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CC-10-371Inspection Number: INSP - 153240 Scheduled Inspection Date: November 15, 2010 Inspector: Rodriguez, Jorge Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Adrian Hall Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: GDR LLC Building Department Comments INTERIOR REMODEL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments November 12, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Number: CC -3 -10 -371 Permit Type: Commercial Construction Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1121360010160 -07 Phone: (754)422 -4778 Page 20 of 31 41g\ l o A Miami Shores Village §3MgE *RAP -- ANA V Building Department ( ) 2O1C vck° BUILDING PERMIT APPLICATION FBC20 Permit Type: BUILDING Owner's Name (Fee Simple Titleholder) BA9.P4/ COt [EG2E Phone # Owner's Address SA P.Q../ COU Ee . 11 f.3 -E 2 " 4E - Cit m ill, mi ,5uCCL. State -�- L 02i O A Zip _,3 Tenant/Lessee Name Phone # Email Job Address (where the work is being done) 1.1 Z AV. l lie.€ is . Q'FF City Miami Shores Villa ee FOLIO / PARCEL # MallitiMOCLIO Is Building Historically Designated YES NO, Flood Zone Contractor's Company Name Contractor's Address 19 STZ`E'r City .HOLLY Ci State'L�/? Qualifier Name 1 C LIS4Na)O State Certificate or Registration No. Cam' . 151 ©1 2 Certificate of Competency No. 7 nci e-(72 q 7 7 S E -mail 'Contact Phone eks Nameif ap Value of Work For this Permit $ ° Lc 5 V) ,Type of Work :., , DA.adition Describe Work: *** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ O • Permit Fee $ Notary $ n Scanning $ .-1 Double Fee $ 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 (IISK LL( County Miami -Dade Zip _311Q Q Permit No. Master Permit No. CC IC -31 Agn A rJ 1 BY: ctc 00y Ifo33 Phone # 75 QS 1 S 4 lLl/L� Zip 3?DO2f) Phone # 7 L4 �_ Ca • tot. 041e. WADER. AN° kWSoephone # { 360 f303 X Alteration CCF $ IM rA O" Training/Education Fee $ 2 • 'Q Radon $ DPBR $ c2 •1O Square / Linear Footage Of Work: EINew ❑ Repair/Replace Violation date: cc�� Structural Review. $ Total Fee Now Due $ o(A See Reverse side -* ❑ Demolition a .F +L awY:av; . FUER 00 41 oft 'vim sooa * * * * * * * * * * * * ** CO /CC $ Technology Fee $ 11 • Bond $ Bonding Company's Name (if applicable) Bonding Company's Address 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done incompliance 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 COMIVILNCEMM t;®_ra 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 t be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the abse ce o such posted notice, the inspection will not be 'prove and a reinspection fee will be charged. Cone = ctor 1 The foregoing instrument was adknowled.\ . before me this Of day of r i 0'A , ! ir'v, 4 T:egit v l-si ateaN0 4: p m 20 1Q, by 70,40 6emsta. , who is personally known to me or who has produced who ispeerson to me or has produced as ide. + '. ► a 'o s and who did take an oath. NOTARY PURL Signature ���` �iZV GAD Signature Owner or Agent The foregoing instrument was acknowledged before me this 1 tra As identification and who did take an oath. NOTARY PUBLIC: Sign: , Print: Li My Commission Expires: APPROVED BY LINDA b. MITTS % Notary Public - State of Florida My Comm. Expires Jun 16, 2013 Commission • 00883031 Bonded Through National Notary Asap. ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Revised 07 /10 /07)(Revised 06/10/2009) Plans Examiner Engineer Sig ways Notary Public State of Florida Juan P Liao Kano My Commission DD7490e5 Expires 01/15/2012 Print: ZVp,✓ 9. awit#0'b My Commission Expires: a/i 4/20tt **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Zoning Clerk checked NOTICE OF COMMENCEMENT A ME CORDED COP MIRE POSTED ON TIM JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO.CCAO -5 I TAX FOLIO NO. 11 a OC O • STATE OF FLORIDA COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida. Statutes, the following information Is provided In this Notice of Commencement Space above reserved for use of recording office 1. Legal description of property and street/address: 524 it(C) ACS �{ C.X NE ray !Ass EQsT t� 41n Y i�'� tz>✓_ 1 7 4®o si= / I1 NE ›td NA1G1 2. Description of improvement: EL0466 Ovj 3.Owner(s) name and address: BARSly COL [E CoE . 11300 N -E AVM.. M 1 A141 .S t l Y S 1 1 3? 1(p interest in property: Name and address of fee simple titleholder: 4. Contractor's name, address and phone number. Not / uoD, F1- 3"5070 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number NA Amount of bond $ 6. Lender's name and address: NA 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as . vide; by Section 713.13(1 Xa)7., Florida Statutes, ��;, �a;,, Name, address and phone number ,� c F� fa © - r:� Lid —. � STATE 0 8. In addition to himself, Owners designates the following persdi o 713.13(1)(b), Florida Statutes. aunt Name, address and phone number. NA 9. Expiration date of this Notice of Commencement WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR IA E OF COMMENCEMENT. 1 Signature(s) of By Print Name Titie/Office STATE OF FLORIDA COUNTY OF MIAMI -DADE The fpregoing Instrument was acknowledged before me this By cta■ t, C. eg4 u ❑ II dividually, or was V I Personalty known, or ❑ produced the following type of ident Signature of Notary Public: Print Name: (SEAL) VERIFICATION PURSUANT TO SECTION 92.525. FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated I are true, to the best of my knowledge and belief. Signature(s) of By 123.01-52 PARE3 11/07 s)' Authorized OM �i (the expiragon date is 1 - Z of recording unless a different date is specified) /Mena • er ytoc,wcAd000 3302o 110 day of FrA9r4A for on: 111111111111111111111111111111111111111111111 ' CFN 2010R0255504 OR Bk 27252 Ps 4773; tips) RECORDED 04/16/2010 15:29 :37 HARVEY RUVINP CLERK OF COURT MIAMI-DADE COUNTY? FLORIDA LAST PAGE 41) 9DLJ& GGN?L & I II LINDA b. MITTS Notary Public - State of Fulda My Comm. Expires Jun 16, 2013 Commission #► 00 863031 Bonded Throwf Mal Nen i un. s)'s Authorized Officer/Director/Partner/Manager who signed above — By PRODUCER Florida Banker& Insurance 7278 SW 8 Street Miami, FL 33144 Phone (305)286 -6493 INSURED GDR LLC 1940 WILSON ST HOLLYWOOD, FL 33020 COVERAGES eiss ADD'- NSW OTHER TYPE OF INSURANCE POLICY NUMBER PAX GENERA!. LIABILITY © COMMERCIAL GENERAL LIABILITY ❑ 00 CLAIMS MADE in OCCUR LJ 0 GEN'L AGGREGATE LIMIT APPLIES PER: Q POLICY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY ❑ ANY AUTO [] ALL OWNED AUTOS ❑ ❑ SCHEDULED AUTOS • HIRED AUTOS ❑ NON OWNED AUTOS 0 GARAGE LIABILITY ❑ ❑ ANY AUTO 0 EXCESS / UMBRELLA LIABILITY ❑ OCCUR ❑ CLAIMS MADE ❑ DEDUCTIBLE ❑ RETENTION 8 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under SPECIAL PROVISIONS below DESCRIPTION OF OPERATIONS t LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CERTIFICATE HOLDER ACORD 25 (2009/01) QF MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2nd AVENUE MIAMI SHORES, FL 331382382 6LEE' °N • Fax (305)262.0679 CERTIFICATE OF LIABILITY INSURANCE GL -0504001712 -00 DATE (MM/DD/VV) 02/15/10 TH)S CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. RAC >3 INSURERS AFFORDING COVERAGE INSURER A AMERICAN VEHICLE INSURANCE CO. INSURER 8: INSURER a INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 06/05!2009 CANCELLATION POLICY EXPIRATION !)ATE (6961RIIIr Wv) 06/05/2010 AUTHORIZED REPRESENTATIVE MARTA M ALONSO EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any nne psmors} PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGO COMBINED SINGLE LBW (Ea accident) BODILY INJURY (Per parson) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) LIMITS AUTO ONLY EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: EACH OCCURRENCE AGGREGATE AGG ❑ Tom' LIMITS %H. E.L. EACH ACCIDENT E.L DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT 1,000,000.00 100,000.00 5,000.00 1,000,000.00 2.000,000.00 2,000.000.00 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. 