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ELC-10-1142Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 146656 Permit Number: ELC -6 -10 -1142 Scheduled Inspection Date: December 07, 2010 Inspector: Devaney, Michael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Wiegand & Annex Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: ELCON ELECTRIC INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360010160 -09 Phone: (954)979 -5445 Building Department Comments SCIENCE LAB RENOVATION Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments December 06, 2010 For Inspections please call: (305)762 -4949 Page 2 of 22 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. I 0 '�i 14-2- PERMIT APPLICATION Master Permit No. 6C- 9- -) FBC 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): Phone#: Address: City: State: Zip: Tenant/Lessee Name: Phone#: Email: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Compapy Name: E- I ' 0 ( eel- f / iL,IC_ Phone#6a 9 j -St{ LL Address: 3 OCJ kk 1 Q t, '(4-YLI 1 (1 v(i'- Mc 2i b 1 City: 0 i ( ( 110 t � S te: PI_ Zip: 2 3'O 4IZe6 (- I�kGic1 (' Qualifier Name: Phone#: State Certification or Registration #: c-7 (-06r) (31-1' I Certificate of Competency #: Contact Phone#: (9SL) 9 - j 1- L 5 Email Address: O via vc-Tt "cf EC ne 6 C "' (• C(1 rrI, DESIGNER: Architect/Engineer: l+/vi U €. S'1 Via. Lo K 1 45SOC . LLC Phone#: (9 514) 9 (pi- (010 le OD Value of Work for this Permit: $ .L / Lb Square/Linear Footage of Work: Type of Work: ❑Address Alteration ❑New ❑Re air/Re lace ❑Demolition Description of Work: Te. 1 hV4ipn 0Y-- L O. b cla,5sluvrryls , kW ti h , i) (Axis , .S► ,, t-eh gat cam / fl eAn.s **, x******** ***+x*+x*************** ******Fees******************************************** Submittal Fee $ Permit Fee ...‘-9 i 1-5 CCF $ 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 esti ted value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction ;li n law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice f commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is iss ed. 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 The foregoing day of , 20 _, by , day of 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: APPROVED BY Contractor strument was acknowledged before me this , 20 L), by TO TV) WIGw who is Personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: �-� - Print: _ I r Q XC A ddai My Commission I*� t CHAPDELAINE MY COMMISSION # DD 803702 FIRES: November 8, 2012 Ronda 'Nu Nogg Pub1 Wideman S,„07 Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD SEQ# L08072901904 • 07/29/2008 088017722 EC0001331 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date AUG 31, 2010 . .. . . - . . ,•1KX-N).151ZHIXi,,,,,liNkmigaio.: ELCOW bTRIC.7,INC 116Z627''INE2'''' TICT:CI't"--, .' • -::::::.: • ,• . LIGHTHOUSE FL 33064 CHARLIE CRIST RNOR DISPLAY AS REQUIRED BY LAW cHucw-p*i INTERIM SEC FP • BROWARD _COUNTY LA.CAL.. BUSINESS' TAX`RECEIPT 1,15 5. Andrews Ave , Rm A -190, Ft. Lauderdale,, FL 33301- 1895— 954 - 8314000 VALID OCTOBER 1,::2009: THROUGH • SEPTEMBER 3.0;:2010 DBA: Business Name: Owner Name: Business 'Location: Business. Phone: ELCON ELECTRIC INCORPORATED JAMES P:MCCONCHdE 350 0 PARK CENTRAL' - BLVD .. N POMPANO: BEACH 3:05- 979' -5445. r • Receipt# 18?L -2961 BUS .. s Ine T:. Yp a ELEC TRICAL ALARMS /CONTRA (ELECTRICAL CONTRACTOR) Business.Opened:.05 /,0.1%19'89 ' S ty g.. , 001331-: fate /Coup /Cert/Re ECo Exemption Code NONEXEMPT Rooms Professionals:.: For Vending Business Only, woe-, • THIS. RECEIPT MUST" BE: POSTED" CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT • .., WHEN VALIDATED Mailing Add. resa: ELCON ELECTRIC::INCORPORATED .•.3500::PARK.CENTRAL BLVD N POMP. NQ `BEACH,: .FL This tax Is levied for the prlvilegeof doingbuslness within Broward County. and IS non- regulatory in nature., You must'meet 'all County and/or Municlpelity planning ; and zoning requirementa This Business .Tax Receipt must be transferred when • the'. business Is: sold; busineas. :.name has changed or you have moved the': business location: Tliis receipt ',does not: indicate: that the business 1s legate or that it is In.compllance-with State or:Iocal laws and regulations. . Iteoeipt.- *007 - 08.00003355 :8aid 0'9%15/2009 211.03 2009 - 2010 BROWARD. COUNTY LOCAL BUSINESS TAX_RECESPT. 115:5 Andrews Ave., Rm. A- 100,.Ft. •Lauderdale, FL 33301-159 E- 954-8 'VALID OCTOBER. 1', 2003 THROUGH SEPTEMBER' 30, 2010 vvr+ Business Name EI;CON ELECTRIC TNCORPO}2ATED Owner Name: JAMES P? MCCONCHIE • Business Location: 3500 PARK CENTRAL BLVD N POMPANO: BEACH Business phone: 305 -V979 - 5445' Rooms Seats Signature 1. Number of_ Mach ines: T eX Amount •. Transfer Fee 27.00.: 0..00 Employees Io. Receipt1# 181- 2961` Business Type . ELECTRICAL /AI,ARh15 /CONTRAC1OR (ELECTRICAL - CONTRACTOR')` Business Opened 05/01/1989 State /County /Cert/Reg E00001331 Exemption C ode .NONEXEMPT Machines Professionals orVendIng Business Only NSF Fee o.,.do Penalty 0.00. . r Vending Type: Prior Years _ Collection Cost_: i Total Paid 0.00 ` 0.0.0 27 00 Receipt;#007 -08- 00003355 Paid 09'/15/2,009,27.00 Number or macnines - --- - — Tax.Amount Transfer Fee iVSF'Fee Penalty . Prior Years Collection Cost Total Paid 27.00 :" 0.00 - 0.00 0.00 • 0 00 0 00 ` 27. 00 THIS. RECEIPT MUST" BE: POSTED" CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT • .., WHEN VALIDATED Mailing Add. resa: ELCON ELECTRIC::INCORPORATED .•.3500::PARK.CENTRAL BLVD N POMP. NQ `BEACH,: .FL This tax Is levied for the prlvilegeof doingbuslness within Broward County. and IS non- regulatory in nature., You must'meet 'all County and/or Municlpelity planning ; and zoning requirementa This Business .Tax Receipt must be transferred when • the'. business Is: sold; busineas. :.name has changed or you have moved the': business location: Tliis receipt ',does not: indicate: that the business 1s legate or that it is In.compllance-with State or:Iocal laws and regulations. . Iteoeipt.- *007 - 08.00003355 :8aid 0'9%15/2009 211.03 2009 - 2010 BROWARD. COUNTY LOCAL BUSINESS TAX_RECESPT. 115:5 Andrews Ave., Rm. A- 100,.Ft. •Lauderdale, FL 33301-159 E- 954-8 'VALID OCTOBER. 1', 2003 THROUGH SEPTEMBER' 30, 2010 vvr+ Business Name EI;CON ELECTRIC TNCORPO}2ATED Owner Name: JAMES P? MCCONCHIE • Business Location: 3500 PARK CENTRAL BLVD N POMPANO: BEACH Business phone: 305 -V979 - 5445' Rooms Seats Signature 1. Number of_ Mach ines: T eX Amount •. Transfer Fee 27.00.: 0..00 Employees Io. Receipt1# 181- 2961` Business Type . ELECTRICAL /AI,ARh15 /CONTRAC1OR (ELECTRICAL - CONTRACTOR')` Business Opened 05/01/1989 State /County /Cert/Reg E00001331 Exemption C ode .NONEXEMPT Machines Professionals orVendIng Business Only NSF Fee o.,.do Penalty 0.00. . r Vending Type: Prior Years _ Collection Cost_: i Total Paid 0.00 ` 0.0.0 27 00 Receipt;#007 -08- 00003355 Paid 09'/15/2,009,27.00 ■ • ACORDTM CERTIFICATE OF LIABILITY INSURANCE 7/29/2010 ' °"YY"' TYPE OF INSURANCE PRODUCER Gulfshore Insurance, Inc. 4100 Goodlette Road North Naples, FL 34103 -3303 239 261 -3646 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Elcon Electric, Inc. 3500 Park Central Blvd North Pompano Beach, FL 33064 INSURER A: FCCI Insurance Company GENERAL INSURER B: Bridgefield Employers Insurance GL00084672 INSURER C: 04/01/2011 INSURER D: $1.000.000 INSURER E: $300,000 vv......-.vry 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. LTR R INSR LT INSRC TYPE OF INSURANCE POLICY NUMBER DATE MMIOD/YYYY) POLICY ATE MMIDD/YYYY) LIMITS A GENERAL LIABILrfY COMMERCIAL GENERAL LJABILITY GL00084672 04/01/2010 04/01/2011 EACH OCCURRENCE $1.000.000 DAMAGE TO (EaaEoccurrence) $300,000 X CLAIMS MADE X OCCUR MED EXP (Any one person) $10,000 X PD Ded:1,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENII AGGREGATE LIMIT APPLIES PER POLICY 1-Td ST& I1 LOC PRODUCTS - COMP /OP AGG $2,000,000 Empl Ben 1,000,000 7 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA00132882 04/01/2010 04/01/2011 COMBINED SINGLE LIMIT (Ea accdent) $1 000,000 r X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ _ X X PROPERTY DAMAGE (Per accident) $ GARAGE LIABIUTY ANY AUTO AUTO ONLY - EA ACCIDENT $ THAN EA ACC $ OTHER AUTO ONLY: AGG $ A EXCESS 1 UMBRELLA LIAEIILITY UMB00086872 04/01/2010 04/01/2011 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 OCCUR CLAIMS MADE Prod Comp $5,000,000 DEDUCTIBLE RETENTION $ 10000 Occup Dis $5,000,000 $ B WORKERS EMPLOYERS ANY lOFFI OFFIC�ER/MEM�HFREXCLUDED? If yes, SPECIAL PROPRIETOR/PARTNER/EXECUTIVE story describe COMPENSATION AND LIABILITY 19605930 04/01/2010 04/01/2011 WC IJMIT OTH- X 1 TORYLIMITS ER E.L. EACH ACCIDENT $1,000 000 In E.L. DISEASE - EA EMPLOYEE $1,000,000 $1,000,000 pment )) under PROVISIONS below E.L. DISEASE - POLICY LIMIT A °THER Inland Marine CM00045082 04/01/2010 04/01/2011 Leased/Rented Equ $100,000 Limit $1,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCEL Miami Shores Village Building Department 10050 NE 2nd Avenue Miami, FL 33138 ACORD 25 (2009/01) 1 of 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 O DAYS WRnTEN 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 �i 4°`- #S435239/M425973 O 1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ERL r IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009/01) 2 of 2 #S435239/M425973 Permit No:49ff CC- /0— 4911 Job Name: ` # nY ��/P2 7 /ii � 4PA l® -4..24®9 Page 1 of 1 ELECTRIC Critique Sheet Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 / `C -.ett- ,ut7 4- *Pio x/ e `' ..� P wts- ,u��•� eve-' 674-w- Yaw 41 / _, i bdc Pew er- ? ./Pep ppjisj e Pevz- J7,P, , e� $'® IWP /J 2/ 8 1.L" kPAI '�� s' i�J�� fr/z e e- Pic /7 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. Mike Devaney 305 - 795 -2204