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CC-11-256Inspection Number: INSP- 158941 Permit Number: CC -2 -11 -256 Scheduled Inspection Date: May 02, 2011 Inspector: Bruhn, Norman Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Miami Shores, FL 33138- Project: BARRY UNIVERSITY Building Department Comments April 29, 2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: EMERALD CONSTRUCTION CORPORATION For Inspections please call: (305)762 -4949 Permit Type: Commercial Construction Inspection Type: Final Building Work Classification: New Phone Number Parcel Number 1121360010160 Phone: (954)241 -2583 BARBECUE ENCLOSURE Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments rc Page 23 of 27 41-(942 )3 A a _ ( Miami Shores village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fa= (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 B UILDING Permit No.� PERMIT APPLICATION Master Permit No FBC 20 Permit T BUILDING ROOFING 10{c@lovin FEB 1 5 2011 OWNER: Name (Fee Simple Titleholder): 81 R�� nwZe.g Phone#:3D5 - C 05 Address: 1 13 00 W F_ 2 e• ` Avo- � C i t y : m t A rv' I S.t 4aREs S t a t e : • * 1 . 0 2 ' ( — � 33% Phone#: Tenant/Lessee Name: Email: JOB ADDRESS: 1 13 CYO n e 2 ^ d Ave_ City: Miami Shores County: Miami Dade Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: em ERA L- o Cio1'ksikuC 1i OAI CO • Phone#: ¶ /S' - s 241 ` 2,S %3 • Address: IQib nWAf IS CpVt2-ti City: 4-1 L-LA rctA1 State: Qualifier Name: (n A R AG Nv net W es State Certification or Registration #: C SC 15 1 131-1 S Contact Phone#: /0 S 4 S° t 57 4 Email Address: DESIGNER: Architect/Engineer: Value of Work for this Permit: $ 5!S ®0 Square/Linear Footage of Work: 44 1 7- ODemolition Type of Work: °Addition °Alteration (New �ep� /Reps Description of Work: a PA e. (32) l^N L LoS or t. zip 33 ® 0 Phone#: 3D 450 -- Certificate of Competent 4I ala..wk (OC,/fe r'al is 7S' RI c2 'n ^(a Go r» Phone#: ******** *** * * * * ** * * * * * * * * * * * * * * * * * * * * ** Fees************ * * * * * * * * * * * * * * * * * * * * * * * * * ** * * ** Permit Fee $ ?220 CCF $ CO /CC $ Submittal Fee $ Bond $ S Fee $ Radon Fee $ DBPR $ Notary $ cation Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature G?f / Owner or Agent The foregoing instrument was acknowledged before me this l day of forbikny , 20 6 , by lei NA IA. kfrititY4 ho is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: My Commission Exp: APPROVED BY 1� %` j /4/ Plans Examiner Structural Review (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) Signature Contractor �? The foregoing instrument was acknowledged before me this . day of 3C;.. We iS{ , 20 1 C , by Nee ' le..c' e -A lA �,,v is , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Vi Print: + Oct f My Commission Expire..' ;Y p;:i,, Gilda Pereda .:. �5 #DD734956 • nl ��oj EXPIRES: DEC. 07, 2011 Wei ' q0gligosz*** Zoning Clerk NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made property, and In accordance with Chapter 713, Florida Statutes, the following is provided in this Notice of Commencement 1. ne ncrt1 andP II dre t 1 rC. 1-Act /�)06 2. Description of improvement CCi"t'_ — 8.46 3. Owner(s) name and address Interest in property: Name and address of fee simple titleholde 4. s name, address an r: 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number. Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.,, Florida Statutes, Name, address and phone number 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number. 