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