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CC-11-200Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 163599 Permit Number: PLC -8 -11 -1534 Scheduled Inspection Date: August 26, 2011 Inspector: Hernandez, Rafael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Landon Student Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: ALL FIRE SERVICES Permit Type: Plumbing - Commercial Inspection Type: Final Work Classification: Repair Phone Number Parcel Number 1121360010160 -32 Phone: (954)367 -3607 Building Department Comments CUT BACK 1 FIRE SPRINKLER HEAD TO ADJUST HIGHT. Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments August 25, 2011 For Inspections please call: (305)762 -4949 Page 6 of 9 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 U -lam @Aq ° •°8) Permit NoRC,1 i-1539 PERMIT APPLICATION Master Permit No. ge- 2 — jl — 20 0 FBC 20 Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder): e fgie [3 66 dog SJ ! y Phone #: Address: J/3400 r A)4 City: �i. , 31. p ae g State: f . Zip: 3 3 l6 / Awe Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: / / 3 06 NrO oZ Awe City: _ Miami Shores County: Miami Dade Zip: .3316, FoIioIPai'cel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: 4 L L c i Re- 5 e/ecl , c c S JA%C , Phone #: .9.1-11-- TC7 34 0 7 Address: ,s2 /9 A 7 $k (am 4- A3 .s7" . City: 1-4- oevo I) State: P4. Zip: 33 OZ' Qualifier Name: --)A® i+- r! ,.,4-.J 1 L L c et Phone #: State Certification orRegistration #: g?9 13 6 0 1 2-06 Z Certificate of Competency #: Contact Phone #: 914- W 6' 76 Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ / 9S-0 �° Square/Linear Footage of Work: Type of Work: ❑Address JaMteration DN'ety " • - ' ORepair/Replace, ODemolition Description of Work: e;,..- e 1 A4.1G (') °i izz° ;622 K e i4'L f,t)J /i9 0 **** **** x�x�x ******** * * * * * * * *** ** *$: *Fees**** * ** *9* ** ***** **' *�x ** * $i44* *** * ***** Submittal Fee $b I ; �', . Permit Fee $ / ° ®°. CCI? $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education 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 Owner or Agent The foregoing instrument was acknowledged before me this 1 % day of , 20 11 , by , ;s,1M 6010410,3 Signature The foregoing , day of au-cj Contractor strument was acknowledged before me this /7 ,20 if, by Val AA) Kg-4 44.72 is personally known to me .r who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign. Print: l V who is personally known to me or who has produced entification and who did take an oath. • 10%. :t,N My Commission Expires: !MGU 13,'2-OI2- Sig Print: My Commission Expires: HUBERTNUNEZ MY COMMISSION # DD 894714 EXPIRES: Se.tember ru 'otary Public Underwriters **:** * **** * ** ***** * ** * * * * * * * * * * * * * * * * * * ** *** * * * *: (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Structural Review Zoning Clerk '4R ° CERTIFICATE OF LIABILITY INSURANCE DATE oil THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THE 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 pollcy(ee) 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 Sunk H. Furman, Inc. 1314 East Atlantic Blvd. P. 0. Box 1927 Pompano Beach FL 33061 NA9ATE Sharon R. Myers, AA/ PHONE � (954) 943 -5050 (Aim No, (954)942 -6310 Molt sharonm@furmaninsurance.com ADDRESS: PRODUCER 0006851 CUSTOMER'D IN SURER(S) AFFORDING COVERAGE NAIL 0 INISURED All Fire Services , Inc 2027 Sherman Street Hollywood FL 33020 INSURER A :Indian Harbor Insurance Company 36940 INSURER S :Philadelphia Insurance Co 18058 INSURER c North River Insurance Company 21105 INSuRER D National Union Fire Ins Co 19445 INSURER E : E TO PREEMIS PRMIS ES ( Ea RENTED occurrence) INSURER F : COVERAGES CERTIFICATE NUMBER:2011 Master with forms REVISION 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS TYPE OF IN9lIRAR!&E 'AM IVSR NND POLICY NUMBER (MJIDDIf ) (MMUDDIYYYYt LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 1 OCCUR X X RM064000309 3/15/2011 3/15/2012 EACH OCCURRENCE $ 1,000,000 X E TO PREEMIS PRMIS ES ( Ea RENTED occurrence) $ 100, 000, CLAIMS -MADE 1 X mED (Any fin) $ 55,000 PERSONAL & ADV'INJURY $ 1,000,000 GENERAL AGGREGATE $ 2 , 000, 000 GEN'L AGGREGATE LIMIT MIT APPLIES PEN: 7 LOC PRODUCTS - COMP/OP AGG $ 2,000,000 „ —1 POLICY I JEC $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS x x PHPR726276 6/1/2011 6/1/2012 COMBINED SINGLE LIMIT (Ea acddenl) $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Pacddeni) $ PROPERTY DAMAGE accident) $ X X $ $ C X UMBRELLA MB EXCESS LIAR 1 X 1 OCCUR CLAIMS -FADE X X 5520145788 4/15/2011 3/15/2012 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 DEDUCTIBLE RETENTION $ 10,000 $ X ,, $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOIWF 1 ATIERIEXECUItVE OFFCENMEMBER EXCLUDED? (Mandatory In NH} DESCRIPTION OF OPERATIONS Y / N N/A X WC005382112 12/20/201012%20 /2011 WC STATU- ( IOTH- X TORY LIMITS ER EL EACH ACCIDENT $ 1,000,000 N EL DISEASE - EA EMPLOYEE $ 1,000,000 below EL DISEASE - POLICY LIMIT $ 1.000 , 000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space M required) CERTIFICATE HOLDER T1ON Miami Shores Village Building Department 10050 NE 2nd Ave. mi 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 AUTHORIZED REPRESENTATIVE Frank Furman, Jr /SR -8, "1--+ - -T- -- ACORD IN S02500909)009109) ©19884009 ACORD CORPORATION. All rights rose The ACORD name and logo are registered marks of ACORD 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954 - 831 -4000 VALID OCTOBER 1, 2010 THROUGH SEPTEMBER 30, 2011 DBA: Business Name: ALL FIRE SERVICES Owner Name: JONATHAN KELLER Business Location: 2027 SHERMAN ST HOLLYWOOD Business Phone: 954 - 367 -3607 Rooms Seats INC Employees 25 Receipt #:189-4393 Business Type.ALL OTHER TYPES (FIRE SPRINKLER Business Opened:05 /01/2004 State /County /Cert/Reg:83961300012002 Exemption Code: NONEXEMPT Machines CONTRACT CONTRACT Professionals Number of Mac:lines: For Vending Business Only �..Ai.... Tv..._.. Tax Amount Transfer Fee NSF Fee Penalty .....,... w . J,.�. Prior Years Collection Cost Total Paid 81.00 0.00 0.00 0.00 0.00 0.00 81.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and/or Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you- have • moved the business location. Phis receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. WHEN VALIDATED Mailing Address: JONATHAN KELLER 2027 SHERMAN ST HOLLYWOOD, FL 33020 2010 - 20U Receipt #03B -09- 000232.60 Paid 09/17/2010 81.00 STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL TALLAHASSEE, FLORIDA CERTIFICATE OF COMPETENCY THIS CERTIFIES THAT: JOHNATHAN KELLER 2027 SHERMAN STREET HOLLYWOOD , FL 33020 - BUSINESS ORGANIZATION: ALL FIRE SERVICES INC CONTRACTOR 1I IS LIMITED TO THE EXECUTION OF CONTRACTS REQUIRING THE ABILITY TO LAYOUT, FABRICATE, INSTALL, INSPECT, ALTER, OR SERVICE WATER SPRINKLER SYSTEMS, WATER SPRAY SYSTEMS, FOAM -WATER SPRINKLER SYSTEMS, FOAM -WATER SPRAY SYSTEMS, STANDPIPES, COMBINATION STANDPIPES AND SPRINKLER RISERS, ALL PIPING THAT IS AN INTEGRAL PART OF THE SYSTEM BEGINNING AT THE POINT OF SERVICE, SPRINKLER TANK HEATERS, AIR LINES, THERMAL SYSTEMS USED IN CONNECTION W ITII SPRINKLERS, AND TANKS AND PUMPS CONNECTED THERETO, EXCLUDING PRE - ENGINEERED SYSTEMS. 07 101 12010 Issue Date 07 16 Type Class Dade County 83961300012002 License/Permit Number 1924290001 Application # Chief Financ al Officer 150.00 0613012012 Taxes & Fees Expire Date DRIVER L.ICENSE.CLASS E .' JOHNATHAN_DOUGLAS CEL.LER 4319 TRADEWINDS1TERRACE `P .. LAU RDALE, I 12.6234 OS 1 -1974 sex: 61' Hot: 6-09 .� xs206oeo1=34 • — p••""Z• Ooetattmt of a motor vehicle assist ores inflow* to any sobriety test moult' eft by low. DATE: 8/18/11 TO: All Fire Services ATTN: Bert SENT VIA: Pickup TRANSMITTAL Barry University Facilities Management 11600 NE 2nd Avenue Suite #15 Miami, Florida 33161 Telephone (305) 899 -3790 Facsimile (305) 899-3794 www.barry.edu REF: Plumbing Permit Appication WOW Cafe No. DATE No. COPIES DESCRIPTION 8/18/2011 1 Signed and notarized Plumbing Permit Application for the Miami Shores Village Building Department Received by: Print Date COMMENTS: cc: SENT BY: Debbie Madsen for Jeff Yao Administrative Assistant 't Fire Suppression t © & Budding Products Technical Services: tel: (800) 381 -9312 / Fax: (800) 791 -5500 Series RFII — 5.6 K- factor "Royal Flush t/" Concealed Pendent Sprinklers Quick Response, Extended Coverage General Description The Tyco® Series RFiI, 5.6 K factor, Extended Coverage, Light Hazard (ECLH) "Royal Flush" Concealed Pen- dent Sprinklers are decorative, 3 mm bulb -type sprinklers featuring a flat cover plate designed to conceal the sprinkler. These sprinklers are opti- mal for architecturally sensitive areas such as hotel lobbies, office buildings, churches, and restaurants. The Series RFII sprinklers are intended for use in automatic sprinkler systems designed in accordance with standard installation rules (for example, NFPA 13). The fast - response thermal sensi- tivity rating of the Series RFII (TY3532) provides for a quick response, extend- ed coverage (QREC) rating up to a 20 ft. x 20 ft. coverage area. Each sprinkler includes a Cover Plate/ Retainer Assembly and a Sprinkler/ Support Cup Assembly. The separable, two -piece assembly design provides the following benefits: • Allows installation of the sprinklers and pressure testing of the fire pro- tection system prior to installation of a suspended ceiling or applica- tion of the finish coating to a fixed ceiling. • Permits the removal of suspended ceiling panels for access to building service equipment without having IMPORTANT Always refer to Technical Data Sheet TFP700 for the "INSTALLER WARNING° that provides cautions with respect to handling and instal- lation of sprinkler systems and com- ponents. Improper handling and in- stallation can permanently damage a sprinkler system or its components and cause the sprinkler to fail to operate in a fire situation or cause it to operate prematurely. Page 1 of 4 to first shut down the fire protection system and remove sprinklers. • Provides for 1/2 inch (12,7 mm) of vertical adjustment to allow a mea- sure of flexibility in determining the length of fixed piping to cut for the sprinkler drops. The Series RFII Sprinklers are shipped with a Disposable Protective Cap. The Protective Cap is temporarily removed during installation and replaced to help protect the sprinkler during ceiling in- stallation or finish. The tip of the Pro- tective Cap can be used to mark the center of the ceiling hole Into plaster board or ceiling tiles by gently push- ing the ceiling product against the Pro- tective Cap. When ceiling installation is complete, the Protective Cap is re- moved and the Cover Plate /Retainer Assembly is installed. NOTICE The Series RFiI Concealed Pendent Sprinklers described herein must be installed and maintained in compli- ance with this document and with the applicable standards of the National Fire Protection Association, in addi- tion to the standards of any authori- ties having jurisdiction. Failure to do so may impair the performance of these devices. The owner is responsible for maintain- ing their fire protection system and devices in proper operating condi- tion. The installing contractor or sprin- kler manufacturer should be contact- ed with any questions. Sprinkler Identification Number (SIN) TY3532 JULY 2009 Technical Data Approvals UL and C -UL Listed NYC Approved under MEA 353 -01 -E (The listings apply only to the service conditions indicated in the Design Cri- teria section.) Maximum Working Pressure 175 psi (12,1 bar) Discharge Coefficient K= 5.6 GPM/psi-1'2 (80,6 LPM/bar" Temperature 55° /68 °C SpnRe with 139 °F /59 °C Plate 200 °F /93°C Sprinkler with 165 °F /74 °C Plate Adjustment 1/2 inch (12,7 mm) Finishes See the Ordering Procedure section. Physical Characteristics Frame Bronze Support Cup... Chrome Plated Steel Guide Pins Stainless Steel Bronze Brass Glass Bronze or Copper Deflector Compression Screw Blub Cap Sealing. Assembly Beryllium Nickel w/ Tefiont Cover Plate Brass Retainer Brass Ejection Spring Stainless Steel tDuPont Registered Trademark TFP26O TFP260 Page 2 of 4 Design Criteria The Tyco® Series RFII Concealed Pendent Sprinklers (TY3532) are UL and C -UL Listed for use in light hazard occupancies, using the design criteria in Table A, in addition to the requirements specified in the current NFPA 13 for extended coverage pendent sprinklers. The Series RFII Concealed Pendent Sprinklers are only listed and approved with the Series RFII Concealed Cover Plates with a factory-applied finish. NOTICE Do not use the Series RFII in applications where the air pressure above the ceiling is greater than that below. Down drafts through the Sprinkler /Support Cup Assembly can delay sprinkler operation in a fire situation. Operation When exposed to heat from a fire, the Cover Plate, normally soldered to the Retainer at three points, falls away to expose the Sprinkler /Support Cup Assembly. The Deflector — supported by the Guide Pins —then drops down to its operational position. The glass Bulb contains a fluid that ex- pands when exposed to heat. When the rated temperature is reached, the fluid expands sufficiently to shatter the glass Bulb, activating the sprinkler and allowing water to flow. Installation The Tyco® Series RFII must be installed in accordance with the following instructions. NO CE Do not install any bulb -type sprinkler if the bulb is cracked or there is a loss of liquid from the bulb. With the sprin- ider held horizontally, a small air bub- ble should be present. The diameter of the air bubble is approximately 1/16 inch (1,6 mm) for the 155 °F /68 °C and 3/32 inch (2,4 mm) for the 200 °F /93 °C temperature ratings. Obtain a 1/2 inch NPT sprinkler joint by applying a minimum to maximum torque of 7 to 14 ftlbs. (9,5 to 19,0 Nm). Higher levels of torque can dis- tort the sprinkler Inlet with consequent leakage or impairment of the sprinkler. 1/2' NPT FRAME SEAIJNG ASSEMBLY SUPPORT CUP WiTH ROLL FORMED THREADS GUIDE PINS (2) DEFLECTOR THREAD INTO SUPPORT CUP UNTIL MOUNTING SURFACE IS FLUSH WITH CEILING CAP BULB COMPRESSION SCREW DEFLECTOR (DROPPED - -� Posmonry SPRINKLER/SUPPORT CUP ASSEMBLY RETAINER WITH THREAD DIMPLES EJECTION SPRING SOLDER TABS (3) COVER PLATE/RETAINER ASSEMBLY FIGURE 1 SERIES RFII CONCEALED SPRINKLER COVER PLATE RESPONSE SPACING FLOW/PRESSURE Ii QUICK 16' x 16' (4,9 m x 4,9 m) 26.0 GPM / 21.6 PSI (98,4 LPM / 1,49 BAR) QUICK 18' x 18' (5,5 m x 5,5 rn) 33.0 GPM / 34.7 PSI (124,9 LPM / 2,39 BAR) QUICK 20' x 20' (6,1 m x 6,1 m) 40.0 GPM / 51 PSI (151,4 LPM / 3,52 BAR) TABLEA SERIES RF1I (TY3532) 155 °F /68 °C AND 200 °F /93°C CONCEALED SPRINKLER HYDRAULIC DESIGN CRITERIA Do not attempt to compensate for in- sufficient adjustment in the Sprin- kler by under- or over - tightening the Sprinkler /Support Cup Assembly. Re- adjust the position of the sprinkler fitting to suit. Step 1. Install the sprinkler only in the pendent position with the centerline of the sprinkler perpendicular to the mounting surface. Step 2. Remove the Protective Cap. Step 3. With pipe thread sealant ap- plied to the pipe threads, hand - tighten the sprinkler into the sprinkler fitting. FACE OF SPRINKLER FITTING CLEARANCE HOLE DIAMETER DIMENSION C SPRINKLER SUPPORT CUP ASSEMBLY 1/2' (12,7 mm) THREADED ADJUSTMENT FACE OF CEILING, RETAINING RING MOUNTING SURFACE 3/16° to 11/16° MANUFACTURER DEFLECTOR COVER PLATE (4,8 to 17,5 mm) PRESET GAP IN DROPPED RETAINER REFERENCE 3/32° (2,4 mm) POSITION ASSEMBLY COVER PLATE COVER PLATE PROFILE DEPTH DIAMETER DIMENSION B DIMENSION A A: 3-1/4 Inches (82,6 mm) C: 2 -3/8 to 2 -5/8 inches (60,3 to 66,7 mm) B: 3/18 inches (4,8 mm) D: 1-3/4 to 2 -1/4 inches (44,5 to 57,2 mm) FIGURE 2 SERIES RFII CONCEALED SPRINKLER INSTALLATION DIMENSIONS TFP26O Page 3 of 4 Step 4. Wrench tighten the sprinkler using only the RAI Sprinkler Wrench shown in Figure 3. Apply the RAI Sprinkler Wrench to the Sprinkler as shown in the figure. Step 5. Replace the Protective Cap by pushing it upwards until it bottoms out against the Support Cup. (Refer to Figure 4.) The Protective Cap helps prevent dam- age to the Deflector and Frame Arms when installing or finishing the ceiling. You can also use it to locate the center of the clearance hole by gently push- ing the ceiling material up against the center point of the Protective Cap. NOTICE As long as the Protective Cap remains in place, the system is considered "Out of Service ". Step 6. After the ceiling has been com- pleted with the 2 -1/2 inch (63,5 mm) diameter clearance hole and in prepa- ration for installing the Cover Plate/Re- tainer Assembly, remove and discard the Protective Gap. Verify that the Deflector moves up and down freely. If the Sprinkler is dam- aged and the Deflector does not move up and down freely, replace the entire Sprinkler. Do not attempt to modify or repair a damaged sprinkler. Step 7. Screw on the Cover Plate/Re- tainer Assembly until Its flange makes contact with the ceiling. Do not con- tinue to screw on the Cover Plate/Re- tainer Assembly so that it lifts a ceiling panel out of its normal position. If you cannot engage the Cover Plate /Re- tainer Assembly with the Support Cup or you cannot engage the Cover Plate/ Retainer Assembly sufficiently to con- tact the ceiling, you must reposition the Sprinkler Fitting. TFP3r80 Page 4 of 4 Care and Maintenance The Tyco® Series RFII must be maintained and serviced in accordance with the following instructions. Before closing a fire protection system main control valve for maintenance work on the fire protection system that it controls, obtain permission to shut down the affected fire protection sys- tem from the proper authoniles and notify all personnel who maybe affect - ed by this action. Absence of the Cover Plate/Retainer Assembly can delay sprinkler opera- tion in a fire situation. When properly installed, there is a nominal 3/32 inch (2,4 mm) air gap be- tween the hp of the Cover Plate and the oiling, as shown in Figure 2. This air gap Is necessary for proper oper- ation of the sprinkler. If the oiling re- quires repainting after sprinkler instal- lation, ensure that the new paint does not seal off any of the air gap. Do not pull the Cover Plate relative to the Enclosure. Separation may result. Replace sprinklers that are leaking or exhibiting visible signs of corrosion. Never repaint, plate, coat, or otherwise alter automatic sprinklers after they leave the factory. Never repaint fac- tory- painted Cover Plates. If neces- sary, replace them with factory- paint- ed units. Non - factory applied paint can adversely delay or prevent sprinkler operation in the event of a fire. Replace modified or over - heated sprinklers. Exercise care to avoid damage to the sprinklers before, during, and after installation. Replace sprinklers damaged by dropping, striking, wrench twisting, wrench slipping, or the like. Also, replace any sprinkler that has a cracked bulb or that has lost liquid from its bulb. Refer to the Installation Section. If you must remove a sprinkler, do not reinstall it or a replacement without reinstalling the Cover Plate/Retainer Assembly. If a Cover Plate/Retainer Assembly becomes dislodged during service, replace it immediately. Responsibility ties with the owner for the inspection, testing, and maintenance of their fire protection system and devices in compliance with this document, as well as with the applicable standards of the National Fire Protection Association (for example, NFPA 25), in addition to the standards of any other authorities having jurisdiction. Contact the installing contractor or sprinkler manufacturer regarding any questions. Automatic sprinkler systems should be inspected, tested, and maintained by a qualified Inspection Service in accordance with local requirements and /or national code. Limited Warranty Products manufactured by Tyco Fire Suppression & Building Products ( TFSBP) are warranted solely to the original Buyer for ten (10) years against defects in material and workmanship when paid for and properly installed and maintained under normal use and service. This warranty will expire ten (10) years from date of shipment by TFSBP. No warranty is given for prod- ucts or components manufactured by companies not affiliated by ownership with TFSBP or for products and com- ponents which have been subject to misuse, improper installation, corro- sion, or which have not been installed, maintained, modified or repaired in ac- cordance with applicable Standards of the National Fire Protection Associa- tion, and /or the standards of any other Authorities Having Jurisdiction. Mate- rials found by TFSBP to be defective shall be either repaired or replaced, at TFSBP's sole option. TFSBP neither assumes, nor authorizes any person to assume for it, any other obligation in connection with the sale of prod- ucts or parts of products. TFSBP shall not be responsible for sprinkler system design errors or inaccurate or incom- plete information supplied by Buyer or Buyer's representatives. In no event shall TFSBP be liable, in contract, tort, strict liability or under any other legal theory, for incidental, indirect, special or consequential dam- ages, including but not limited to labor charges, regardless of whether TFSBP was informed about the possibility of such damages, and in no event shall TFSBP's liability exceed an amount equal to the sales price. The warranty is made in lieu of any and all other warranties. ex- press or implied. including warranties of merchantability and fitness for a particular purpose. This limited warranty sets forth the ex- clusive remedy for claims based on failure of or defect in products, materi- als or components, whether the claim is made in contract, tort, strict liability or any other legal theory. This warranty will apply to the full ex- tent permitted by law. The invalidity, in whole or part, of any portion of this warranty will not affect the remainder. Ordering Procedure Contact your local distributor for availability. When placing an order, indicate the full product name. SprinlcterlSupport Cup Assembly Specify: TY3532, (temperature rating, listed below) Series RFII Concealed Pendent Sprinkler, P/N (specify). 455 °Fwarc 200T193°C TY3532 51- 794-1-155 51- 794 -1 -200 Separately Ordered Cover Plate/ Retainer Assembly Specify: (temperature rating, listed below) Series RFII Concealed Cover Plate with (finish), P/N (specify). 139°Ff$9°C(s) 165'F/74°C(b) Brass 56- 792 -1 -135 56- 792 -1 -165 Chrome 56- 792 -9- 135 56- 792 -9-165 Signal White (RAL 900356 -792 -4-135 56492 -4-165 Grey White (RAL 9002)56- 792 -0135 56-792-0-165 Pure Whlte (c) (RAL 9011))56- 792 -3 -135 Custom 56- 792 -x -135 56-792-3-165 56-7924(465 (a) For use with i55 F/88°C sprinklers. (b) For use with2OWF/93°C sprinkters. (e) Eastern Hemisphere sales only. Spunkier Wrench Specify: RFII Sprinkler Wrench, P/N 56 -000- 1-075. 02009 -2009 TYCO FIRE SUPPRESSION & BUI1.DNRO PRODUCTS, 451 North Cannon Avenue, Lansdale, Pennsylvania 19446 Inspection Number: INSP- 163726 Permit Number: ELC -8 -11 -1563 J Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: August 29, 2011 Inspector: Devaney, Michael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Landon Student Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: STRUCTURED CABLING SOLUTIONS Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360010160 -32 Phone: (305)364 -4545 Building Department Comments 3 DATA DROPS @ WOW CAFE Passed Inspector Comments ' AJr S 2 2 C,P i� Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until For Inspections please call: (305)762 -4949 August 26, 2011 Page 1 of 1 ,kI251/1 U Miami Shores Village -ri 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 y Permit No. EL-CA I� a' Master Permit No. te, ° m it - BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical 2 OWNER: Name (Fee Simple Titleholder): .`) t ". , �.AY �' � `� Phone #: Address: '14" °e City: t \ Tenant/Lessee Name:° State: ,1- . !'; Zip: .75314'n Phone #: Email: JOB ADDRESS: 1 "2, € 2.. - errik City: Miami Shores Folio/Parcel #: `° 2 C't (. aC. Is the Building Historically Designated: Yes CONTRACTOR: Company Name: Address: `Z 3 D e ) r'- er +L .'T2E T County: Miami Dade t ^ a °w °e Zip: NO •`� Flood Zone: S�`C°C�uc°�� Lt�� a L P ne# 30,r46.4 -yS�IS Vile 5 City: N 1 A I e. 4 k State: FL- Zip: 3 3© ice, Qualifier Name: "ci M 0 A� C3� Phone #: or 347'1 ' � State Certification or Registration #: FS / 2 0 d i 7 Certificate of Competency #: Contact Phone #: 30S- to/ `Z ZZ r- Email Address: 1'9'"' ea G e e j, - 4.c+1.4-i ;..r. DESIGNER: Architect/Engineer: Phone #: ae, Value of Work for this Permit: $ " / 7 J Square/Linear Footage of Work: Type of Work: °Address Alteration ONew °Repair/Replace ®Demolition 9 Description of Work: d 1- �j�0 ;` -0 H* Cts:s 6afass£ a* Cs: aSt* Y, ai <cix****ia:3;:: >: <ci*::s* * *** **:**Fees =f* * :: -3<***s eiaKa* 01: 4rhkaks:,ar<$t.:sy***41**Cse.:* aCSL'-* i.:::** Submittal Fee $ 0 Permit Fee $ /' ep, CCF $ CO /CC $ Scanning Fee $ Ration Fee $ DBPR $ Bond $ Notary $ Training/Education 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) 14. t? 