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MC-09-2013 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Numbe INSP 136557 Permit Nu MC - 12 -09 - 2013 Scheduled Inspection Date: March 02, 2010 Permit Type: Mechanical - Commercial Inspector: Perez, JanPierre Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: Addition /Alteration Job Address: 11300 NE 2 Avenue Miami Shores, FL 33138 -0000 Phone Number Parcel Number 112136000005 Project: <NONE> Contractor: HILL YORK SERVICE CORP Phone: (305)756 -6501 Building Department Comments REMOVE AND REPLACE COLLING TOWER EXACT REPLACEMENT. V , o Inspector Comments Passed Failed Correction ��-- Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 01, 2010 For Inspections please call: (305)762 -4949 Page 19 of 27 / f Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 - 0000 Phone: (305)795 -2204 �, f K ai § � Expiration: 06/1212 Project A ddres s Parcel Number Applicant 11300 2 Avenue 1121360000050 Miami Shores, FL 33138 -0000 Block: Lot: BARRY UNIVERSITY INC Owner Informa Address Phone Cell BARRY UNIVERSITY INC 11300 2 Avenue MIAMI SHORES FL 33161 -6628 Contractor(s) Phone Cell Phone V 120,000.00 HILL YORK SERVICE CORP (305)756 -6501 0 Tons: For Inspections please call: Additional Info: COOLING TOWER (305)762 -4949 Classification: Commercial Available Inspections: Approved: In Review Inspection Type: Comments: Date Approved:: In Review Ventilation Date Denied: Type of Work: MECHANICAL Final Rough Rough Duct Duct Detector Test Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $72.00 Education Surcharge $24.00 MC - 12 - 09 - 36592 $ 4,395:00 $ 4,395.00 $ 0.00 Permit Fee - Additions /Alterations $4,200.00 Check #: 105819 Scanning Fee $3.00 Technology Fee $96.00 Work without Permit Fee $0.00 Total: $4,395.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. _ January 29, 2010 Authorized Signature: Owner / Applicant Contractor / Agent Date Building Department Cop January 29, 2010 1 W , WON + ' 1 "� i Miami Shores Village Building Department Y0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No mG( - 90 V) PERMIT APPLICATION Master Permit No. FBC 2004V.,4oU Permit Type Mechanical Owner's Name (Fee Simple Titleholder) 91 U 4 d�� Phone # � Owner's Address / t 3 b � �' Z.Z. d 4� City 4 /GIN 1 �G� e� S State L Zip — 3 3 1 61 Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name �� / ��. Phone # wjJ ` f 1 J � _v � D �ri C � Contractor's Address -) m l :� (.°� M �V 'f eq c1sq — qq nl — 9 ��'l ( — - SQwN C�-. City a F State � Zip 3 b ) fA G Qualifier Name Cl , r ' f ` f (� / S J Phon # , J4 . , 5 4"I T7 State Certificate or Regis ration No. ��}� �`L�J -' Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ CJ 610 Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ❑New Q Repair/Replace ❑ Demolition Describe Work: Repo 0 ✓P ✓t � k P /y UF' C.1 /' 7 wa f2 ,i't < ti �t r�i� ✓! at Ile C d ' Z- SO 7 [ *� Submittal Fee $ Permit Fee $ " � c t � �00 % o y CCF $ Q CO /CC Notary $ Training/Education Fee $ 0�4•� Technology Fee $ '0 Scanning $ 3 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee ;$ Structural Review. $ Total Fee Now Due $ See Reverse ide 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 inspecti n which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not b approved and a reinspection fee will be charged. Signature Signature axie�� Owner or Agent C The foregoing instrument was acknowledged before me this 7 The foregoing instrument was acknowledged before me thi day of c.cci 0 05 , by A') e K M cc— O ct w.ct rc day of A Q1/2M 20 D by G- X2 1.1) l� who is 2ers2n i y ltnown to me or who has produced who is personally known to me or who ha roduced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: " " "'•• LINDA S. MITTS AA %Notary Public -State of ftoa „...... Sign: S :, Tres dun 18, 2013 Sign: YARISMAR CASTRO Print: ,— WWI Commission # DD 863031 •: MY COMMISSION # DD702722 Assn. Print: EXPIRES August 07, 2014 My Commission Expires: My Com ln E , -0153 FloridaN . APPLICATION APPROVED BY: � 1 Plans Examiner Engineer Zoning (Revised 02/08/06) K(/' L 1-.u� � 0 : EC R7 2 17501 +.IPS } PERM{T# AXFOUO# �I�Z �(vd(�C��3� RECORDED 0 15:23:31 HARVEY RUt}INY CLERK OF COURT MIAf1I -IAaE Ct1UifTtr FLORIDA NOTICE OF COMMENCEMENT LAST PAGE STATE OF COUNTY OF _ 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 ace reserved for recorder. I. Legal description of property. LOT BLK SUB } TttES sp Property Address: G 2. O Lengthy Le al attached gig General description of improvement: Li'1'(E C46 1 - 41U& " t S 1 d Owner Information Name: 6RIM4 UN tverts f a. Mailing Address: 11 w ND �A b. Interest in property: B�1 c. Name & Address of fee simple titleholder (if other than owner): 4, a. Contractor's Name 4 6 b. Contractor's Address: ( V UJ 1 Ir c. Telephone & Fast 3 ( (00 - is-to (oral � o Couy�y S. a. Surety Bond Name: C^,OUT� Cr b. Address: S ;het ? ds . ?N A O f c� 1 c. Telephone & Fax: I r u gE d. Amount of Bond: n. pp WE TRIM 6, a. Lender Name a d u orco�N�ti 1 b. Lender Address: iy CL c. Telephone & Fax: 7, Persons within the State of Florida (name & addresses) designated er upon whom notices r other documents may be served as provided by Section 713.13(1)(a)7 Florida Statutes: Name: Address: Telephone &fax: 8. In addition to himself or herself, owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(i)(b), Florida Statutes: Name: Address: lb- Telephone & Fax 9. Expiration Date* of this Notice: *Expires one year from the date recorded, unless otherwise noted. 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 1, SECTION 713.13 FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU ! INTEND TOO i NC1NG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RE R NOTICE OF COMMENCEMENT. E --_._ °hu - - Fd�d.S. 13�cs�,v�� •� �i,�� -N�. Signature of ner or Owners Authorized Officer /Director /Partner /Manager TitlefOfflce The foregoing instrument was acknowledged before me this / �/ day of J4V &Ao2 20 p ,, by as cc y =i for R Aw<�c �G.� /�f � s . — J oy sr► Notary Public State of Florida / Cheryl Baida Gerber S4 ture of ary Public — State of Florida Print, Type. or Stan oned: Public Personally Known y OR Produced identification Type of ID Produced: t VERIFICATION PURSUANT TO SECTION 92,52S. FLORIDA STATUTES Under penalties of perjury. I declare that t have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. B Signature of Owner or Owners Authorized Officer /Director /Partner /Manager who signed above. ov Notary Public State of Florida Turn Over for Instructions ?o Cheryl Baida Gerber < M Commission Dp520060 Exp +res 05108 /2010 Cast a 13 AQ 0 CERTIFICATE OF LIABILITY INSURANCE SA PP�uxR THIS CERnMATE 18 NMPJM AS A #AATM "M OsiElin Insurance ONLY AND CONFERS MO UPON THE CJMYV4"VR 6700 North Andrews Avenue 6300 HOLDM THIS CERTWICATE 000 NOT AMA UTIM OR TE. Lauderdale TL 23709 A1 C OVIRA49 AMORM BY cm (954) 93B -ETRR INSURERS AFFOF40M COVMAN MAW I# INSURED MNIlRERA• FA 3TAN1tTACTVZSXf' AS CO 7. 9 Kill York Service Corporation INSURER B: PI ATIQ 6N 194 4!6 1115 S. Andrews Avenue IN C: Tort Lauderdale TL 73316 PISURSR0: C THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWI THSTANDINIII ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH RESPECT TO WHICH THS cERnpiCATE IMAY BE ISSUED OR MAY PERTASJ. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOV40J MAY HAVE BEEN REDUCED BY PAM CLAMS. =AM P rWJCYMUMm min= GENERAL LIABILITY EACM. 3 A X COMMERCIAL 001ERALLIABILITY 300973- 33 - 95 - -8 4/1/ 4/1/2010 na -- 6 3 @0 664 CLAIMS MADE SJ OCCUR MND W em S 10 660 X Pes Proi/Per Leo Agg PE RSOK04 AADVPLIMY ; 000 060 A4QRIIQA GENE AGGREGATE LM4IT APPLIES PER: PRODUCTS - COMFIOP AM M 1 0 4 " 0 .' Pomy X LOC AUTOMOBILE LIAMTY A X ANY AUTO 150900- 33- 95 -25 -5 4/1/2009 4/1/3010 e6deel> IT 6 i Op0 60 ALL OWNED AUTOS ApDB,Y BYIY SCHEDULED AUTOS 1 6 X HIRED AUTOS BODILY SULKY X NoµDW►iED AUTOS 4 PDAIaLGE s OARAGELIA114JTY AUTDOWY-FAACCOM S ANYAUTO THAN MAW 4 AUTO �Y: I EXCESSnrMBRELLA EACH OCCURIWICE 6 10,000, - a X OCCUR ❑ CLANS MADE 0116564746 4/1/8009 4/1/2020 AGGREGATE 6 10,400,600 6 DEDUCTIBLE i RE TK;SN 10, eoa 4 A WORKERS COMPOISATION AND 100975 33 95 - 25 - 9 4/1/2009 4/1/3010 X A EMPLOYERS' UASMUTY , ANY P ARTNERAlSEtUTNE EL SACH ACCIDENT 6 11600,084 OPF REXOLUD4D9 ILL RISi6ASE -SA 6 l 000 0 www w R.L • POLICY LIMIT 11 31,904,600 ; i S9E8CR1PTrON 0P OPERATIONS 1 LOCAM43I VEHIC U i EXCLUSIONS ADM BY SIIDORlRMT 10PRCIAL PROVOGNS *CAUCXL•LATION CLAUSR% 30 DAYS NOTICE OF CANCELLATION EXCEPT 10 DAYS NOTICE FOR MON- PAYNIM OF P12111UN. PROOF OT INSURANCE ONLY. CERTIFICATE CANC EIIATION $HM"ANYOFTHEAROWE DESCRIBED POLICIES SK CANGS11120 WPM WEIMPIKAION ? C1EY of Niaali Shores DATE TIMEOF. TK ISSUNG MURER WILL V MANOR TO M AL _30 DAYS WRITTOU NOTICE TO THE CORTMATE HOLM NAMM TO TIM LEFT. RUT FAA M TO 00 $0 04ALL 20050 N.E. 2nd Avenue IMPOSE NO OK10ATION OR LIABILITY OF ANY RIND UNN 114E O/SUR11K ITS AGN4TS OR REPRESM ATIVft Uiaai Shores PL 11111 AUTHOMEND REPRISONTAM11 ACORD 23 (200VOS) m ACORD CORPORA T i im Page 1 of 1 1 4/20/2 ®0f IMPORTANT If the certificate hokler Is an ADDITIONAL INSURED, the poky(Ws) must be endorsed. A statement on this certificate does not confer rights to the cortificate holder In lieu of such andomement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate hokler in lieu of such endorsement(s). j DISCLAIMER The Certificate of Insurance on the reverse site of this form does not constitute a contract between the Issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or after the coverage afforded by the policies listed thorson. i i i i i ACO3RD 28 (20011118) Page 2 of 1 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 - 1395 1940 NORTH MONROE STREET .�` TALLAHASSEE FL 32399 -0783 LEWIS, GREGORY MICHAEL HILL YORK 2125 S. ANDREWS AVE. FORT LAUDERDALE FL 33316 l STATE 4 F FORFDA Al CI 9 Congratulations! With this license you become one of the nearly one million DEj?ARTM # Floridians licensed by the Department of Business and Professional Regulation 4�F iUSI]iESS Our professionals and businesses range from architects to yacht brokers, from = ��E35ONAL REGULIATICtAt boxers to barbeque restaurants, and they keep Florida's economy strong. C'MC0 10/13/08 070459516' { Every day we work to improve the way we do business In order to serve you better. For information about our services, please log onto www.myfloridalicense.com. CSiTIFLD - MECHANICAL 651d &01' There you can find more information about our divisions and the regulations that LF•WI$',!, "" 3REGORY MICHAEL Impact you, subscribe to department newsletters and learn more about the 3' HI,L' MURK Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Zs cERTZFBD Hader provsasons o¢ 489 a:i, Thank you for doing business in Florida, and congratulations on your new license! =- 85cptration date =3iUG 31, '03088101 0 1Z3Q "2 zl _ = _ DETACH HERE AC# ' STA7"E FLORIDA VEP,RTMEt�i' OF B11SIS'3OF�SEIONAL RENLi20N - _`'Q 1'RU IOC TRY ICEN S ING HOA NS G 1301230 t - �t #Loslo �EQ .. LICENSE NBR 10 .13' 2 .67 04 9.516 � CM i 5 # ? . , 'C HMX,47 4 C 4 Y Ame , ? W ; " 5 fiIF T _ Under �`ov�3�''on� a;` `Cha pt6i 489;; �9. Expiration elate; AUG . 31, 2410 s s. x ©, M I L k OR A x ti 2 ITS ;FORT "LAUDERDALE FL 33316 ' e ,gig a 77 xs e e. `n t t }p5 # t { i F C T ry l 0Yi'R w,� zv z i CHAtLEST. DRAGO t . , SECRkt Y ©fPLA�fA' RQUIRE BY LAW'. s' •� jj W09 _0 l i t AL CFIAI4$CAL CONTRACTOR 1 swum `s DO NOT FORWARD' OR a HILL YaRK use' MARK KERNEY 2125 S ANDREWS AVE FORT LAUDERDALE FL 33316 07l2D /tbtt9, �:D 1 _ ,,,�ltkD .