compact, allractive Makes for an easy, eye appealing installation, as close as 18 in (457 mm) away from a structure. Installation System • 14 in (35.6 cm) flexible fuel line connector Listed ANSI Z21.75/CSA 6.27 outdoor appliance connector for the required connection to the gas supply piping. • Integral sediment trap Meets IFGC and NFPA 54 installation requirements. Connectivity (WI-FI equipped models only) • Ability to view generator status Monitor generator with a smanphone, tablet, or computer at any time via the Mobile Link application for complete peace of mind. • Ability to view generator Exercise/Run and Total Hours Review the generator's complete protection profile for exercise hours and total hours. • Ability to view generator maintenance information Provides maintenance information for the specific model generator when scheduled maintenance is due. • Monthly report with previous month's activity Detailed monthly reports provide historical generator information. • Ability to view generator battery information Built in battery diagnostics displaying current state of the battery. • Weather information Provides detailed local ambient weather conditions for generator location. 20/22/24 kW GENERAL Specifications Generator Model G007038-1 G907042-2 G007038-3 G007042-3 G007209-0 G007039-1 G007043-2 G007039-3 G007043-3 G007210-0 (20 kW) (22 kW) (20 kW) (22 kW) (24 kW) Rated maximum continuous power opacity(LP) 20,000 Watts" 22,000 Watts' 20,000 Watts' 22,000 Watts' 24,000Wal Paled maximum continuous power capacity Idol 18 000 Watts- 19. 500 Watts' 18.000 Watts' 19.50D Watts' 21.000 Watts' Rated voltage 240 Rated maximum continuous load current - 240 voles (LP/NG) 83.3 / 75.0 91.7 / 81.3 83.3 / 75.0 91.7 / 8' 3 100 / 87 5 Total Harmonic Dollar Less than 5% Foam line circuit breaker 90 amp 100 amp 90 amp Ion amp 100 amp Phase 1 Number oI rotor poles 2 Rated AC frequency 60 Hz Power factor 1.0 Battery requirement (not included) 12 Volts, Group 26R 540 CCA minimum or Group 35AGM 650 CCA minimum Unit weight old kg) 4481203 466 / 211 436 / 198 445 / 202 455 / 206 Dimensions (L x W x H) in / cm 48 x 25 x 29 / 121.9 x 63.5 x 73.7 Sound output in dB(A) at 23 it (7 per with generator operating at normal load" 67 67 67 67 67 Sound output in dB(A) at 231(7 m) with generator in Quiet -Test '" low -speed exercise mode-' 55 57 55 57 57 Exercise pointer 5 min Engine Engine typo GENERAC G-Force 1000 Series Number of cylinders 2 Displacement 999 cc Cylinder block Aluminum w/ cast iron sleeve Valve arrangement Overhead valve Ignition system Solid-state w/ magneto Governor system Electronic Compression ratio 9.5:1 Starter 12 VDC Oil capacity including filter Approx. 1.9 of / 1.8 L Operating rpm 3,600 Fuel consumption Natural gas ft3/hr (m37fu) 112 Load 204 (6.78) 228 (6.46) 164 (4.64) 203 (5.75) Full Load 301 (8.52) 327 (9.26) 287 (8.13) 306 (8.66) Liquid propane If Oil It/hrl 112 Load 87 (2.37) [8.99] 92 (253) 19.571 86 (2.36)18.95] 92 (2.53)19.571 Full Load 130 (3.56) [13.48] 142 (3.90) [14.77] 136 (3.74)114.151 142 (3.90)114.771 Note Fuel pipe must be sized for full load. Required fuel pressure to generator fuel inlet at all load ranges - 3.5-7 In water column In_37-174 We) for NG, t 0-12 in water column (2 49-299 kPa) far LP gas. For BTU content, mUOley ha/m x 2500 (LP) or Itarhr x 1000 (NG). For Megooule content, multiply in'/hr x 93.1 E (LP) or m3/hr x 37.26 US). Two-line plain text multilingual LCU Simple user interlace lot ease of operation. Mode buttons: AUTO Automatic start on utility failure. Weekly, Bi-weekly, or Monthly selectable exerciser MANUAL Star[ with starter control, ul stays on. It utility fails, transrer to load takes place. OFF Stops unit. Power is removed. Control and charger soil operate. Ready to RunVamlenance messages Standard Engine run hours indication Standard Programmable start delay oeMreen 2-1500 second. Slandam Iprogtammable by dealer only) Utility Voltage Loss/Return to Utility adjustable (brownout setting) From 140-171 V / 190-216 V Future Set Capable Exetciser/Exercise Set Error warning Standard Run/Alarm/Maintenance logs 50 events each Engine start sequence Cyclic cranking. 16 sec on. 7 rest (90 sec maximum duration). Starter lock -out Starter cannot re-engage unlil 5 sec after engine has stopped, Smart Battery Charger Standard Charger Fault/Missing AC warning Standard -ow BatleryrBattery Problem Protection and Battery Condition indication Standard Automatic Voltage Regulation with Over and Under Voltage Protection Standard Under-Freque^cy/Ovedaad/Stepper noncurrent Protection Standard Safety Fused7Fuse Problem Protection Standard Automate Low Oil Pressure.Migh Oil Temperature Shomi Standard Overcrank/Overspeed (@ 72 Hz)/rpm Sense Loss Shutdown Standard H.gh Engine iemperatme Shutdown Standard Internal FaulVlncorrecl Wiring protection Standard Common external fault capability Standard Field upgradable firmware Standard 'Sound levels are lakes Input the front of the generator Sound levels Laken from other sides of the generator may be higher depending on installation parameters. Rating definitions - Standby Applicable lot supplying emergency power for the duration of the utility power pullers, No overload capability is available for this rating. (All ratings In accordance with BS5514. IS03046 and DIN6271).' Maximum kilovolt amps and current are subject to and limited by such factors as fuel BTU/megajoule content. ambient temperature. attitude. engine power and condition, etc. Maximum power decreases approximately 3.5%for each 1.000 it (304.8 m) above sea level. and also will decrease approximately 1%for each 10 `F (6 `C) above 60 `F (16'C). 20/22/24 kW Service Rated Automatic Transfer Switch Features • Intelligently manages up to four air conditioner loads with no additional hardware. • Up to eight additional large (240 VAC) loads can be managed when used in conjunction with Smart Management Modules (SMMs). • Electrically operated, mechanically -held contacts for fast, clean connections. • Rated for all classes of load, 100%equipment rated, both inductive and resistive. • 2-pole, 250 VAC contactors. • Service equipment rated, dual coil design. • Rated for both aluminum and copper conductors. • Main contacts are silver plated or silver alloy to resist welding and sticking. • NEMA/UL 311 aluminum outdoor enclosure allows for indoor or outdoor mounting flexibility. Dimensions 20o Amps 120/240,1a Open Transition Service Hated Height Width Depth H1 H2 W1 W2 in 26.8 30.1 10.51 13.5 6.9 cm 67.95 76.43 1 26.67 1 34.18 17.5 Wtre Ranges Conductor Lug Neutral Lug Ground Lug 250MGM -#6 350MCM-#6 210-#14 PWRview Automatic Transfer Switch Features • Integrated PWRview monitor provides real-time energy usage data through PWRview app, • Intelligently manages up to four air conditioner loads with no additional hardware. • Up to eight additional large (240 VAC) loads can be managed when used in conjunction with Smart Management Modules (SMMs). • Electrically operated, mechanically -held contacts for fast, clean connections. • Rated for all classes of load, 100% equipment rated, both inductive and resistive. all 2-pole, 250 VAC contactors. • Service equipment rated, dual coil design. an, Rated for both aluminum and copper conductors. • Main contacts are silver plated or silver alloy to resist welding and sticking. • NEMA 313 aluminum outdoor enclosure allows for indoor or outdoor mounting flexibility. • Heavy duty Generac Contactor is an ETL recognized device. Dimensions 200 Amps 120/240,1e Open Transition Service Rated Height Width DepO Ht 12 W7 W2 in 26.8 30.1 10.5 13.5 6.9 cm 67.95 76.43 26.67 A 8 17.5 Wire Ranges Conductor Lug Neutral Lug Ground Lug 250 MGM-#6 350 MGM-#6 210-#14 GENERAC 1111111111111110 Switch Options Model 3007039-1, G007039-3 (29 kW) 0007043-2. 6007043-3(22 kW) No, of poles 2 Curren ra!ny !anpn Z0C Voltage ding (VAC) 1201240. 10 Utility voltage menitcr (!xti -PiCk-UP 60- -Dropout !.. Return to Utility" Approx. 13 sCr. Exercises m-vteekty fog 5 mimes' 't'v J c ETL or UL listed Standard Enclospre type Circuit breaker protected 22.000 Luc ra:-ae 25c '!Cr.' - --E 'Function of Evolution controller Exercise can be set to weekly, bi-weekly, or monthly ;sc ( I .1 , aJ `I Model G007210-0 f24 kW) No. of poles 2 Curmnl rating (amps) 200 Voltage rating (VAC) 120/240, 10 Jtduy voltage mcnitcr (fixed)' -Pick-up 601. -Dropnur 65% Return to Utility' Approx. 13 sec Exercises bi-weekly fire 5 minutes' Standard ETL or ILL listed Standard Enslesc!e type NEMA 3R Circuit breaker protected 22,000 Lug range 250 MCbr - €6 -Function of Evolution controller Exercise can be set to weekly, bi-weekly, or monthly WYY^�I ' { 1 y�l 20/22/24 kW GENERAL` Available Accessories Model # Product Description G005819-0 26R Wet Cell Battery Every standby generator requires a battery to Start the system. Generac offers the recommended 26R wet cell battery for use with all air-cooled standby product (excluding PowerPact G007101-0 Battery Pad Warmer Pad wanner rests under the battery. Recommended for use if temperature regularly falls below 0 °F (-18 °C). (Not nec- essary for use with AGM -style batteries). G007102-0 Oil Warmer Oil warmer slips directly over the oil filter. Recommended for use it temperature regularly falls below 0 °F (-18 °C). G00MO3-1 Breather Warmer Breather warmer is for use in extreme cold weather applications. For use with Evolution controllers only in climates where heavy icing occurs. G005621-0 Auxiliary Transfer Switch The auxiliary transfer switch contact kit allows the transfer switch to lockout a single large electrical load that may not be Contact Kit needed. Not compatible with 50 amp pre -wired switches. G007027-0 -Bisque Fascia Base Wrap Kit The fascia base wrap snaps together around the bottom of the new air-cooled generators. This offers a sleek, contoured (Standard on 22/24 kW) appearance as well as offering protection from rodents and insects by covering the lifting holes located in the base. 0005703-0 - Bisque Touch -Up Paint Kit It the generator enclosure is scratched or damaged, it is important to touch up the paint to protect from future corrosion. The touch-up paint kit includes the necessary paint to correctly maintain or touch up a generator enclosure. G006485-0 Scheduled Maintenance Kit Generac's scheduled maintenance kit provides all the items necessary to perform complete routine maintenance on a Generac automatic standby generator (oil not included). G007005-0 Wi-Fi Yfaii Fuel Level The Wi-Fi enabled LP tank fuel level monitor provides constant monitoring of the connected LP fuel tank. Monitoring the Monitor LP tanks fuel level is an important step in verifying the generator is ready to run during an unexpected power failure. Sta- tus alerts are available through a free application to notify users when the LP tank is in need of a refill. G007000-0 (50 amp) Smart Management Module Smart Management Modules (SMM) are used to optimize the performance of a standby generator. It manages large elec- G007006-0 trical loads upon startup and sheds them to aid in recovery when overloaded. In many cases, using SMM's can reduce (100 amp) the overall size and cost of the system. 