1988 - 2009 ACORD CORPORATION. All rights reserved. The ACORD name and Logo are registered marks of ACORD wdza :v OIOZ It'aed Hawk Fulwider and Associates, Inc. Jack J. Hawk 125 NE 2nd Ave. Deerfield Beach Florida 33441 (954) 360 -1303 website: hawkfulwider.com email: Ja ckeha wkfu I w i der.com State License AA C002146 April 15, 2010 Mr. Norman Bruhn - CBO Miami Shores Village Building Dept. Architectural Plan Review Design and Planning Re: Barry University Adrian Hall Improvements Miami Shores illage, Florida Dear Norman Bruhn, The following addresses your plan review sheet. 1.) I assume this will be part of the normal routing procedure. 2.) I assume this will be part of the normal routing procedure. I will make sure the plan runner is aware of these requirements. 3.) Mechanical plans by others.. ---,7 j,//a/a &i a/'- P G 4.) We have a location plan in the lower right hand comer that describes the location and building. `Adrian'. We have also supplied a plan (FYI) that was supplied to us by Barry University from Harper Partners, Inc. I hope this sufficient as there is no survey at this time. There is not exterior improvements or expansion with this permit. 5. We have provided building data and research on how this building complies with the current FBC 2007. We feel it complies as a Type II (B) and the justification is `clouded' on the revised sheet A -1. If there are any questions with regard to this please do n t hesitate to contact me. . Hawk awk, Fulwider and Assoc., Inc. )_c_crTzv APR 1 6 2010 it BY: ..m..o E -1 Brand: Frigidaire EER 9.4 10.600 BTU Model : F AH1OES2T Transcript Department 167 sf Assistant Registrar 173 sf Brand: Frigidaire EER 10.8— 8.000 BTU Model : F AA085P7A qc Ifier 4-15-10 Cref, Scale 1/4".1*-0" Brond: LG EER 9.8 8.000 BTU Model : L WHD8008R 0 Director of Operations 1389f Registration 363 sf 0 0 Brand: Friedrich X—star 8.000 BTU Brond: Whirlpool Quiet Miser 8.000 BTU Model : ACHO 82XD0 _J Records Coordinator 134 sf . 1.13.212=11 I I BARRY UNIVERSITY REGISTRAR'S OFFICE - ROOM 110 EXISTING COMPACT AC UNITS t Brand: Frigidaire EER 10.8— 8.000 BTU Model : F AA085P7A Brand: Frigidaire 14.000 BTU Model : F AH146Q2T2 Record Rea Roam 299 sf 11111111111111111 MUNN OMNI rLJ • 0 REFERENCES: 1 Existing Com[act A/C wall and window units to remain 2 Each unit ore conected to a dedicated circuit GDR construction I management 1940 Wilson Street Hollywood, Florida 33020 754-422-4778 1 Hawk Fulwider and Associates, Inc. April 15, 2010 Mr. Norman Bruhn - CBO Miami Shores Village Building Dept. Architectural Plan Review Design and Planning Re; Barry University Adrian Hall Improvements Miami Shores illage, Florida Jack J. Hawk 125 NE 2nd Ave. Deerfield Beach Florida 33441 (954) 360 -1303 webs i te: hawkfulwider.com email: Ja cksha wkfu I w ider.com State License AA 0002146 Dear Norman Bruhn, The following addresses your plan review sheet. 1.) I assume this will be part of the normal routing procedure. 2.) I assume this will be part of the normal routing procedure. I will make sure the plan runner is aware of these requirements. 3.) Mechanical plans by others. 4.) We have a location plan in the lower right hand comer that describes the location and building. `Adrian'. We have also supplied a plan (FYI) that was supplied to us by Barry University from Harper Partners, Inc. I hope this sufficient as there is no survey at this time. There is not exterior improvements or expansion with this permit. 