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CC-11-407Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 tt -407 Inspection Number: INSP - 157127 Scheduled Inspection Date: June 06, 2011 Inspector: Devaney, Michael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: MILLER ELECTRIC CO Permit Number: ELC- 3- 11-428 Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: New Phone Number Parcel Number 1121360000050 Phone: 305 -887 -7355 Building Department Comments ELECTRIC FOR TRAFFIC GATES Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 03, 2011 For Inspections please call: (305)762 -4949 Page 7 of 26 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. C! (w PERMIT APPLICATION Master Permit No. e 'o 7- FBC 20 Permit Type: Electrical guy ��/J OWNER: Name (Fee Simple Titleholder): AA Iygu y ONLV�O ., (.� Phone #: Address: 11 3o6 N G 't , Aj City: Al AM 1 SiteM State: 5� 331f Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: matt/ ( iIVV m otoo )4 Zat " 1,06 No (AtEc City: Miami Shores Folio/Parcel #: County: Miami Dade Zip: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: 4/0 L Lc C rt jr- �, Phone #: `r- -° Address: /5' Ff i 1A1 . S - - - ate '-1 City: Fr_ L .-v4 n Irs -'\ w %� State: Zip: 3 3 3 L-5 Qualifier Name: Phone #: State Certification or Registration #: E C.. ' 0 e.) 0 1 1 Certificate of Competency #: Contact Phone #: Email Address: A L. r. 4.. L t� t S • C 3 '^-N DESIGNER: Architect/Engineer: .- (f.. �. h `a' 'fad k e". Phone #: 9 .r1- - 1 I `- 11 3 Value of Work for this Permit: $3i c� Square/Linear Footage of Work: Type of Work: Address ❑Alteration ❑New ❑Repair/Replace Description of Work: G»a d., t‘ 4 D o t„).2 r ❑Demolition re10 Submittal Fee ARM"' Permit Fee $ f -13:9('‘'96' CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * ** *** ** ** ****** *** **** TOTAL FEE NOW DUE $ (0 .10 Ave 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 CONDmONERS, 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 c7 Gr�xJ Signatur, Owner or Agent The foregoing i �� d $,acknowledged before �mne�this The fore day of j95�,20l1 ,bury if OA oN , day o who is personally known to me or who has produced wh As identification and who did take an oath. NOTARY PUBLIC: AM !/ " • Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * ** APPROVED B Contra r oing instrument was acknowledged before me thiso14— , 20 LL, by a4A-cd w me or who has produced as identification and who did take an oath. NOT ' Y PUBLIC• 9nnn €► ►DONN ss� ......o COM'W Sign: Print: N;rvv My Commis ry ********************* ** ***** ******* * ** ** *$* * *****wf � �1 Wf ** x**/x********+xl * ** 119027/4741 s Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk 05/0312011 15:57 (FAX) AGORDU, CERTIFICATE OF LIABILITY INSURANCE PRODUCER 904. 353.3181 Cecil W. Powell & Co. P.O. Drawer 41490 219 Newnan St. Jacksonville, FL 32203 -1490 P.0011003 I UAIt IMMIUU)YYYYI 09/29/2010 FAX 904.353.5722 INSURED Miller Electric Company P 0 Box 1799 Jacksonville, FL 32201 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERT FICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NALC # INSURER A: Illinois National Insurance Co INSURER B: National Union Fire Ins Co INSURER C: Na ti Union Fire Ins Co of Pa INSURERD: New Hampshire Insurance Co INSURER E: Midwest Employers Casualty Co COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTMTHSTANDING 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. INSR f TR ADM. NSRC . TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE f1ATF IMMWIVYt POLICY EEX�PpIRATION IIATP IMMlfM/YYl wars A • GENERAL LIABILITY GL4360929 10/01/2010 07/01/2011 EACH OCCURRENCE 5 1, 000, 00G X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300 006 I CLAIMS MADE © OCCUR PRPMI.CFR IPa nM'or,newl MED EXP (Any one patent) 5 10,000 PERSONAL S. ADV INJURY 5 1 000,000 GENERAL AGGREGATE 5 2,000,000 GENT. —1 AGGREGATE UMITAPPUES PER: POLn ICY26)ii nLoc PRODUCTS - COMP/OP AGG 5 2,000,000 B AUTOMOBILE X — LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA3976641 CA3976660 (VA ONLY) 10/01/2010 10/01/2010 07/01/2011 07/01/2011 COMBINED SINGLE UMIT (Ea eatden) s 1, 000, 0001 BODILY INJURY (Per person) $ Perr,ccident)RY 5 PROPERTY DAMAGE (Peracddeny 5 GARAGE LIABIUTY AUTO ONLY. EA ACCIDENT S R ANY AUTO OTHER TWIN EA ACC 5 AUTO ONLY AGG S C EXCESS/UMBRELLALIABILITY X I OCCUR D CLAIMS MADE BE11579548 10/01/2010 07/01/2011 EACH OCCURRENCE s 5,000,0001 5 5,000,000 AGGREGATE X DEDUCTIBLE RETENTION 5 10,006 S 5 s E WORKERS YERSCOMPENSATION AND ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? SEE 5 SPECIAL PROVISIONS berm OF SELF EWC005217 EXCESS WORKERS COMP -FL ATTACHED CERTIFICATE INSURANCE /FLORIDA 10/01/2010 10/01/2011 X I TflRYSI,MITE I logR E.L. EACH ACCIDENT 5 1,000,000 E.L DISEASE -EA EMPLOYEE S 1,000,000 S 1,000,000 E.L. DISEASE -POLICY LIMIT D h4orPliers Compensation & Employers Liability WCO26149676 OTHER STATES 10/01/2010 WC Stat 07/01/20I1 Limits EL -Ea Acc: $1,000,000 EL -Ea Emp: $1,000,000 EL Disease Pol Lim: $1,000,000 DESCRIPTIDN OF OPERATIONS LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Re: All work performed by Miller Electric Company on behalf of the certificate holder. • City of Miami Shores Village Occupational Licensing & Registration 10050 N.E. 2nd Avenue Miami, FL 33138 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILT- ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001 /08j AUTHORIZED REPRESENTATIVE Fitzhugh K. Powell Jr MI CI i /t,,, © ACORD CORPORATION 1988 ACORD, CERTIFICATE OF LIABILITY INSURANCE DATE IMM/DD /YYYYI 09/29/2010 PRODUCER 904.353.3181 Cecil W. Powell & Co. P.O. Drawer 41490 219 Newnan St. Jacksonville, FL 32203 -1490 FAX 904.353.5722 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 NAIC # INSURED Miller Electric Company P 0 Box 1799 Jacksonville, FL 32201 INSURER& Illinois National Insurance Co INSURERS: National Union Fire Ins Co INSURER C: Nat'l Union Fire Ins Co of Pa INSURER D: New Hampshire Insurance Co INSURER E: Midwest Employers Casualty Co V 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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADM INSRD TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE DATEfMM/DD/YYI POUCY EXPIRATION DATE(MMtDD1YY3 LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY GL4360929 10/01/2010 07/01/2011 EACH OCCURRENCE $ 1, 000, 000 DAMAGE TO RENTED PRFMI.SPR (PR =curanen) $ 300,006 + 1 maws MADE X OCCUR MED EXP (Any one person) $ 10,006 PERSONAL & ADV INJURY $ 1, 000, 000 GENERAL AGGREGATE $ 2,000,000 GENt AGGREGATE LIMIT APPLIES PER: —1 POLICY n 128-y n LOC PRODUCTS - COMP /OP AGG $ 2, 000, 000 B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA3976641 CA3976660 (VA ONLY) 10/01/2010 10/01/2010 07/01/2011 07/01/2011 COMBINED SINGLE LIMIT (Ea $ 1, 000, 000 BODILY INJURY (Par parson) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE — UABILUTY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ C EXCESS/UMBRELLA LIABILITY 8E11579548 10 /01/2010 07/01/2011 EACH OCCURRENCE S 5,000, 000 I OCCUR , I CLAIMS MADE DEDUCTIBLE RETENTION 5 10, 000 AGGREGATE $ 5,000,000 $ _ X $ $ E WORKERS COMPENSATION AND EMPLOYERS' UABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? SE! SPECIALL PROVISIONS below OF EWC005217 EXCESS WORKERS COMP -FL ATTACHED CERTIFICATE SELF INSURANCE/FLORIDA 10/01/2010 10/01/2011 X I TORY AMT - I i ER E.L EACH ACCIDENT $ 1, 000, 000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L DISEASE - POUCY LIMIT $ 1, 000, 006 D 'OTHER Workers s Liability & Employers Liability WCO26149676 OTHER STATES 10/01 /2010 WC Stat 07/01/2011 Limits EL -Ea Acc: $1,000,000 EL -Ea Emp: $1,000,000 EL Disease Pot Lim: $1,000,000 DESCRIPTION OF OPERATIONS / LOCATION I VEHICLE N. EXCLUSIONS ADDED BY ENDORSEMENT i SP PR ONS Re: A711 work performed by Miller Electric Company on behalf of the certificate holder. CERTIFICATE HOLDER City of Miami Shores Village Occupational Licensing & Registration 10050 N.E. 2nd Avenue Miami, FL 33138 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Fitzhugh K. Powell Jr AAI CI ACORD 25 (2001/08) © ACORD CORPORATION 1988 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 156936 Permit Number: CC- 3- 11-407 Scheduled Inspection Date: June 10, 2011 Inspector: Bruhn, Norman Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: TEM SYSTEMS INC Permit Type: Commercial Construction Inspection Type: Final Building Work Classification: Addition Phone Number Parcel Number 1121360000050 Phone: (954)577 -6044 Building Department Comments TRAFFIC GATES BY WEIGAN HALL Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 09, 2011 For Inspections please call: (305)762 -4949 Page 4 of 12 • NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. I — c'oS® 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. 1. Legal d cripuL property n treetJ,address:� [1700 Pe 144 Alt 2. Description of improvement: x+11 ;toAN, i .i mii um iuu mii imi u1u uu ini CFN 2011RO1536 79 OR Bk 27611 Ps 3763; tips) RECORDED 03/09/2011 14039:10 HARVEY RUVIN, CLERK OF COURT MIAI1I —GAGE COUNTY? FLORIDA LAST PAGE Space above reserved for use of recording office O4t'3 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Contractor's name, address and phone number: ctS`i —SP')— # 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: Kys enia% /7 `/ ` 7 , J ,v6,4 411/ & 141'S 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 expiration date is 1 year from the date of recording unless a different date is specified) 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 OF COMMENCEMENT. Signature(s) of O er(s) er Oyrt(s ' Aut orized Officer /Director/Partner /Manager Prepared By . l! Prepared By Print Name LihDA�e� .M Pf�.Sb1 Print Name Title /Office r yt Title /Office STATE OF FLORIDA COUNTY OF MIAMI -DADE The foregoing instrument was acknowledged before me this day of By ❑ Individually, or as i[1 ui, (V j' for APersonally known, or ❑ produced the following type of identificati Signature of Notary Public: Print Name: (SEAL) VER FIC ION P ' UANT O ECTI • • 2.525 FL • RI • A S Under penalties of