13007169-0 - 4G LTE Mobile Link Cellular The Mobile Linkfamjly of Cellular Accessories allow users to monitor generator status from anywhere in the world, using G007170-0 - Wi-Fi/ Accessories a smart phone, tablet, or PC. Easily access information such as the current operating status and maintenance alerts. Us - Ethernet ers can connect an account with an authorized service dealer for fast, friendly, and proactive service. With Mobile Link. users are taken care of before the next power outage. G007220-0 - Bisque Base Plug Kit Base plugs snap into the lifting holes on the base of air-cooled home standby generators. This offers a sleek, contoured appearance, as well as otters protection from rodents and insects by covering the lifting holes located in the base. Kit contains four plugs, sufficient for use on a single air-cooled home standby generator. Dimensions & UPCs Model UPC G007038-1 696471074185 G007038-3 696471074185 G007039-1 696471074192 G007039-3 696471074192 G007042-2 696471074208 G007042-3 696471074208 G007043-2 696471074215 G007043-3 696471074215 G007209-0 696471071511 G007210-0 111471071220 GENERAC LEFT SIDE VIEW Les FROM VIEW Dimensions shown are approximate. See installalion manual to; Exact dimensions. DO NOT USE THESE DIMENSIONS FOR INSTALtA71ON PURPOSES. Generac Power Systems, Inc. • S45 W29290 HWY. 59, Waukesha, WI 53189 a generac.com 02020 Generac Power Systems. Inc. All rights reserved. All spec8icauons are subject to change without notice. Part No. AODOD937814 Rev. 5 07130,2020 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Permit NO.: PLC-11-23-2719 Permit Type: Plumbing - commercial Work Classification: Gas Permit Status: Approved Issue Date:12/05/2023 Expiration:06/05/2024 Parcel Number 11300 NE 2ND AVE, Miami Shores, FL 33161 1121360000050 Contacts BARRY COLLEGE Owner BLUE FLAME GAS SERVICES CORP Applicant 11300 NE 2 AVE, MIAMI SHORES, FL 33161 RENZO FIGALLO Mobile: 3058993790 jyao@barry.edu 1787 NE 180 ST, NORTH MIAMI BEACH, FL 33162 admin@blueflamegasusa.com RENZO FIGALLO 1787 NE 180 ST, NORTH MIAMI BEACH, FL 33162 Business: 3054797894 Description: RUN NEW GAS LINE FROM METER TO GENERATOR Valuation: $ 2,980.00 Ins ection Requests: 305-762-4949 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 $0.90 Permit Fee $50.00 Technology Fee $10.00 Total: $116.70 Payments Date Paid Amt Paid Total Fees $116.70 Credit Card 12/05/2023 $116.70 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,* ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFI AV : I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating cons u on and zoning. Futhermore, I authorize the above named contract% to o the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Date December 05, 2023 Page 2 of 2 BUILDING PERMIT APPLICATION 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 D �@T0 �TT[ NOV 0 9 2023 FBC 20 Master Permit No. EL C-10-23-2494 Sub Permit No.R'0-- f l -23 —T71q BUILDING 7 ELECTRIC ROOFING REVISION EXTENSION RENEWAL PLUMBING MECHANICAL CHANGE OF CANCELLATION SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 11300 NE 2 N D AVE-ADRIAN City: Miami Shores County: Miami Dade Zip: 33161 Folio/Parcel#: 11 -2136-000-0050 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): BARRY COLLEGE Phone#:305-495-7544 Address-11300 NE 2 AVE LAVOIE BLDG 2ND FL RM 204 City: MIAMI SHORES State: FLORIDA Zip: 33161-6628 Tenant/Lessee Name: Email: CONTRACTOR: Company Name: BLUE FLAME GAS SERVICES Phone#: 786-474-2166 Address: 1787 NE 180TH ST, NORTH MIAMI BEACH, FL 33162 Email: admin@blueflamegasusa.com Qualifier Name: RENZO FIGALLO Phone#: (305)479-7894 State Certification or Registration #: LQ29610 Certificate of Competency #: DESIGNER: Arch itect/Engineer: __Zip: Value of Work for this Permit: $ 1,996 Square/Linear Footage of Work: Type of Work: ® Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of work: RUN NEW GAS LINE FROM METER TO GENERATOR Specify color of color thru tile: Submittal Fee 5 Scanning Fee $ Technology Fee $ Structural Reviews $ Permit Fee $ CCF $_ DCA Fee $ DBPR $ Training/Education Fee $ CO/Cc $ Notary $ Double Fee $ P&Z Review $ Bond $ TOTAL FEE NOW DUE $ I (�• 70 (Revised04/05/2022) Bonding Company's Name (if applicable) Bonding Company's Address City State Tip _ Mortgage Lender's Name jif 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 $2504 the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will he 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. % �GcddJL Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this 4� day of ikMA5Q . 2D Z3 . by SUCM! (16E*k,/ . who is personally known to me or who has produced as Identification and who did take an oath. NOTARY Seal: ^ JEFFRY J.YAO Ccamission 0HH 28M .'jam pl E�Fes Novemaer 52. zazB APPROVED BY (Reviwd04/0512022) The foregoing instrument was acknowledged before me this 27 day of OCTOBER 20 23 by RENZO FICaALLO who is personally known to me or who has produced D L as identification and who did take an oath NOTARY PUBLIC Print: Seal: x2Y Plans Examiner Structural Review Notary Public State of Fleft Carlos R Estremedoy o m My COmmission HH 434009 Expires 6/2212027 Zoning Clerk ZNTr 7-MD PLC-11-23-2719 VALVE METER 2 PSI NATURAL GAS SYSTEM NOV t d M3 As. kr__—. 60 FT Underground 3/4" POLYPIPE RISER 3/4" NORTH 10 = BLUE FLAME a WaLum w a raWWM GAs SrtCKW PM (303) 479-7994 CITY COPY LONG RUN: 60 ft 3/4" Polypipe @ 2PSI LOAD: BTU/hr: 1,410k Generator 24kw: 354k BTU/hr TABLE 402.4(22) polyehtylene plastic pipe @2PSI 2nd Stage REG GENERATOR RISER VALVE DRIP LEG & CAP 3/4" --moollk PLU5 G ANS to �.rnro red __ _ ate��zf mr oved _. C m N 90-- 19%1 Las VwkvE • rl I !-- ih Rw im Ln �, �1'// PI V Uhnc4Lftru,,n ��.��1/ I'I1,c7 e m x n op 3 %110,ti %BLUE FLAME 01%0 UCmW aramp V a tAVYM OAS SNOMW 6o F1 % Poly Pi PC arr 1psi. B to Nye. (, y 10 t3SN 2gKW 154 ¢r,i Nz. z 0 o to 0 n ON - �' 4J GAS PIPING INSTALLATIONS FD NOV 0 9 2023 Fn.. 11• f, TABLE 402.4(22) POLYETHYLENE PLASTIC PIPE Gas Natural Inlet Pressure 2.0 psi Pressure Drop 1.0 Psi Specific Gravity 0.60 PIPE SIZE finch) Nominal OD '!r - t 1Y. 1'!r 2 3 4 Designation SOR 8 SDR 11 SDR 11 SOR 10 SDR 11 SDR 11 SDR 11 SDR 11 Acbial 10 0,660 0.860 1.077 1,328 1554 1.943 2.864 &682 Length (ft) Capacity in Cubic Feat of Gas per Hour 10 1,860 3,720 6.710 11,600 17,6W 31.6W 87,300 169,000 20 1.280 2.560 4,610 7,990 12.1W 21,700 %000 116.000 30 1,030 2.050 3,710 6,420 9,690 17.400 48,200 93.200 40 878 1,760 3,170 5,490 8,300 14.900 41,200 79.700 50 778 1.560 2.810 4,870 7.350 13200 36,600 70,700 60 705 1.410 2,550 4,410 6,6N1 12.000 33.100 64,000 70 649 1.300 2.340 4;OW 6,130 11,001) 30,500 58.900 80 603 1,210 2,180 3,780 51700 10.200 2&300 54.800 90 566 1,130 2.050 3,540 5350 9.610 2&600 51,400 IW 535 1,070 1.930 3,350 5.050 9.690 25.100 48,6(K) 