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: 1 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 wits► an estimated vah►e exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to anaclut►ent. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which urs seven (7) days after the building permit is issued. In the absence of such osted notice, the inspection mill not be apprn S m d a reinspection fee ►vill be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this 1 day of 11,002 , 20 I . by (i'Kr E j r ' w orally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: t l APPROVED 13Y Signature tractor The foregoing instrument was acknowledged before me this day of i�'�/ 6 / , 20, , by 6jho is personally known to tqor who has aroduced C A OP as identification and NOTARY PUBLIC: vWni Commission #DD7984 des: JUNE O$, 200 My Commission Expires: ^: 32232YI'. i,<****•✓;: 22: 2sg :i3$.';:x2:i:2^ ?.2:2 *i:t:i:2 ** %252*** ::3f<** >,: *kaS9* s3H; uew:$ lsgsesnLk* saE. ts3*sYta **,**;xi3Sa *,sg::;s*** ** *:,** Z4//5.24- Plans Examiner Zoning Structural Review Clerk (Revised 07 /10/07)(Revised 06/10/2009)(Revised 3115/09) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH-MONROE STREET TALLAHASSEE FL 32399-0783 YOUNG, RAYMOND S STRUCTURED CABLING SOLUTIONS 7858 SW 165TH COURT MIAMI FL 33193 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbecue restaurants, and they keep Florida's 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 www.myfloridalicense.corn. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the 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. Thank you for doing business in Florida, and congratulations on your new license! (850) 487-1395 DETACH HERE DATE BATCH NUrviDER 06 23 2010 LIM ....:„.„.„:,..:,„,„,,,,.„...... The ... S?ECIALTY ELECTRIC2 , -Nazned below 13 ,....-... ,... :'..J.t**;.. -,.,..:,.., Under - „,,...-,-----.... 4iiiioii'.i.;-.-,,'&, l **#t7 -4,. -tei„,:AtIG , : - .:.,, ., - W:-:-.LIMITED '-iz. ..lsg.g4qx:P..,.. . MIAMI -DADE CQUNTY•, g:TAX COLLECTOR .•' 140.W: FLAGLER ST. 1st FLOOR :MIAMI, FL,33130 .F 611443 -3 BUSINESS NAME / LOCATION STRUCTURED CABLING SOLUTIONS INC 2300 W 80 ST 3 33016 HIALEAH LOCAL BUSINESS. TAX RECEIPT IAMI-DADE COUNTY.- STATE. OFFI-ORID -' EXPIRES SEPT:30, 2011 MUST BEDISPLAYED AT PLACE OE BUSINESS; URSUANT TO COUNTY CODE CHAPTER8A ART' 9r THIS IS NOT ABILL — DO NOT PAY RENEWAL RECEIPT NO. 637733 -7 STATE* ES0000322 OWNER STRUCTURED CABLING SOLUTIONS INC Sec. Type of Business 196 SPEC ELECTRICAL CONTRACTOR THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY • EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CITIES. NOR 1 DOES IT EXEMPT THE HOLDER FROM ANY OTHER 1PERMIT OR UCENSE 1 REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED MIAMI -DADE COUNTY TAX COLLECTOR: 07/22/2010 60010000029 000069.00 0 %*10.60' PRINTED WITH ENVIRONMENTALLY FRIENDLY GREEN INKS SEE OTHER SIDE •0© FSC Mixed Sources hodo PWP4ao d.a WN hereeNa mameoNdsomas ee,r,4724=Cmgae FIRST -CLASS U.S. POSTAGE I PAID MIAMI, FL ' PERMIT NO. 231 WORKER /S 18 DO NOT FORWARD STRUCTURED CABLING SOLUTIONS INC SYED A SHAH PRES 2300 W 80 ST *3 HIALEAH FL 33016 !11!!!11!!illI L1111!!11l111l 1l 11ltl 1! {!l1111!!!lIL111!!1 1,�� City of Hialeah Business Tax Receipt Mayor Julio Robaina 2010-11 ACRD® CERTIFICATE OF LIABILITY INSURANCE PRODUCER (954) 724 -7000 FAX: (954) 724 -7024 Keyes Coverage, Inc. 5900 Hiatus Road Tamarac FL 33321 DATE (MM/DD/YYYY) 8/24/2011 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 INSURED Structured Cabling Margarita 2300 W 80 St. Ste. Hialeah Solutions, Inc. 3 FL 33016 INSURER k Nationwide NAIC # 37877 INSURER B: Phoenix Ins Co 25623 INSURERC:Hanover Insurance Company INSURER D: INSURER E: COVERAGE 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 OPSUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY1 POLICY EXPIRATION DATE (MM1DDM'YY1 UMITS A GENERAL LIABILITY COMMERCIAL GENERAL BILITY LL4 &CP5904454791 - 5/10/2011 5/10/2012 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100 000 CLAIMS MADE X OCCUR MED EXP (Any one person) , $ 5,000 PERSONAL &ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 $ 2,000,000 GENII AGGREGATE LIMIT APPUES PER PRODUCTS - COMP/OP AGG 3-71 POLICY ^ 1 .7R-F LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 5A0974R63511SEL 4/19/2011 4/19/2012 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 X BODILY INJURY (Per person) X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ EA ACC $ OTHER THAN AUTO ONLY: AGG $ C EXCESS 1 UMBRELLA UABILIY OBJ888412100 9/27/2010 9/27/2011 EACH OCCURRENCE $ 4,000,000 $ 4,000,000 OCCUR CLAIMS MADE AGGREGATE DEDUCTIBLE RETENTION $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS LIABILnY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) II yes, describe under SPECIAL PROVISIONS below WCSTATU- OTH- TORY LIMITS ER E.L EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ E.L DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS ER Miami Shores Village Hall 10050 Northeast 2nd Ave Miami Shores, FL 33138 -2304 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Carey Keyes /JP INS025 (200901).01 @ 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 8/24/2011 10:15 Remote ID Imprint ID D2/2 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(.. 20 oe /24/ z4 /ao11 PRODUCER 1- 877 - 266 -6850 Paychex Insurance Agency, Inc. 150 Sawgrass Dr Rochester, NY 14620 INSURED Paychex Business Solutions, Inc. STRUCTURED CABLING SOLUTIONS 911 Panorama Trail South Rochester, NY 146250: 877 - 266 -6850 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 INSURE" ILLINOIS NATIONAL INSURANCE COMPANY INSURER B: INSURER C: �.eitlis . INSURER 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTNE DATE (NMDWYY) POLICY EXPIRATION DATE (MM D/VY) UMTS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY t EACH OCCURRENCE $ FIRE DAMAGE (My me &e) 5 1 CLAIMS MADE n OCCUR MED EXP (Any me person) 5 GEM. PERSONAL & ADV INJURY 5 GENERAL AGGREGATE $ AGGREGATE LIMIT APPLIES PER PRO• POLCY JECT IT LOC PRODUCTS- COMPIOP AGG $ AUTOMOBILE — — LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS COMBINED SINGLE LIMIT (Ea =Went) S BODILY NAIRY (Per person) 5 BODILY NJURY (Pereecidartt) $ PROPERTY DAMAGE (Per emdent) $ GARAGE LUABIJTY R ANY AUTO AUTO CNLY- EA ACCIDENT 5 OTHER THAN AUTO EA ACC $ ONLY: AGG S EXCESS LIABLITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION 5 EACH OCCURRENCE 5 AGGREGATE 5 S 5 5 AWORKERS COMPENSATION AND EMPLOYERS. uumme WC 011 598 305 06/01/11 06 /01 /12 % WCSTATU- 1 I on+ TORY LIMITS ER EL. EACH ACCIDENT 5 1,000,000 EL. DISEASE -EA EMPLOYEE S 1, 000, 000 EL- DISEASE - POLICY LIMIT 5 1,000,000 OTHER 5 5 5 DESCRIPTION OF OPERATTONSROCATIONSNENCLES /EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED T0, BUT NOT SUBCONTRACTORS OF THE NAMED INSUR) CERTIFICATE HOLDER ADDIITONAL INSURED; INSURER LETTER: CANCELLATION MIAMI SHORES VILLIAGE HALL 10050 NORTHEAST 2ND AVE MIAMI SHORES, FL 33128 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 90 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 SHALL IMPOSE NO OBUOATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHOREED REPRESENTATIVE ACORD 25-S (7797). DCOO22 22798012 ® ACORD CORPORATION 1988 ¢aa wie•gsh ss?t,.IIA 4: xoc-V, Pre= Construction Termite Treatment 1-800-285-7378 Property Information Builder/Contractor Treatment Date J COI Time 1 3 v A O /�„ YYI it V O d de WIQA& 4 Name' of Builder Lot Block Subdivision Name 13 00 N.M. ?Ave./Len/16(o AL Street Address (If known) 5'larc3 F' - 33(3g City State Zip Owner's Name (If known) Shell Contractor Vd - Construction Type flMonolithic : `Floating/Stemwall ®Patio ClEntry ElDriveway ElOther: Product/Treatment information Treatment Type: 4 Underslab 0 Patio/Driveway/Entry ❑ Final CI Wood Treatment ro Bait System © Other Product: Disodium Octaborate Irnidacloprid Permethrin Concentration 3 dr G t Square Feet Treated 70 Cypermethrin Bifenthrin J 0 Other: le,P t O Mixed Product Applied Linear Feet Treated r f this box is checked, then .Final Perimeter treatment has been completed and the following statement is applicable: Certificate of Compliance: This building has received a complete treatment for the prevention of subterranean termites. This treatment is in accordance with the law and rule: ablished by the Florida Department. of Agriculture and Consumer Services. i,.r`c7✓\ Lasf 0N. Applicator's Name FiES- TEO19 10109 (please print) pplicator's Signature Hulett Environmental ServicesC 2009 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 APPLICATION FBC 20d? Permit Type: BUILDING RoiTG n, AIL 072011 Permit No. Master Permit No. ec- 2 _ it ° zoo OWNER: Name (Fee Simple Titleholder): Barry University Phone #: Address: 11300 NE 2nd Avenue City: Miami Shores state: Florida zip: 33161 Tenant/Lessee Name: N/A Phone #: Email: JOB ADDRESS: 11300 NE 2nd Avenue - Landon Student Union City: Miami Shores County: Miami Dade zip: 33161 Folio/Parcel #: 11-2136-000-0050 Is the Building Historically Designated: Yes NO X Flood Zone: CONTRACTOR: Company Name: Coleman Goodemote Construction Co.,InPhone #:386- 257 -3570 Address: 619 N. Beach Street City: Daytona Beach Qualifier Name: Harold L. Goodemote State: Florida zip: 32114 Phone#: 386-795-3235 State Certification or Registration #: CG C0 2 879 2 Certificate of Competency #: Contact Phone#: 386-795-3235 Email Address: hgoodemote @colemangoodemote.com DESIGNER: Architect/Engineer: BPF Design, Inc. Phone #:386- 257 -0502 Value of Work for this Permit: $ 100 , 000.00 Square/Linear Footage of Work: N/A Type of Work: ❑Addition taAlteration ❑New FORe • /Re lace ODemolition Description of Work: Construction of new bar area. ******** * * * * * * * * * * * * * * * * * * * * * * *** * * * * ** Fees************* * * * **** * * * * * *** ** * * * ** * * * * * * * ** Submittal Fee $ Permit Fee $ YOCi®4i CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ (I� TOTAL FEE NOW DUE $ �O .J✓ °� Bonding Company's Name (if applicable) None Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip None 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 AlFNIIAVIT: 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 co - /'ncement must be posted at the job,lite for the first inspection which occurs seven (7) days after the building permit is issued. n the a ; sence of such poste ' notic the 1 At inspection will not be approved . ' reinspection fee will be charged. �� Signature . /4 / /; %' „ "lib. Signature Arm , Owner or Agent The foregoing instrument was acknowledged before me this (C) day of JVa , 20 0 A , by (U ( O E d s , who is personally known to me1`orr,who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Contractor The foregoing instrument was acknowledged before me this r day of < L ,20 1.1, by (Z 'E who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLI \\``` �\e l s' /oj,' /% 03/0 Sign: _ r AP PUBLIC tYl u ___Akl�_AN Print: u., :. c0,10 4 11, MY COMMON My Commission: Expires: `gam Elf ; D�'782939 My Commission Expires'.�� -y�j ��59Q' .:�e`��' :.' APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) -711aott — a 5 15 0 r- RANs 6"-Lemti-r-WD 45ST t_,) * at-NO( S'l Arn?3 P ) 4 5 fi7 1'►4 Cat2 chi tc, 7® Miami Shores Viiiage Building Department 7/I � 1 vr� araSIGN t3 UGPM 0..15 ft-A. . Bur 44 otsc. . W It.l_ Tln 841145 "2.11 tfr-,,N Lot-in-1J VoTft Puxts Wt. ER CEIPT r orr r'hY211 WH tok S€1 ' PERMIT #: l — DATE: 1 I - ( 2J1( I mo/ t it 49.9iit "o 4 Contractor ❑ Owner ❑ Architect 5T---r s w 73.-r s• Picked up 2 sets of plans and (other) TO ki Fop— �c r rzrS -T lSn 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Address: From the building department on this date in order to have corrections done to plans And /or get County stamps. I unde : tand that the plans need to be brought ack to Miami Shores Village Building D;-par'ment t yf tin a permi jjng pro Acknowledged by PERMIT CLERK INITIAL: __Q.„Zk, RESUBMITTED DATE: PERMIT CLERK INITIAL: Miami Shores e Villa " 9 Building Department RECEIPT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 PERMIT #: //- 0 DATE: 2-10217 Contractor ❑ Owner ❑ Architect Picked up 2 sets of plans and (other) Address: // e) C) /t /E ?J 6t/Dc.-el 6a )7'e* 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 to continue permitting process. Acknowledged b 4-\<_, t PERMIT CLERK INITIAL RESUBMITTED DATE: PERMIT CLERK INITIAL: �ES11CyP4 1NGORIDQRAT'Ea Architecture Design Consulting Project Management Renovations & Additions I-fistorical Restorations Comment Response Document # 2 June 23, 2011 Norman Bruhn, Chief Building Official Building Department Miami Shores Village 10050 H.E. 2nd Avenue Maimi Shores, FL 33138 Ph: 305/795 -2204 Fx: 305/756 -8972 JUL 0 7 2011 Permit # 11 -200 Project Name: Wow Cafe Interior Modification W/ Bar Addendum Project Location: Student Union @ Barry University, 11300 N.E. 2nd Avenue, Miami Shores, FL 33161 Memo: Thank you for your comments dated June 10th, 2011. Please review the below responses and attached revised drawings. Please feel free to call our office if you have any questions or concerns. Comment Responses: 1. Agreed, GC has made application to Miami Dade County Fire Department for review /approval. 2. Agreed, GC has made application to Miami Dade County WASD for review /approval and allocation letter. 3. Agreed, GC has made application to Miami Dade County Fire Department for review /approval 4. Agreed, GC has made application to Miami Dade Health Department who is the authority for this review. Please consider for review /approval. 5. Agreed, GC will make application for all relevant permits prior to any further review by the Building Official. Please consider for approval. 6. We have revised our Sheet TBL to include the correct total Occupant Load Calculated on our Life Safety Sheet. Please review for approval. 7. We have revised Sheet Al to show: All egress components complying with occupant Toads, Travel Distances from most remote areas and have added reference sheets R1, R2 & R3 of the original permit drawings for the building to show adjacent construction areas. Please review for approval. 207 Fairview Avenue • Daytona Beach, FL 32114 • Ph: 386/257 -0502 • Fax: 386/257 -1050 • Email: bpfdesign(ilcfl.rr.com • M26001108 issued: 8. The room labeled KEG contains the existing beer dispenser and beverage refrigerators. This space is being repurposed as the new kitchen office to replace the office space lost to the new bar area. Sheet A2 will be modified to label this room as "Office ". Please consider for approval. 9. Existing construction type Is Type 1A / Sprinkled, Building has concrete walls, beams, floors and roof deck. There is no structural steel in the building. We have added this to our revised Sheets TBL and Al. Please review for approval. 10. Fire Protection Table shows "NC" for Non- combustible. This building is a non - combustible floor, columns and roof/ceiling assembly. Please consider for approval. 11. We have revised Sheets TBL, Al, A2, El and P1 to reflect the addition of a HC Accessible bar area that is: 60" in length, 34" in height and provides 19" of clear knee space under counter. Please review for approval. Electrical Critique: 1. We have revised Sheet E1 to include a panel schedule with load calculations and circuitry for new devices to be installed in the bar area. Please consider for approval. Please allow these changes to be accepted for the record. These changes should not adversely affect any other portion of the project. Please refer to the attached revised drawings for review /approval. Please give me a call if you have any questions or need anything clarified further. It is a pleasure to continue to do business with you and your group on this project. Sincerely, Brian P. Fredley, Associate AIA and President Dallas B. Peacock. Architec , AR 0009706, 06/16/2011 09:51 3862536692 06x16/2011 09:47 FAX 1 800 685 7630 Glit, Art4404 Permit No: 11 -200 Preliminary Job Name: June 10, 2011 COLEMAN GOODEMOTE CO DATA SCAN FIELD SERVICES PAGE 02 Q001 lami Shores Village Building Department 10050 N.E.2nd Avenue Mlaml Shores, Florida 33138 Tet: (305) 795.2204 Fax: (305) 756,8972 Page 1 of 1 Building Critique Sheet Preliminary 1) Plans must be approved by Miami Dade County Fire. 2) Plans must be approved by Miami dada DERM. 3) Plans must be approved by Miami Dade County WASD for an allocation letter. 4) Provide approval from the State of Florida Hotels and Restaurants. 5) All permit applications must be submitted prior to any further review. 8) The occupancy toad 18 shown as unchanged (sheet TBL) but seats have been added. Provide an occupancy load for the entire area including showing the tables and chairs in the dining area as existing and new. Provide a total count. 7) Provide a plan showing all egress components complying with the new occupant loads. Show travel distance from most remote area and kitchen. Provide a plan showing adjacent construction. 8) What is the room labeled KEG? 9) Provide existing type of construction. 10) Fire protection table shows no change. But what Is there so we can identify no change. 11) Bar counter must comply with the FBC Accessibility. ESC-it-5 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 CB0 005-795-2204 WICSWEVI auk . e z3VI CBronson Gomma 06/16/2011 09 :51 3862536692 COLEMAN GOODEMOTE CO PAGE 03 06/18/2011 0$:48 FAX 1 800 686 7630 DATA SCAN FIELD SERVICES Q002 Miami Shores Village Building Department 10050 NH.2u4 Avenue Miami Shores, Fluids 33138 TO; (305) 395.2204 Ea (305) 756.8972 Permit No.' C !l - ° Job Name l- w ,'Pig CRITIQUE SHEET - Pey4 to 5', 1 I (/ ArAr.d4 Permit No: 11 -200 Preliminary Job Name: June 10, 2011 Miami Shores Village Building Department t Building Critique Sheet Preliminary V`1 Plans must be approved by Miami Dade County Fire. �/ Plans must be approved by Miami dade DERM. 1� Plans must be approved by Miami Dade County WASD for an allocation letter. ,----4)/Provide approval from the State of Florida Hotels and Restaurants. 9/AII permit applications must be submitted prior to any further review. The occupancy load is shown as unchanged (sheet TBL) but seats have been added. Provide an occupancy load for the entire area including showing the tables and chairs in the dining area as existing and new. Provide a total count. Provide a plan showing all egress components complying with the new occupant loads. Show travel distance from most remote area and kitchen. Provide a plan showing djacent construction. hat is the room labeled KEG? rovide existing type of construction. ire protection table shows no change. But what is there so we can identify no change. Bar counter must comply with the FBC Accessibility. FBC 11 -5 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 3(e_q,33-(2-d 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 f/ z Job Name ? ��° CRITIQUE SHEET t 17,d7 1&% 5?—/,‘ 1 e ad— f -? 06/16/2011 09:48 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES 2001 ** ** *** *** * *** * ** ** ** * ** TX REPORT $$$ * * * * * * * * * * * * * * * * * ** ** TRANSMISSION OK TX /RX NO 1482 RECIPIENT ADDRESS 3862536692 DESTINATION ID ST. TIME 06/16 09:47 TIME USE 00'52 PAGES SENT 2 RESULT OK Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 1 -103 Inspection Number: INSP - 155768 Permit Number: PLC -2 -11 -202 Scheduled Inspection Date: August 19, 2011 Inspector: Hernandez, Rafael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Landon Student Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: MARLIN PLUMBING OF MIAMI INC Permit Type: Plumbing - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360010160 -32 Phone: 305 - 652 -6108 Building Department Comments MOVING WATER LINES Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments August 18, 2011 For Inspections please call: (305)762 -4949 Page 2 of 40 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 APPLICATION FBC20"1 AALO72011 Permit No. Master Permit No. 44.-" Z — < t Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder): Barry University Phone #: Address: 11300 NE 2nd Avenue city: Miami Shores State: Florida zip: 33161 Tenant/Lessee Name: N/A Email: Phone #: JOB ADDRESS: 11300 NE 2nd Avenue - Landon Student Union City: Miami Shores County: Miami Dade Zip: 33161 Folio/Parcel #: 11-2136-000-0050 Is the Building Historically Designated: Yes NO X Flood Zone: CONTRACTOR: Company Name: Marlin Plumbing, Inc. Phone #: 305-652-3031 Address: 20145 NE 16th Place city: Miami @ Late: F l on da zip: 33179 Qualifier Name: � deb tr� �� Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: ( 1 1 . 7 1 ( l n eitu � � 6 - - ) C - 0 a (i fl l DESIGNER: Architect/Engineer: BP F Design, Inc . Phone #: 386-257-0502 Value of Work for this Permit: $ 0300 Square/Linear Footage of Work: Type of Work: DAddress (Alteration ❑New ❑Repair/Replace Description of Work: ❑Demolition ***************************************Fe e s********* x *x:***** ******** * * ** ********:x****** Submittal Fee $ Permit Fee $ aQ� Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ ��` • &) Bonding Company's Name (if applicable) None Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip None 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 # j' reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 , by r sh o who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Signature Contractor The foregoing instrument was acknowledged before me this day of 017i , 201t, by EAL :, ,,,A who is personall known to me or who has produced as identification and who did take an oath. L it , .1 My Commission Expires: MS AMMAN N1 . 9 > ?i• : F EXPIRES: Mey 13, 2012 Vint, Bonded Thu Navy Public Undarwraers NOTARY PUBLIC: Sign:'—fitaioru M � � ,a.� e Print: ** * * *,x**** * * ***** * ** ** * * * ** ** *** ** * * * * * * * * * * * * * * * * ** * * * * * * ** APPROVED BY Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) tOw imissiodl4lC IX COMMI D ION X1133 0Y�� Public Undemrtters AF,�1?•� Bonded ThnrNo�' 1 • * * * * * * * * * * * * * * * * * * * * * * ** Zoning Clerk 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 I Permit No.< ` I -- BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING Owner's Name (Fee Simple Titleholder) Barry Uni versi ty Owner's Address 11300 NE 2nd Avenue FEB 0 a 20 Master Permit No. Phone # city Miami Shores state Florida Tenant/Lessee Name N/A Email Zip 33161 Phone # Job Address (where the work is being done) 11300 NE 2nd Avenue - Landon Student Union \NW cAt-- City Miami Shores Village County Miami -Dade Zip 33161 FOLIO / PARCEL # 11- 2136- 000 -0050 Is Building Historically Designated YES NO X Contractor's Company Name Marlin Plumbing, Inc. Contractor's Address 20145 NE 16th Place city Miami Flood Zone Phone # 305 - 652 -3031 state Florida Zip 33179 Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Contact Phone E -mail Architect/Engineer's Name (if applicable) BP F Design, Inc. Phone # 386-257-0502 Value of Work For this Permit $ 560a OD Square / Linear Footage Of Work: Type of Work: ❑Addition ] _ Alteration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: 4 l) i tdaN ✓V l/ /UL.S' *************************************** ees************* * * ** * * * * * * *** * * * ** * * * * *** ** * * ** i4 Submittal Fee $✓�, Notary $ Scanning $ Double Fee $ Violation date: l Structural Review. $ Total Fee Now Due $ \ d‘ 1 Permit Fee $ CCF $ CO /CC $ Training/Education Fee $ Radon $ DPBR $ Technology Fee $ Bond $ See Reverse side -+ o Bonding Company's Name (if applicable) None Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) None 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. Owner or Agent The foregoing instrument was acknowledged before me this ittli day of r &tuw .Y, 20 , by telACE ('"D I+& who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Signature Contractor The foregoing instrument was acknowledged before me this 1 day of bfax,rd , 201 , by et Aw4,(-d WeL t ke..r who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: ;.a_ P' t ,.s Print:re_ser... M er�esr My Commission Expire xxxxx * * ** * * x* xx* x** x* xx* x******* * * * * * **xx * * *4e **x *xx *x * * * * *** ** ** * * ** APPROVED BY 1/ "►"L Z� f Plans Examiner (Revised 07 /10 /07)(Revised 06/10/2009) Engineer " ►+fie 4 THERESA MCCREERY MY COMMISSION # DD 943808 . � EXPIRES: December 6, 2013 Bonded ThruN „ y .N VdxBys Zoning Clerk checked ATM : pcLcw/ ,4co�'n� CERTIFICATE OF LIABILITY INSURANCE PRODUCER (954) 724 -7000 FAX: (954) 724 -7024 Keyes Coverage, Eno. 5900 Hiatus Road Tamara* FL 33321 11auRED Fax # 305 6523135 Marlin Plumbing of Waal, 1110. 20145 N.B. 16th Plaos Mama. FL 33179 THIS CERTIFICATE IS ISSUED AS A ONLY AND CONFERS NO RIGHTS HOLDER. THIS CERTIFICATE DOES ALTER THE COVERAG. F, AFFORDED INSURERS AFFORDING COVERAGE DATE (MMIDDIYYYY) 4/29/2011 MATTER OF INFORMATION UPON THE CERTIFICATE NOT AMEND EXTEND OR BY THE POLICIES BELOW. wBUReR Jr, the tford Ural IalaurEAaas CO NAIL # asses t,guR&R�B�•dgei'ield Employers Ins Co w6uRR 107Di: INSURER D: s THE ANY MAY POLICIES. POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING REQUIREMENT, TERM OR COMM! rON OF ANY CONTRA T OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1$ SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INCN LT' AD. TYPEOPTNIMBAKE POLICY NUMB' P Y mm-rWe � T14 fM re1 P ut'Y P RATIO o T 5/0/2012 A _ GENERAL UABIU1Y COMMERCIAL MERAL Ltastrr r QG>t xx rs228 1 5/8/2011 LIMITS URRENOB $ 1• COO, 000 oL7 PRamia fEa Dominance) 1 300.000 III OLAIM$MADe X OCCUR MEODCP/Am01,9PM* $ 1,0.000 PERSONALA ACV INJURY MINERAL AGGREGATE _ ICTS.00MMPIOPAGO .S 12000.000 $ _ _ 2, 000, 000 $ 2 000 000 CARL AGGREGATE UurrAPpuEs RS POI.1CYn M: n LOC in • OMB LIABILITY ANY, ALL OWNED MTGE S0l�ul.CD AUTOS FARED AUTOS N0N.0WNED AUTOS (EA sad NCLBLIMII f CODILY INJURY V'orpaman) S (Per Yldam $ �- PROPERTY DAMAGE ow (=To l $ GARAGE! III LIABILITY ANY AUTO AUTO ONLY • EA ACCIDENT 3 o11i6RTHAN EA ACC 1 AUTO ONLY) AGO $ magasiusgssLALIABILITY DCOUR El CLAteiS t.MAOE BACH OCCURRENCE $ . 3 -_ — -- AGGREGATE • ■ OL•DUCTIOLE RLRENTIO $ S 1 f 2 WORKERS CC APANBAT10N Am EMPLOYERS, LIABILITY YIN 1,'i,/1. /207,0 12/1/201*. W ' TA OT i• X •rot ,I ui 6), EACH A0010PNfT ANY PRQPRINT01WARTN�.I CUT J$ OFFICER/MEMBER BAC.1 13Bn (tandat � under Q 830 -25781 a 11, 000.000 3 1. 000,, ono PLJIIREASO -EA EMPLOYEE SPECIAL PROVIStONt$ trIniv El DISEASE • POLICY um' s 1, 000 0TNPR •_o° OP CRIPTIONOPOPE ATIONE1LOCAT 10N01 YCNICUS /TJCCW91ONSADDEDSYscanam sWNTI$PcCIALPROMOS CERTIFICATE HOLDER (305) 756 -0972 • _ ORES V LLA BUILDING DEPARTMENT 10050 NE 2ND AVENUE MAW SHORES, FL 33138 SNDULD ANY ormeAROYl Moms POUCissecANCELLSoBE 'FORs THE erntaATION RATS TTTERE0F, THE DISUINO INSURER WILL 6NQCAVOR TO BAIL. 11.L. DAYS YtRSTEN NOT1Ce TO TIRP CERTUICATB HOLDER NAMED TO THE LEFT, BET FAILURE TO DO SO SRAM, IMPOSE MG OBLIGATION OR LIABILITY OF ANY KIND UPON TNO INWJRER, ITS AGL'NT$ OR REPReBENTATn8E. AOMORI=REPRESENTATIVE Carey Waves/MS `�'r INS026t200fGi).ai 01 -2000 ACORD CORPORATION. All rights reserved. The ACORD name and logo ere registered marks o1 ACORD T /Z'd 2L689SLS02:O1 :WOZId L0:60 TT02- S2 -lf12 9 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 155759 Permit Number: ELC -2 -11 -201 Scheduled Inspection Date: August 29, 2011 Inspector: Devaney, Michael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Landon Student Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: JULIANA ENTERPRISE, INC DBA POWER PRO Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360010160 -32 Phone: (305)687 -7080 Building Department Comments RELOCATE 4 OUTLETS IN CAFETERIA Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments 2 //z August 26, 2011 For Inspections please call: (305)762 -4949 Page 4of41 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 APPLICATION FBC 20 6 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): Address: 11300 NE 2nd Avenue City: Miami Shores Barry University JUL0 7 2011 Bic: �... Permit No. EL'C' (l —'20 1 Master Permit No. v l l " Zoo Phone #: Tenant/Lessee Name: N/A state: Florida zip: 33161 Phone #: Email: JOB ADDRESS: 11300 NE 2nd Avenue - Landon Student Union City: Miami Shores Folio/Parcel #: 11- 2135-000-0050 County: Miami Dade Zip: 33161 Is the Building Historically Designated: Yes NO X Flood Zone: CONTRACTOR: Company Name: J u l i a n a Ent., Inc. Phone #: 7 8 6- 2 0 8 - 3 4 9 3 Address: 2480 W. 80 Street City: Hialeah state: Florida Zip: 33016 Qualifier Name: Bennett Berhane Phone #:305- 826 -1000 State Certification or Registration #: EC-0001903 Certificate of Competency #: Contact Phone #: 786-208-3493 Email Address: f b b e r h a n e 0 0 2@ b e l l south , n e t DESIGNER: Architect/Engineer: B P F Design, Inc. Phone #: 386-257-0502 Value of Work for this Permit: $ X g Square/Linear Footage of Work: Type of Work: ❑Address Description of Work: Xik al�Lut. )tAlteration ❑New ORepair/Replace ❑Demolition 11��h�� ►_t�r�t["lar��.t�`��..r S�'�� /I 111.. .� .ev.ann.�.vu, �J ** ** * *** * * * * * * * * * * *** * * * ** *** * * * * * *** Fees************* ** * * *** * * *** ** * * * * * ***** * * * * * ** Submittal Fee $ Permit Fee $ C2 /. 'lK CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ l • Bonding Company's Name (if applicable) NONE Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) NONE 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 Ali 'r'II)AVIT: 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 approve# •� ! '' nspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this Co day of 31uA, , 20 l 1 , by et U,CC G 6 , w is personally known to me o who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: UIS CPr'L c \AT My Commission Expires: ********************* ** APPROVED BY MY C P MiNON8DD787999 EXPHES: May 13, �20�12� 3.Xn'Al T1.' Wetly Pt*blMerwiRets Contractor The foregoing instrument was acknowledged before me this day of , 20 44, by who is pe onally� own to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: /9J1t4f/z • 77 Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk Jul 25 2011 12:10PM HP LASERJET FAX 05/20/2011 13:45 FAX p.2 Ij 004/005 ACORD,. CERTIFICATE OF LIABILITY INSURANCE l DATE S /20°°'YMO 1 03 /z0 /24211` OF IHFORMATION THE CERTIFICATE EXTEND OR FOLICIES BELOW. PRODUCER (904) 265 -6469 >3lasheaag ITaeur�lLese Associates, Inc. P.O. Boa 1399 Ponte V dra Beach FL 32004- 7-:0-11 t :,;. •. THIS CERTB:ICATE L ISSUED A MATTER ONLY AND CONFERS NO S UPON MOLDER. THIS CERTIFICATE 0069 NOT AMEND. ALTER THE COVERAGE AFFORDED BY THE INSURERS AFFORDING COVERAGE - AMP bounce Juliana Enterprises, Inc. P.O. Box 170328 Rialeah, SL_ 33017 -032 9 ° t ]t, rj�l1:; T w1UAERA'A35Qciated Industries Snag wsuRERB; INSURER c: 0ENBML INSURER D: . INSURER S. / / / / / / / / C THE FoUCIBS REQUIREMENT, THE DURANCE A °....._ ,. Of INSURANCE LISTED BELOW HAVE B = ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTINITMSTAND1N0 ANY TERM OR CONDITION OF ANY - • - . CT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. AFFORDED SY THE POLICIES DE CIUBED HERE N 13 SUBJECT TO ALL THE TAM$, EXCLUSIONS AND CONDITIONS OF SUCH POLICES. TE LIMITS SHOWN MAY HAVE BEEN REDUC ! BY PAID 0- MIS. 7-:0-11 t :,;. •. TAPE OF POLICY NUMBER �:% - e , rs _1 I 9 ° t ]t, rj�l1:; T 0ENBML LIABILITY MERCIAL =RPM LABILITY / / / / / / / / / / / / / / 1 / • ti WiIB MADE ❑ DCCL R MID MP o ___& .. 5 POMONAL2ADVINJURY 5 ._ =N::: _ .. • GATE 5 GENT AGORGMTI Lim APPLIES PER: 1it.,f/..P.LmLEL-..7.-LIL'.111 5 L • P,r _ 1AUawt4EoAuTcu AUTdDIOIIt!LIABIUTV ANY AUTO ICKEDULIDAUTOS HIRED AUTOS NON•OWNEDAUT01 / / / / / / / / / / / / / / / / COMORN:a MOLE LWIT Re. AmI s . ■ . BODILY OLIURY (PM t) & BODILY IMAM (Per �lds) er 5 PROPERTY DAMAGE IPw x64.03 1 ` swung LIABIUIY ANY AUTO / / / / AUTO ONLY- EA ACCU9ENT 1 OTHER1MAM _ _ e - AUTO O NLY: 1 EVOISSAIDDRMLLA U*MJW OCCWR 0 CLAAMMADE DEUCTILB :..0 1 / / / / / / / / - - . • „, 1 .1,1 AGO- - • TB / 1 $ -RE 1. woRlCEISCSMFIBIZ►TIQHNiD EMPLOYERS' UAT1;flY ANY PROPRIETOMPARTNEI CIITME OFFICERAQMEREXCLUDED, r ex. Matted nnea IA PR ..•PA •- , AIIIC10 05/09/2011 / / 03/09/2012 / / '?-1, zi —.01.1 _1iI -SLi B 100.000 EL.Drs5ASe- EAEMPLOYEE 1 100,000 EL.DrBEASE-IF .r _ O SOD 000 OT OA / / / / / / osscoar 9N tor aPSRATION OCl1'RONWBMGtYIEtEYG - . : ABOUT BYI PROMO* CERTIFICATE H ( ) (305) Miami Shores Villages 10080 N.E. 2nd Ave Miami Shores FL 33 756 -8972 138- CANCELLATION *MOVIA ANT OP MB ABOVE DEECOBOEV POUa=1 so CANCIOLOO WORE WE FPIRATIOM DATE TNEREOP, 11€ 1591/10511 INBUIRO1 TALL EhOFAVOR TO MAR„ 30 BAYS W 11BN NOME TO 1141 OBR1RaCATB HOLDSR W(9* TO nil LEt:1 BAT FAILURE TO 00 20 SMALL IMPOSE no OBU0ATl05 OR IJAS1 UIY at ANY KIND UPON me ■esumes. ITS AOB1115 OR IUPRESENTATM7. ACORD 20 (=G0145) AUTNOAIZED ATM .Gds► 1 O/�..�P AC0140 CORPORATION 194 Jul 25 2011 12:10PM HP LASERJET FAX p.1 ACORD 25 12001/ ACORD., CERTIFICATII OF LIABILITY INSURANCE i porestegenarrtst 06 /Q8 /it PRODUCER Koski & Co . , Inc . 9875 SW 72 Street P. O. Box 164739 Miami FL 33116 THIS CERTIFICATE IS ISSUED AS A MATTED OF INFORMATION THI CERTIFICATE DOES NOT AMEND, XT R HOLDER. OL.TS C TMOS TAEO ALTER THE COVERAGE AFFORDS) BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE MAWS . ENURED ENTERPRISES INC OBA INSURERA: ENDURANCE AMERICAN INSURER e: JULIANA POWER PRO P 0 BOX 170328 • Hialeah. FL 33017- 0328' INSURER C INSURER D: IIVaIRERE. COVERAGES THE POLICES OF INSURANCE LISTED BELOW HM E BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOWIITNSTANDING ANY REQUIREMENT, TERM OR CONDITION OP AQNI CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY T iE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU. THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. AGGREGATE LIMITS SHOWN MAY HAV c BEEN REDUCED BY PAID CLAIMS. A ti: ••�i " '.' ''' LIMITS ., , ' UA•IUTY CSC' 0000360100 05 31/11 05/31 12 EACH OCCURRENCE • 1,000.000 $ loo-;1,00 • 5,00 (i>B XCOMMERCIAL ee. GENERAL UABIUrY v0AH1w`Re s't ,► ooa+ gel 1 CLAIMS MADE •.7 OCCUR MED EXP 4/My one ) PERSONAL a ADV INJURY • 1,000,00 LIMIT. APPLIES PER: GENERAL AGGREGATE 0 2 , 0 0 0 7,0.•0 0 PRCDUCrs - COMP1O0 AGO • 2000, 0 0 0 Gad'LAGGREWTE X.1POUCY n SRA n wc AITTCNOSILE -- �_ --i , LIABILITY ANY AUTO AU. OWNED AUT OOS SCHEDULED AUTOS HIRED AUTOS NONCWNED AUTOS - =MINED ENGLE LSAT Ns auxImen) • ODILLYY INJURY • Y INJURY 0 PROPERTY (Page DAMAGE • WAGE UANUTY + - AUTO ONLY - EA ACCIDENT • ANY AUTO OTHER TITAN EA ACC • AUTO ONLY: AGO _ • L cessumeszus. LLA IWI/ OCCUR ❑ CLAIMS MADE EACH OCCURRENCE 0 AGGRESATE • • s Dr�ucTleLe Roam= • • WINGERS COLIPBNATIOR AND IIIIPLOYERS' LIABILITY OPFICONMEMBER EXCLUDED R WY. Saw Ato vi6at SPECIAL PROVIsoNS blrow TO 110.41 TB B1 EL. EACH ACCIDENT • 8.1.. DISEASE • EA EMPLOYEE • E L DISEASE - POLICY MET • OTHER DeswevIION GP OPERATWNS / LOCATIONS / vomits 1 b:cumONS ADD BY ENDORSBAINT / SPECIAL PROVISIONS ELECTRICAL WORK WITH BUI LElN(+b & 15AC :U t i yr ovrsmLtvr doss . ru ce , oosTa=T=oara . LIMITATIONS, EXCLUSIONS OF THE POLICY & WARRANTIES TO THE COMPANY APPLY. (10) DAYS NOTICE OF CANCELLATION APPLICABLE TO NONPAYMENT. CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE 10050 N.E. 2 AVENUE MIAMI SHORES, FL 33138 FAX: 305-756-8972 PAS: 305 -687 -9080 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE OCPIE DATE THEREOF. THE IUWNO INSURER WILL ENDEAVOR TO MAIL 311_ DAYS W! NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FALLURE TO DO SO IMPOSE NO OBLIGATION OR LABILITY OF ANY KIND UPON THE INSURER, ITS AGER REPRESENTATIVES. /� THORIZ � AUTHORIZED REPRESENTATIVE � (/,_/ -spa( In Koski & Co.. C RD CORPORAT ACORD 25 12001/ 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 APPLICATION FBC 20 Permit No. Master Permit No. FEB pomp n pa 2g11 i BY: C'yc ��G ll —dol Permit Type: ELECTRICAL Owner's Name (Fee Simple Titleholder) Barry University Phone # Owner's Address 11300 NE 2nd Avenue City Miami Shores state Florida Zip 33161 Tenant/Lessee Name N/A Phone # Email Job Address (where the work is being done) 11300 NE 2nd Avenue - Landon Student Union AW ` b City Miami Shores Village County Miami -Dade Zip 33161 FOLIO / PARCEL # 11- 2136- 000 -0050 Is Building Historically Designated YES NO X Contractor's Company Name Contractor's Address 9,„L(. K 0 s 4- City Qualifier Name .1 1 State Flood Zone f ° h o n e # 6" to"- 3 (Q-2 Zip 3 3 ® ( 6 Phone 3 C) ) e7 A — 1 ® 0 t State Certificate or Registration No. CC— c Q C) / Q 123 Certificate of Competency No. Contact Phone E — p $' LE-9 3 E -mail L EA t Architect/Engineer's Name (if applicable) B P F Design, Inc. Value of Work For this Permit $ 1( /V Type of Work: ❑Addition Describe or a. Alteration /.IL's Phone # 386- 257 -0502 OtC/J6. e? Square / Linear Footage Of Work: ❑New % ❑ Repair/Replace ❑ Demolition **x***** *, *xx *xx * ***** * * * * *K * *xx *x * *xx* Fees***xx*xx****,* x,. *x * *x * *** ** * *x * * *x *** * * * * *xk 2 <1 1, Submittal Fee $5:5 _UJA"r) Permit Fee $ /15,--03 - e CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: � Structural Review. $ Total Fee Now Due $ \ \ � See Reverse side -+ Bonding Company's Name (if applicable) None Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip None 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 approvftd lc d a re- inspection fee will be charged Signature % C u /' Signature Owner or Agent The foregoing instrument was acknowledged before me this day of f *kiRY, 20 t by lig Gri t;DVIAILOT Contractor The foregoing instrument was acknowledged before me this day of gigeJAAty , 20 U , by mtior 34114,141kft who is perxmally.kniaanjojite or who has produced who is personally knownjo me or who has produced As identification and who did take an oath. NOTARY PUBLIC: (Revised 07 /10 /07)(Revi as identification and who did take an oath. NOTARY PUBLIC: xxxxxxxxxxxxww** c9c�eiex4e�SrnYx 4e9e**** �Yxxxxxx****xxux �SreYa4s4 xnka4****xdex *kiea6nY�1 ******** /,6? Plans Examiner Zoning Engineer Clerk checked sed 06/10/2009) Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 163846 Permit Number: CC -2 -11 -200 Scheduled Inspection Date: August 29, 2011 Inspector: Bruhn, Norman Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Landon Student Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: COLEMAN GOODEMOTE CONSTRUCTION Permit Type: Commercial Construction Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1121360010160 -32 Phone: 386- 257 -3570 Building Department Comments INTERIOR MODIFICATIONS TO SERVICE WINDOW/ COUNTER AND SERVICE LINE Passed e Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments (L August 26, 2011 For Inspections please call: (305)762 -4949 Page 40 of 41 Miami -Dade County Building Department r e e- Permitting Search: Rliatt7itic? fie gov Page 1 of 2 Residetp Visitor Business Employee MUNICIPAL REVISE PERMIT AND INSPECTION RECORD 08/23/2011 MUNICIPAL NO.2011- 025645 FOLIO: 1121360000050 JOB SITE ADDRESS 11300 NE 2 AVE PROPOSED USE SCHOOL BUILDINGS /INT. REMDL. LEGAL 36 52 41 40 AC SE1 /4 OF NE1 /4 LESS E35FT & LESS APPLICATION TYPE ALTER INTERIOR 0 SQFT 1 UNITS 1 FLOORS OWNER NAME BARRY COLLEGE CONTRACTOR QUALIFIER PERMIT TYPE MUNICIPAL BLDG CATEGORIES 0001 MUNICIPAL GENERAL BUILDING DATE: 8/23/2011 PROCESS NUMBER: M2011003822 NEW DERM 1 ASBESTOS REVI 175.00 DERM 1 UP FRONT FEE- 80.00 DERM 1 MIN COMM REV( 90.00 FIRE 20000 ALTERATIONS & 104.00 FIRE 20000 FIRE UPFRT FE 32.00 FIRE 1 SRI PLAN REVI 190.00 UPMU 1 UPFRONT FEE F 25.00 MUNICIPAL REVISE PERMIT AND INSPECTION RECORD 08/23/2011 MUNICIPAL NO.2011- 025645 PROCESS NO. M2011003822 FOLIO: 1121360000050 JOB SITE ADDRESS 11300 NE 2 AVE PROPOSED USE SCHOOL BUILDINGS /INT. REMDL. REQUIRED INSPECTIONS INIT DATE FIRE 0001 FIRE INSPECTIONS RECOMMENDED 200 FIRE HYDRANTS 208 FIRE TCO INSPECTION 211 PRELIMINARY 209 FIRE FINAL MUNICIPAL REVISE PERMIT AND INSPECTION RECORD 08/23/2011 MUNICIPAL NO.2011- 025645 PROCESS NO. M2011003822 FOLIO: 1121360000050 JOB SITE ADDRESS 11300 NE 2 AVE PROPOSED USE SCHOOL BUILDINGS /INT. REMDL. DATE: 6/16/2011 PROCESS NUMBER: M2011007098 REVISED *AMT. PAID 249.00 DERM 1 UP FRONT FEE - APPLICATION FEE1 80.00 DERM 1 MIN COMM REV(ADDITION/WET USES 90.00 FIRE 1 FIRE MINOR PLAN REVISION 70.00 FIRE 1 FIRE REVISION UPFRONT FEE 21.00 FIRE 1 SRI PLAN REVIEW 1ST REQUEST 190.00 UPMU 1 UPFRONT FEE FOR MUNICIPALITY 25.00 6/28/2011 13:56 BNZWEBI 181106280434 WEBIPAS 249.00 http: / /egvsys. co.miami- dade.fl.us :160 8/W W W SERV /ggvt/BNZAW922.DIA ?PRO S= M20... 8/23/2011 Miami -Dade County Building Department e- Permitting Search: • m amidade.gov http://egvsys.co.miami-dade.ft.us:1608/WWWSERV/ggvt/BNZAW9... Resident Visrtoi Business Employee FIRE DEPARTMENT PERMIT AND INSPECTION RECORD 08/25/2011 MUNICIPAL NO.2011- 053143 FOLIO: 1121360010160 JOB SITE ADDRESS 11300 NE 2 AVE PROPOSED USE COLLEGE - UNIVERSITY /FIRE SPRINKLER LEGAL NEW MIAMI SHORES ESTS PB 51 -80 LOT 16 BLK 1 APPLICATION TYPE ALTER INTERIOR 0 SQFT 1 UNITS 1 FLOORS OWNER NAME BARRY UNIVERSITY INC CONTRACTOR QUALIFIER PERMIT TYPE FIRE CATEGORIES 0032 FIRE SPRINKLERS DATE: 8/25/2011 PROCESS NUMBER: M2011008754 NEW *AMOUNT PAID 109.00 FIRE 1100 ALTERATIONS & 104.00 FIRE 1 FIRE SUPP TES 175.00 FIRE 1 SPRINKLER UPF 170.00 UPMU 1 UPFRONT FEE F 25.00 8/16/2011 14:09 MORAZAN 291108160121 CENTRAL 109.00 FIRE DEPARTMENT PERMIT AND INSPECTION RECORD 08/25/2011 MUNICIPAL NO.2011- 053143 PROCESS NO. M2011008754 FOLIO: 1121360010160 JOB SITE ADDRESS 11300 NE 2 AVE PROPOSED USE COLLEGE - UNIVERSITY /FIRE SPRINKLER REQUIRED INSPECTIONS INIT DATE FIRE 0032 FIRE SPRINKLERS 200 FIRE HYDRANTS 201 FIRE UNDERGROUND 202 FIRE PRESSURE TEST 206 FIRE ROUGH 207 FIRE PUMP PERFORMANCE TEST 210 FIRE STANDPIPE 215 FIRE FLUSH 209 FIRE FINAL cAtizdyi, FIRE DEPARTMENT PERMIT AND INSPECTION RECORD 08/25/2011 MUNICIPAL NO.2011- 053143 PROCESS NO. M2011008754 FOLIO: 1121360010160 JOB SITE ADDRESS 11300 NE 2 AVE PROPOSED USE COLLEGE - UNIVERSITY /FIRE SPRINKLER TO SCHEDULE A FIRE INSPECTION, PLEASE VISIT THE WEB AT WWW.MIAMIDADE.GOV /BUILDING. YOU WILL NEED TO PROVIDE YOUR TEN DIGIT MUNICIPAL NUMBER AND THREE DIGIT INSPECTION TYPE. THE INSPECTION TYPE CAN BE FOUND ON YOUR INSPECTION REQUIREMENTS AND RECORDS CARD NEXT TO THE REQUIRED INSPECTION. 1 of 2 8/25/2011 9:46 AM 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 APPLICATION FBC 20 Permit Type: BUILDING ROOFING JUN 0 7 2011 Permit No. ` k Master Permit No. OWNER: Name (Fee Simple Titleholder): Barry University Phone #: Address: 11300 NE 2nd Avenue City: Miami Shores State: Florida zip: 33161 Tenant/Lessee Name: N/A Phone #: Email: JOB ADDRESS: 11300 NE 2nd Avenue - Landon City: Miami Shores Count Folio/Parcel #: 11- 2136 - 000 -0050 Ap Union Miami Dade Zip: 33161 Is the Building Historically Designated: Yes NO X Flood Zone: CONTRACTOR: Company Name: Coleman Goodemoi.e Construction Co.,Incphone #:386- 257 -3570 Address: 619 N. Beach Street City: Daytona Beach state: Florida Qualifier Name: Harold L. Goo demote zip: 32114 Phone #:3 86 - 79 5 - 32 35 State Certification or Registration #: CGCO28792 Certificate of Competency #: Contact Phone #: 386- 795 -3235 Email Address; hgoodemote @colemangoodemote.com DESIGNER: Architect/Engineer: B P F Design, Inc. Phone #:386- 257 -0502 Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑Addition ucklteration Description of Work: Preliminary Plan Review ❑New ❑Repair/Replace ❑Demolition ....................................... F............................................ Submittal Fee $ vim. ©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 $ • Bdnding 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 Alar'IDAVIT: 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 Signature Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced Contractor The foregoing instrument was acknowledged before me this day of , 20 _, by who is personally known to me or who has produced As entification d who did take an oath. as identification and who did take an oath. NOTARY PUBLIC• NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expir - My Commission Expires: ********************* * * * ** * * * * * * * * * * * * *** * * * * * * * * * * * * * * ** * * * ** * * * * * * * * * ** * * * ** * * * ** * * * * *** ** Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) COLEMAN GOODEMOTE INC CONSTRUCTION 619 North Beach Street Daytona Beach, Florida 32114 (386) 257 -3570 • Fax: (386) 253 -6692 www.colemangoodemote.com \lia- 'Clit;a(016._ E', JUN 0 h'all TRANSMITTAL SHEET TO: Miami Shores Village Building Dept. Attn: Norman Bruhn, CBO 10050 NE 2°d Avenue Miami Shores, FL 33138 DATE: June 6, 2011 RE: Barry University — Landon Student Union WE ARE SENDING YOU THE FOLLOWING ITEMS: X ENCLOSED ❑ ARCHITECTURAL PLANS ❑ SUBMITTALS ❑ SHOP DRAWINGS DESCRIPTION: -Two (2) sets of plans for preliminary review. - Building Permit Application. -Ck #0938 for $200.00. THESE ARE TRANSMITTED: X FOR REVIEW & APPROVAL ❑ FOR YOUR FILE ❑ PER YOUR REQUEST ❑ FOR YOUR USE REMARKS: Thank you — ❑ SPECIFICATIONS ❑ SAMPLES ❑ OTHER: ❑ REVISE & RESUBMIT FOR RECORD ❑ FOR REVIEW & COMMENT ❑ SIGNATURE & RETURN ❑ OTHER -SEE REMARKS C r /Lc . Amanda K. Fiske Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 11300 NE 2 Avenue Number: Landon Studer 1121360010160 -32 Miami Shores, FL 33138 -0000 Block: Lot: BARRY UNIVERSITY INC Owner Information Address Phone Cell BARRY UNIVERSITY INC 11300 NE 2 Avenue MIAMI SHORES FL 33161 -6628 Contractor(s) Phone COLEMAN GOODEMOTE CONSTRUC' 386- 257 -3570 Cell Phone Valuation: Total Sq Feet: $ 20,000.00 300 1 Approved: In Review Comments: Date Approved: : In Review Date Denied: Type of Construction: INTERIOR MOD TO WINDOW AND Stories: Front Setback: Left Setback: Plans Submitted: Yes Certification Date: Bond Retum : Scanning: 8 Occupancy Load: Exterior: Rear Setback: Right Setback: Certification Status: Additional Info: Classification: Commercial Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Plan Review Fee Scanning Fee Technology Fee Total: Amount $12.00 $9.00 $9.00 $4.00 $600.00 $200.00 $24.00 $16.00 $874.00 Pay Date Invoice # 06/14/2011 02/07/2011 06/07/2011 Pay Type CC -2 -11 -40021 Credit Card Check #: 921 Check #: 938 Amt Paid Amt Due $ 624.00 $ 50.00 $ 200.00 $ 250.00 $ 200.00 $ 0.00 Available Inspections: 1 Inspection Type: Final PE Certification Window Door Attachment Tie Beam Slab Termite Letter Framing Store Front Attachment Insulation Drywall Screw Window and Door Buck Ceiling Grid Fill Cells Columns 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. June 14, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date June 14, 2011 1 06/14/2011 08:44 3862536692 COLEMAN GOODEMOTE CO PAGE 02 NOTICE OF COMMENCEMENT A RECORDED COPY MUST OE POSIEO ON THE JOB SITE AT ME OP RUST Ir?ISPEC11ON TAX FOLIO NO 11 -2136- 000 -0050 PERMIT NO. 3110E OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby glues notice chat Improvements w1ll be made to certain real prripet% and in accordance with Chapter713, Florida Statutes. the folleasb g Information Is provided In the Notice of Commencement. 1111 11111111111111111111111111111111111111 CF= t4 201 1 FtC 1]8477 DR Bk 27579 Po. 1266i (1130 RECORDED 02/07/2011 14:5€ :31 HARVEY WIN, CLERK'. OF CURT 1IAttI -DADE C0UNTy r FLORIDA LAST PAGE Space above reserved for use od rccordtng aloe 1.I�d description of roperty and streetladdrees; 11300 NE 2nd Ave. , 36 52 41 40 AC SE 1/4 of NIEl /4 LESS E3 )FT & L f� t'I4OFT LOT S 1740400'S FEET - Landon Student Union 2. Description ofimpravemert:- Star alt9ratinn,, _ 3.0vmer(s) name and address: arry 1 n l Vers 1 interest In property: 0Nner Narne and address of fee shnple tWeholder•, 4. Cordracloe8game, address and phone number: Coleman Goodemote Construction Co. Inc. 61L E. Belch Street. Daytona Beac 5. Surety: (Payment bared required by offer from contractor, If Name, address and phone number.ne Amount of bond $ B. Londnr% name and address: No'Ae • _ 7. Parsons w ffiln the State of Florida designated by Owner upon whom notices or other aoouments may be served as provided by Scotian 713.13t1)(a)7., Flerida.Stabites, . • Name, address and phone number: • • . . ."9 ll ye., 1 arl ores, 8. to addition to himself. Owners designates the folloviing persons} to receive a copy of the Minor's Notice as provided In Section 713.13(1)(b), Florida Statutes. Name, address and phone number: 9. Expiration date of thba Notice of Cormnencement: (the exprratka datois 1 yeurrea Ihs dare or rezordingunkssa afferent dale III epsoltl2dl WARNING n;00WNF ANY PAYMENTS MADE WOE CANNER AFTER THE E !(PIRATIONOF THE MIME OF COMMENCEMENTARECONSIDERED IMPROPER PAYMENTS UNDER CHAPTER Tt3, PART' t. SE ?CTION 719.19. FLORIDA STATUTES, AND OAN RESULT IN YOUR PAYING TWICE FOR IMPROVE MBaS TO YOUR PROPERTYY, A NOTICE OF COMMENCEMENT MUST BE RECORDED MO POSTED ON THE 108 SITE WORE THE FIRST INSPECTION. IF YOU INTEND YO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AITORNCV BEFORE COMMENCI . WORK OR riGtORD1Ne YOUR NOTICE OF OMMti NCEMEN1: Si nat rre(s) of Owner(s) or By Pdnt Name TirleOArrs STATE OF PLOTIIDA COMITY OF MIAMI -DADE The fore Iholizud Officer! reecter/bP.e►tnerr/iVian�agar Print N�game srs( �- �' o - !/Irot • ! Dt� ' lvl5 13 a $41.1 .t 4r 35'1.= 4 e' 3 %ti+ i Was JA ❑ Individually, or 4 -XPEMOrraQy Icrrown, or produced this folloufing types of - Slgnature of Notary MN= print Names ged bafare me this ttlk day of r ,ZA4AAry ?.O 61 VSR1FIDA1L0N under penalties of perjury,.I declare that I have react the that the facts elated in It am true. to the best of my [snow to isi 0i own* s' �y , 's Authorized Of cerlfure SY /•• maws Rees 3'I By 06/14/2011 08:44 3862536692 COLEMAN GOODEMOTE CO q °rr�� CERTIFICATE OE LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OP 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 INSURERS }, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the po)icy(les) must be endorsed. If SUBROGATION 15 WAIVED, subject to the terms and conditions of the pulley, 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}, PAGE 03 OP ID: PM DATE IMM/DOIYVYY) 03/03/11 PRODUCER Brown & Brown of Florida, Inc. Daytona Beach Office P.O. Box 2412 Daytona Beach, FL 32115 -2412 385-252-9601 386 - 239 -5729 INSURED COLEMAN GOODEMOTE CONSTRUCTION INC 019 NORTH BEACH STREET DAYTONA BEACH, FL 32114 CONTACT gANIE• PANE Lss: P�DUCER CUST�O�, - ,D ;COLEM -3 =AX NC No • INSURERJS) AFFORDING COVERAGE INSURER A :Westf etd Ins Co INSURER e :Insurance Company of the West INSURER C t INSURER D: INSURER E INSURER Ft NAIC 0 24112 27847 COVERAGES • CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE 1NSt)R INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INUIT _ TYPE OPIMsuRANCE NSIP,WVB POUCYNUMBER INNI /DOYYYY]JJMM/UDarrrYYYI A GENERAL LIABIUTY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE © OCCUR GEM(. AGGREGATE LIMIT APPLIES PER 7 POLICY n .FFCo- 17 LOG AUTOMOBILE LIABILITY —_! ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS i( HIRED AUTOS X NON -OWNED AUTOS TRA3656641 TRA3656641 01/25/11 01/25/11 01/25/12 01/25/12 uMBREW4 UAB EXCESS UAB OCCUR CLAWS-MADE B A DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY IN O FlQER/MEMBOER EXCLUDED? Y� (Mandatory In NH) N emote under DESCRIPTION OF OPERATONS below LEASED/RENTED EQUIPMENT NIA VVFL216073505 03/01/11 03/01/12 TRA3656641 01/25/11 01125/12 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES Attach ACORD 101. Additional Remarks SC41e ulm, N more Space 15 required) CERTIFICATE HOLDER ER: ED NAMED ABOVE FOR THE POLICY PERIOD DOCUMENT WITH RESPECT TO WHICH THIS D HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS _ EACH OCCURRENCE $ 1,000,000 RENTED 150,000 PREMISES Me_i Oej- MED EXPJAny am omen) $ 10,000 PERSONAL & ACV INJURY $ 1,000,000 GENERAL AGGREGATE & 2,01)0,000 PRODUCTS - CDMP/OP AGG E 2,000,000 S COMBINED SINGLE LIMIT $ 9,000,000 (Ea accident) BODILY INJURY (Par person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per occident) $ 5 EACH OCCURRENCE $ AGGREGATE S $ W $ r p X { RV ij ! I Mt _ E.L EACH ACCIDENT $ 500,000 E.L DISEASE • EA EMPLOYEE $ 500,000 E.I. DISEASE • POLICY LIMIT $ 500,000 LIMIT 10o,00o DED 500 CANCELLATION CITYM-9 CITY OF MIAMI SHORES 10050 N E 2ND AVE MIAMI SHORES, FL 33138 SHOULD ANY OF THE. ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TNe EXPIRATION DATE THEREOF, NOTICE WILL BE DELR/ERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD CANCELLATION CITYM-9 CITY OF MIAMI SHORES 10050 N E 2ND AVE MIAMI SHORES, FL 33138 SHOULD ANY OF THE. ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TNe EXPIRATION DATE THEREOF, NOTICE WILL BE DELR/ERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD 3 Miami Shores Village Building Department 10050 N.E2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 962.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING ROOFING- 5 FEB 0 7 2011 Permit No. CO 1 1 Master Permit No. OWNER:Name(FeeSimpleTitieholder): Barry University Phone#: Aar= 11300 NE 2nd Avenue City: Miami Shores star Florida Tenant/Lessee Name: N/A ,: 33161 Phone#: Email: JOB ADDRESS: 11300 NE 2nd Avenue - Landon Student Union City: Miami Shores Folio/Parcel#: 11 -2 000 -OO50 Is the Building Historically Designated: Yes County: Miami Dade zip: 33161 NO X Flood Zone: CONTRACTOR:CompanyName: Coleman Goodemote Construction Co.Incphone# 386- 257 -3570 Ate: 619 N. Beach Street City: Daytona Beach State: Flori t6fierNance: Harold L. Goodembte State Certification or Registration #: CGC 028792 Contact Phone#: 386- 795 -3235 Email Address: da zip: 32114 Pte: 386- 795 -3235 Certificate of Competen y #: h000demote@colemangoodemote.com DESIGNER: Architect /Engineer: BPF Design, Inc. phone: 386- 257 -0502 Value of Work for Oda Permit: $ 20,000 Square/Linear Footage of Work: -OA-3'00 Type of Work: DAddition E+ulteration ONew ORepaidRepIaee ODemolition DescripfonofWork: Interior modifications to service window /counter and service line. *s ass *seee+e*saea*s*reesys*e*eaee caw *Fees oa +Wevateveaxeseeeeeea440aada+aev* Submittal Fee $ 50- ) • , Permit Fee $ C d c ° 4 CCF $ CO /CC $ Scanning Fee$ 1 Radon Fee $, DBPR $ Bond $ Notary $ Training F.ducatton Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ W 2 -A - NAME: RESUBMITAL DATES: I Bonding Company's Nara Of applicable) None Bonding Company's Address City State Mortgage Lender's Name (if applicable) None Mortgage Lender's Address ZIP 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 valve exceeding $2500, the applicant must promise in good faith that a copy of the notice of co►n►nenccen►ent and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of coma. anent must be posted at the job sit for the first inspection which occurs seven (7) days after the building permit is issued In 7l" absence f such pos ed notice, t' inspection will not be approt a reinspection fee will be charged. 4 Signature Owner or Agent The foregoing instrument was acknowledged before me this day of ,. 420J,L, by iithiCh who is nersonaily loan to me or who Inc produced As identification and who did take an oath. NOTARY PUBLIC: Sign: jJAn1 ii E' Sig" 0310612D1 Print:�7 /�. ' 1:4u " -� �a+t Print: N01aRy PuBIIC _= My Commission Expires R "r'a' �'I:'.�' ,iL '+ •- a My Commission Expires: = • ** aas*e *aa*c aasasea**** *aaaaere*a rc asaa$a *aaa;ea,ea ***** **** **e aaaaa**$aeoae **** *re> • .• 0, 0165901 ''` e COmmiSS100 Sic EXPIRES: Noveseher 12, 2014 1400.3440resv m.ta•ws Contractor The foregoing instrument was acknowledged before me this 1— day of , 20 I , by 44140-W7 C9,.00P�')1O who is personally known to me or who has produced as identification and who did take an oath. 0\\\unuui NOTARY PUBLIC: APPROVED BY Structural Review (Revised 07 /10/07)(Revised 06/t0t2009XRevised 3/15/09) Zoning Clerk Congratulations! With this license you become one of the nearly one million Floridians licensed by the Departrnent of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's 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 www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and leam more about the 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. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE 3ATCH P? UMBER 02/07/2011 13:59 3862536692 ' OF HOLLY HILL !NATIONAL LICENSE TAX COLEMAN GOODEMOTE CO PAGE 01 (THIS IS NOT A BILL) :NSE YEAR: OCTOBER 1, 2010 THOU SEPTEMBER 30, 2011 _NSE N0: 11- 1157 [NESS CLASSIFICATION 1045 RIDGEWOOD AVENUE HOLLY HILL, FL.32117 r. DATE: 9 /30/10 FEE: i0 BUS REG: GENERAL CONTRACTOR •U ERT) IHESS LOCATION: 1 OUTSIDE CITY• INESS OWNER: GOODEMOTE, HAROLD II UED COLEMAN GOODEMOTE 619 NORTH BEACH ST DAYTONA BEACH FL 32114 $.00 AMOUNT, $.00 • VALID PROVIDING ALL STATE CERTIFICATION /REGISTRATION • REQUIREMENTS ARE CURRENT Xenia AUTHORIZED SIGNATURE S MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS: PENALTY FOR FAILURE TO DO S0. DOES NOT GUARANTEE JOB/WORK PERFORMANCE: BUSINESS MUST COMELY WITH CITY ORDINANCES. s .1 OP ID: LM ACORO® �- CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 02/04/11 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 386- 252 -9601 Brown & Brown of Florida, Inc. 386- 239 -5729 Daytona Beach Office P.O. Box 2412 Daytona Beach, FL 32115 -2412 CONTACT PHONE (A1C. No. Ext): FAX No): E -MAIL ADDRESS: CUSTOMER COLEM -3 CUSTOMER ID #: INSURERS) AFFORDING COVERAGE NAIC # INSURED COLEMAN GOODEMOTE CONSTRUCTION INC 619 NORTH BEACH STREET DAYTONA BEACH, FL 32114 INSURER A :Westfield Ins Co 24112 INSURER B'; Insurance Company of the West 27847 INSURER C : 01/25/12 INSURER D : $ 1,000,000 INSURER E : PREM SES EaEoccurrence) INSURER F : CERTIFICATE NUMBER: REVISION 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. ILTR TYPE OF INSURANCE INSR W VD POLICY NUMBER (MMMIDDDIIYYYY) (MM1DD/YYYY) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR TRA3656641 01/25/11 01/25/12 EACH OCCURRENCE $ 1,000,000 X PREM SES EaEoccurrence) $ 150,000 CLAIMS -MADE X MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY Ti JEa 1I LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILI Y ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS TRA3656641 01/25/11 01/25/12 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X $ $ UMBRELLA LAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ _ AGGREGATE $ DEDUCTIBLE RETENTION $ $ _ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY AND ANY PROPRIETOR/PARTNER /EXECUTIVE Y� OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WFL216073503 03/01/10 03/01/11 - X WC STATU- OTH- TORY OMITS °N E.L EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 600,000 E.L DISEASE - POLICY LIMIT $ 500,000 A LEASED/RENTED EQUIPMENT TRA3656641 01/25/11 01/25/12 LIMIT 100,000 DED 600 DESCRIPTION OF OPERATIONS/ LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) a.Gn11ri 1 nVwc,14 CITYM -9 CITY OF MIAMI SHORES 10050 N E 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. AUTHORIZED REPRESENTATIVE v //� ~ ACORD 25 (2009/09) - . . The ACORD name and logo are registered marks of ACORD Permit No: 11 -200 Job Name: March 1, 2011 M iami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet 1) Plans must be reviewed and approved by Miami Dade County Fire Department. 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 [cc!J +?ofe k) )-L140( ?4- RI 4(0 -.40,6,1-sDA- Permit No: 11 -200 Job Name: February 15, 2011 Miami Shores Vivage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet tans must be reviewed and approved by Miami Dade County Fire Department. d. 5) Provide a complete set of plans for review. Plans must include plumbing, electric, mechanical, and fire sprinklers. Provide a complete scope of work identifying all work. REVIEW STOPPED> 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 /i7-X/(6o.??421 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. CGft— 20 Job Name PLUMBING CRITIQUE SHEET M E ‘-e4-44e_ rooe k 34 I i1 -4' ?yy /il ®tom ` soot .ftc-.52< /cG � r- le ev 4.1 , fir ® A-/ C- ® m .s reek.., to # P * Pe--e- a 6/- ' te s ;%' —q Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. (- 11 - e, Job Name t ,a -i -z ��G� , � G r/2/ -"' CRITIQUE SHEET / ' c '9 e 1/4c�7r, _7 02/16/2011 11:55 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES 1j001 * * * * * * * * * * * * * * * * * * * ** * ** TX REPORT * ** * * * * * * * * * * * * * * * * * * * ** TRANSMISSION OK TX /RX NO 1070 RECIPIENT ADDRESS 3862536692 DESTINATION ID ST. TIME 02/16 11:54 TIME USE 01'38 PAGES SENT 3 RESULT OK CA ESIGN INGORP CI) RATE� Architecture Design Consulting Project Management Renovations & Additions Historical Restorations Comment Response Document February 18, 2011 Norman Bruhn, Chief Building Official Building Department Miami Shores Village 10050 N.E. 2nd Avenue Maimi Shores, FL 33138 Ph: 305/795-2204 Fx: 305/756-8972 Permit # 11 -200 Project Name: Wow Cafe Interior Modification Project Location: Student Union @ Barry University, 11300 N.E. 2nd Avenue, Miami Shores, FL 33161 Memo: Thank you for your comments dated February 15, 2011. Please review the below responses and attached revised drawings. Please feel free to call our office if you have any questions or concerns. Comment Responses: 1. We will submit plans to Miami Dade County Fire Department for review /approval. 2. This comment resolved. 3. This comment resolved. 4. We have no mechanical changes associated with this project. We have minor electrical work that includes relocating receptacles and adding new receptacles. Plumbing work includes demo of one connection and adjustment if necessary of one water line. Please review our revised drawing package that we have added scope items to better explain what work is to be done on each sheet. Please review for approval. 