5. We have provided building data and research on how this building complies with the current FBC 2007. We feel it complies as a Type II (B) and the justification is `clouded' on the revised sheet A -1. If there are any questions with regard to this please do n ' t hesitate to contact me. 111 . Hawk awk, Fulwider and Assoc., Inc. F?. a �+ , BYe_.e___._____m_oo__o Brand: Frigidaire EER 9.4 10.800 BTU Model : F AH1OES2T Transcript Department 167 of Assistant Registrar 173 elf J Brand: Frigidaire EER 10.8— 8.000 BTU Model : F AA085P7A Brand: LG EER 9.8 8.000 BTU Model : L WHD8008R 8 Director of Operations 138sf Registration 363 sf o Brand: Friedrich X —star 8.000 BTU Brand: Whirlpool Quiet Miser 8.000 BTU Model : ACHO 82XD0 Records Coordinator 11 134af 11 1Lhery men Too BARRY UNIVERSITY qc. Ier REGISTRAR'S OFFICE - ROOM 110 4 -15 -10 15t© Scale 1/4 " =1' -0" EXISTING COMPACT AC UNITS Brand: Frigidaire EER 10.8— 8.000 BTU Model : F AA085P7A Brand: Frigidaire 14.000 BTU Model : F AH146Q2T2 Redd Ries Room 299 of REFERENCES: 1 Existing Com[act A/C wall and window units to remain 2 Each unit are conacted to o dedicated circuit. GDR d construction !management 1940 Wilson Street Hollywood, florkle 33020 7544224778 Jun 28 10 03:37p GDR .,�I�RU A CERTIFICATE OF LIABILITY INSURANCE 9549223084 p.1 DATE (MINODATYY) 03129(10 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 POIJCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: lithe caAIBoste holder Is en ADDITIONAL, INSURED. the pollcy(1ee} nmet be endorsed, If SUBROGATION 1S WAIVED, earbjectto the tonne and condone of the popsy, csit iln policies may require an endorsement Aatatanent on tills certltlaate does not confer rights to the certificate holder in flat clench erndorsement(s). PRODUCER eXttrAct MARTA ALONSO Florida Bankers Ireurano MIL 7278 SW 8 Street Miami, FL 33144 Phone (305)2E8 -13493 Fax (305)262.0679 USSUREs GDR LLD 1940 W3Son St HOLLYWOOD, FL 33020 (954) 922 -3084 COVERAGES II�iI TYPE OFTNSURAxcE GENERAL IMMUTY • COMMERCLAL GENERAL(JABILrY ❑ ❑ a.AMsNam ® omen 0 GENT. AGGREGATE L? tTAPPLF.SPER ® POLICY ❑ Js Los AurrorOes.e LIAMU Y ❑ sew *tyro ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTO$ ❑ HIRED AUTOS ❑ NOR - tWNEDAITTOS 0 ❑ DMBRELUTLUIB ® OCCUR CC UAB (x AMS JADE ❑ DeouciaLE RETENTION 1 COMPENSATION MD EMPLOYERS' LIABJTY ANY PROPRIETOMPARINEMEXECUMEE OFFOCERIMTSRBEROCCLUDED? NIA (Myaena y In NH) GE4RI describe NCR OPERATIONS Wow CERTIFICATE HOLDER ACORD 25 (20091'09) CIF 1NBR MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2nd AVENUE MIAMI SHORES, FL33138 -2382 POLICY NUMBER BINDER d 10577 INSURER B INSURER O • INSURER D : INSURERS: 03G5P2010 DESCRIPTION OFOPERATIONS / LOCATIONS I VEHICLES gnu* nCORD 101, AddtNaruI Ramada 5dwdula, S ae.. UP1100 I. requlr d) CANCELLATION UtOOME9D REPTEEIBITATIVE MARTA ALDNSO marts @Aoridebanketslnsurance.corm INSURE/ES) AFFORDING COVERAGE I NSURERA: ESSEX INSURANCE COMPANY INSURER CERTIFICATE NUMBER: REVISION NUMBER: THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIR13NBIT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED EY THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH PONCES UImTS SHOWN MAY HAVE BEEN REDUCED BY PAO CLAMS 03/2512011 EACHCCCURRENCE PREMISES 1E 11 etactmarval MED EXP (Anyone pawn) PERRONAL a ACV INJURY GENERAL AGGREGATE PRODUCTS - COMPIOP AGG COMBINED SINGLE Lt4rr (Ea.Midena BODO.Y INJURY was PMSOn) BODILY INJURY (Par accident) PROPERTY DAMAGE (Par accident) EACH OCCURRENCE AGGREGATE Ft N1 1 YY tVi r m EL EACHACOnENT S E.L. DISEASE - EA EMPLOYE S EL DISEASE POLICY LIMIT $ Nuh (305) 282.0679 UNITS s 2,000.000.00 S 50400.00 s 1.000.00 s 2,000.000.00 S 2,000.000.00 s 2,000.000.00 5 5 5 s 1 S i 9 s 012,14-4 MAIL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1986 -2aas ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD