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SGN-09-2078 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 131824 Permit Number: SGN -12 -09 -2078 Scheduled Inspection Date: March 23, 2010 Permit Type: Sign Inspector: Bruhn, Norman Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: New Job Address: 11300 NE 2 Avenue Miami Shores, FL 33138 -0000 Phone Number Parcel Number 112136000005 Project: <NONE> Contractor: BENGIS SIGNS AND SERVICES INC Phone: (305)592 -3860 Building Department Comments NEW SOCCER ENTRANCE GATE AND TICKET BOTH SIGN Inspector Comments Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 22, 2010 For Inspections please call: (305)762 -4949 Page 3 of 11 ra l�u�fi Mi,�,�r� s! Miami Shores Village�� 10050 N.E. 2nd Avenue �, a Miami Shores, FL 33138-0000 Phone: (305)795 -2204 W n :.. ,. Expiration: 071031201 Project Address Parcel Number Applicant 11300 2 Avenue 1121360000050 BARRY UNIVERSITY INC Miami Shores, FL 33138 -0000 Block: Lot: Owner Information Address Phone Cell BARRY UNIVERSITY INC 11300 2 Avenue MIAMI SHORES FL 33161 -6628 Contractor(s) Phone Cell Phone Valuation: $ 3,000.00 BENGIS SIGNS AND SERVICES INC (305)592-3860 (305)592 -6937 Total Sq Feet: 54 Type of Sign: Wall Sign For Inspections please call: Electrical Sign: Yes (305)762 -4949 Height: 24" Available Inspections: Width: 12" Inspection Type: Color: BLACK & RED Elevation: Final Plans Submitted: Yes Additional Info: Classification: Commercial Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $ SGN -12 -09 -36676 $ 107.80 $ 107.80 $ 0.00 Education Surcharge $0.60 Permit Fee $100.00 Check* 1827 Scanning Fee $3.00 Technology Fee $2.40 Total: $107.80 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 1 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy January 13, 2010 1 *16110 A-o 1(-1116 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING Permit No. a) PERMIT APPLICATION Master Permit No. FBC 2004 Permit Type (circle): wild' Roofing p Owner's Name (Fee Simple Titleholder) . LGJamom 1A Phone # Owner's Address ?i�/�l��L l City �� /,SG7 State 2 - Zip 3jfb� Tenant/Lessee Name Phone # Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO 1 PARCEL # 11 2-1 b / Is Building Historically Designated YES NO Contractor's Company Name Phone # Contractor's Address n�� City %7 /��!! State Qualifier Name Phone # State Certificate or Registration No. 15:5 90 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Z3y at, Square 1 Linear Footage Of Work: S9 Type of Work: ❑Addition ❑Alteration • ��lew ❑ Repair/Replace ❑ Demolition Describe Work: s Submittal Fee $ Permit Fee $ W CCF $ £ -- Notary $ Training/Education Fee $ 0• (Q (2 Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side -� 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 t be approve and a reAspection fee will be charged. Signature o Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20 , by day of 20 p�, by Coe who is RS! s�nnWn to me or who has produced who is pesonaly known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: ry Sign: Print MY COMMISSION # DD529398 Print: VER=SANCHE M Commission E HISS Ida Ivry sew oom y ,� MY C p My Commission Expir ��oFt�ov APPLICATION APPROVED BY: / �� Plans Examiner Engineer Zoning (Revised 07/10/07) ma , f' j ✓� - FF� G ..I. i 1 S' 11300 NE Second Avenue BAP*,,IRY Miami Shores, FL 33161 -6695 phone 305 -899 -3785 UNIVERSITY fax 305-899-3058 www.barry.edu FACILITIES MANAGEMENT Physical Plant December 10, 2009 To Whom It May Concern: This letter is to authorize Bengis Signs & Service, Inc 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 k you, Alex MacNamara Director of Facilities 3 .u. 10050 NE 2 nd Ave Miami Shores FI 3313 Phone 305 - 795 -2204; Fax 305- 762 -5253 wuwv.miamishoresvillage.com CONTRACTOR LICENSING/ REGISTRATION REQUIREMENTS FOR ALL CONTRACTORS TO REGISTER IN THE VILLAGE OF MIAMI SHORES THE FOLLOWING REQUIREMENTS ARE NEEDED: DADE COUNTY CONTRACTORS A. Certificate of Competency B. Dade Municipal Occupancy C. Dade Occupational Occupancy D. State Registration E. Liability Insurance Certificate F. Workers Compensation Insurance or Exemption STATE CONTRACTORS: ✓ A. State License �✓ B. V"" Occupational License C. Liability Insurance Certificate D. 17-w orkers Compensation Insurance or Exemption * * * * * * * ** * ALL INSURANCE CERTIFICATES MUST BE MADE OUT TO THE FOLLOWING " * * *�* Miami Shores Village 10050 NE 2 AVE Miami Shores, FI 33138 ALL PERMIT APPLICATION REQUIRE THE QUALIFIERS NOTARIZED SIGNATURE ********************************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Business Name: iU,Pc����fl�' Business Address: l �� /� / � �� Business Telephone: �dr�J .3�✓`� Fax Number - ) 5f2- - 097 Qualifier Name: ( , To �✓ �� , e DATE CERTIFICATE OF LIABILITY INSURANCE 11/1MIDDIYYYY) `�� 11/12/2009 PRODUCER (888) 568 -2299 FAX: (888) 868 -2941 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Royal Palm Agency Inc. ONLY AND CONFERS. NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 77 East Atlantic Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite C2, #371 Delray Beach FL 33483 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A Scottsdale Insurance Company Bengis Signs & Services Inc. INSURER It Progressive Insurance Company 7429 KIN 48th .Street INSURER C: INSURER D: Miami FL 33166 INSURER E: COVERAGES 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 OFSUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D POUCYNIIMBER POUCYEFFECTIVE POLICY TION LIMITS LTR I NSURANCE GENERAL LIABILITY EACH OCCURRENCE $ 1 000 000 : TO RENTED X COMMERCIAL GENERAL UA13 UW PREMISES Me rrOoe $ 100,000 A I CLAIMS MADE OCCUR PS1066133 7/21/2009 7/21/2010 MED EXP (Any one pers $ 5,000 PERSONAL & ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2, 000,000 GEML AGGREGATE LIMIT APPLIES PER: .• PRODUCTS - COMPIOPAGG $ 2,000,000 X POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Eeaoddent) $ • 1,000,000 B ALL OWNED AUTOS D65045251 7/9/2009 7/9/2010 pDILYINJURY $ .X SCHEDULED AUTOS (Per pew) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per aoddent) PROPERTY DAMAGE $ (Per acddent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AC,C, $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR EI CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- 0& AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNERIEXECUTNE a _ -- -- _ E.L. EACH A CCIDENT $ OFFICERIMEMBE EXCLUDED? (Mandatory in ER R E.L. DISEASE - EA EMPLOYE $ If yes, describe under E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONSADDED BY ENDORSEMENT I SPECIAL PROVISIONS a CERTIFICATE HOLDER CANCELLATION (305) 762 -5253 estepb @miamishoresvillage. SHOULD ANY OF THE ABOVE DESCRBEDPOUCIESBECANCELLEDBEFOtETHEEXPIRATION Miami Shores Village DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Attn : Bldg Dept NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 10050 N .E. 2nd Avenue IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Miami Shores, FL 33138 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE A TeStrake /ALISON ACORD 25 (2009101) ©1988 2009 ACORD CORPORATION. All rights reserved. INS025(2mi) The ACORD name and logo are registered marks of ACORD r ow up an g �i ,y his W i j M R La i � k »� 5 m.'�5.. STATE OF FLORIDA ' DEPATtTNUT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSIM BOARD {8 487 -1395 k 1940 NORTR M ONME STREET TALLAHASSEE FL 3.2399 -0783 k: w: f I SERKXS, JOEL LESLIE BENGIS SIGNS AND SERVICE INC 27 RL38 NANC3R FL 33332 Congratulations! With this Hoense you .burns one d-. #* nearly one million _ Fkrndians kawad by to Department of Business and Professional Regulat. Our professionals and businesses fnasn arm to: yseht brokers, tin es � .. boxers to restaurants, restaurar, and IMP Fk4we economy strong. 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 m w%m. � NcanMMM. There you can find more information about our divisions and ft tagu ►s'ti � Impact you, subscribe to department newsletters and learn more about the z , Department's Initiatives. Our mission at the Department is; license Efficiently, Regulate Fa My. We cx?nstantiy strive to serve you better so that you can serve your ouskm ems. Thank you for doing business in Florida, and congratulat#orts on your new Item i s - 1 DETACH HERE ^We t '�E�r�¢�� r�r� , t ^f ��S 6 $t� roE• F ,�r ,,a y 3�, °�£ �' '�pg+ p ...f +� . . ,„ � , ° A ,� � 7 y Y � ' . 3c'aOsL° �`•3- .�sZ,'.F )?'2 '1`.�°_ ^�Ns'�s" T x.L T T' ` °'&z.' .LD *'4k' �ut�t''a¢ t` 7''"4a...� k3kP 4� Iy a {�1y,: Al r., ! R ��`t F °3�'°j .ae;t •;k'd" ,F'ki 4. i x ^� r + 'a . " _ 'r k' {�. Xp�. � 7 �. �ai .fi d A`�IY�f q ^ 'a... , `' d�� •`i (•� '�q'v., rX e '^' _ � p ..* r �k, ,t - m ., -�' }`?� '� �-" �" .at# ix f,��t -R E�La l�," -`s+4 "� R ., ��>� ��lt kr Ste g4"' `� h,+ d rxY� ss't :�a `*�## a" •� ,, 3 '� t �,t x bra y" §{ z a r '��� °�'�u$: C,a o i rzt �r M �a 5x2 tr rC ' ,i7 '� �F � � ^ � + d�� •' � !'s�� �j �''a �s- .�� "- f��a�s� - T r Pl d .. I S PA f- PiC'�7�tv�` 'f � ¢ x - . •b� 'YS" �`t �6. P� `l �3p y �," �$pc Ny� `.Y•, ^34' �s 7t y 1 � C t�" at ,� � � a , x �'# � � � .a rY� �s^ � 7 Y' .` � ��� „� 01 12 10;04;36FM;Bengis -Signs 3057568972 # 1/ 1 CERTIFICATE OF LIABILITY INSURANCE Date 1/12/2010 Pr oducer. Lion Insura Company ThIs Certificate is isisued of a matter of ibformagon only and confers no rights 2739 U.S. Highway 19 N. upon t h e Certtfleate Holder, This Certificate does not amend, extend oralter Holiday, FL 3469 the coverage afforded by the policies below. Insurers Affording Coverage NAIC # Insured South East Personnel Leasing Inc Insurer A: Lion Insurance Company 11075 2739 U -S. Highway 19 N. ln=urar B: Holiday, FL 34691 Insurer C; Insurer D: Coverages Insurer E: the pout es ul insurance list a �F ow Dave peen Is�ed to the insure named aDOVe nr i ibis r- Rrtificate maybe itsped w mar pnna�n, the insuranrr: afforded Dythn pohCies descrnbeldn p oli c y r) s n ell the leans xcl a; onsr en of such p {� 66 Ar�g g o sh do may hQVe been redrto A hY paid claims INSR I ADD Policy Effective Policy Expiration Date I.� INSR Type of Insurance Policy Number Date Limits ENER.AL LIgB1LITY (MM /DD/YY) (MM /DD/YY) COMMOrcial General Liability Eac^Occurrence a Claims Made Occur Damage to rented premimns (EA occurrence; Mad E4) eneral aggregate limit applies per: Personal Adv Injury a Panay ❑ Protset I oC General Aggregate Products - Comp/Op Agg LFTOMOBILE LIABILITY Gnmbuied Single Limit Any AUlo (EA Accident) All Owned Autos Bodilylnlury Sclu!duladAutos - (Periderson) Haiti ti Ara Mon- OvmedAUCCS Borlilyintury (Per Accident) Property Damage (Per Accident) a EXCESS /UMBRELLA LIABILITY EacD occurrence Occur 13 Claims Made nnrirrctible Aggregate A Workers Compensation and WC 71849 01/01/2010 01/01/2011 % vr/C Staty oTI+ Employers' Liability to Unnita ER Any Prnpdetadpq�� /executive of(Ieerimember E,L. Eaeh Accident t 1,0o0p0{ excluded; If Yes, deserlbe under special provisions below, E.L. Disease - Ea Employee $1,000,000 F1, Disease- Policy Limits 81,000,000 Other Lion Insurance Com arty is A.M. Best Company (rated A- (Excellent). AMR # 12615 Descriptions of O /LocatfongfVGhlcll351Exclusions added by Endorsement/Speclal Provisions: Coverage only applies to active employees) of South East Personnel Leasing, Inc. that are leased to the following "Client Company,fent ID; 31-66 ,- Bengis Signs & Service, Inc. Coverage only applies to Injuries incurred by South Last Personnel Leasing, Inc. active employees) ,while working in porida. Coverage does not apply to statutory employee(s) or independent contraraor(s) of the Client Company or any other ent Project Home: in A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (7 937 -here or by calling (727) 938-5562. FAX; 305 - 592 -6937 & 305-756-8972 / ISSUE 11 -1309 (TD) / RENEWAL 12 -1709 (SH) / REISSUE 01 -12 -10 (TD) CER LATE HOLDER Begin Date; 8/4/2008 CANCELLATION VILLAGE OF MIAMI SHORES BUILDING- DEPARTMENT Shrwld a re :,hcve desclibed oli6as rye cancelled before the mratlon dare endeavor to mail 3 p d erect, the Issuing insurer will to 0 d ays written notice to the ce tlticate holder named Ule re0, but failure to do so shall impose no 70050 NW 2ND AVENUE ODllgaliun or habilav N 2W land upon the insurer, its agents or representatives MIAMI SHORES, FL 33138 CERTIFICATE OF LIABILITY INSURANCE 1/12 Date /2010 Producer Lion Insurance Company This Certificate is Issued as a matter of Information only and confers no rights 2739 U.S. High 19 N. upon the Certificate Holder. This Certificate does not amend, extend or alter g Y the coverage afforded by the policies below. Holiday, FL 34691 Insurers Affording Coverage NAIC # Insured: South East Personnel Leasing Inc. Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. Insurer B: Holiday, FL 34691 Insurer C: Insurer D: Insurer E: Coverages Th e 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 maybe 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 hew been reduced by paid claims. INSR ADDL Policy Effective Policy Expiration Date LTR INSRD Type of Insurance Policy Number Date Limits (MM/DD/YY) (MMIDD/YY) G ENERAL LIABILITY Each Occurrence Commercial General Liability Damage to rented premises (EA Claims Made ❑ Occur occurrence) Mod Exp Personal Adv Injury G eneral aggregate limit applies per: Policy ®Project ® LOC General Aggregate Products - Comp /Op Agg $ A UTOMOBILE LIABILITY Combined Single Limit Any Auto (EA Accident) $ Ali Owned Autos Bodily Injury Scheduled Autos (Per Person) Hired Autos Bodily Injury Non -Owned Autos (Per Accident) Property Damage (Per Accident) $ EXCESS /UMBRELLA LIABILITY Each Occurrence Occur ❑ Claims Made Aggregate Deductible A workers Compensation and WC 71949 01/012010 01101/2011 X WC Statu- OTH- Employers' Liability tory Limits ER Any proprietor/partner /executive officer /member E.L. Each Accident $1.000,000 excluded? E.L. Disease - Ea Employee $1.000,000 If Yes, describe under special provisions below. E.L. Disease- Policy Limits $1,000,000 Other Lion Insurance Company is A.M. Best Company rated A- (Excellent). AM B # 12616 Descriptions of Operations /LocationsNehictes/Exciusions added by EndorsementtSpeclal Provisions: Client ID: 31- 66-668 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. that are leased to the following "Client Company": Bengis Signs & Service, Inc. Coverage only applies to irduries Incurred by South East Personnel Leasing, Inc. active employee(s) , while working in Igohda. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937 -2138 or by calling (727) 938 -5562. Project Name: FAX: 305 -592 -6937 & 305 - 756 - 8972 / ISSUE 11 -13-09 (TD) / RENEWAL 12 -17 -09 (SH) / REISSUE 01 -12 -10 (TD) Bea ln Date: 8/4/2008 CERTIFICATE HOLDER CANCELLATION VILLAGE OF MIAMI SHORES BUILDING DEPARTMENT Should anyof the above described policies be cancelled beforothe expiration clatetheroof, the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to do so shall impose no obligation or liability of any Wrid upon the insurer, its agents or representatives. 10050 NW 2ND AVENUE MIAMI SHORES, FL 33138 �p 3 s g Miami Shores Village YRNI� 10050 N.E. 2nd Avenues Miami Shores, FL 33138 -0000 0 Phone: (305)795 -2204, Exiratlon: 06 Em . tOR Project Address Parcel Number Applicant 11300 2 Avenue 1121360000050 Miami Shores, FL 33138 -0000 Block: tot: BARRY UNIVERSITY INC Owner Information Address Phone cell BARRY UNIVERSITY INC 11300 2 Avenue MIAMI SHORES FL 33161 -6628 Contractor(s) Phone Cell Phone Valuation: $ 3,000.00 BENGIS SIGNS AND SERVICES INC (305)592-3860 (305)592 -6937 Total Sq Feet: 54 Type of Work: ELECTRICAL For Inspections please call: Additional Info: SIGN (305)762 -4949 Classification: Commercial Available Inspections: Inspection Type: Final Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $ ELC -12-09 -36677 $ 187.80 $ 187.80 Education Surcharge $0.60 $x• Permit Fee - AdditionatAlterations $180.00 Check #: 1827 Scanning Fee $3.00 Technology Fee $2.40 Total: $187.80 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable taws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. January 13, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy January 13, 2010 1 01W\0 AY) Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305).762.4949 BUILDING Permit No.f PERMIT APPLICATION Master Permit N o. FBC 20 Permit Type: ELECTRICAL pQa r, p Owner's Name (Fee Simple Titleholder) (�w/ v� yk i ve s` i / �i(ic i . Phone # �0.� 0 / / — A A r a Owner's Address & ;W a //9 214!� Cit mw State 1 zip -?—?W/ p Tenant/Lessee Name Phone # Email Job Address (where the work is being done) d p 00 N U Z AcVO City Miami Shores Village County Miami =Dade Zip FOLIO / PARCEL # I I Z 1 3 6 On 1 D 1 6 0 Is Building Historically Designated YES NO )C Flood Zone Contractor's Company Name &iU Phone # Contractor's Address lxw City ,/�.d -ill State Zip Qualifier Name j.�� Phone State Certificate or Registration No. G,SOD���O� Certificate of Competency No. Contact Phone ,$_Q E -mail i� ✓/Y�ill1 tai �LLcfOf f� �i�J Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Square / Linear Footage Of Work: ✓ dt�: �7• Type of Work: ❑Addition ❑Alteration �§4ew ❑ Repair/Re lace p ❑Demolition Describe Work: tw t c-c,,r y oRat. pg C' q �j ��� f as KO ! (10 4 "Caftwea 3pt�. Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Notary $ ,c-�y� v Training/Education Fee $ 0 � ° Technology Fee $ .2 Scanning $ • V Radon $ DPBR $ Bond $ Double Fee $ Violation date: } �n Structural Review. $ Total Fee Now Due $ See Reverse side 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection whi' h occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will o be a p ved and a re- inspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this M day of _tJQ U. , 20 pl , by belt MG&L a�la�ea�•�r a+� day of , 20 0, by ,. TiL��� , who is personally known to me or who has produced who is personally known t o me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign Sign: Print: LINDA S. MITTS Print: c' ono Notary Public - e o oxide My Commission Expires: . My Comm. ExWeS JWI 18, 2013 My Commission X MY COMMISSION a� DD524398 CWMISMa # 00 883031 Ijl EXPIRES: Mar. a BolxNd TbtalpA Ntai l Notory AWL (aorl 39"153 FWIda Notary S-0-cm APPROVED BY Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) INTERNALLY ILLUMINATED W /NEON PLASTIC FACE CHANNEL LETTERS ON RACEWAY 1 OF 3 WEST ELEVATION tS F (1) 20 AMP DISCONNECT 3w SWITCH W� 2B' -O" 5 4 S Q. FT. � 12 Z 4B ' 9 B" Z W$ v BARRY UNIVERSITY E3 - - CONCRETE ROOF 0 = C IL 94" 94" 0 ALUM BEAM I- CW v ( >d I Z W o , � WEST ELEVATION z 0 0z SCALE: 1/4 1' -0" Z WQ � 9 � z � 27-0 " IA d' N 1 8'-6 " a'-s � 01 A G°�RI N w � LIF=1112a 7 I a c c c IE LF-121 N N a 0 FRONT VIEW SCALE: 3/8 1' -O" Q► N �� INTERNALLY ILLUMINATED W /NEON PLASTIC FACE CHANNEL LETTERS ON RACEWAY Z OF 3 36 48 48 48 42 26" 4B" 28" Z Z �W �0 NT (p v � w TOP VIEW W A -A B C -C A -A EXISTING IL SCALE: 3/8 1' -0" 1, CONCRETE WALL v ELECTRICAL 10 27' -O n SUPPLY JUMP N WF B'.6 n '. .; �W N �a � �c ^C CCCC IF= m CC CCCCCCCC > EW Z WE 77 777 77' (0 }' (4 8 lZ EXISTING n x 4 n ° EXISTING FRONT VIEW yIQ Z dZ C CONCRETE WALL EXISTING 4 (4I 3/8 X 1-1/2 CONCRETE WALL SCALE: 3/8 1' -13" ALUM BEAM BOLTS AND NUTS �m < fAQZ 2 "X2 "X 114" 2 "X2 "X 1/4" v F=-Q � 9 ALUM TUBE ALUM TUBE 20 AMP DISCONNECT RED HEAD PER SWITCH 5„ ELECTRICAL RACEWAY WELDED 12" SUPPLY JUMP z 2" X 2" X 1 /4 11 N (4) 3/8 X 1- 1/2" r - -, E ALUM TUBE BOLTS AND NUTS = _ REMOTE TRANSFORMER .040 ALUMINUM RETURN INSIDE ALUMINUM BOX 1 2" X 1 2" X 7/B" G 1" DEEP JEWELITE ALUM PLATE FLEX FACE EXISTINL 4 BQ. N ALUM BEAM W/ 15 MM NEON TUBE 12" SQ. ALUM PLATE WELDED �/" 1 -1/2" x I- 1/2"X 3/16" #8 SMS (3 MIN PER LETTER SEE DETAIL) ALUM YOKE INSIDE RACEWAY CONCRETE E3 1 5 KV GTO WIRE WALL 12" X 12"X 7/8 ALUM 1/2" WIRING CONDUIT WELDED TOE b N #1 2 WIRE, THHN, UL GLASS TUBE SUPPORTS 3' 3" ALU TO PRIMARY rueE °� a .063 ALUMINUM BACK t13 BD LT AND NUT ° 114" DRAIN HOLES �+ c A®A S TANDARD CHANNEL LETTER S - E (4) 3/8'X 1 -7/B" EXISTING 4" SQ. O ON RACEWAY RED HEAD PER ALUM BEAM W/ C 12" SQ. ALUM FN N RACEWAY PLATE WELDED �� INTERNALLY ILLUMINATED W /NEON PLASTIC FACE CHANNEL LETTERS ON RACEWAY 3 OF 3 _ � W E LECTRICAL INFORMATION Id1Pd1151�t z ISM st PANEL BOARD " A " CKT. NO 9 �Z rs. s PANELBOARD "A" SCHEDULE � °D � W U LL POWER: 120/240 V h 119E LOW LC DEJI PT1Cli 'O"D 0WD DEBDRU�170I — ' O 12 1 aO L113HT13 1040 1 1040 U SHTS 8 2 18 ,'� n ,: PROPOSED O 18 3 20 LiSHTS 1040 a 1040 USHTS 8 4 18 ,, /a 9 20 LISHTH 1040 1 1040 LiSHTS 2 0 12 W F /a 7 on LISHTS 1640 8 1640 USHTS 2 S is �} SIGN d. to 9 SD SIGN 1980 1 1920 USHTS 80 10 1 °j '. CL ' C a t°°O�^t^°�1 o400i1o400 ' aoaoo Exome : W S708TIN3: ELEOTFUM 8EFIVIOE FR gM w a� BDYhTCH MWaI DISIFmm()N EiIUPAIENT F >[�srau W W AT 1fl8 AMPS Exam Q Z W AT METER 07M 4 ! Z IN 20 _..y 3 . W PROPOSED ]e. = �0 r �� Z Z SIGN '� ,�"- �� �.,.,�_ "�, � ,." � QTY SOURCE TYPE AMPS TOTAL s 01 Q c c Qe m a 3 TRANSFORMER 15,E 4.0 7 2.0 g in � j �Q U t 12,000/30 32 I (Jg 9,0000 2.4 s 7,50= 2.0 , } GRAND TOTAL 12.0 4 TOTAL AMPS 12.0 ' 1 20 AMP CIRCUIT REQUIFgE:m t NO 12 COPPER WIRE FOR GROUNOING/BONOING ¢ j OF SIGN AS PER NEC 250 TIME OLOOK REQUIRED�1 TeP },1 FOR 91CiN PER FBO t Ty Z , I } THIS SIGN IS INTENDED TO BE INSTALLED IN ACCORDANCE WITH THE REQUIREMENTS OF ARTICLE GOD Y ' OF THE NATIONAL ELECTRICAL CODE AND /OR OTHER 1 APPLICABLE LOCAL CODE. THIS INCLUDES PROPER GROUNDING AND BONDING OFTHE SIGN. dfl 0 ALL ELECTRICAL COMPONENTS ARE ©LISTED � y 81QN QRM IDED ACCORDINQ TO NEC 80Q tN4t 411th5 AI'PV 411#to BITIItC$ O ; � m INTERNALLY ILLUMINATED /NEON PLASTIC FACE CHANNEL LETTERS RACEWAY WEST ELEVATION 1 OF 3 vH (1) 20 AMP DISCONNECT Zz SWITCH 0) V) ZS'-O" Z Z S. FT. N m x 48 " I 96 3W w z W Fn ix rj LL CONCRETE ROOF ® Ix. 0 W� IL 94n 94 O � — ALUM BEAM dw i Un W J V w. / W Z W � WE ELEVATION _ zz SCALE: 1/4" 1' -O" N >- EY UJ Q ry WQ 0 ...... o m .. i fl • • • • W IMIM 11 101 11. 1 • o 27 w a CL m w z® o o z t- FRONT VIEW ®. 0 SCALE: 3/8 1' -Oyy 01 O a W in GT aYJ Robert W. Wall, PE 46021 A S and E, Inc. CA 7882 24710 State Road 54 L utz, FL 33559 Phone: 813 - 948 -2812 Y INTERNALLY ILLUMINATED WINEON PLASTIC FACE CHANNEL LETTERS ON RACEWAY 2 OF S 36' 48 1 48" 1 48" 1 42" z 26" 48' 28" z Z W NN I.. Z z 0 0 *- N Z 3 LU Z 1F- Ld m TOP VI E W A -A B -8 rELE CTRICAL A-A U IL SCALE: 3 /8 : 1'-O" EXISTING U O f CONCRETE WALL O a� 27'-0 " MP wx IL B ' -6 IL 0 w tll Z � 0! Q 0 0 N o o a a a Q 0� w a '. t..'11'•a :.a ; ..xVi "'R' i 'i p3 atGkh: iq a 3. .µ ' _ Y x i -E..., Y "'` }.. i, r W r dh;>rP, c �� �t � + c .: -.' "�: R ��l�i �-�,� �''��� � a c r e � J � �� �-'� "���a� ''� # @!e��"� : •: a . F � ,•:,�:r � � t :h. - 2.i.s1+}" tvi._m. ."�_fia' !n•'2' -[': ?� dry/ O Z N ♦rt FRONT VIEW EXISTING EXISTING 4" X 4 "' " " EXISTING • mtf Q� CONCRETE WALL (4) 3/8 X 1 -1/2 CONCRETE WALL •••• E O SCALE: 3/8" : 1'-O'• ALUM BEAM BOLTS AND NUTS 31/2" x 31/2" x 1/2" 6061-T6 AL. ° a angles around the perimeter OR 3 1 /2 "x 31/2" x ¢061 -1 • ' ° �'� 2 "x2 "x1/4" AL. Tubes angles les around t �Fp OR U , •• •• (4):3/8 1-7/81 i i `'i" • • 20 AMP DISCONNECT RED HEAD PER :• •• SWITCH S it ELECTRICAL RACEWAY " • WELDED •••••, �•• � • •• „ SUPPLY JUMP c$ • i .� ••••• •• - z • 0 3 1/2 "x3 1/2" x 1/2" 6061-T6 Aluminum angles around (4) 3/8" X 1-1/2" - ~~` :'" •••• ••• ` w • m the perimeter OR 2"x2 "x1 /4" Alumnimum Tubes BOLTS AND NUTS %: :# r, • s:' .. Z • 3r • • 12 "x12 "x7/8" Ca Plate -- `` ~` • • REMOTE TRANSFORMER «:m;w .040 ALUMINUM RETURN p • • • INSIDE ALUMINUM BOX with 3/16 weld • • • • • • 1 77 DEEP JEWELITE around the perimeter <. ' •• } PLEX FACE t EXISTING 4" SQ. ALUM BEAM W/ y IS MM NEON TUBE lz'SQ Q w PLATE WELDED 1 -1/2" X 1 -1 /2 "X 311 6" ' #8 SMS (3 MIN PER LETTER ' SEE DETAIL) ALUM YOKE INSIDE RACEWAY x , CONCRETE 13 . a x 1 S KV GTO WIRE WALL 1 z' sQ. ALUM a w y PLATE WELDED O reN 1 /.2" WIRING CONDUIT � � T03 "X3 " ALUM #12 WIRE, THHN, UL GLASS TUBE SUPPORTS TUBE �. Zp) TO PRIMARY;. W Q �,:•::: .063 ALUMINUM BACK (1) BOLT AND NUT N o z r . u . r ¢ 1/4 DRAIN HOLES a S TANDARD CHANNEL LETTER e� EXISTING 4'5q, ON RACEWAY (4) 3/8' X 1-7/8" ALUM BEAM W/ r O M} RED HEAD PER 12 ■ SQ. ALUM 14 wul RACEWAY PLATE WELDE 93 y Robert W. Wall, PE 46021 A S and E, Inc. CA 7882 24710 State Road 54 Lutz, FL 33559 Phone: 813 - 948 -2812 r/ 36 46" 4B" 46 42" 26" 4B 2B" �� Architectural Services and 24710 State Road 54 (813) 948 -2812 1 Engineering, Inc Lutz, Fl 33559 Fax: (813) 949 -2016 ILA B ���� - �f - _ I Name: Bengis Signs Project Barry University Soccer A -A B-B C -C A-A E LECTRICAL P Wind Speed 150 mph All Wind Loads meet 2009 Supplement with the ' . - � • SUPPLY JUM B' -6 • 8' -6 I I Mean Height 60 ft 2007 Florida Building Code 0 o - n H n W ( Wind Code ASCE 7 - 05 Ex osure C Im ortance Factor LP-) L"J ICI LF1] 11 lJ U LE 1111 Wind Pressure (WP) 55.32 psf p F. C� =�. ° e Shape Factor (SF) 1.40 Total Pressure WP *SF 77.45 psf �a r EXISTING EXISTING 4" X 4 ° ' CONCRETE WALL ( ° .X 1 -1/2 BOLTS AND NUTS Cabinet structural analysis. WELD ANALYSIS MACT = wL /8 L= 7.60 VACT ° w * L W- 155.00 VACT = 1178.00 lb ao�ai MACT = 8952.80 lb It Perimeter= 3.00 " �•`• ° )" 1 [ 3:1/®r x 3112" x 1l2" 6061 -T6 AL. ZACT = MACT *12/Fb(19 KSI) gles around the perimeter OR ACT = 3 " taI are° x 1 -7/2 2 "x2 "x114" AL. Tubes IM � Lt C � T F Z 5.65 in . Use a 3/16 fillet weld around the perimeter RED HEAD PER Use a total of (4) 3112" x 31/2" x 1/2" connection of each tube or angle RACEWAY Al. 6061 -T6 angles or TA = .707 x 3/16"x Fb "Per.(3 ") x.46 (4) 2 "x2 "x1/4" Al. 6061 -T6 tubes Z,L1. -- 1.49 in' TALL = 4390.47 lb No. of Angles(tubes)= 4.00 • • ZAU„TGTAL= 5.96 TACTrrAL= 0.27 < 1.00 F - -n. • • • • • • ZACTMALL 0.95 < 1.00 OK • • • OK Letter Height (in) 2 ft 0 in Connection Notes: ` • ...... .... . . Letter Width (in) 27 ft 0 in Use (12) - 3/8" dia. Simps)E»i sleeve -All �fichtr Area 54 sq ft bolts with a minimum 1- 1 /rWtedment dbpth into • S tructural normal- weight cbncretb blockin s • • si te: Cap Plate ; .•. '�" ••s 3112'x31/2 "x1/2"6061 -T6 Number of Bolts 12 •• • • • angles around the perimeter OR • • 0 090 • • MACT 2.58 k -ft ° WELDED Shear Value 770 lbs ZACT = MACT *[(Lbo rdtube) /21 *12/ dt Fb(19,lcsl) Tension Value 400 Ibs Z = 1.15, in' Shear per bolt =Area * 10 psf 45.00 Ibs PLATE SIZE Tension per bolt = Pressure * Area 348.55 Ibs ' Use a 12" x 12" x 7/8" 6061 -T6 AI. Cap Plate 12 SQ. ALUM PLATE Z L 1.53 in EXISTING a B4. Bolt Value =Shear per bolt 1 Shear Value + Tension per Bolt / Tension Value AL AL U 04. ALUM M SEAM W/ ZACT/ZALL 0.75 < 1 12. PLATE WELDED OK Bolt Value 0.93 < 1.00 O.K. General Notes: Connection design only. All wind load calculations based on code reference section 1609, which references ASCE 7. Shape factor are determined per ASCE 7. If site conditons differ from stated reference contact A S and E, Inc. Robert W. Wall, PE FI Reg #46021 i L � � bq_ � .r_✓� �F. 4444.. 4444.. • f • .e• • 4444 { • PERMIT �5& •. {.•• q SHORES VILLAGE •0.00 4040 .•.0.• •..f•. 0000 0 00 0 00 SATE 0 444•• APPROVED ' • .. . 4444.. 4444 4 . . .0004. 0000 { { . / 0.00 0 00 l 0000 ZONING STRUCTURAL ELECTRICAL • � ci6 ��t' .. e it: i_ SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND C ®UNTY RULES AND REGULAfMO CIS