perjury, I declare that I have read the foregoi that the facts stated in it are true, to the best of my knowledge taA'Ly Signature(s) of Owner(s) or Owner(s)'s Authorized Officer /Director /Partner /Manager who signed above: By 123.01 -52 PAGE 3 3/10 By ( — yl94)l�� 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 Permit No. Master Permit No. BUILDING PERMIT APPLICATION FBC 20 Permit Typ BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): P karty t play Phone #: Address:' Al L3 0 3 Ma" . A J City: MI Mitt sHb tL State: ��r Zip: • Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: XAi -/ UAJ\Ve1/iSL ri 11300 ■6 ?At/ AVg — W06440 G453'r City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: '%' (' vL._ Isrf- i'— '[7( CONTRACTOR: Company Name: U € J ``, S 1 --" S Phone #: 5sy` f%'7 6 6' Y f Address: C� ) t(7 /1)6 t3 6 n a /(l i(C - City: S-'i .i -'s' - State: Ci Zip: 333S Qualifier Name: PA. ) C. CO i ((d rn r^S Phone #: State Certification or Registration #: C 6 - C ©`i '705 Certificate of Competency #: Contact Phone#: c! si j-S i -1 ° 6 c, Litt Email Address: DESIGNER: Architect/Engineer: /?c P-3 t z3 c__ Phone #: 3" ` 6 ctIol Value of Work for this Permit: $ 13,7 6 0 ,• l Square/Linear Footage of Work: Type of Work: Addition ❑Alteration UNew ❑Repair/Replace ❑Demolition Description of Work: ji r., s '� &'U, 'raw e IS r Liz c a & -ft e- Submittal Fee $ .564.)-1. Permit Fee $ ���----- CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 4 9. Bending Company's Name (if applicable) Bonding Company's Address City State / V / 1 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, BOI :FRS, 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. ga p Signature .144.. /47. . ostIX) Owner or Agent The foregoing instrument was acknowledged before me this day of 20 , by UN0A ,r,. PE 6P , in Signature (/ 4..X Contractor The foregoing instrument was acknowledged before me this 'Its* 20 6r, by f &chi t1llkaus , day of P66 who Is personallwn to me or who has produced who is personall known to me;•r who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: My Com APPROVED BY Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Sign: ,ee Print: .RO J47 c) My Commission E RENATO R VE3A MY COMMISSION #410:7- u�1�►' �� i� 0� 9 0169 � p. r tlaNtaryservZonng I Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIERS STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTIONI IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTORS TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE LEITHER CERTIFICATE OR EXEMPTION1 YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 BUSINESS NAME: BUSINESS ADDRESS: STATE Fla COMPLETE CONTRACTOR'S INFORMATION �Yt . 5 Tit. 5 .-.4/1 / 7Y74/04 HH 7//14. CITY 5 CA, A/"y'; ,S- ZIP CODE .3-35-/ ,fir �� BUSINESS PHONE: ((� ) ,cJ 7 ? ~ G O 1'� ' FAX NUMBER ( 9$ 5 7,9- 453/ CELL PHONE ( /5y) 75' i 7 t QUALIFIER'S NAME: (l"ciGt / /1, kali a 4 $ QUALIFIER'S LIC NUMBER: C G c Q y 76 TO E -MAIL ADDRESS (IF APPLICABLE): Created on 3119109 BY MLDV I RV 3126109 MLDV A °® CERTIFICATE OF LIABILITY INSURANCE DATE �/ of 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(les) must 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 Seitlin 6700 N. Andrews Avenue #300 Fort Lauderdale FL 33309 CONTACT NAME: (AJC.No.Ext): (954) 938 -8788 FAX 938 -8566 E -MAIL ADDRESS: PRODUCER CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Tem Systems, Inc. 4747 N. Nob Hill Rd., Suite 5 Sunrise FL 33351 INSURERA:Arch Specialty Ins Company 21199 INSURERB:Bridgefield Employers Ins. Co. 10335 INSURERC: 1/1/2011 INSURERD: EACH OCCURRENCE INSURER E : X INSURER F : $ 100,000 COVERAGES CERTIFICATE 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 TYPE OF INSURANCE ASR SWVD POUCY NUMBER (MM/DDIYYYY) (MM POUCY UMITS A GENERAL UABIUTY COMMERCIAL GENERAL LIABILITY OCCUR BAPRG2000602 1/1/2011 1/1/2012 EACH OCCURRENCE $ 1,000,000 X PRREMSES (Ea RENTED $ 100,000 CLAIMS -MADE X MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1, 000 , 0 0 0 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY JE OT LOC $ AUTOMOBILE UABIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ A g UMBRELLALIAB EXCESSLIAB X OUR CLAIMS -MADE BAPRG2002600 1/1/2011 1/1/2012 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DEDUCTIBLE RETENTION $ 10,000 $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS TIN N / A 830 -38619 1/1/2011 1/1/2012 .., STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 below E.L. DISEASE - POUCY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Proof of insurance only. CERTIFICATE HOLDER CANCELLATION Miami Shores Village Bldg. Dept. 10050 NE 2nd Ave. Miami Shores FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Miami Shores Viiiage Building Department RECEIPT PERMIT #: a:\ I 901 DATE: I, h xJ s'o C' r'', arrEontractor ❑ Owner ❑ Architect 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Picked up 2 sets of plans and (other) a fI S kre, age-V.7 ((U,t.S Address: (� ' -C—. From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department • continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: 4 PERMIT CLERK INITIAL: 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 -C/7 -- 47,6' y' Job Name Y %jz12V 64 CRITIQUE SHEET a r 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. CC -3 -11 -407 Issue Date: Not Issued 5 kfre Expires:Not Issued Folio Number:1121360000050 Owner's Name: BARRY UNIVERSITY Job Address: 11300 2 Avenue Miami Shores, FL 33138 -0000 Owner's Phone: Total Square Feet: Total Job Valuation: 0 $ 13,960.61 Contractor(s) TEM SYSTEMS INC Phone Primary Contractor (954)577 -6044 Yes Planning and Zoning Criteria and Comments Approved: Yes Comments: Date Approved: 3/7/2011: Yes Permit No: 11- �o7 Job Name , 2011 Miami Shores Viiiage Building Department Building Critique Sheet cc 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 795 -2204 Page 1 of 1 Rory Vega From: Len Segarra Sent: Monday, April 11, 2011 4:00 PM To: Rory Vega Subject: FW: Barry Permit See Below Len Segarra Account Manager TEM Systems, Inc (954) 577 -6044 X 1944 Office (954) 572 -4531 Fax (954) 649 -3273 Cell n1104116 SkOCe5 (kr! BC3i �� x!450 t(E N0. y\, 5 ctSd, (33 (3e -/95' -,)_p.c NOTICE: This electronic message was sent from TEM Systems Inc. and may contain confidential, proprietary or privileged information. If you believe that you are not the intended recipient, you are hereby advised that any disclosure, copying, distribution or use of this electronic message, or its contents or attachments, is prohibited. If you have received this electronic message in error, please notify the sender immediately by telephone or electronic mail, and delete the message. If you do not wish to receive