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SGN-11-1443Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NS P- 167551 Permit Number: SGN -8 -11 -1443 Scheduled Inspection Date: February 01, 2012 Inspector: Bruhn, Norman Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Miami Shores, FL 33138- Project: BARRY UNIVERSITY Contractor: TGSV ENTERPRISES INC Permit Type: Sign Inspection Type: Final Work Classification: New Phone Number Parcel Number 1121360010160 Phone: (305)323 -5755 Building Department Comments MONUMENT SIGN FOR NORTH CORNER ON NE 2 AVE Passed ‘?id, c,) Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 167425. CREATED AS REINSPECTION FOR INSP- 163058. CANCELLED BY ANNIE Letter loose on wall. Provide attachment detail from designer showing method of attachment to resist the wind Toads form 146 mph winds. January 31, 2012 For Inspections please call: (305)762 -4949 Page 13 of 39 Miami Shores Village 2011 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No.Td 11 H44 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: BUILDING ROOFING Owner's Name (Fee Simple Titleholder) Owner's Address 11300 NE 2nd Ave Barry University Phone # City Miami Shores State FL Zip 33138 Tenant/Lessee Name Phone # Email Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # 11- 2136 -000 -0050 Is Building Historically Designated YES County Miami -Dade Zip NO Flood Zone Contractor's Company Name TGSV Enterprises, Inc. Phone # 305 -823 -5755 Contractor's Address 1301 West 68th Street City Hialeah State Florida Zip 33014 Qualifier Name Rny Rndri glee? State Certificate or Registration No. Certificate of Competency No. Contact Phone 305 -970 -6279 E -mail roy @tgsv. com Phone # 305- 823 -5755 Architect/Engineer's Name (if applicable) Manuel Synalovski Phone # 954- 961 -6806 Value of Work For this Permit $ 1 0/..64Q_ Square / Linear Footage Of Work: N/A Type of Work: ®Addition ['Alteration ['New ❑ Repair/Replace ❑ Demolition Describe Work: Signage structures (D fil431\du, ' S(,6N A/OAM k:,qJ .114111 lid ******** * * * * **** **** * ** * * * ** ** * ** * ** * ** Fees * * * * *, * * * * ** ***** *** * * * * * * * * * *** *, *** ** ** ** Submittal Fee $ Permit Fee $ ,a a d CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: %..)00 Structural Review. $ Total Fee Now Due $ See Reverse side — Bonding Company's Name (if applicable) 1§ofiding 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 FLECTRICAL 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 approver a reinspection fee will be charged. Signature Signature i/ 1"1-**". Owner or Agent Contractor The foregoing instrument was acknowledged before me this la) The fore s ing instrument was ackno ged before me this q day of 4LU9( , 20 11 , by MP, C , •fav Ui f day of •[ _ _ _ , 20 11_, by Old PCCin , who is sonal known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Sign: Print: My Commission I *rS fir►, r. ISABEL CAMEJO -SMITH MY COMMISSION # DD982630 Isocw, EXPIRES: June 14, 2014 1.8004.NOTARY FL Notary Disowmt Assoc. Co. **************************************************** ****: k*******+k************* ' ************* *************** APPROVED BY (: f✓ J F/4/ Plans Examiner � !' Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06 /10/2009) i t.. oR ® CERTIFICATE OF LIABILITY INSURANCE OP ID T4 DATE O o%ry 1) 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 'LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 'RESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate bolder is an ADD171ONAL INSURED, the policy(ies) 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 Brown 6 Brown of Florida, Inc. 1201 W Cypress Creek Rd # 130 P.O. Box 5727 Ft. Lauderdale FL 33310 -5727 Phone:954- 776 -2222 Fax:954- 776 -4446 c.u+v I AV pN ONE 1 FAX (AlC Nr, ea): It/4/C, N °) EADDRESS: PRODUCER CUSTOMER m O: TGEVE -1 INSURER(S) AFFORDING COVERAGE NAICO INSURED TGSV Enterprises, Inc. Attn: Ging r Tatum 1301 West 68th Street Hialeah FL 33014 INSURER A: Amerisure Insurance Co. 19488 INSURERB: North River Insurance Co. 21105 INSURERC: Amerisure Mutual Ins. Co. 23396 INSURERD: X INSURER E : s300,000 INSURER F: MED EXP Any one person) COVERAGES 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. ILA TYPE OF INSURANCE - AOUpsuara INSR I WVD POLICY NUMBER POLICY (MAIIDD POLICY 4' (I MIDD/YYYY) LIdlITS C GENERAL LIABILITY COMMERCIAL GENERAL L.IABILITY 1CLAIMS-MADE 6 OCCUR 10050 N.E. 2 Avenue GL2057544020010 10/16/10 10 /16/11 EACH OCCURRENCE $ 1,000,000 X UpREEMIS s(Eaoioca, el.) s300,000 MED EXP Any one person) $ 10 , 000 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 sEN'L AGGREGATE LIM ` IT .1 POLICY n ACT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 —I LOC Emp Ben. $1,000,000 C AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 20575430102 10/16/10 10/16/11 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ B X UMBRELLA UAB EXCESS UAB X OCCUR CLAIMS -MADE 5530937517 10/16/10 10/16/11 EACHOCCURRENCE $ 1,000,000 AGGREGATE $ 2 r 000,000 DEDUCTIBLE RETENTION $ 0 $ — X $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNEri OFFICERIMEMBER EXCLUDED? (Mandatory In NH) M describe under DESCRIPTION OF OPERATIONS NIA WC205936001 01/12/11 01/12/12 f X ITO SUIT 1 IO R E.L EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1 , 000 , 000 below E.L. DISEASE - POLICY LIMIT $ 1 , 000 , 000 DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) CERTIFICATE HOLDER CANCELLATION ACORD 25 (2009109) 01988- ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMISH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village AUTHORIZED REPRESENTATIVE _ 10050 N.E. 2 Avenue Miami Shores FL 33138 I �' �' �T�7 Jet ACORD 25 (2009109) 01988- ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD IVitami Shores Viiiage Building Department RECEIPT PERMIT #: [.1 �'� y DATE: I /6v7-2/1 Contractor Owner o Architect Picked up 2 sets of plans and (other) 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Address: ��� lt^(� S I ( fi\C_S 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 by: PERMIT CLERK INITIAL: RESUBMITTED DATE: (5 S'O---q PERMIT CLERK INITIAL: Permit No: 11 -1443 Job Name: August 11, 2011 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Building Critique Sheet 1) Provide an electrical permit. 2) Provide wind Toad design criteria. 3) Top of foundation must be a minimum of 16' below finished grade. 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 JE 2YJ - NO2? It Permit No: 11 -1443 Job Name: August 11, 2011 Miami Shores Vivage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Building Critique Sheet 1) Provide an electrical permit. 2) Provide wind Toad design criteria. 3) Top of foundation must be a minimum of 16' below finished grade. 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