�V '� � #1�13Fi�Rfttl�4tS 34 ��t: c =� €4k1k��i�l3i�t31}9�1E���13.1 i4H� � SEE OTHER SIDE i i E i s G Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. C Job Name Date 7i MECHANICAL CRITIQUE SHEET o 11300 NE Second Avenue Miami Shores, FL 33161 -6695 ARRY phone 305- 899 -3785 UNIVERSITY w 3 barry. - du www.barry.edu FACILITIES MANAGEMENT Physical Plant December 7, 2009 To Whom It May Concern: This letter is to authorize Hill York to apply for permits on behalf of Barry University to do work on the campus and university owned sites. If you have any questions please call our office at 305 - 899 -3785. T ,bank yo Alex MacNamara Director of Facilities Slopey L.L.C. BARRY UNIVERSITY, FINE ARTS BLDG 2731 NE 9 Ave .one 11M NE 2 AVE, IMAMI, FL 33161 Pompano Bch, Fl 33064 SHM NO OF Ph 954 7810765 CAMU V & , R y 6La Fax 954 7819553 CHEOM BY D A TE Cell 954 4013562 SOME E -mail dopey@c9mcasknet em yOi3l E .Pm STRUCTURAL -`-.CALCULATIONS sTC- E as p FOR COOLING J9 SUPPORT ,. DEC I R ?Ogg OATS Nc b �%'O'z Tyr- a H T T 1Z,3ZS 0 se 1 0 � c i c ••� ••! .! c!.._ • � vet �6 x 2.4 •) .... .... •.... •• ••i •• • - ;• • •• '��• Gil -1TH L LG� _ ('�My irk Y Y E vies '• : i "i i • `• • • JAN 0 _ • • • • • • : • • • • . . . . . . . . . . . ••• ••• • • • • • rr . •� Slopey Engineering, L.L.C. BARRY UNIVERSITY, FINE ARTS BLDG 11300 NE 2 AVE, MIAMI, FL 33161 2731 NE 9 Ave r - Pompano Bah, Fl 33064 as Ph 954 7810765 CALCUATED BY DA Fax 954 7819553 CHECHM BY DA Cell 954 4013562 SCALE F=mail slop"@comeast.net )JEC NO d' ) Z 'Z GARY Q DOPEY. ME = STRUCTURAL. 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"M SuS : FOR C OLL"G J=g& DAIS ;....,.. ... .. . .. - !. _ � Z �5 ..... °' .... ... .... . --- '� . .. :...... r. . . r ... . .... .... .: ... . r ... . .. p . + :._. _ • •" :• • �- �. - / �'- :V • .sT are: tic i • • i• • • -0 = ••: • 8 • -• • r•• • • • - - _ ••• • • • ••• • • S Ogey Entine efingi L.L•C. BARRY UNIVERSITY, FINE ARTS BLDG ` 2731 V Ave 11500 NE 2 AM MtAMi. FL 33161 Pompme Be6, Fl 33064 OHM OF I Pb 954 7310765 lgJU►t® 9Y CM Fat 954 7819553 CFMOKM BY OA CeH 954 4413562 E-man sbpqocomauLoet D 12Z PR uwr l.OP'E'Y. P.E - .. o�nr ® 8 ' - EN MMM� NO W" ... = STRUCTURAL- CALCULATIQ11 = WAlM OF F.aFM FOR COOLING T01�IER SUPRORT . • - uwTS 6e, " __...- a .. .. ... _ .. .. - - - -• -- -. .. ..iii' .. ... .. ... .. .. _.. _ - -.. • ... ._ .. .. . -•- - -••- _ - ... ..... .- _... ..•.. - . __ ... t7 v . Gam► 1 - •: •f • :• •: • a id . • • • • �' Pow+ i�e� �: �•t_ • Gl�:° - v .. may: • .• • of • • • • ' • •• •• • • • •• •• ••• • • • ••• • • SIOPey Engineering, L.L.C. BARRY UNIVERSITY, FINE ARTS BLDG 2731 ATE 90 Ave .ins 11300 M 22 > AVF, MIAMI, FL 33181 Pompano Bek 14 33®64 ' BI T no © OF Ph 954 7818765 CALM ATED BY OACTE Fax 954 7819553 BY Cell 9S4 4813562 DATE - - Z-m2W a opey@cOinc ajW SCwt� PROJECT pe_ �' 1 Z 2 GARY Q SLOPEY. P.E. S•TRUCTU A 'CAI -C &ATIONS REW mmw eNGIGM as 3*0 STATE OF FLORDA : FOR COOLING T V�IER,I : . lNkT& .... ..:. ... :.....:. ..`.ta ...... p a.. ' 6v IZ Ad, ... _. ... .i� ...... ... . . ,'. �-,.. j- . .. .. ....... : . .. - ....: ...... - - . ......... :..... .. .. ...... .. 7 t •. •• r . - •• ice.. .. - Pr. ...- ... ... __ 00, - v tz . . .... . ..... . . . . . . . . . . . . . . . i « ... : • i is '� c� \- ' :' .... .... .._. ... `— �•- �.° °••W�, .. '