9. Expiration date of this Notice of Commencement the (theexpInttlon date is t year Aron the date of reoordng urn a dfferent date tespectfiedl 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 NOTICE T. =as OF COMMENCEMEN Signed:ure(s) of BY �Oc O ' Authorized Ofltcer/ Director /Partner/Manager'r''. if , Prepared S O Print Name Print Name LINDA M . �o Oro %' Prepared a i r '° -r V (C - ■ � e e S Tltle/Ofce PI)OvOSt Title/Oftice - • 3St 3g STATE OF FLORIDA The COUNTY OF MIAMI -DADS y ,.4 , r n .. _. w n v 2011 day of eras By L i ❑ Individually, or ; as • (_+ 1. Personally known, or ❑ produced 4 following type of Signature of Notary Public: Print Nam • ( Under penalties of perjury,1 declare that I have read the that the facts stated In It are true, to the best of my 1234142 RACES y+o 111111111111 Hill 11111 11111 111111111111111111 c :FN 2011R0127459 OR Bk 27199 Ps 1063; (1RS ) RECORDED 02/25/2011 14:35:43 HARVEY RUVItit CLERK OF COURT MIAMI —DADE COUNTY, FLORIDA LAST PAGE r ,•�,,. ,: . r STATE OF FL 1 HEREBY CER cmigg l!' COUNTY OF OADE FY t h e P h i s i s a P e> of the deli Of O.C. Space above reserved for use of recording office Mme �t���►►_ _ �1'► Rz ,'�t►.I+�ii>>�A7►T7+�► . Signature( Owner(s) or er(srs Authorized Officer/Director/Partner/Manager who signed above By BY uer11 IrIGA 1 e nuIuen Miami Shores, Village of Building Dept 10050 NE 2 Avenue Miami Shores, FL 33138 �^•- -•-� -^ • SHOULD ANY ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR IJABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE �� _ D Mel Wiesel /LOURDE " �- VenMUe.7 THE POLICIES ANY REQUIREMENT, MAY PERTAIN, POLICIES. AGGREGATE OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE 11AM/DDIYYt POLICY EXPIRATION DATE 1MM/DD/YYI S A �� GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY BCP0365 08/11/2010 08/11/2011 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PRFMIFFS (Fa nrr wane. $ 100 000 X I CLAIMS MADE X OCCUR MED EXP (My one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 X Contractual Liab GENERAL AGGREGATE $ 2,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGO $ 2 , 000 I POLICY I T I JECT n LOC B AUTOMOBILE UABuLm ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 21UENQT2496 08/11/2010 08/20/2011 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY person) (Per p $ BODILY INJURY (Per accident) $ — PROPERTY DAMAGE (Per accident) $ GARAGE UABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ EA ACC $ AUTO ONLY: ACC $ C EXCESS/UMBRELLA UABIUTY EBU011636039 03/19/2010 03/19/2011 EACH OCCURRENCE $ 5,000,00C AGGREGATE $ 5 , 000, OOC OCCUR CLAIMS MADE $ $ DEDUCTIBLE $ X RETENTION $ 0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? It yes, describe under SPECIAL PROVISIONS below I T I IMI I I E.L EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ E.L DISEASE - POLICY OMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDOEiBEMENT / SPECI APROVISIONS Project: Barry University, 11300 NE 2 Ave, Miami Shores, Fi 33138 :ertificate holder is named additional insured as respects Commercial General Liability if required by 'mitten contract. Umbrella is Follow Form. *10 Day Notice of Cancellation will apply for nonpayment ACORQ CERTIFICATE OF LIABILITY INSURANCE PRODUCER (305)822 -7800 FAX (305)558 -4294 Collinsworth, Alter, Fowler & French LLC P. 0. Box 9315 Miami Lakes, FL 33014 -9315 NWAMD Emerald Construction Corp 1086 NW 1st Court Hallandale Beach, FL 33009 THIS 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. INSURERS AFFORDING COVERAGE INSURER A: Benchmark Insurance Company INSURER B: Sentinel Insurance Company INSURERC: Commerce & Industry Ins Co. INSURER D: INSURER E: DATE (MM/DD/YYYY) 02/14/2011 NAIC # ACORD 25 (2001/08) ACORA, CERTIFICATE OF LIABILITY INSURANCE I DA1E(MWDDMYVf) 02/14/2011 PRODUCER (305)822 -7800 FAX (305)558 -4294 Collinsworth, Alter, Fowler & French LLC P. 0. Box 9315 Miami Lakes, FL 33014 -9315 INSURED Emerald