125 474 949 1,710 2,970 4.480 8,050 22.300 43.000 150 429 860 1,550 2,690 4,060 7.290 20.200 39,000 175 395 791 1,430 2,470 3,730 6.710 1&600 35,900 200 368 736 1,330 2,300 3,470 6,240 17.300 33.400 250 326 652 1,180 2,040 3,()811 5.5.10 15,3011 29,600 300 295 591 1,070 1,850 2,790 5.010 13.900 26,800 350 272 544 981 1,700 2,570 4.610 12,800 24,1W 400 253 506 913 I'M 2,390 4.290 11,900 22,900 450 237 475 856 1,480 2,240 4.020 11.100 21,500 500 224 448 809 1,400 2,120 3,800 10.500 20.300 550 213 426 768 1,330 2,010 3.610 9.990 19,300 600 203 406 733 1.270 1.920 3.440 9,530 18,400 650 194 389 702 1.220 1.840 3,-W 9,130 17,600 700 187 374 1 674 1,170 1,760 3.170 8.770 16,900 750 I80 360 649 1,130 1,70D 3,050 8.450 16,300 800 174 348 627 1,090 1,640 21950 8,160 15,800 850 168 336 607 11050 1,590 2.850 7,890 15,3W 900 163 326 588 1.020 1S40 2370 7,650 14,8W 950 158 317 572 9W 1S00 2.690 7,430 14,400 I,OW 1 154 308 556 1963 1,450 2,610 7,230 14.000 1,100 146 293 528 915 1.380 2.480 6,870 13.300 1.200 139 279 504 873 1,320 2.370 6.550 12,7W 1,300 134 267 482 836 1260 2,270 6.270 12.100 1,400 128 257 463 803 1,210 2,180 6.0.10 11.600 1.500 124 247 446 773 1.170 2,100 5,810 11200 I,f4N1 119 239 431 747 1,130 2,030 5,610 10.800 1,700 115 231 417 723 1,090 1,960 5.430 WOO 1,800 112 224 404 701 1,060 1.900 5.260 10,200 1,900 109 218 393 680 1.030 I,R50 5.110 9.900 2,W0 106 212 382 662 1.000 1.8W 4.970 9,600 For SL 1 inch= 25.4 mm, I foot = 304.8 ram, I pound per square inch = 6.895 kP2, 11-inch water column = 0.2489 LP2, 1 British thermal unit per hour = 0.2931 W, I cubic foot per hour = 0.0283 m'Ih, I degree = 0.01745 rad. Note: All table entries have been rounded to three significant digits. 48 FLORIDA BUILDING CODE — FUEL GAS, 7th EDITION (2020) POST CERTIFICATE CONSPICUOUSLY Maw ur Fliwidki Isuplarinlrllt 4,r Agriviplttlry and ['ismtomvr 4rrvicr% D1: 1"64111 of Cow-uir orr •%cr% ivc% 1850)9 1-IM91 240115 A alacher i..iquificd Petroleum Gas License IT Gas Installer kc gr al-W.' m No 1.131 " i g" 41 . s02 l 1z.1� f'�•r '_ I a . 1 Oft?( ���ai11�:1C i11 .� (.:',yll�' + !III► . �it�.11lE ti� ncri%IN-r'. thk I14'0:fl ' 1111.I d Iil.l F F !. t t11- t, AS tiF_1(1 It Eti t 0141 r. 4f 7�., I''h"NJ, Imp r11SI ti� �� l 61 `1 t 1 `f i It 1 t� i f. �')..� �1�2• I.�if State of Florida Department of Agriculture and Consumer Services Division of Consumer Services __- 2005 Apalachee Pkwy Tallahassee, Florida 32399-6500 Registration No.: LQ29610 Issue Date: August 6, 2021 Expiration Date: September � 1, IW4 Master Qualifier Certificate This certificate is issued under the authority of Section 527.02, Florida Statutes. RENZO F. FIGALLO LI32861 BLUE FLAME GAS SERVICES CORP 1787 NE 180TH ST NORTH MIAMI BEACH, FL 33162-1501 NICOLE "NIKKI" FRIED COMMISSIONER OF AGRICULTURE 2022 - 2023 -No.r Acct No: Business Name: Location Activity: 4940 City of North Miami Beach BUSINESS TAX RECEIPT BTR-190555-2022 BUS-793934-2022 BLUE FLAME GAS SERVICES 1787 NE 180 ST NORTH MIAMI BEACH. FL 33162 BUSINESS OFFICEIRESIDENTIAL LOCATION: ONLY Remarks: HOSIF OCCUPATION: AS PER OkDINANCE- NO.94-10 & 2010-6 Valid 09/30n023 Taxes: S.14495 Penalty Fee: S0.00 Credit: S0.00 TOTAL PAID S 142.05 This receipt is non -transferable Wthout City approval and is only valid at the location(S) listed herein COY of ;`otth Miami Bctidt 17 aim City of North Miami Beach Community Development Division Business Tay Receipt 17050 NE 19 Avenue North Miami Beach, FL 33162 MAIL TO: BLUE FLAME GAS SERVICES 1787 N E 180 ST NORTH MIAMI BEACH, FL 33162 Thay- *you for choosing the City of North Miami Beach! You can