e- mails from TEM Systems, Inc. related to product or service offers, please reply to this e-mail with "unsubscribe" in the subject line. From: Brian Dreher [mailto:BDreher @mecojax.com] Sent: Tuesday, April 05, 2011 12:16 PM To: Len Segarra Subject: Barry Permit Len, We were just informed that the permit notes need to be added to the drawings as a note. NOTES: 1) Free Exit gate will be fed with # 10 AWG size wire from Panel A circuit #1 2) Entry gate will be fed with # 10 AWG size wire from Panel L circuit # 19 3) Entry gate will receive control circuit from access control reader located on pedestal within 10' of entry gate. Access control reader will wire back to Electrical / Telecom room where panel L is located. Regards, Brian Brian A Dreher, RCDD Branch Division Manager Miller Electric Company Integrated Systems -South Florida 1881 West State Road 84 Suite 104 Fort Lauderdale Florida 33315 888 -400 - 6118 -Office 954 - 761- 2109 -Fax 305 - 762- 2547 -Cell www.mecojax.com 4/13/2011 INANE MEGA ARM/ MEGA ARM TOWER 1 high - performance, DC- powered barrier gate operators with built -in battery backup The Mega Arm and Mega Arm Tower are DC- powered, high - performance additions to the LiftMaster® famiry of gate operators. Designed with a 24VDC (1/2 HP equivalent; motor, these models provide exceptional starting torque and Continuous operation, making thorn ideal for most applications. Constructed with an aluminum alloy chassis, they're corrosion resistant and light enough for one person to carry and install. The heavy -duty motor supports 6,020 cycles per day with an operator speed of 2.5 seconds to open or close. MAT MA built -in 312HM radio receiver Exclusive from Chamberlain, a single remote control access solution for gates and additional access points. no power? no problem! Built -in battery backup provides seamless operation of the gate operator and all DC control and sensing devices in the event of a power loss. US 2 year warranty electronics and mechanism 10 year warranty chassis and cover standard features built -in radio receiver Includes a factory- installed 312HM radio receiver for use with DIP switch and Security+® remote controls. This allows for one LiftMaster® remote control to conveniently open the gate and additional access points. Remote controls sold separately. aluminum alloy chassis Lightweight, 1/4" rustproof T -6 aluminum alloy chassis for superior heat and corrosion resistance. built -in battery backup The system will automatically engage in the event of a power loss and auto -reset to normal operation once power is restored. It provides complete operation of the gate operator, all DC control devices and sensing devices. Alternatively, system can also be set to open on power failure with a 15- second delay. soft start/stop Reduces the stress and shock to the gate system during starting and stopping, providing longer gate and operator life. DC operator system Powered by a 1/2 HP equivalent 24VDC motor, this system provides exceptional starting torque. right or left- handed operation Allows flexibility of arm orientation to be determined prior to or during on -site installation. breakaway arm Breakaway arm design protects the operator and allows the arm to be reused time and time again. Choose from a 12 or 15 ft. aluminum gate arm or 14 ft. soft- padded gate arm - arm ordered separately from the operator. control inputs Safe, low- voltage control inputs allow the connection of a full range of optional external devices like loop detectors, telephone entry systems, access control systems and radio receivers. inherent obstruction sensing Offers separate force adjustments for both open and closed directions. If the gate comes into contact with an obstruction, a closing gate will reverse to open and an opening gate will stop. DIMENSIONS 2025" 1- 15.75 -1 1-15.75" -135'I 19ff —17s— MA F--13.5 " —1 3.5" MAT 42 0" 1 CHAMBERLAIN' LED indicators Operator input, status and diagnostic LEDs help to simplify setup and troubleshooting. dual -gate operation Supports the operation of two separate gate operators in unison at a single entrance, assuring consistent, simultaneous open /close cycle for both operators. dynamic braking Especially important on high -cycle gates, the electronic brake system provides total gate position control to ensure consistent gate dosing without coasting. magnetic sensors Arm position is controlled by a magnet that is mounted on the drive shaft. This is detected by two magnetic sensors on the control board. timer to close Adjustable timer may be set between 1 and 33 seconds. The unit will automatically reset upon receiving any additional open commands. 7 amp -hour 12VDC batteries supplied standard 2 needed per gate operator for battery backup power. optional equipment sequenced access management system (SAMS) and trap Provides the capability to sequentially control a slide or swing gate operator in tandem with a barrier gate operator. heater Required for cold weather climates that reach 32 °F and below. Available in 150 & 500 watts. slip - clutch mechanism Gate arm self - aligns if entry is forced up. programmable output relay LiftMaster® radio controls articulating arm options 9' PVC or 10' aluminum - folding arms RECOMMENDED CAPACITIES HP* MAX. GATE LENGTH (ft.) CYCLES /DAY 1/2 12' & 15' aluminum arm 14' soft- padded arm 6,000 *equivalent 24VDC LiftMaster � P R CO P I S S 1 a N A L THE CHAMBERLAIN GROUP, INC. 845 Larch Avenue • Elmhurst, IL 60126 www.liftmaster.com UsmIDA Cert.ned SPECIFICATIONS OPERATOR SPEED 2.5 seconds to open or close POWER 110 /220VAC - 50 /60Hz OPERATOR WEIGHT (WITHOUT ARM) Mega Arn - 89 lbs. Mega Arrn Tower — 113 les. ACCESSORY POWER 24VDC 500 MA Accessory Ponder Battery Bacup for Accesso.y Power UL LISTED C UL325 & UL991 Listed - Class I, II, III and IV CONSTRUCTION Gear Reduction: 60:1 Redece- in Syn,netic 0 1 Bath Motor: 1/2 hP Equvaent Contnuous -Mutt' 24VDC/ 18no RPM Chassis: Pnwdcrcoared 1/4' Alum nun Alloy Cove- Mega Arn - Plastic Mega Arm Tower - Al.im;num US ADDITIONAL FEATURES Universal controller with b inpL's Microprocessor electronics Safety -stop ta,lga,e feature Ability to auto -open when pov er `oils Mov, /Trarzcrb surge protectior on inputs Tailgate alarn - senses ta/gating fS`2U97 Lt NIA- MCAT spec The Chawbe;lain Group, Inc. Printed in U.S.A. F: \01 Project Files \TEM Systems (TSY)\2009 \09 TSY -0002 Pine Bay Arms109 -TSY -0002-04 Barry University Traffic Arms109 -TSY 002-04 Barry University Arms.dwg 2 04/14/2011 - 3:35pm AUTOMATIC BARRIER ARM TRAFFIC CONTROL GATES FOOTING AND ANCHOR DESIGN ONLY; DESIGN AND CERTIFICATION OF BARRIER MECHANISM BY OTHERS TELENTRY PEDESTAL FRONT VIEW SCALE: N.T.S. 4-4- 8.5" -r N '-- 1 -1/'F TELENTRY PEDESTAL BASE Co ❑ MIN. PLAN VIEW _1_ SCALE: N.T.S. 8 " GATE POST, BASE, AND OPERATOR PER MANUFACTURER SPECIFICATIONS (4) 3/8"0 X 3 -3/4" CONCRETE WEDGE ANCHORS WITH MIN 2 -1/2" EMBED, 4" MIN SPACING, AND 2" MIN EDGE DISTANCE INTO 3KSI CONCRETE GRADE 0 0 I- -14.2 "X13.5" -4 OPERATOR CABINET FRONT VIEW SCALE: N.T.S. OPERATOR CABINET BASE En PLAN VIEW SCALE: N.T.S. 1_1/2" t-- -14.2" 1 \./ \ \jam \�j \ \j N/ e\A f ' -'.. N/ \N / \X / \\/. \X� • /i /i /jam � / /�- - . .. TELENTRY PEDESTAL PAD REQUIREMENTS SECTION VIEW SCALE: N.T.S. 12'WX16 "LX 12 "D 3KSI CONCRETE FOOTER IN WELL COMPACTED SOIL \ \�j \� j� \ " AD% - .a .. # , / /\/ / /\\r/ Y, ` _:. ' / \ // \ // \ //�12 • O`er / \ \ / \ \ / \ \ / \ / MIN GRADE 6" M 0 0 N GENERAL NOTES: 1) THIS SYSTEM HAS BEEN DESIGNED AND SHALL BE FABRICATED IN ACCORDANCE WITH THE REQUIREMENTS OF THE 2007 FLORIDA BUILDING CODE WITH 2009 SUPPLEMENTS. 2) DESIGN IS BASED ON WINDLOADS PER ASCE 7 -05 AND THE FOLLOWING CRITERIA: 1 =0.77, V =146 MPH, (3 SECOND GUST), EXP 'C', AS AN ABOVE GROUND SIGN. 3) THIS DESIGN TO BE USED AT GROUND SURFACE ONLY. IT'S USE IS LIMITED TO DECORATIVE BARRIER PURPOSES ONLY. IT IS NOT INTENDED TO MEET CODES GOVERNING ELEVATED BALCONIES OR STRUCTURAL RAILINGS. 4) ALL MEMBERS TO BE MIN A36 STEEL WITH YIELD STRENGTH 36KSI ORBETTER. 5) ALL CONCRETE SUBSTRATE TO BE A MINIMUM COMPRESSIVE STRENGTH OF 3000 PSI IN 7 DAYS (AS APPLICABLE). 7) ALL WELDING MUST BE DONE BY AN AWS CERTIFIED WELDER IN ACCORDANCE WITH APPLICABLE GOVERNING CODES. 8) THE CONTRACTOR IS RESPONSIBLE TO INSULATE ALUMINUM MEMBERS FROM DISSIMILAR METALS TO PREVENT ELECTROLYSIS. 9) ELECTRICAL GROUND, WHEN REQUIRED, TO BE DESIGNED AND INSTALLED BY OTHERS. 10) ENGINEER SEAL AFFIXED HERETO VALIDATES STRUCTURAL DESIGNS AS SHOWN ONLY. USE OF THIS SPECIFICATION BY CONTRACTOR, et. al. INDEMNIFIES AND SAVES HARMLESS THIS ENGINEER FOR ALL COST AND DAMAGES INCLUDING LEGAL FEES AND APPELLATE FEES RESULTING FROM MATERIAL FABRICATION, SYSTEM ERECTION, CONSTRUCTION PRACTICES BEYOND THAT WHICH IS CALLED FOR BY LOCAL, STATE AND FEDERAL CODES AND FROM DEVIATIONS OF THIS PLAN. 11) THIS ENGINEER HAS NOT VISITED THE JOBSITE. INFORMATION CONTAINED HEREIN IS BASED ON CONTRACTOR- SUPPLIED DATA AND FIELD MEASUREMENTS BY OTHERS. ALL PLAN INFORMATION SHALL BE FIELD VERIFIED BY OTHERS PRIOR TO USE. 12) EXCEPT AS EXPRESSLY PROVIDED HEREIN, NO ADDITIONAL CERTIFICATIONS OR AFFIRMATIONS ARE INTENDED. FRANK L. BENNARDO, P.E. # PE0046549 GATE POST, BASE, AND OPERATOR PER MANUFACTURER SPECIFICATIONS (4) 1/2 1 X 4 -1/4" CONCRETE WEDGE ANCHORS WITH MIN 3 -1/2" EMBED, 6" MIN SPACING, AND 2 -1/2" MIN EDGE DISTANCE INTO 3KSI CONCRETE a-. • • •`a \ \ • • ' \ \ \ 2 OPERATOR PAD REQUIREMENTS SECTION VIEW SCALE: N.T.S. ELECTRICAL NOTES NOT INCLUDED IN THIS ENGINEERING CERTIFICATION (PROVIDED FOR REFERENCE ONLY) 1) FREE EXIT GATE WILL BE FED WITH A #10 AWG SIZE WIRE FROM PANEL A CIRCUIT #1 2) ENTRY GATE WILL BE FED WITH A #10AWG SIZE WORE FROM PANEL L CIRCUIT #19 3) ENTRY GATE WILL RECEIVE CONTROL CIRCUIT FROM ACCESS CONTROL READER LOCATED ON PEDESTAL WITHIN 10' OF ENTRY GATE. ACCESS CONTROL READER WILL WIRE BACK TO ELECTRICAUTELECOM ROOM WHERE PANEL 'L' IS LOCATED 24 "W X 24 "L X 24 "D 3KSI CONCRETE FOOTER IN WELL COMPACTED SOIL uJ W z Q 2 2 LL 2 3 1 hi! COPYRIGHT FRMIX L BENNARDO P.E. 09 -TSY -0002 SCALE: - 104 PAGE DESCRIPTION: f OF 1 J