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ELC-11-645
Permit Number: ELC -4 -11 -645 I Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ti3Ni nspection Number: INSP - 158306 Inspection Date: October 27, 2011 Inspector: Devaney, Michael Owner: SCHOOL INC, MIAMI COUNTRY DAY Job Address: 107 ST AND 6 AVE STREET ISI DA \ /CR$CMIT Miami Shores, FL 33138 -0000 Project <NONE> Contractor: STRYKER ELECTRICAL CONTRACTING Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)759 -2843 Parcel NUM:MOVEMENT PROJECT Phone: (772)219 -3389 Building Department Comments INSTALLATION OF NEW LIGHT /STREET POLES AND GFCI STATIONS Passed Inspector Comments /e...__ C- � /( 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 October 27, 2011 Page 1 of 1 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 Permit No. � � 402iS BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): Address: le O( & l 0 74-11 771: 1dr? AP 1. 2 2011 0 Master Permit No. 8 Cip City: ni /4/i Tenant/Lessee Name: Phone #: Email: State: hone #: Zip: 53( Co 1 JOB ADDRESS: /®% /f07 .J/ r j° /1-71 Pe0L's11EJLt,T City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes l � CONTRACTOR: Company Name: ,) �� �i AQ` ( � �� C' . � , ne #: 1% 2 _ 2 i g',.,)3 N Address: A 21-1( /1 SW 1-1 d �j �', C 1)W 3 cI v%'' City�c I m (.; -i' v State: F i Qualifier Name: J Ohl/ P (1.)f t� h�.`�e,., State Certification or Registration #: LA�C Ayy ' .X) 3qg5 Certificate o,}�}Competency #: Contact Phone #: 7 1?' 2tP-33PCs Email Address: ��' ciao V sF% �e� le SAC +r 0 .corn �,S y DESIGNER: Architect/Engineer: � b l_ � f 'li J Phone #: ' .c - (G" 73 Z& � y NO Flood Zone: Zip: 3yago Phone #:501.722 . qq 22 Esc? Value of Work for this Permit: $ L) COO Square/Linear Footage of Work: l y r 0 0 Type of Work: Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: l �%S' �"�1 f of 'n 0 /j i f ise ct) L-i (7 HT /Sr12 E i rah ,0,1 . • a ,.r L ld'Yftq�i ("t.. heal Wy` i h Submittal Fee $ Permit Fee $ ,:;-"4:°'' E'1" CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ 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 L ✓.�7.. - /64,- -s— Ow er or Agent The for oing instrument was acknow4OAf d before me this day of A ,20 � I,byt 4 D M. who is personally known to me or who has produced As identification and who did take an oath. NOT PUBLIC: Sign: Print: My Commission Exp. * * * * * * * * * * * * * * * * ** APPROVED BY Contractor The foregoin( instrument was acknowledged before me this 11 �) e 11, byd ()%f P day of who is onally known to or who has produced as identification and who did take an oath. My Commission Exp USA CUNI MY COMMISSION # DD 987814 -v:� c Bonded ThlruENota June P Public Undlerwrters ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Structural Review (Revised 07 /10 /07)(Revised 06/10 /2009)(Revised 3/15/09) Zoning Clerk 1' 2010 -2011 MARTIN COUNTY ORIGINAL BUSINESS TAX RECEIPT HONORABLE RUTH PIETRUSZEWSKI, TAY. COLLECTOR, 3485 S.E. WILLOUGHBY BLVD., STUART, FL 34994 (772) 288 -5604 CHARACTER COUNTS IN MARTIN COUNTY PREYYR S . 00 LIC FEE S .00 c . U 0 PENALTY S 00 .00 S COL. FEE S .00 .00 S TRANSFER 5 26.25 TOTAL IS HEREBY LICENSED TO ENGAGE IN THE BUSINESS. PROFESSION OR OCCUPA71O1: ELEC CONTRACTOR 26.25 - LICENSE PHONE LOCATION 42,{1 OF AT LOCATION LISTED FOR THE PERIOD BEGINNING ON THE 27 AUGUST 10 DAY OF AND ENDING SEPTEMBER 311 2011 1987 - 508 -0248 (772)219 -3389 SW CERIEC- 0001203 sicwo .238210 , HIGH MEADOW AVE PG+ 5E•t" `� WEHLE, JOHN (QUA.ILIElr.)k' STRYKER ELECTRIC CON1ER':, BRYAN, MICHAEL PRESIDENT 4241 SW HIGH MEADOW AVE PALM CITY, FL 34990 11 2009 40548.0001 26.25 PAID DETACH HERE plibi`•,EBstoNAt UL22& �S." ZI CENSITN.G BWAR.D ■ cl1-,t )/ 7 Pik `'• '8 %0.4 /210;1"0 :ra ti,on BATCH NUMBER LICENS =E :NBR 10 8.024,8551. , EC.13D0 .34 83., ate" li nss; P.. lter,. :SWEHLE.CHN P .STRYEER EL'E [ CTRE:C- ,!CONTRACTZNC .,TNC'i. 424.: `SW ,, °•H3OH;z153EADOW AUEk ;; 5r :tii c �C =� 'PAW .7L FL .3499.0 ,ACCORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/9/2010 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 EPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poiicy(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 Collinsworth, Alter, Lambert, Inc PHONE (561)776 -9001 (A/C. No. Est): 23 Eganfuskee Street ADDRESS: ribe@caliac. com ISuite 102 Jupiter FL 33477 INSURED CONTACT NAME: Annie Uribe PRODUCER 00002654 CUSTOMER ID 0: FAX (561)427 -6730 (AIC, No): INSURER(S) AFFORDING COVERAGE NAIC 6 'Stryker Electrical Contracting, Inc. 4241 Southwest High Meadow Ave !Palm City COVERAGES FL 34990 INSURER A :National Trust Insurance Co INSURER B :FCCI Insurance Group INSURER C :FCCI Insurance Company INSURER D : INSURER E : INSURER F : CERTIFICATE NUMBER:11 /12 WC /PC CGL084 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES 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. 'INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP (MM/DDIYYYY) LIMBS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR GL0010360 6/1/2010 6/1/2011 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 CLAIMS -MADE X MED EXP (Any one person) $ 5,000 X BF Prop Dam , XCU PERSONAL & ADV INJURY $ 1,000,000 X Contractual GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY X JECOT- LOC $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA0016058 6/1/2010 6/1/2011 COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X X Medical payments $ 5,000 PIP -Basic $ 10,000 A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE Umbrella Extends Gl /Al /EL '00010748 Over 6/1/2010 6/1/2011 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 DEDUCTIBLE RETENTION $ 10,000 $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS Y/ N NIA WC73981 1/1/2011 1/1/2012 X TOCY LIMITS OT ER E.L. EACH ACCIDENT $ 1,000,000 $ 1,000,000 $ 1,000,000 Ded $2,500 Ded $500 E.L. DISEASE - EA EMPLOYEE below E.L. DISEASE - POLICY LIMIT C Owned Equipment and Rented or Leased CM0005439 6/1/2010 6/1/2011 As Scheduled 5300,000 IDESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER CANCELLATION Miami Shores Village Building Dept 10050 NE 2nd Avenue 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 ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. Th. Arnon Hama enrl Inns ern ranietes arl merfc of Arnpn iami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. / COPY OF QUALIFIER'S STATE LIC CARD B. ✓ COPY OF LOCAL BUSINESS TAX RECEIPT C. ✓ COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. '� COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: +c-'((C2,v •Q c-E.ri cc C t j,.,� IRJQ BUSINESS ADDRESS: 44.7 'ft S) �--I I�. " CITY ,Pc- "FY STATE " L ZIP CODE -3 c(9 YO BUSINESS PHONE: ( 9% ?) 215 - '38q FAX NUMBER ( ) CELL PHONE ( ) QUALIFIER'S NAME: JdIAA^ (41,911g6 (,) e GtI.e- Fc ( 3 o -34 8S QUALIFIER'S LIC NUMBER: E -MAIL ADDRESS (IF APPLICABLE): Created on 3119109 BY MLDV I RV 3126109 MLDV 1!?..prfzif CERTIFICATE OF LIABILITY INSURANCE OP ID TO' DATE 06/01/ 1 TYPE OF INSURANCE THIS CERTIFICATE IS ISSUED AS A !MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. HOLDER. THIS POLICIES AUTHORIZED POLICY NUMBER - IPORTANT: f the certificate holder is an ADDITIONAL INSURED, the policy ies) must be endorsed. WSUBROGATION IS WAIVED, subject to )e 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). POUCYEXP- (MMNDIYYYY) PRODUCER Stuart Insurance, Inc. 3070 8 W Kapp Palm City FL 34990 Phone:772 -286 -4334 Fax:772 -286 -9389 vaunt.: Rick Halcomb GENERALLIABILrtY {(PEEArHCD,No,Ext): 772 - 286 -4334 � ,Nok 772 -286 -9389 ADDRESS: rhalcemb@stuartinsurance.net CUSTOMMERRIDfi: STRYE -1 TRA6076667 INSURER(S) AFFORDING COVERAGE NAICO EACH OCCURRENCE INSURED ST YKER ELECTRICAL CONTRACTING 4241 SW iityiFL 34990ws Ave INSURERA: Westfield Insurance 24112 • INSURERB: CLAIMS -MADE X MED EXP (Arty one parson) INSURER C: INSURER D : $ 1,000,000 INSURER E: GENERAL AGGREGATE $2,000,000 INSURER P : AGGREGATE LIMIT POLICY 5;1 JECT APPLIES PER: 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. NOTVITHSTANDING 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. INSR LTR TYPE OF INSURANCE AMA-WI:S INSR WVD POLICY NUMBER POI' (DIMID POUCYEXP- (MMNDIYYYY) UNITS A GENERALLIABILrtY COMMERCIAL GENERAL LIAB!LITY OCCUR TRA6076667 os /01/11 os /01/12 EACH OCCURRENCE $ 1, 000 , 000 X PRREEMISES(Eaoccurrrorce} $ 150, 000 CLAIMS -MADE X MED EXP (Arty one parson) $ 10,000 PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GERI AGGREGATE LIMIT POLICY 5;1 JECT APPLIES PER: PRODUCTS - COMP/OP AGO $ 2,000,000 —1 LOC $ AUTOMOBILE ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS TRA6076667 06/01/11 0e /01/12 COMBINED t) SINGLE LIMIT den $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per acdMent) $ $ $ A X UMBRELLLALIAB EXCESS LIAB X OCCUR CLAIMS -MADE TRA6076667 06/01/11 06/01/12 EACH OCCURRENCE $4,000,000 AGGREGATE $4,000,000 DEDUCTIBLE RETENTION $ 0 $ — X $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPPRTNER/EXECUTIVED OFFICERMEMBER EXCLUDED? (Mandatory In NH) IE yyeeaa daecrlbe under DESdtRIPTION OF OPERATIONS �� N ! A WC ITORY UNITS- I 1 OER TH- EL EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ below EL DISEASE - POLICY UM3t $ A OWNED EQUIPMENT & RENTED OR LEASED TRA6076667 06/01/11 06/01/12 SCHEDULED DED $1000 RENTED /LE $150,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace le required) ELECTRICAL WORK CERTIFICATE HOLDER CANCELLATION Village of Miami Shores Building Dept 10050 NE 2nd Ave. Miami Shores FL 33138 VILLMS- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE • • © 88 -2009 AC ACORD 26 (2009109) The ACORD name and logo are reglifered marks of ACORD RATION. All rights reserved. 1 \�� \FRNN+� 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 Permit No. .1C1�- (S)LIS 9Q MAI 1 7 21)11. BUILDING PERMIT APPLICATION FBC 20 Master Permit No. Permit Type: Electrical rr OWNER: Name (Fee Simple Titleholder): �l i U�.� Cn. ♦r r Pa f S c.Li c3 [ Phone#: 3d. - l 21- 9 3°3 Address: oat City: A&te Tenant/Lessee Name: State: Email: _ Q ��n is r�i Co r- r • me-- Zip: 33fd( Phone#: JOB ADDRESS: 1674-L. 5t+ _7 4 t,0 ro u e kt- County. City: Miami Shores Miami Dade Zip: 3 3 tt Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR Company Name: Stryker Electrical Contracting, Inc Phone#: 772 - 219 -3389 Address: 4241 SW High Meadows Ave. City: Palm City Qualifier Name: John P . Wehle State Certification or Registration #: Contact Phone#:5(0 -40Q 94 ad DESIGNER: Architect/Engineer: State: Florida Zip: 34990 Phone#: 772 - 219 -3389 Certificate of Competency #: T.-G1y'(8.S Email Address: J.Wehle @Stryker -Electric . com Phone#: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: °Address °Alteration °New Description of Work: � o. v L3�� e (4cG41-1 <-0-t- Fez ot(,C c oco 1 o71 a8/ 0, lr) fZ ClRepair/Replace °Demolition Fees* Submittal Fee $ Permit Fee $ 1 Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ , Bond $ Technology Fee $ TOTAL Mt. NOW DUE $ 1t� (JtJ Bonding Company's Namf e (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 conunenced 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 FT,FCTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDFFIONERS, 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 $25011, 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 properly 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 er or Agent The foregoing instrument was aclpe+vledged before me this day ofd ,20 bY ) 1` who is persdnally known to me or who has produced As identification and wbo did take an oath. NOTARY PUBLIC: Sign: �/" /�G Print: She. //? My Commission Expires: APPROVED BY LIC -STATE OF FLORIDA e"""4., Sheltie L. Fulford Commission # DD850330 ,,,,••' Expires: FEB. 28, 2013 BONDED THAD ATLANTIC BONDING CO., INC. 44.-147z-ely z The foregoing instrument was acknowledged before me this day of 1 JW 1011_, by (*V\ P. \il-c, who i ' essonally kno‘ •' me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expir ' ****fir, **** :.::: *****1. - :, rte* st ra w »» x a (Revised 07 /10/07)Revised 06110/2009)( Revised 3/15/09) Plans Examiner Structural Review TIFFANY ROLLER mu s MY COMMISSION 8 DD 852886 rar • 7' EXPIRES: January 20, 2013 rs Zoning Clerk May 17, 2011 Mr. Norman Bruhn, Building Official Miami Shores Village 10050 NW Second Avenue Miami Shores, FL 33138 Re: Miami Country Day School — 107t Street Improvements — Electrical Revisions Dear Norman: Enclosed please find the revised electrical plans for the referenced project. These plans address several changes to the quantity of lights (12' poles only) and layout of lights, receptacle stations, and landscape lighting pursuant to review with the school and the electrical engineer. The changes are as follows: E -01 and 02 are unchanged. E -03: Legend updated with conduit size, Number of 12' poles updated and layout revised with circuit numbers, wire size updated. E -04: Same as E -03 E -05: Conduit size updated, landscape light quantities updated and layout revised, legend updated with conduit size. E -06: Same as E -05 E -07: Conduit size updated, layout/quantity of receptacles updated. E -08: Same as E -07. E -09: Updated Pole location summary and installation details. E -10: Pole wiring diagram added, deleted pole cable distribution system, added junction box diagram for landscape lights and receptacles. E -11: Unchanged E -12: Updated schematic for service point, service point table and utility pedestal updated and clarified. Please do not hesitate to contact me if you have any questions at 561- 723 -2967. Sincerely, SUFFOLK CONSTRUCTION COMPANY, INC. Michael G. Spencer Sr. Project Manager One Harvard Circle, Suite 100 • West Palm Beach , Florida 33409 • 561 -832 -1616 • Fax: 561 - 832 -6775 • www.suffolkconstruction.com MAIN OFFICES: NORTHEAST: Boston, MA • MID- ATLANTIC: Falls Church, VA • SOUTHEAST: West Palm Beach, FL • WEST COAST: Irvine, CA 1-A\ BUILDING oni PERMIT APPLICATION FBC 20 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 Permit T ROOFING Permit No. zL C . tf 1( C[5 Master Permit No. OWNER: Name (Fee Simple Titleholder): (V 1.%O. -b : 9u.v, tt r D:mto Sc Le l Phone#: Address: (n C.) ( V' F (O41 4-1,- Si- City: M 10..v,..°1, State: r!.- Zip: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: (06 l e ter- City: Mlanti Shores County: Miami Dade Zip: 3 3/6 Folio/Parcel#: Is the Building Historically Designated: Yes Flood Zone: CONTRACTOR: Company Name: Suffolk Construction Co., Inc. Phone#: 561- 832 -1616 Zip: 33126 Phone#: 305 - 374-1107 Address: 701 Waterford Way. Suite 450 City: Miami State: Florida Qualifier Name: Dagoberto Diaz State Certification or Registration #: Contact Phone#: 305- 374 -1107 DESIGNER: Architect/Engineer: Value of Work for • Type of Work: Description of Wo Sf Certificate of Competency #: CGC1 519678 ddiaz @suffolkconstruction.com Phone#: ? °S— 3 92 —5-72Z a'a Square/Linear Footage of Work: XNew ORepair/Replace ODemolition a * * * *** * ** * *x**** ** nt**+ v� ** ** r * *Is** * ** Fees * * *4:* * ** * * * * * * *** ***** * *** **.s a** *:r.* * * * **** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ Technology Fee $ TOTAL FEE NOW DUE $ 4 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 pernzit 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 , absence of .such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before rile this t l A day of 6„ 20 // , by C ? J7TJ , day ofALAML, 20 __, by terAo 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: CVATIS OPFLORIDA ' " "% Shale L. Fulford I Commission #DD850330 s„,„./ Expires: FEB. 28, 2013 BONDRO TBRII ATLANTIC BONDING CO., INC. ************************y************************ Plans Examiner who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: My Commission Expires` 44 ** BROOKE CATO MY COMMISSION #EE079911 EXPIRES: MAR 31, 2015 Banded throuq*h 1st State Insurance Zoning Structural Review Clerk (Revised 07 /10107)(Revised O5/10/2009)(Revised 3/15/09) 7.0 aj APPROVED REVISE AND RESUBMIT , , APPROVED AS NOTE ': NOT APPROVED RESUBMISSION NOT REQUIERED I (SEE ACCOMPANYING LETTER) REVIEWED REVIEWED AS NOTED ' ReitEw IS ONLY FOR GENERAL CONFORMANCE WITH THE DESIGN CONCEPT OF THE PROJECT AND GENERAL COMPUANCE WITH 11-1I INFORMATION GIVEN IN THE CONTRACT ritliCUN;,ENTS. THE CONTRACTOR IS RESPONSIBLE FOR CONFORMANCE TO ALL REQUIREMENTS OF THE PLANS AND SPECIFICATIONS, INCLUDING, BUT NOT LIMITED TO QUANTITIES„ DIMENSIONS WHICH SHALL BE CONFIRMED AND CORRELATED AT THE JOB SITE; FOR INFORMATION THAT PERTAINS SOLELY TO THE FABRICATION PROCESS OR TO THE MEANS, METHODS, TECHNIQUES, SEQUENCES AND PROCEDURES OF CONSTRUCTION; AND FOR COORDINATION OF THE WORK OF Alt TRADES. MAN STREET ENGINEERING, INC. 0 DATE BY 1 , , 96/14// .._ .., Pole Shaft Specifications The shaft is spun tapered from all new seamless 6063 alloy aluminum tubing and heat treated to produce a T6 temper. Each shaft has a 6" long straight section at the top which may be drilled to manufacturer's specifications for mounting luminaries. The shaft is gracefully cone tapered to the butt diameter. A A A A A A Anchor Base Cast from A356 alloy aluminum, the anchor base shall be heat treated to produce a T6 condition. The shaft shall be inserted into the anchor base casting. The anchor base casting and shaft shall be joined by a continuous circumferential weld at the outside top and inside bottom of the anchor base. Alumi- num nut caps are supplied to cover the exposed bolt and nut. �Sv...,�."o-�L;Y -i•. '�'arz•e'L%:$a ;t��. � e ;:. _„�� s.a.....'s� ,�z.. 1,,, �.s�..w_.,......._,.�..._t_ .ate ..s:VV:0 ...,: -- ._. -11. ..�...e.� ,_ x>:dtH�3YFE � `.v -0SF;�..K..�cv_,�,'.`'�3de=� �...m.%.4' =, arRg:�:4: }� Catalog Number Mtg. Ht. (ft.) *Effective Projected Area (sq. ft.) Shaft Dimensions Base Information (in.) Base Plate (in.) (L x W) 80 90 100 120 Butt (in.) Top (in.) Wall Thick Anchor Bolt Dia. Bolt CIrcle RTA- 745202 20 15.9 12.2 9.7 6.2 7 4.5 .156 1 x40 103 11.5 x 11.5 RTA - 745222 22 12.3 9.2 7.2 4.7 7 4.5 .156 1 x 40 10.5 11.5 x 11.5 RTA - 745252 25 10.3 7.6 5.9 3.7 7 43 .156 1 a 40 105 11.5 x 113 RTA - 845252 25 15.3 11.7 9.2 5.7 8 4S .156 1 x 40 11.5 12.0 x 12.0 RTA - 845272 27 12.0 9.2 7.1 4.1 8 4.5 .156 1 x 40 115 12.0 x 12.0 RTA-845273 27 15.6 11.9 9.4 6.0 8 43 .188 1 x 40 113 12.0112.0 RTA - 845302 30 10.2 7.7 5.9 3.5 8 4.5 .156 1 x 40 11.5 12.0 x 12.0 RTA - 845303 30 13.3 10.4 7.9 5.0 8 4.5 .188 1 x 40 11S 12.0 x 12.0 RTA - 845304 30 19.4 14.9 11.7 7.4 8 4.5 .250 1 x 40 11.5 12.0 x 12.0 RTA - 845353 35 9.2 6.8 5.1 2.8 8 4.5 .188 1 x 40 11.5 12.0 x 12.0 RTA - 845354 35 14.1 10.7 8.3 4.9 8 4.5 .250 1 x 40 11.5 12.0 x 12.0 RTA - 845393 39 6.5 4.6 3.2 1.4 8 43 .188 1140 11.5 12.0 x 12.0 RTA- 845394 39 10.8 7.9 6.1 3.3 8 4.5 .250 1140 11.5 12.0 x 12.0 * EPA ratings include 1.3 gust factor. • Vibration dampeners are suggested for poles 30 feet and above. • Anchor Bolts should be set using factory supplied anchor bolt templates. Project Name: Work Order: Part #: Pole length, ft Pole base height AGL, ft. Pole shaft shape Tip width, in. Butt width, in. Wall thickness, in. Anchor bolt dia., in. No. of anchor bolts Dia. of bolt circle, in. Anchor bolt embedment, in. Base plate thickness, in. Base plate width, in. Pole/base fillet weld size, in. USER INPUTS MIAMI .COUNTRY DAY SCHOOL Date: Design Standard: Pole shaft material Base plate material Bolt material Weld electrode yield str. Wind velocity, mph Exposure category Building classification Importance factor EPA (sf) Top Fixt. + Arm 0.66 Fixt. 2 + Arm 0 5/23/2011 2007 FBC /ASCE 7 (3 -sec. gust wind speed) 3063 -T6 6 -T6 Grade 55 Ht (ft.) Wt (Ib.) Offset (in.) 50 Segment Seg. Area, ft2 1 5.36 2 4.41 3 0.77 WIND LOAD ANALYSIS Kz Cf 0.85 0.70 0.85 0.70 0.91 0.70 Centroid ht. 5.0 15.0 21.0 p, psf w, lb/in P, Ibs M, in -k 53.5 2.39 228.8 13.7 53.5 1.97 188.4 33.9 57.3 1.84 35.2 8.9 Fixture © tip 0.66 22.0 0.91 1 57.3 Fixture 2 (if any) 0 0.0 0.91 1 57.3 43.1 11.4 0.0 0.0 z= 495.5 67.9 CODE - SPECIFIC FACTORS Gust Factor (G) 1.14 Wind Directionality Factor (Kd) 0.95 Topo Factor (Kzt) 1 MATERIAL & GEOMETRIC PROPERTIES Weld Yield Strength, ksi: 60 Pole Yield Strength, ksi: 31 Bolt Yield Strength, ksi: 55 Pole Ultimate Strength, ksi: 35 Allowable shear stress (Fv), psi 22,000 Fillet weld sect. modulus, in "3 14.7 Shear (Dir. +Tor.) @ butt (fv), psi 147.8 Plate Yield Strength, ksi: 24 Plate Ultimate Strength, ksi: 33.9 Bending stress @ butt (fb), ksi Allowbie bending stress (Fb), ksi Max. bolt tension T, kips Plate stress, kci . a- - Id stress, ksi ANALYSIS RESULTS SUMMARY 12.09 Combined Stress Ratio 24.9 Bending stress © butt O.K? 4.6 Bolt tension O.K.? 7.7 Plate stress O.K.? 4.6 Max. weld stress O.K.? 0.49 YES YES YES YES CHRIS ARLANDSON, P.E. FL REG. NO. 63302 Pole design OK? YES sr • (4/6") 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 T BUILDING ROOFING 0 17 2011 J Permit No. el c Y 1 % (0 Master Permit No. OWNER: Name (Fee Simple Titleholder): M.tcLb . -, Phone #: Address: Co C) ( VJ F (O % 4- L City: l)11 State: Zip: 33/4. r Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 00 l G (07 i City: Miami Shores County: Miami Dade Zip: 3 3/Co f Folio/Parcel#: Is the Building Historically Designated: Yes Flood Zone: CONTRACTOR: Company Name: Suffolk Construction Co., Inc. Address: 701 Waterford Way, Suitd-4)° City: Miami Phone#: 561 -832 -1616 f, State: Florida Zip: 33126 Qualifier Name: DaclobeUo`I az ° ` Phone# 305 -374 -1107 State Certification or Regist t(on y 305 Certificate of Competency #: CGC1519678 Contact Phone#: 5- '741 =fi` 7 Email Address: ddiaz@suffolkconstruction.com _ Phone #: 3a5— 392 -5-222 Value or>(i1' emit: $ Square/Linear Footage of Work: - Type of W DAlteration New DRepair/Replace ❑Demolition Description of r eAW� AEFL cs rcs ,r: .l o t f' Sfi - ti **4.1. * * =r* * ** ** * ***4***:4**aim ** ** * ***** ** Fees** * ** ** **hen *** ** * *** * ***** *a-4*m tea * * * ****** Submittal Fee $ Permit Fee $ ''',„i---/-0 4P ,,„ /04P CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 6B.00— 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, BEATERS, 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 $2500, the applicant must promise in good faith that a copy of the notice of cumunencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a cert(fled copy of the recorded notice of coumnencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. the abs : uch posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent The foregoing instrument was acknowledged before me this day of/ltL , 20 1/ , by CIA-42 ./://77,3 who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print j L$BLICSTATt OF F1,OR11A '•. She111c+ L. niford Commission #DD850330 ,;;,,,.' Expires: FEB. 28, 2013 BONDED THRU ATLANTIC BONDING CO., INC. My Commission Expires: Contractor The foregoing instru ent was acknowledged before me this rika day of 1 _1_ API 20 l (, by who is personally blown to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expi $ ash ***k #+k**:b********.P* MAC *q+*sK=R ****** &********* * **:p+k**** # #* X44** ** ********* * ** APPROVED BY )/ /9 ins Examiner Structural Review (Revised 07 /10t07)(Revised 06 /10/2009)(Revised 3/15/09) BROOKE CATO MY COMMISSION X79911 EXPIRES: MAR 31, 2015 * *mod . II t*x *x1***eltC Zoning CIerk ,s-r4 z I pth i " ^a CIF • N DAT F. }N. • -1 ELUMINIS 5', a. aluminum oies POLES Poles - selection;' PAA4.PAA5' For .228 wall thickness, add -2 suffix to catalog number PAA4. : 4" O.D. Aluminum pole PAA410 10 FT PAA416 16 FT PAA412 12 FT PAA418 18 FT PAA414 14 FT PAAS. : 5" 0.1). Aluminum pole PAA510 PAA512 PAA514 10 FT 12 FT 14 FT PAA516 16 FT PAA518 18 FT For E.P.A. listing, please refer to Poles section PO page 3 relout ting lrifor;matio1 : Mounting specifications: Base plate is provided with a 33/4' dla. opening for power entry . Galvanized anchor bolts : Set of 5 /8-11 x 18' Ig. anchor bolts for poles of 14 tit. and below Set of 314-10 x 18' lg. anchor bons for poles of 15 tit. and above Specificatioiis• 1- Pure cast aluminum copper free base cover, designed with reinforced steps to increase strength ._ (356 Cast aluminum alloy with a capper content of less than 0.1%) 2- Cast aluminum wiring access cover. 3- Set of 4 galvanized anchor bolts with 8 nuts and washers. 4- 4' or 5' O.D. x .125' thick aluminum pole. 5- One -piece 1/2' thick aluminum base plate with pole caner adaptor and 4 reinforcing gussets. 6- Finish: All aluminum castings are preheated to release at gases and followed with all other aluminum parts in a rive steps preparation ai of Irreeahineg coat_ the best pos�le adherence and Final stage consists of an etectrostatcafy applied and baked polyester powder coaling. 7- Ail stainless steel hardware. 9" Dia. Bolt circle. 11" Dia. base =te wiring access cover Street side Options:': c:d solecfed suffix to catalog nurribe r_ ""•=111%. PH1 -120V GZ PH2.277/347V4'OIL Photoelectric cell ppGalvan{zed steel Note: As a result of galvanlaingg process, flntshed painted w I uniform CFI GGround fauft ree�ac elel . Located at 24 ebove ground level . Une Anne protection Pales be altered for . rovements ar discontinued without 'Catalo j ordering information = - notice PAA410 - Gi4T Base model Color (Refer to general listing) - PHI -GZ Options LUMINIS [ USA ] - 3555 NW 53rd. Court. Fort Lauderdale. FL.33309 Tel: Tel: 954.717.4155 Fax: 954.717.4157 LUMINIS [ Canada 1- 87 C Brunswick D.D.O. Q.C. Canada H9B 2J5 Web: www.luminis.co n January 2003 P►"oject Name: Work Order: Part #: Pole length, ft Mounting height AGL, ft. Pole shaft shape Tip width, in. Butt width, in. Wall thickness, in. Anchor bolt dia., in. No. of anchor bolts Dia. of bolt circle, in. Anchor bolt embedment, in. Base plate thickness, in. Base plate width, in. Pole/base fillet weld size, in. USER INPUTS MIAMI COUNTRY DAY SCHOOL Date: Design Standard:, 1i`POLE + (672 LUMINAIRE 12 Pole shaft material 0 Base plate material OUND Bolt material 4.00 Weld electrode yield str. 4.00 Wind velocity, mph 0.125 Exposure category 0.63 Building classification 4 Importance factor 1.15 9.00 EPA (sf) Ht (ft.) Wt (Ib.) Offset (in.) 5/18/2011' 2007, FB /A CS! 7 (3 -sec. gust wind speed) 6063 -T6 356 - F1554 Grade 55 RE4030 150 0.50 11 13, Top Fixt. + Arm Fixt. 2 + Arm I Segment 1 2 Seg. Area, ft2 3.33 0.67 Fixture @ tip 0.79 Fixture 2 (if any) 0 WIND LOAD ANALYSIS Centroid ht. Kz Cf 5.0 11.0 13.0 0.0 0.85 0.70 0.85 0.70 0.85 0.85 p, psf 53.5 53.5 1 53.5 1 53.5 w, lb/in 1.49 1.49 P, Ibs 142.3 28.5 M, in -k 8.5 3.8 48.2 7.5 0.0 0.0 1= 218.9 19.8 Gust Factor (G) CODE - SPECIFIC FACTORS 1.14 Wind Directionality Factor (Kd) 0.95 Topo Factor (Kzt) 1 MATERIAL & GEOMETRIC Weld Yield Strength, ksi: 60 Bolt Yield Strength, ksi: 55 Allowable shear stress (Fv), psi 22,000 Fillet weld sect. modulus, inA3 2.4 Shear (Dir. +Tor.) © butt (fv), psi 143.9 PROPERTIES Pole Yield Strength, ksi: 31 Pole Ultimate Strength, ksi: 35 Plate Yield Strength, ksi: 24 Plate Ultimate Strength, ksi: 33.9 Bending stress @ butt (fb), ksi Allowble bending stress (Fb), ksi Max. bolt tension T, kips Plate stress, ksi Max. weld stress, ksi ANALYSIS RESULTS SUMMARY 13.86 Combined Stress Ratio 24.9 Bending stress @ butt O.K? 1.6 Bolt tension O.K.? 8.2 Plate stress O.K.? 8.3 Max. weld stress O.K.? 0.56 YES YES YES YES CHRIS ARLANDSON, P.E. FL REG. NO. 63302 Pole design OK? YES R r NOTES: 1. MEETS 120 MPH WIND SPEED WITH FULL EMBEDMENT (TOP AT GRADE) 22' X T DIA ROUND POLE, ONE 0.7 SF. EPA LAMP & BRACKET 2. BACKFILL TO TP OF POLE BASE WITH COMPACTED FILL CAPABLE OF PROVIDING A MIN. PASSIVE SOIL RESISTANCE OF 200 LB /SQ. FT. 3. CONTRACTOR TO PROVIDE ANCHOR BOLT AND CONDUIT REQUIREMENTS 10 1/2"0 BOLT RCL 10.5 "0 BOLT CIRCLE 1 "0X40 "L. ANCHOR BOLTS creitetsismitureNriidrerra Amos Reeoer.: Ft,%d 71969 Tim Williams, PE Oldcastle Precast 706 Turner Road Eastanolle€, GA 30538 (706) 224-3356 ti m.willismsCaloldc e Precast Inc: tleprecast 3 1/2" 1" CHAMFER BOLT CIRCLE (2) 2" PVC CONDUIT EXITING SAME SIDE in eL o 0* (2) 2" 'PVC'! CONDUIT (TYP.) (112)#4:', BARS DOGBONE '.LIFTER_. NoiE%.. PROFILE 1. -ANCHOR BOLTS AND CASTING TEMPLATE,k' ` � TO BE SUPPLIED BY CUSTOMER 2, CONTRACTOR TO VERIFY) SIZE`Aer-LIZIMBte OPENINGS. � 3. WEIGHT: 1,821; 0.47 CCCYDS QTY: 11 W676 LD52 TYPE "T WITH 2 POLE STRUCTURE TYPE "24 "0 x 48" POLE BASE" zt ,, .ri r... T €RC1 Oldcastlem Precast, Inc. 2140 PONDELLA ROAD "CAPE CORAL, FLORIDA 33909 -5134 (239) 574 -8898 < FAX: (239) 574 - 1419 STRYKER ELECTRICAL GRADE 60 STEEL 4000 PSI CONCRETE TYPE 11 CEMENT DRAWN; KG DATE:. CHE DATE: PRODUCED: vomit STR NO.24Dx48 S.O. NO« 24220. 1.N. NO.: MIAMI COUNTRY DAY SCHOOL NAME 1 \0Wtt \1 \1OPB AQB \5C5G NK8.DW0 0A1E: AUG 19, 1908 TIME: 4:55 PM' DRAWING NO.: SCALE:: 1" 2' SHEET LOO. FILE' SWOTS' NOTES;. 1, MEETS 120 MPH WIND SPEED WITH FULL EMBEDMENT (TOP AT GRADE) 12' X 5 DIA ROUND POLE, ONE 5.0 S.F. EPA LAMP 2.BACKFILL TO TP OF POLE BASE WITH COMPACTED FILL CAPABLE OF PROVJOJNG A MIN. PASSIVE SOIL RESISTANCE OF 200 LB /SQ. FT. 3. CONTRACTOR TO PROVIDE ANCHOR BOLT AND CONDUIT REQUIREMENTS 2 3/4" 9 "0 BOLT CIRCLE! 7iai2a15+enaturaNatidete w! Adobe Reed%*: Tim Williams, PE. Oldcastle Precast 706 Turner Road Eastanodlee, GA 3053S (706) 224 -3356 timmilliamsr za eidcastlepte Oldcasite Precast Lac: 9 "0 BOLT CIRCLE 3 f 4" "1X18 "L ANCHOR BOLTS Ft # 71969 CHAMFER to (12)#4 BARS (2) 2" PVC CONDUIT (TYP.) XTENDS 20" OUT OF' C'TE r 'I 1 P I, e s `M BOLT CIRCLE. (2) 2" PVC CONDUIT EXITING SAME SIDE COND-T NOTES: 1. ANCHOR BOLTS AND'- CASTING TEMPLA TO BE SUPPLIED BY STOMER. 2. CONTRACTOR TO VERIFY SIZE AND OPENINGS. 3. WEIGHT: 1,821 #; 0.47 CYDS "`" QTY: 5 RTA- 745222 TYRE S 12' STRUCTURE TYP 24" r" EINFORCIN ,DETI I 0 E . ATE -GRAD STEEL' 'p OLE BASE ' 4000 PSI CONCRETE TYPE 0 CEMENT 01 d cast1 a Precast, Inc. 2140 PONDELLA ROAD *CAPE CORAL, FLORIDA 33909 -5134 (239) 574-8896* FAX: (239) 574 -1419 DRAWN: KG DATE CHECKED: DATE: PRODUCE0: STRYKER ELECTRICAL MIAMI COUNTRY DAY SCHOOL STN. N0.240x48 DRAWING NO.: s a NO 24220 NAME: F \0WG \1 \TOPSLABS \5080— p8ttiOYHi' DATE: AUG 19. 1999 WE: 4:55 PM SCALE 1g „ 2' SHEET: I.N. NO.: FILE 5080T5. 1_..02L APPROVED RESUBMISSION NOT REQUIERED " IS ONLY FOR GENERAL CONFORMANCE WITH THE DESIGN CONCEPT OF THE T AND GENERAL COMPUANCE WITH THE INFORMATION GIVEN tN THE CONTRACT fHE CONTRACTOR IS RESPONSIBLE FOR CONFORMANCE TO ALL 'IkeviENTS OF THE PLANS AND SPECIFICATIONS, INCLUDING, BU f NOT LIMITED TO DIMENSIONS WHICH SHALL BE CONFIRMED AND CORRELATED AT THE JOB INFORMATION THAT PERTAINS SOLELY 10 THE FABRICATION PROCESS OR TO MEANS, METHODS; TECHNIQUES, SEQUENCES AND PROCEDURES OF CONSTRUCTION; :'JD FOR COORDINATION OF 'FHE WORK OF ALL TRADES. MAIN STREET ENGANEERING, INC. DATE j APPROVED AS NOTE REVISE AND RESUBMIT NOT APPROVED (SEE ACCOMPANYING LETTER) REVIEWED AS NOTED ®LUMINIS flountingspecificationsi Base plate Is provided with a 33/4' dia. opening for power entry . Galvanized anchor bolts Set of 5/8-11 x 18' Ig. anchor bolts for poles of 14 8, and below Set of 3/4-10 x 181g. anchor bolts for pales of 15 It. and above Specifications: 1- Pure cast aluminum copper free base cover, designed with reinforced steps to increase strength ._(356 Cast aluminum alloy with a copper content of less than 0.1%) 2- Cast aluminum wiring access cover. 3- Set of 4 galvanized anchor bolts with 8 nuts and washers. 4- 4' or 5" O.D. x .125" thick aluminum pole. 5- One -piece 1/2" thick aluminum base plate with pale collar adaptor and 4 reinforcing gussets, 6- Finish: All aluminum castings are preheated to release an gases and followed with ail other aluminum parts in a rive steps preparation g the best possible adherence and lof treatment Foal stage consists Wan electrostaticafy eppled and baked polyester powder coating. 7 -Aid stainless steel hardware. or"-Dia. altihiin irrm ole PoIes•selection POLES PAA4 : `PAA5 For .228 wall thickness, add -2 suffix to catalog number PAM. : 4" O.D. Aluminum pole PAA410 10 FT PAA416 16 FT PAA412 12 Ft' PAA418 18 FT PAA414 14 FT PAA5.: 5" 0.0. Aluminum pole PAA510 10 FT PAA512 12 FT PAA514 14 FT PAA516 16 FT PAA518 18 FT For E.P.A. listing, please refer to Poles section PO page 3 Juloui ling Infor,r anon :if Option 9" Dia. Bolt circle. 11" Dia. base plate 4' 12" wIrIng access cover Add selected suffix to catalog number;: Street side r , PH1 120V GZ GF1 PH2.277 / 347V 4'010. G.:.1 . Photoelectric welt Galvanized steel Ground faun pole. As receptacle , ogdvleingg Located at 24° process, finished rya ground wit not bit uniform f FS in tins Poles be uttered for = revelments or discontinued wtfiout mice Catalog ordering informatlon'' PAA410 Base model GRT Color (Refer to general listing) - PH1-GZ Optlons LUMINIS [ USA] - 3555 NW 53rd. Court. Fort Lauderdale, FL.33309 Tel: Tel: 954.717.4155 Fax: 954.717.4157 Web: www.luminis.com LUMINIS [ Canada 1- 87 0 Brunswick D.D.O. Q.C. Canada HOB 2J5 kenuary Zoo Project Name: Work Order: Part #: Pole length, ft Mounting height AGL, ft. Pole shaft shape Tip width, in. Butt width, in. Wall thickness, in. Anchor bolt dia., in. No. of anchor bolts Dia. of bolt circle, in. Anchor bolt embedment, in. Base plate thickness, in. Base plate width, in. Pole/base fillet weld size, in. USER INPUTS MIAMI COUNTRY DAY SCHOOL POL E + W67,2. LI 12 0 ROUND 4,00 4.00 0.125 0.63 4 9'.00 12 0.50 13 AI_ Pole shaft material Base plate material Bolt material Weld electrode yield str. Wind velocity, mph Exposure category Building classification Importance factor Date: Design Standard: 5/18/2011 2,007 FBC /'+SCE; 7 ... (3 -sec. gust wind speed) 6063 -T6 356-T6 F1554 Grade 5 XE4030 150 C' Wt (lb.) Offset (in.) 50 0 0 0 Segment 1 2 Seg. Area, ft2 3.33 0.67 WIND LOAD ANALYSIS Kz Cf 0.85 0.70 0.85 0.70 Centroid ht. 5.0 11.0 p, psf 53.5 53.5 Fixture © tip 0.79 13.0 0.85 1 53.5 Fixture 2 (if any) 0 0.0 0.85 1 53.5 w, lb/in 1.49 1.49 P, Ibs 142.3 28.5 M, in -k 8.5 3.8 48.2 7.5 0.0 0.0 1= 218.9 19.8 CODE - SPECIFIC FACTORS Gust Factor (G) 1.14 Wind Directionality Factor (Kd) 0.95 Topo Factor (Kzt) 1 MATERIAL & GEOMETRIC PROPERTIES Weld Yield Strength, ksi: 60 Pole Yield Strength, ksi: 31 Bolt Yield Strength, ksi: 55 Pole Ultimate Strength, ksi: 35 Allowable shear stress (Fv), psi 22,000 Fillet weld sect. modulus, in ^3 2.4 Shear (Dir. +Tor.) © butt (fv), psi 143.9 Plate Yield Strength, ksi: 24 Plate Ultimate Strength, ksi: 33.9 Bending stress © butt (fb), ksi Allowble bending stress (Fb), ksi Max. bolt tension T, kips Plate stress, ksi M. we1 stress, ksi ANALYSIS RESULTS SUMMARY 13.86 Combined Stress Ratio 24.9 Bending stress @ butt O.K? 1.6 Bolt tension O.K.? 8.2 Plate stress O.K.? 8.3 Max. weld stress O.K.? CHRIS ARLANDSON, P.E. FL REG. NO. 63302 0.56 YES YES YES YES 'Pole design OK? YES Miami COUNTRY DAY SCHOOL August 12, 2011 Miami Shores Village Building Department RE: 601 NE 107th Street, Miami, FL 33161 To Whom It May Concern: Mr. Gary Butts, Chief Operations Officer, is an authorized signer on behalf of the corporation, Miami Country Day School, Inc., owner of the above addressed property. Sincerely, ar,,,,Adi.. Anne Paulk, President Board of Trustees Miami Country Day School, Inc. NOTARY PUBLIC -STATE OP FLORIDA Shellie L. Fulford ;; Commission #DD850330 '\•,,,,,,,,.: Expires: FEB. 28, 2013 BONDRD TRW ATLANTIC BONDING CO., INC. 601 Northeast 107 Street 1 Miami, Florida 33161 1 305.759.2843 1 Fax 305.759.4871 1 www.miamicountryday.org Every Student. Every Day. Miami COUNTRY DAY SCHOOL August 12, 2011 Miami Shores Village Building Department RE: 601 NE 107th Street, Miami, FL 33161 To Whom It May Concern: Mr. Gary Butts, Chief Operations Officer, is an authorized signer on behalf of the corporation, Miami Country Day School, Inc., owner of the above addressed property. Sincerely, 1?M,L fL,L Anne Paulk, President Board of Trustees Miami Country Day School, Inc. NOTARY PUBLIC.STATR OF FLORIDA ••" Sheltie L. Fulford ;; Commission #DD850330 Expires: FEB. 28, 2013 BONDRD TERN ATLANTIC BONDING Ca, DIC. 601 Northeast 107 Street I Miami, Florida 33161 1 305.759.2843 I Fax 305.759.4871 I www.miamicountryday.org Every Student. Every Day. k 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: Electrical OWNER: Name (Fee Simple Titleholder): Address: / /3 £ i& 7 City: J ` I q d'L , 5 /` e Tenant/Lessee Name: /--)/ 4 Email: l pqMEIVIE Att OCT 11 2011 BY :... .1011 Permit No. C - `�- // 4 /S Master Permit No. (6,P L/ Phone #: ,dos- r7 7 ?- 7,203 5/- State: Zip: 3 3/ 13.5' Phone #: JOB ADDRESS: /c 7 31 a-ci 6 /a U c° City: Miami Shores County: Miami Dade Zip: 3 3/ . Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: !1 t r e 'i e d p- g @ e y Phone #: 7 ?,2- 2 /9-3 3 Addres Y / r �i w il 5 � e (' del � dr® �s M L City: r/-1 / e , State: re: e Qualifier Name: J d K a- P. c k 1 e State Certification or Registration #: C 1 .3 3 f Certificate of Competency #: Contact Phone #: 7 P 2- /1 - 3 3 S'9 Email Address: DESIGNER: Architect Engineer: ZtSc� 4. L /)t tc, . S/ n ti e cv, Phone #: 3ds 3 749- 2°9 / /Y, Phone #: Zip: 2 561 7 ?D spaq Value of Work for this I' emit: $ ..?& e, 0 Square/Linear Footage of Work: Type of Work: OAddress OAlteration ❑New ❑Re Description of Work: -" z } £ ******** * * * *** * ** * * * ** ********* **** * * ** Fees***********:** ******* * * ** *** ********** ** *** ** Submittal Fee $ Permit Fee $ 9i 'tea 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 f )e) / 4— R .�i 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 /7 day ofCti ,20// ,by X Siar.5 who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: /L Q Print: S14 `c// &- C STATE OF FLORIDA " "'- My Commission Expires,° Sheltie L. Fulford Commission #DD850330 .,,,,,,,•-' Expires: FEB. 28, 2013 BONDED TBRU ATLANTIC BONDING CO, INC. * * * * * * * * * * * * * * * * * * ** SignatIfre Contractor / The fore oing instrument was acknowled ged before me this! 4- day of 201 / ,by k hr) P1 Vth /e , who is pally known to mor who has produced as identification and who did take an oath. NOTARY ' I: LIC: -asp Si Print. My Commission Exp. '60.01', PP' LISA CUNI MY COMMISSION 4 DD 987814 r EXPIRES: June 18, 2014 8andei Mn, Notary Public Underwriters ************************************************** ***** **** ************* ********* APPROVED BY / V`rz Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk Miami COUNTRY DAY SCHOOL October 17, 2011 Miami Shores Village Building Department RE: 601 NE 107th Street, Miami, FL 33161 To Whom It May Concern: Mr. Gary Butts, Chief Operations Officer, is an authorized signer on behalf of the corporation, Miami Country Day School, Inc., owner of the above addressed property. Sincerely, Anne Paulk, President Board of Trustees Miami Country Day School, Inc. NOTARY PURIM-STATE OF FLORIDA Sheltie L. Fulford Commission #DD850330 Expires: FEB. 28, 2013 BONDED TBEII ATLANTIC B S NDING CO., INC. 601 Northeast 107 Street I Miami, Florida 33161 1 305.759.2843 I Fax 305.759.4871 I www.miamicountryday.org Every Student. Every Day. 0 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 deed e,l�A��' OCT 142L111 fro ....... J....... Lc -q_ //- Gta— Permit No. Master Permit No. OWNER: Name (Fee Simple Titleholder): Miami Coun Address: 601 NE 107th Street City: _ Miami Shores Tenant/Lessee Name: Phone#: State: FL Zip: _ 33161 Email: Njt J p 1` . JOB AD RESS: 601 NE 107th Stree City: Miami Shores Folio/Parcel #: Is the Building Historically Designated: Yes Pi CONTRACTOR: Company N nt�A Wd6 [,,lip - Phone#: 561 - 832 -1616 Suffolk Construction Co., Inc. Address: 701 Waterlor• ay. Suite 450 City: Miami Qualifier Name: Daq State Certification or Re berto Diaz State: Florida Zip: 33126 Phone#: 305 -374 -1107 stration #: QB22305 Certificate Competency #: _ CGC1519678 Contact Phone#: 305 -37 107 DESIGNER: Architect/Engineer: . Value of Work for this Permit: $ Type of Work: OAddition, Description of Work: Revision Email Address: ddiaz 'ch Architect olkconstruction.com Phone#: Square/Linear Footage of Work: ONew RR,epair/Replace ODemolition p S -1 (A et d c..0 sv rt k-A it. ate, 17.;': 23,P 1 EVi ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** gees * * * * * * * * * * * * * * * ** *441 4 ***014 • CCF$�� Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ r Bonding Company's Name (if applicable) P l r 1- Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) W f I 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: 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 674+U/ %- dio_ Contractor The fore:oin_ instrument was acknowledged before me `this 1 The foregoing instrument was acknowledged before me this_ 25th day of ��I I 201 d , by la(, � � �� - V Airs , day of _ July , 20.11, by _ Dagoberto Diaz who i�� personally kno to me or who has produced who is person known to me or who has produced \C S tX ' °' �l �<e11�,0 �►As identification and who did take an oath. N/A as identification and who did take an oath. NOT ' _ PUBLIC: Sign: (� ,I Print: OonCl 00t \ S NOTARY PUBLIC: Sign: Print: Janet R. Broughton f PUBLICSTATE OF FLORIDA My Commission Expires: September,:: _! •2 Janet R. Broughton ttUy� 1 ° , Commission # DD820979 totayPubHC- staa actarido Expires: SEP. 08, 2012 7 Ac�ri9uC TitRO ATLANTIC BOOM Co, INC, * *IA r;?A` 1i�i g v la; ti Ix***** ******* ***, x***** ******* ***• x*** ****x.********* **********m*x. ******* Bonded through Notional Notary Assn. 1 APiricv v a Lim r• — — — — — — — • Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) • .Intellectual • 3 g�ecrpr v:�p� o ztr x • Spiritual • MIAMI COUNTRY DAY SCHOOL Educating the Whole Child • Founded in 1938 • College Preparatory • JK -12 601 Northeast 107th Street • Miami, Florida 33161 • (305) 759 -2843 • Fax 305 - 759 -4871 • www.miamicountrydayorg October 14, 2011 RE: 601 NE 107 St., Miami, 33161 To Whom It May Concern: Mr. Gary F. Butts, Chief Operating Officer is an authorized signer on behalf of the corporation, Miami Country Day School, Inc., owner of the above addressed property. Sincerely, Anne Paulk, President Board of Trustees Miami Country Day School, Inc. )(17ns viN (\ �NJ n 'kfl'l e Lti. ANA CUEVAS Notary Public - State of Florida Commission • DD 881908 My Comm. Expires Apr 20. 2013 Bonded through National Notary Assn.