now visit us online at www.citynmb.com Cit% of North Miami Beach I]aIII I THIS IS YOUR 2023 - 2024 BUSINESS TAX RECEIPT. I Important Reminders: Business Tax Receipts expire September 30, 2024. You must submit all fees and documents (if applicable) prior to that date you may be subject to delinquency fees, an additional Cost Collectoin Fee of $250, placement of a lien on the property, and/or involuntary shutdown of this business by the Police Department. You are required to notify the City, in writing, if there have been any changes in ownership, location, nature of business, any contact information, and/or when this business ceases operations. This is in order to ensure that you are not billed in error. Failure to notify this office of such charges may result in the assessment of penalty fees and collection activities. Have anv more questions? Our friendly staff is here to assist you by phone, (305) 948-2917, Monday -Friday from 8:30 a.m. - 5:00 p.m., or at our office Monday -Friday from 9:00 a.m. - 4:00 p.m. We would love to hear from you! *** THIS IS NOT A BILL - DO NOT PAY *** Please detach the below receipt and display in a conspicuous place. 2023 - 2024 City of North Miami Beach valid 10/01/2023 - BUSINESS TAX RECEIPT 09/30/2024 No.: BTR-00000237 Taxes: $142.05 AectNo: BUS-793934-2022 Penalty Fee: $0.00 Business Name: BLUE FLAME GAS SERVICES Credit: $0.00 TOTAL PAID S142.05 Location: 1787 NE 180 ST NORTH MIAMI BEACH, FL 33162 This receipt is non -transferable without City approval and is only valid at the location(s) listed herein Activity: 4940 BUSINESS OFFICE/RESIDENTIAL LOCATION: ONLY Remarks: HOME OCCUPATION: AS PER ORDINANCE NO. 94-10 & 2010-6 C,6N] rll�„i Barcl, 1 ACORU® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 10/31/2023 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 CONTACT Al Mendez NAME: PHONE (877) 258-7580 FAX, No ; (866) 461-0503 MENDEZ & ASSOCIATES EMAIL ADDRESS: info@mendezinsurance.com mendezinsurance.com 2020 NW 150th Ave INSURERS AFFORDING COVERAGE NAIC is Suite 301 INSURER A : CENTURY SURETY COMPAN I 36951 Pembroke Pines FL 33028 INSURED INSURER 8 : INSURER C : Renzo Figallo Dba: Blue Flame Gas Services Corp INSURER D : 1787 NE 180 Street INSURER E : INSURER F : North Miami Beach FL 33162 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 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. MSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY MMIDD EFF I MMIDOPOLICEXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE a OCCUR AMAG E PREMISES Ea occurrence 100O00 $ + $ 5,000 i MED EXP (Any one person) Y $ 1,000,000 A Y CCP1132902 1 03/05/2023 03/05/2024 PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: i GENERAL AGGREGATE 1 $ 2,000,000 s 2,000,000 X POLICY PEST 17 LOC PRODUCTS - COMP/OP AGG $ OTHER: I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ nANY AUTO f OWNED (� SCHEDULED AUTOS ONLY I AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident)'!$ PROPERTY DAMAGE _(Per accident)$ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE QED I RETENTION $ Is WORKERS COMPENSATION AND EMPLOYERS' LIABILnY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE ER I STATUTE I I ERH E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N / A E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If es, describe under DESCRIPTION OF OPERATIONS below � t i i DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES (ACORD 101, Additlonal Remarks Schedule, may be attached If more space Is roqulred) LP Gas License # 32861 The Certificate Holder is listed as Additional Insured. rGaTIWIrreTr- unl nl=Q CANCELLATION 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 Hall Building & Zoning 10050 NE 2nd Ave AUTHORIZED REPRESENTATIVE Miami Shores FL 33138 e� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACORV CERTIFICATE OF LIABILITY INSURANCE �� YYY) DATE(M1/2023 10/3/202 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 endorsement(s). PRODUCER NAME: ONTAET Automatic Data Processing Insurance Agency, Inc. Automatic Data Processing Insurance Agency, Inc. Pie►HO N Ext : 1-800-524-7024 FAX No E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # 1 Adp Boulevard INSURER A: Technology Insurance Company, Inc. 42376 Roseland NJ 07068 INSURED Renzo Figallo INSURER B : INSURER C : INSURER D : DBA: Blue Flame Gas Services Corp. INSURER E : 1787 NE 180th Street INSURER F : North Miami Beach FL 33162 COVERAGES CERTIFICATE NUMBER: 3286137 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. INSR TR TYPE OF INSURANCE I SD WVD POLICY NUMBER MM/DDA-M MMIDD EXP i LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE71 OCCUR ' i EACH OCCURRENCE PREMISES Ea occurrence MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG $ $ $ $ GEN'L AGGREGATE LIMIT APPLIES PER: ' PRO �1 LOC i —POLICY, JECT �� OTHER: $ $ I $ AUTOMOBILE LIABILITY ANY AUTO OWNED �- SCHEDULED 4 AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 1 COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident Is �$ `UMBRELLA LIAB EXCESS LIAB L-1 OCCUR CLAIMS -MADE I EACH OCCURRENCE is AGGREGATE Is DED I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ! N ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A N TWC4183049 12/0412022 12/04/2023 ` OTH- , STATUTE I ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500.000 E.L. DISEASE -POLICY LIMIT $ 500,000 I DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. Building Department AUTHORIZED REPRESENTATIVE 10050 NE 2nd Ave Miami Shores FL 33138 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACORL® CERTIFICATE OF LIABILITY INSURANCE `� DATI1/27/2023 Ir) 11/27/2023 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 endorsement(s). PRODUCER Automatic Data Processing Insurance Agency, Inc. 1 Adp Boulevard Roseland NJ 07068 CONTACTAutomatic Data Processing Insurance Agency, Inc. PHONE N 1-800-524-7024 FAX No E-MAIL ADDRESS: INSURER 3 AFFORDING COVERAGE NAIC # INSURER A: Technology Insurance Company, Inc. 42376 INSURED Renzo Figallo DBA: Blue Flame Gas Services Corp. 1787 NE 180th Street North Miami Beach FL 33162 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: 3327636 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 TYPE OF INSURANCE ADDLSUBR IN-g POLICY NUMBER AD EFF M MIDD ExP LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE E DAMAGE TO-REITIM PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JEC LOC OTHER: GENERAL AGGREGATE E PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS D ONLY NON -OWNED HIRED AUTOS ONLY AUTOS ONLY COMBINED SINGiE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per aocldent) $ E G Per accident $ S UMBRELLA LAB EXCESS LIAS OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I RETENTIONS $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) If yes describe under DESCRIPTION OF OPERATIONS below N / A N TWC4340441 12/04/2023 12/04/2024 PER OTH- STATUTE EACH ACCIDENT E.L.R L E.L. DISEASE - EA EMPLOYE S 500,000 $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Contractor License: LI32861 Master Qualifier # LQ29610 CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE FL 33138 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD