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ELC-10-1701Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 151623 Permit Number: ELC -9 -10 -1701 Scheduled Inspection Date: October 07, 2010 Inspector: Devaney, Michael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Wiegand & Annex Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: BLUE WAVE COMMUNICATIONS Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360010160 -09 Phone: (305)436 -8886 Building Department Comments LOW VOLTAGE PERMIT Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments October 06, 2010 For Inspections please call: (305)762 -4949 Page 22 of 31 rol 41/0 Lti Miami Shores Village r3M111 SFP 2 4 1 g Building Department 2.1 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 BY: Permit No. E IC 1 Q- 110 Master Permit No. c.C° 4 -i b - s $z} Permit Type: ELECTRICAL �A Owner's Name (Fee Simple Titleholder) way (*Avast ry Phone # Owner's Address 'OO N b '24 AA rr City MI Phi I SR�S State Zip 334 b 1 13A1/01 5 bCY Tenant/Lessee Name Email Job Address (where the NVork is being done) City Miami S . ores Villa e FOLIO / PARCEL # Is Building Historically Designated YES o\3op NE 2 NA P. Phone # 30s -gcq -3 35 County Miami -Dade Zip 3 3 l u t (02 2.34) NO Contractor's Company Name la I Lx_. W &s.j e- e (N vv.ww,ti+ e6 ,-oa.S Contractor's Address q s °j t 3Otl- -rex rex, I 130),� City - r(at, k State f , Qualifier Name pit- 012-9-- State Certificate or Registration No. S t 2 cxo5 (z, Contact Phone 'was - 4136- gcs%k. Phone # Flood Zone Nos - 4.3 gbv, b Zip °3312'L Phone # "%o - °I I c7 I S 9 Certificate of Competency No. E- mail _®rrS ?Ave IA ti*w,`,(or -- Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Type of Work: ['Addition Describe Work: =cvrAc A} 210 00 Square / Linear Footage Of Work: ['Alteration VNew ❑ Repair/Replace ❑ Demolition tocA. ons s -CON/ V ******** *I * ***** * * * * * * * * * * * * * * * * * * *** ** Fees************** * * * * * * * * * *** * * * * * * * * *•x * * * * * * ** Submittal Fee $ Permit Fee $ /3 ' ' c SY? CCF $ CO /CC $ Notary $ Scanning $ Radon $ Double Fee $ Training/Education Fee $ Structural Review. $ DPBR $ Technology Fee $ Bond $ Violation date: Total Fee Now Due $ l U'YO See Reverse side - 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 posotice, the inspection will not be appro - , and a re- inspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this Z+1161 day of SEP`(j. , 20 tO , by 1 ,Cdo 141,04•3 day of , 20 /0, bye—M-10 777 0/e...; Signature Contractor The foregoing instrument was acknowledged before me this who is personally known to the or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: �l * * * * * * * * * * * * * * * * * * ** APPROVED BY My Commission D0613542 Expires 11/12/2010 o is • ersonally kno 2 5.°5-197 Plans Examiner o me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: rnrnrrnrrrrersrrroe VIRGIN . G. 3= Expires 4/20/2012 .. ur4I...� Florida Notary Assn.. Inc My Commissitzgla`Wias• Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) IICRO RINI SIG 7.TLIRE. JNE.SNOW ..1.07.LINDERMADNII-ICA DON ''.."' 2009-2010 LOCAL BUSINESS TAX RECEIPT CITY OF DORAL, FLORIDA 6300 Northwest 53 :0 Street, Suite 206 MACHINES: Dora', Florida 33186 SEATS. (305) 593-6725 STATE LIC.#: I 96ELEC ELECTRICAL CONTRACTOR EMPLOYEES: 4 LICENSE FEE 2005-3 FOR THE PERIOD COMMENCING OCTOBER 1. 2009 AND ENDING SEPTEMBER 30. 2010 LICENSED TO ENGAGE IN THE FOLLOWING DOWNES& Business Name: BLUE WAVE COMMUNICATIONS INC OSA: 0,1 S: 0399 NW 30 TERRACE DORAL FLORIDA 33122 NO RETAIL SALES, NO ounce STORAGE,Offia USEON 01 U rig O1RcaI 8300 NW 53rd Street Suite 206, Dora!, FICItidel • www.eltyofdoraloorn 306-593-6631 • Fax 55R3- ZttJ ARTIPIC L WATERMARK S SEENED ONTO BACK OF.DOCUMF NT The SuAshine State MIME hIAMER 7H OM CUFFORD ORR NWRIO ST OM SEE OTHER SIDE DO NOT FORWARD BLUE WAVE COMMUNICATIONS INC a/ ALBERTO DOSAL PRES 8399 NW 30 TERR DORAL FL 33122 44 it PRODUCER ACORDD CERTIFICATE OF LIABILITY INSURANCE PID ZL 02 11 io DATE (MM/DD/YYYY) • Kahn- Carlin & Company, 3350 S. Dixie Highway Miami FL 33133 -9984 Phone:305 -446 -2271 Fax:305- 448 -3127 Inc. INSURED Compuquip Technologies ctons, Inc. Compuquip Professional Sery Inc•Compuquj.p Leasing Inc. & Capital Am rrj.ca Inc. M.aam�.NFL•33122 Terrace COVERAGES 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 INSURER A: et Paul Fire and Marine Ina Co INSURER B: Phoenix Insurance Company INSURER C: Capitol Specialty Ins Corp INSURER D: INSURER E: NAIC # 24767 25623 10328 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 POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Malt ADM. LTR INSRC TYPE OF INSURANCE GENERAL LIABIUTY X COMMERCIAL GENERAL LIABIUTY POLICY NUMBER CLAIMS MADE X OCCUR X TRIA INCLUDED GEN'L AGGREGATE LIMIT APPLIES PER: 7 POLICY n E CT n LOC AUTOMOBILE UABIUTY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS TE05800531 DATEY EFFECTIVE DNY) 01/28/10 POLICY EXPIRATION DATE (MMIDD/YY) 01/28/11 UNITS EACH OCCURRENCE uAMAtat I U FitN ICU PREMISES (Ea occurenco) 1,000,000 $ 250,000 MED EXP (Any one Person) $10 , 000 $1000,000 PERSONAL & ADV INJURY GARAGE LIABILITY IANY AUTO TE05800531 01/28/10 01/28/11 GENERAL AGGREGATE $ 2 000, 000 PRODUCTS - COMP/OP AGG $ 2, 000, 000 Emp Ben. hail /3mil COMBINED SINGLE UNIT (Ea accident) $1,000,000 BODILY INJURY (Per Person) $ BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) EXCESS/UMBRELLA LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ic-1 OCCUR CLAIMS MADE X DEDUCTIBLE RETENTION $10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? H es, describe under SPECIAL PROVISIONS below OTHER TE05800531 01/28/10 01/28/11 EA ACC $ AGG $ EACH OCCURRENCE $ 5, 000, 000 AGGREGATE $5,000 000 HDTDNUB- 9476L29 -9 -10 01/01/10 01/01/11 A Emplyee Theft C Professional TE05800531 01/28/10 01/28/11 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1SPECIAL PROVISIONS B / 11 :ERTIFICATE HOLDER X (TORY UAMITS I 1061- E.L. EACH ACCIDENT $ 500000 E.L. DISEASE -EA EMPLOYEE $ 500000 E.L. DISEASE - POLICY LIMIT $ 500000 Emp Theft 25000 $1000000 Ded 15000 CANCELLATION Miami Shores Village Bldg Dept 10050 NE 2nd Avenue Miami Shores FL 33138 :ORD 25 (2001/08) MIAMIS2 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATOOF DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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 ESENTAT ©ACORD CORPORATION 1988