Construction Corp 1086 NW 1st Court Hallandale Beach, FL 33009 ONLY AND CERTIFICATE F NNFERS NOO RI©HTS UPON THE CERTIFICATE OF NY AN ATE DOES NOT AL's THECAE CORDED BY POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER a Benchmark Insurance Company miummi Sentinel Insurance Company INSURERC: Commerce & Industry Ins Co. INSURER D: INSURER E NAIL 9 COVERAGES _ ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT T TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. AGGREGATE LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. A RER B C ADD'L TYPE of INSURANCE GENERAL UABMY X CON ERCIA GEWIALUMMAY CLAIMS MADE © OCCUR X Contractual Liab OWL AGGREGATE UMIT APPLIES PER — 1 POLICY f J f LOC AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY RANYA EX UMBRELLA LIABILITY OCCUR ID CLAIMS MADE DEDUCTIBLE RETENTION $ 0 WORKERS COMPENSATION AND EMPLOYERS' UAEUITY ANY OFFICER /MEMBER E(CLUDAFlI NE EDDIECUTIVE 11 m, describe under SPECIAL PROVISIONS below OTHER POLICY NUMBER BCP0365 21UENQT2496 EBU011636039 08/11/2010 03/19/2010 POUCY TION I. PO •■1 08/11/2011 08/20/2011 03/19/2011 EACH OCCURRENCE DR aFT D n+) MED EXP (Any one per) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMB NE SINGLE LIMIT BODILY INJURY (Per won) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per ecc) AUTO ONLY - EA ACCIDENT AUTO ONLY: EA ACC AGO EACH OCCURRENCE AGGREGATE IT0RRV R I I FR EL EACH ACCIDENT EL DISEASE - EA EMPLOYEE EL DISEASE - POLICY UMIT $ 1,000,000 $ 100 000 $ 5,000 $ 1,000,00C $ 2,000,00C $ 2,000,00C $ 1,000,000 $ $ $ $ $ 5,000,0O $ 5.000,000 $ $ $ DESCRIPTION OF OPERATIONS / t.00ATIONS / VEIQCLES / EXCLUSIONS ADDED BY ENDORSEMENT / Project: Barry University, 11300 NE Ave, i respects o Miami al General Liability if required by Certificate holder is named additional Nritten contract. Umbrella is Follow Form. X10 Day Notice of Cancellation will apply for nonpayment SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MNL 30* DAYS warm NOTICE TO THE ONMECATE HGLDeNA1®TO THE LEFr, BUT FAILURE TO MAL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABMY OF ANY IND UPON THE OAR, ITS AGENTS OR REPRESENTATIVEa AMORQ@D REPRESENTATIVE Mel Wiesel /LOURDE CERTIFICATE HOLDER Miami Shores, Village of Building Dept 10050 NE 2 Avenue Miami Shores, FL 33138 ACORD 25 (2101108) © ACORD CORPORATION 1988 proposed W-0 barbetque Enclosure M09.10p3 TO SHOON19 ■11 m SOW . 12 . 002090.0. Sal u.!I% •41541 3. INC. nag SKETCH OF BOUNDARY AND 'TOP OGRAPRY SURVEY 7 ( A. R. TOUSSAINT & ASSOCIATES. INC. wmavm:we 820 O. 128 V. NORTH IL 3.3131 41 I z SCALE: 1 INC14 20 FEES - a 14- LIE NLLOr01W MEr 6 .3110 $ 0111 3 NMI 3 800 IN 8105 PLEASE CN1 LE MOINES WORE =IC (11 AI 43 T ILL 310-241-3824 rA. 404- 929 -u30 230 MN ROAD =1010(0430013 (3 matt 4. snag. - csir DOOM rrt 305-787,01 crrr or now earesa FAX 105-787-1009 1019 NE 19001. NORM 09134.21 33101 (33 1101. - C12091 FLORIDA 001ER 8 100 - 00E 4100 111618# 30 0160101 8004. 11 33131 -0000 MATCH LINE STA. 17 +OOW — SHEET 14 101 309-889 -1880 Ut 8.940. NM1E3 0093 Id+e -300r nn8 *�0 MP *910 MA09. A-Ti21 (9) 0 4 0034463.3 1 0 AOi. ROOF 31. & 309 - 3 -0139 moms 643 Nom ma FAX 303 -944-1110 9779t Ma T. M P WOO MACK it 0182 (e) S R 116011 WOE INSSYI FA %02 13990 KV 22 AVE 9031 SOD 11 MIL R MO* 018: 200900F+./13211/13403/ -19418 MATCH LINE STA. 17 +0OW — SHEET 16 IMO FEa i 5 aun II ?43,8 /1 'K .. T820 ID tC 08 PLAN VIEW 4' L' 8" CMU with Arch Cap 8' 8'-0" 12' 20" COUNTER TOP 0 00 EMERALD 0 0 0 0 • . c t._ 0 aJ 8 "X8" Arched Cap 8" CMU #5 © 24" O.C. 0 PLAN VIEW 1/8"=1'-0" 4' 2 # 5 Rebar od 8' 0 2 # 5's hooked into countertop 12' 2 # 5's 0 0 0 ft 1' -4" � —f #3 Rebar © 6" O.C. Transverse • 8" CMU #5 © 24" O.C. • Hook Bars into / countertop • EMERALD