5. We have revised our complete set of drawings and added a scope of work list of items to be accomplished on each sheet. In addition, we have omitted one sheet that did not apply and added a new electrical sheet showing work to be done. There is no mechanical or fire sprinkler work associated with this project. The electrical work is shown on our new electrical sheet E1. Please review for approval. Issued: Plumbing Critique: 1. There are no significant changes to Plumbing. The only work to be done is the demo and cap of water line at equipment # 4 shown on Sheet X1. Please consider for approval. 2. There are no significant changes to Plumbing. The only work to be done is the demo and cap of water line at equipment # 4 shown on Sheet X1. Please consider for approval. 3. There are no changes to the water heater or any hot water lines associated with this project Please consider for approval. 4. There is a existing mop sink that will not be altered or changed. Please consider for approval. 5. There is an existing grease interceptor that will not be altered or changed. In addition, nothing new will be attached to the existing grease interceptor. Please consider for approval. 6. We are applying for DERM & Health Department review if necessary. 7. Toilet rooms are existing to remain for this space. The use of space has not changed and there is no impact to the existing toilet rooms. Please consider for approval. Electrical Critique: 1. We have added a new Electrical Sheet with scope of work list that better explains the project intent. Please review revised Sheets X1, A2 and El for approval. Please allow these changes to be accepted for the record. These changes should not adversely affect any other portion of the project. Please refer to the attached revised drawings for review /approval. Please give me a call if you have any questions or need anything clarified further. It is a pleasure to continue to do business with you and your group on this project. Sincerely, Brian P. Fredley, Associate AIA and President Dallas B,; eac•ck. Architect, AR 0009706 02/16/2011 11:54 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES Ij001 1(6) -ate Permit No: 11 -200 Job Name: February 15, 2011 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet 1) Plans must be reviewed and approved by Miami Dade County Fire Department. 2) Plans must be reviewed and approved by Miami Dade County DERM. 3) Plans must be approved by HRS for the septic system.lf on septic. 4) Corrections for mechanical, electrical and plumbing must be completed. 5) Provide a complete set of plans for review. Plans must include plumbing, electric, mechanical, and fire sprinklers. Provide a complete scope of work identifying all work. REVIEW STOPPED> 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 36-co -- ow6 - Cocv9 2 �� 1� 1p11 ore F _ _.E50A Gods God s� 02/16/2011 11:55 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES a 002 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. CC. f(' t Job Name PLUMBING CRITIQUE SHEET 0 ev i- i( ,W,..r 0 e-,r—q—/ (, Carr - . g-, fP 614r,,, A.6-7,,,5 DESIGN 1NCORPO RATE CI Architecture Design Consulting Project Management Renovations & Additions Historical Restorations Comment Response Document February 18, 2011 Norman Bruhn, Chief Building Official Building Department Miami Shores Village 10050 N.E. 2nd Avenue Maimi Shores, FL 33138 Ph: 305/795 -2204 Fx: 305/756 -8972 Permit# 11 -200 Project Name: Wow Cafe Interior Modification Project Location: Student Union @ Barry University, 11300 N.E. 2nd Avenue, Miami Shores, FL 33161 Memo: Thank you for your comments dated February 15, 2011. Please review the below responses and attached revised drawings. Please feel free to call our office if you have any questions or concems. Comment Responses: 1. We will submit plans to Miami Dade County Fire Department for review /approval. ^?1i2 r: 2. This comment resolved. 3. This comment resolved. 4. We have no mechanical changes associated with this project. We have minor electrical work that includes relocating receptacles and adding new receptacles. Plumbing work includes demo of one connection and adjustment if necessary of one water line. Please review our revised drawing package that we have added scope items to better explain what work is to be done on each sheet. Please review for approval. 5. We have revised our complete set of drawings and added a scope of work list of items to be accomplished on each sheet. In addition, we have omitted one sheet that did not apply and added a new electrical sheet showing work to be done. There is no mechanical or fire sprinkler work associated with this project. The electrical work is shown on our new electrical sheet El. Please review for approval. or_ i ^r 7 �r_ny G Issued: Plumbing Critique: 1. There are no significant changes to Plumbing. The only work to be done is the demo and cap of water line at equipment # 4 shown on Sheet X1. Please consider for approval. 2. There are no significant changes to Plumbing. The only work to be done is the demo and cap of water line at equipment # 4 shown on Sheet X1. Please consider for approval. 3. There are no changes to the water heater or any hot water lines associated with this project. Please consider for approval. 4. There is a existing mop sink that will not be altered or changed. Please consider for approval. 5. There is an existing grease interceptor that will not be altered or changed. In addition, nothing new will be attached to the existing grease interceptor. Please consider for approval. 6. We are applying for DERM & Health Department review if necessary. 7. Toilet rooms are existing to remain for this space. The use of space has not changed and there is no impact to the existing toilet rooms. Please consider for approval. Electrical Critique: 1. We have added a new Electrical Sheet with scope of work list that better explains the project intent. Please review revised Sheets X1, A2 and El for approval. Please allow these changes to be accepted for the record. These changes should not adversely affect any other portion of the project. Please refer to the attached revised drawings for review /approval. Please give me a call if you have any questions or need anything clarified further. It is a pleasure to continue to do business with you and your group on this project. Sincerely, Brian P. Fredley, Associate AIA and President Dallas ,$. Peacock. Architect, AR 0009706 02/16/2011 11:54 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES Q001 i 10« c � — .,,,- D A.- Permit No: 11 -200 Job Name: February 15, 2011 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet 1) Plans must be reviewed and approved by Miami Dade County Fire Department. 2) Plans must be reviewed and approved by Miami Dade County DERM. 3) Plans must be approved by HRS for the septic system.lf on septic. 4) Corrections for mechanical, electrical and plumbing must be completed. 5) Provide a complete set of plans for review. Plans must include plumbing, electric, mechanical, and fire sprinklers. Provide a complete scope of work identifying all work. REVIEW STOPPED> 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 M - &f.c, toc192 too' �� Ft3 101 e F_. "Nos. 02/16/2011 11:55 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES Q002 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 G ( 2-0 Job Name PLUMBING CRITIQUE SHEET 4- ‘j4-iv e_ T` O4) 4 2 d e-1-4--/ • M7 �tvi1� g /' C- , M I AM I•DADE) COUNTY CaxTLAAGE:Z' M IY-7r INV#: VERIFICATION FORM EXPIRES ONE YEAR FROM DATE ON FORM FORM #: 201129515 DATE: Water and Sewer P. O. Box 330316 • 3071 SW 38th Avenue Miami, Florida 33233 -0316 T 305 - 665 -7471 miamidade.gov 7/7/2011 NAME OF OWNER: PROPERTY ADDRESS: PROPOSED USAGE / NO. OF UNITS: REPLACES: PREVIOUS USAGE / NO. OF UNITS: PROPERTY LEGAL: WOW CAFE AT BARRY UNIVERSITY AKA WORLD OF WINGS 11300 NE 2 AVE 3,847 SF CAFE INTERIOR MODIFICATION 1 3,847 SF CAFE 36 52 41 38.80 AC M/L SW1 /4 OF NE1 /4 LESS E4OFT LOT SIZE IRREGULAR FOLIO NUMBER: 11-2136-000-0040 GALLONS PER DAY INCREASE: 0 PREVIOUS FLOW: PROPOSED FLOW: .. ..._...._..._......__.......... 1,924 PREVIOUS SQUARE FOOTAGE: 3,847 ... ............................... 1,924 PROPOSED SQUARE FOOTAGE: 3,847 r2 INTERIOR RENOVATION ❑ NEW CONSTRUCTION THIS IS TO CERTIFY THAT THE MIAMI -DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N) _12_ INCH WATER MAIN ABUTTING THE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT PROPERTY, (OR, IF' WILL HAVE ", UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF WATER FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT, (AGREEMENT ID #) SUBJECT TO PROHIBITIONS OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF WATER SUPPLY OR WITHDRAW BY: SIGNAT ,' E OF REP IEW BUSINESS COMMENTS: PLANS REVIEW COMMENTS: CRITERIA: F_4 Gonzalo Garcia Jr. - New Business Representative SENTATIVE AUTHORIZED BY ;EXISTING CIS ACC # 4213042200 VF $150.00 WSC $90.00 TOTAL $240.00 THIS IS TO CERTIFY THAT THE MIAMI -DADE WATER AND SEWER DEPARTMENT DOES NOT HAVE A(N) _ INCH GRAVIi7' SEWER MAIN ABUTTING THE SUBJECT LEGALLY DESCRIBED PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT PROPERTY, (OR, IF "WILL HAVE ", UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF SEWER SEWEP FACILITIES BY THE DEVELOPER UNDER AGREEMENT WITH THE DEPARTMENT, (AGREEMENT ID #). SUBJEC. TO PROHIBITIONS OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF SEWAGE DISPOSAL. FURTHERMORE, APPROVAL OF ALL SEWAGE FLOWS INTO THE DEPARTMENTS SYSTEM MUST BE OBTAINED FROM D.E.R.M. THE ANTICIPATED DAILY WATER AND /OR SEWAGE FLOW FOR THIS PROJECT WILL BE: NO GALLONS [0] GALLONS PER DAY INCREAS BY: Gonzalo Garcia Jr. - New Business Representative SIGNATU OF REPR >'SENT IVE AUTHORIZED BY E t' BUSINESS COMMENTS: G PROCESS # M2011007098 APPROVED BY DERM NO NET INCREASE***PRIVATE SYSTEM*** PLANS REVIEW COMMENTS: CONTACT NAME: JULIET CONTACT PHONE: Printed On: 7/7/2011 3:51:17 PM 0\cR\Q esk NB: Gonzalo Garcia Jr. t M I A M I•DADE COUNTY Carlos Alvarez, Mayor Water Supply Certification Number:2362 -VF- 201129515 Water Supply Certification Issued Date:07/07/2011 Applicant: N/A Re: Adequate Water Supply Certification - No Net Increase Water and Sewer P. O. Box 330316 • 3071 SW 38th Avenue Miami, Florida 33233 -0316 T 305 - 665 -7471 Owner /Agent: D. BRUCE EDWARDS Organization: BARRY COLLEGE 11300 NE SECOND AVE MIAMI, FL 33161 miamidade.gov The Miami -Dade Water and Sewer Department (Department) has received your request to receive water services to serve the following project which is more specifically described in the attached Agreement , Verification Form, or Ordinance Letter. Project Name: WOW CAFE AT BARRY UNIVERSITY AKA WORLD OF WINGS Project Location: 11300 NE 2 AVE Miami Shores Previous Use:3,847 SF CAFE Proposed Use:3,847 SF CAFE Previous Flow: 1,924 (GPD) Total Calculated Flow: 1,924 (GPD) Reserved Flow: No Net Increase The Department has evaluated your request pursuant to Policy CIE -5D and WS -2C in the County's Comprehensive Development Master Plan and Limiting Condition No. 5. of the South Florida Water Management District Water Use Permit Number 13- 00017 -W. Based on its review of all applicable information, the Department hereby certifies that adequate water supply is available to serve the above described project. Our review indicates this project results in no net increase in water demand for the purposes of Adequate Water Supply Certification. Furthermore, be advised that this adequate water supply certification does not constitute Department approval for the proposed project. Additional reviews and approval may be required from sections having jurisdictio over specific aspects of this project. Also, be advised that the gallons per day (GPD) flow allocated herein is for water certification purposes only and may not be representative of GPD flows used in calculating connection fees by the utility providing the service. Should you have any questions regarding this matter, please contact Maria A. Valdes, Chief, Comprehensive Planning And Water Supply Certification Section, (786) 552 -8198 or via email at mavald @miamidade.gov. Sincerely, Comprehensive Planning And Water Supply Certification Section. 66CA8A23- 8209- 405B- A081- A94071 B74991