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CC-11-1036MIAMI-DADE COUNTY MUNICIPAL INSPECTION REQUIREMENTS AND RECORD 11/15/2011 MUNICIPAL NO.2012-007589 PROCESS NO. M2011007923 FOLIO: 1121 JOB SITE ADDRESS 11300 NE 2 AVE PROPOSED USE SCHOOL BUILDINGS REQUIRED INSPECTIONS FIRE 0001 FIRE INSPECTIONS RECO 200 FIRE HYDRANTS 208 FIRE TCO INS 211 PRELIMINARY 209 FIRE FINAL •4 • Hiofes INIT • DATE Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 nspection Number: I NS P- 174247 Permit Number: CC -6 -11 -1036 Inspection Date: June 08, 2012 Inspector: Bruhn, Norman Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Wiegand & Annex Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: AMICON CONSTRUCTION SERVICES INC Permit Type: Commercial Construction Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1121360010160 -09 Phone: (305)573 -8030 Building Department Comments INTERIOR REMODEL Passe g‘0.6._ Inspector Comments CREATED AS REINSPECTION FOR INSP- 174218. ea- Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until June 12, 2012 For Inspections please call: (305)762 -4949 Page 1 of 1 3 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 10 I 12_ INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. /A'% BUILDING PERMIT APPLICATION FBC 20 07 Master Permit No. / /- i o 3( Permit Type: BUILDING ROOFING n��// OWNER: Name (Fee Simple Titleholder): f. w)/ upAns(' j Phone#: Address: 11380 R{,� 4v City: / City: M t OA ( S r S State: Zip: 31‘1 f Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: /1360 OE 2"e/ Atte- City: Miami Shores Folio/Parcel #: 11— 213 L - o0 0 - D d 8'a Is the Building Historically Designated: Yes -- w le(�AN/ zs 3 NUs6 Sim t43 County: Miami Dade Zip: 33141 CONTRACTOR: Company Name: ,a1 c n Address: City: 01:s Qualifier Name: .1-0314A State Certification or Registration #: Contact Phone #: C) 5 ;73 Z ? Email Address: NO Flood Zone: �_ v - r � c , �, Asa � �•� : � Phone #: aQ State: Fd, — Zip: 3 %1 -39 Phone#: 3 - 6/3- `6 s G�r►C.�Jb� Certificate of Competency #: 0`" A„ &JJ '6? 6,,a, �4 <:f �apr a e Phone#: DESIGNER: Architect/Engineer: 2 Value of Work for this Permit: $ 0. ap Type of Work: DAddition Description of Work: LJ 'lour Ca r Square/Linear Footage of Work: New 11 URepair/Replace /� 1\1, Stlbru¢t . Crow) ,/� S A'brn ODemolition * * * * * * ** * ** * * * * * * **** Submittal F,.- Permit Fee $ Scanni 1 Radon Fee $ Notary Training/Education Fee $ �a. Double Fee Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 754- 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 217. 9.zre.gepe/ Owner or Agent The foregoing instrument was acknowledged before me this,. Signature ontractor The foregoing instrument was acknowledged before me i ZS day ofS Ot , 20 12-, by U teA 100 Et,,./ , day of J(4.9uAiNiu..1 , 20 12 , by who is personally known to me or who has produced who is ersonally kno to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY Plans Examiner NOTARY PUBLIC: Sign: o(J4 .h.{ (tQ Print: wnr:. My Commission Exp „ DELMAR YARBROUGH, JR. Commission# EE 1 )9 Expires June 11, 2015 Boded ifwTra/ Fob k s9 7979 Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Client*: 41980 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATEReeDDIYYYYI 02/23/2012 THiB CERTIFICATE iS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HO1.DFR. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVE GE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE i DiNG INSURER(S), AUTHORIZED REPRESENTATNE OR PRODUCER. AND THE CERTIFICATE HOLDER. IMPORTANT: If the .. eats holder is an ADDITIONAL URED, the policy(iss) must be endorsed. If - DEROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A Statement on certifleate does not confer rights to the cornfields holder in lieu of such endorsement(s), PRODUCER Advanced insurance Underwriters 3260 N. 29th Ave Hollywood, FL 33020 ..-.--r 1 II _ pNrcc. "N8. E,eD1 954 9636666 tArc, NoI: 9549641438 Lr-iWL ADDS` INSuRi R(S) FORDING GOVERAOs Rides *SURER A: Mid - Continent C suelty Company 23418 11240 INSURED Amlcon Development Group Inc see descriptions 2400 NE 2nd Avenue, Studio B Miami, FL 33137 _..r...... INSURERS: Association Ins Po ' INSURER C: -- MIXER °' .• . • E INSURER F: - 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 WIT NT H RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED ay THE POLICIES DESCRIBE HEREIN IS SUBJECT TO ALL THE TERM, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CUM. :YPE OF INSURANCE tI VD POLICY NUMBER C�SToeDJ1'Y1fY � DIYYYI LUITTS A GCBR/U.LIAOUJTY X COMMERCIAL. GENERAL LIABJU Y X X 04GL000822612 • 09/02/2011 09/02!20' 2 x1.000,000 �eApaclpt�oaeel�m�►ce PREMISES tEaE neat $100,000 CLAIMS.MADE X OCCUR meo we (My ma psonl $ ExCludad X Bi Ded:2,500 PERSONAL Ilt AIN INJURY $1,000,000 $2,000,000 $2,000,000 GENERALAGGii5GATE Omit AGGREGATE —1 POLICY i Mir APPLIESPER: JECT El Loo PRODU0T3- COMP/OP AOG $ A AUTO>9AOa1LE — X LUlaILl?Y ANY AU 11.1 ALL PWNEO AUTOS HIRED AUTOS X SCHEDULED AUTOS NAB ED X X 04GL000822612 0610212011 06/02/20' -(Ee SINGLE UNIT 11,000,000 BODILY INJURY (por person) $ BODILY INJURY (Per ot:dam) S E (Fin: needen S S A X UMRF LLA LIAB EiCCESS LIAB X OCCUR CLAM .MADE X X 04XS1669800 06/0212011 08/02/20i2 E A C H OCCURRENCE s3, 000 AGGREGATE s3 000.000 $ DOD XI RErslrrwN$10,000 B WORKERS COMPENSATION AND EMPLOYERS' UASiLI TY ANY PROPRIETOR/PARTNERIME UTIVE�Y y/ N OFFICER/MEMBER OCCLUDED? lid (Mandefory In I DESc demote IPTi OP OPERATIONS beim NIA WCV050047304 02/22/2012 02/22/20 X we srA e°R 0.1.. EACH ACCIDENT 11,000.000 SI 000 000 EL DISEASE- EA EMPLOYEE E.L DISEASE - POLICY LiMn' 51,000,000 DESCRIFTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attu ACORD 707, MOWN Rooms saes" It more sposs Is mgWmdi Named insured: Amicon Development Group inc; Amicon Construction Services inc; Amicon Construction Management Inc. Certificate holder is additional insured under General liability, Auto and Excess liability polic es and blanket waiver of :subrogation applies if required by written construction contract. (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Miami Shores Village 100 S0 NE 2 Avenue Miami Shores, FL 33138 SHOULD ANY OF THE AB DESCRIBED POLICIES BE CANCELLED BEFORE THE �rON DATE EREOF, NOTICE WiLL BE DELiVEREO IN ACCCIRDANM WITH THE Y FRWISIONS. AUTHORIZED REPRESENTATIVE I - - 211t., lia" S" 01988.201OrtCEiRD CORPORATION. All rights reserved. ACORD �St X12 of 2 The ACORD name and logo are registered marks of ACORD [ CFA Permit No: 11 -1036 Job Name: February 8, 2012 Miami Shores Viiiage Building Department Building Critique Sheet REVISION 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 1) Provide approval from Miami dade County Fire. 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 PERMIT # :C C.-I 1, Miami Shores V Building Department RECEIPT DATE: 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 L o Contractor ❑ Owner ❑ Architect ickediup 2 sets of plans an Address: (other)1.0 From the building department on this date in ordelr 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 Departmen • continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: