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CC-12-1069Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 176906 Permit Number: CC -6 -12 -1069 Scheduled Inspection Date: August 06, 2012 Inspector: Bruhn, Norman Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Flood Hall Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: EMERALD CONSTRUCTION CORPORATION Permit Type: Commercial Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1121360010160 -19 Phone: (954)241 -2583 Building Department Comments RAILING REPLACEMENT noc pending Failed Inspector Comments FIRE APPROVAL FOR FINAL INSPECTION Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. August 03, 2012 For Inspections please call: (305)762 -4949 Page 59 of 61 .e- Permitting Search: Za / Z 6117 4/2.6> CLIZ -tO MUNICIPAL INSPECTION REQUIREMENTS AND RECORD 08/03/2012 MUNICIPAL NO.2012- 047426 FOLIO: 1121360000050 JOB SITE ADDRESS 11300 NE 2 AVE PROPOSED USE SCHOOL BUILDINGS /EXT. ALTER. LEGAL 36 52 41 40 AC SE1 /4 OF NE1 /4 LESS E35FT & LESS APPLICATION TYPE ALTER EXTERIOR 11400 SQFT 1 UNITS 1 FLOORS OWNER NAME BARRY COLLEGE CONTRACTOR QUALIFIER PERMIT TYPE MUNICIPAL BLDG CATEGORIES 0001 MUNICIPAL GENERAL BUILDING DATE: 8/03/2012 PROCESS NUMBER: M2012008354 NEW *AMOUNT PAID 82.00 DERM 1 UP FRONT FEE- 80.00 DERM 1 MIN COMM REV( 90.00 FIRE 16000 ALTERATIONS & 104.00 FIRE 16000 FIRE UPFRT FE 32.00 UPMU 1 UPFRONT FEE F 25.00 7/ 3/2012 08:54 SJS 281207030027 CENTRAL 82.00 MUNICIPAL INSPECTION REQUIREMENTS AND RECORD 08/03/2012 MUNICIPAL NO.2012-047426 PROCESS NO. M2012008354 FOLIO: 1121360000050 JOB SITE ADDRESS 11300 NE 2 AVE PROPOSED USE SCHOOL BUILDINGS /EXT. ALTER. REQUIRED INSPECTIONS INIT DATE FIRE 0001 FIRE INSPECTIONS RECOMMENDED 200FIRE HYDRANTS 208FIRE TCO INSPECTION 211 PRELIMINARY 209FIRE FINAL MUNICIPAL INSPECTION REQUIREMENTS AND RECORD 08/03/2012 MUNICIPAL NO.2012- 047426 PROCESS NO. M2012008354 FOLIO: 1121360000050 JOB SITE ADDRESS 11300 NE 2 AVE PROPOSED USE SCHOOL BUILDINGS /EXT. ALTER. INSP INSP INSPECTION DISP RESULT INSP TYPE DATE ! COMMENTS 1 CODE DATE INIT MIAMI•DADE Cei,94kist 36\y‘ ADZ B ING PERMIT APPLICATION 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 Type: BUILDING dtgoo 4 6 a alb v GA) cc� JOB ADDRESS: City: Folio/Parcel #: Miami Shores County: Z/- d36 ° duo— a5-o Is the Building Historically Designated: Yes FBC 20 10 r - Permit No. 1 0 (09 Master Permit No. ROOFING RAIL Crumb 614-0 Miami Dade Zip: 33(6/ NO Hood Zone: OWNER: Name (Fee Simple Titleholder): 4itibeti att3 t c312_5 (T P Phone #: 39,^ g 1q 3 Rq r Address: ft 3 OD N 6 cPA-b 41/ cIA lt. City: /140.4 f 5-1f-the C5 state: FL Tenant/Lessee Name: Phone #: Email: a4 zip: S3 i iS t CONTRACTOR: Company Name: 6144 Gltka CO/3grg. U (( 0 Phone#: gS4-.741-.7-5Z3 Address: , O 96 u3 ( C.O .1 City: A4,6 State: FL Zip: 33009 Qualifier Name: {AA /h2.K t4f.A.M & 3 s Phone#: -Z( 1- aces State Certification or Registration #: C. &C / Ti 6 q15- Certificate of Competency #: Contact Phone #: Email Address: aw € 8-7,44erz.fra coidsuacrio4 ee112 P csT . DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ Q fi) Square/Linear Footage of Work: 11)0 1,113641... F"dr Type of Work: UAddition DAlteration UNew URepair/Replace UDemolition Description of Work: aczmk,(A) geFeclorcewt Color thru tile: **** * ** ** ****** * ******* **** ::******* Fees** ******* *****: x*************************x * ** Submittal Fee $ Permit Fee $ © CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 414-0,40 Bonding Company's Name (if applicable) N�/� Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State ° Zip Zip —4 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, BOTT.FRS, HEATERS, TANKS and AIR CONDmONERS, 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 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 einspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of pAy , 20i -by 1j wtie-is-perscuiallynown to me or who has produced As identification and who did take an oath. NOTARY ' UBLIC: Sign: Print: My Commission E Signature Contractor The foregoinz instrument was acknowled�g- ge_d before me this day of ,201 L,by /Wig-- IriNN/Ligt who is personally known to me or who has produced as identification and who did take an oath. NOTARY P F # C. Si h�1 / " u(a'�A Jonathan Cuesta �,./ad s.�a�CP� °k� : c; COMMISSIONtEE041198 , ''%.. ,�v� F WWW, ARONNOT�ARYcom My Commission Expires: ********* **************m******** : *** *********** * *** **** ****: x**** *****: xx: **************x :*** ** ********:x*** **** APPROVED BY Plans Examiner; (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Zoning Clerk INSPECTION RECORD ,8_;,000 Permit X10. CC-6-12-1069 1)/.. Cornniarcial Cc:istrunon Alterafion Issue Date: 7/9/2012 INSPECTION REQUESTS: (305)762-4949 or Log on at https :/Ibidg.miamishoresviltage.com /cap REQUESTS ARE ACCEPTED DURING 8:30AM - 3 :30PM FOR THE FOLLOWING BUSINESS DAY. Requests must: be received by 3 pm for following day inspections. Commercial Construction Owner's Name: BARRY UNIVERSITY Jc Addres.: nat. _ ':', a =� �: Flc,',`yr Miari FL 33138 -0000 Bond Number: Cgplractor(s) Phone Prim.,,y Contractor EMERALD) CONSTRi C'r: { t. RR( (954,2+1- :2533 A Ex Pi res: fl & I A< Parcel #:1121 360010160 -19 Owner's Phone: Total Square Feet 400 Total Job Valuation: $ 11 000 00 rrrran WORK IS ALLOWED MONDAY THROUGH SATURDAY, 7 :30AM - 8:00PM. NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS. BUILDING INSPECTIONS ARE DONE MONDAY THROUGH THURSDAY. ROOFING INSPECTIONS ARE DONE MONDAY THROUGH FRIDAY. NO BUILDING INSPECTIONS DONE ON FRIDAY. NC ' , < :PEGTION WI! R; ?1=•-.I' -L UP LF=S -1B i--. MI1 L IB ,PL,- YL. AN • • BEE f PROVED.. r•,,AILABLE. 1 THE PERMIT APP= (t_.•.I 'T ENSURE 1', -( CGE.'.IE FL �F- THE BUILDING OFFl_iA'. 'HIE CITY Si- .LLBELIB _L E 'ELLIL WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. ECE VED JUL 18 Miami 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: bGI Cil ►) H-C-1 I j it) r S / Ine• BUSINESS ADDRESS: MS 1\1 r 1 sf CITY 1`1 Ian I STATE ZIP CODE BUSINESS PHONE: (O S ) 161 '111 FAX NUMBER ( S )lS) —116 S CELL PHONE (7 4) 4-1 '14- QUALIFIER'S NAME: Pei I )c- bac l I' 1�(' QUALIFIER'S LIC NUMBER: D ( BS Mgr/ E -MAIL ADDRESS (IF APPLICABLE): 0 \/ is t o hk u no, co Created on 3/19/09 BY MLDV / RV 3/26109 MLDV CO Ln 1-1 r•-• 1,U co z LU cz r z (r) w cra C.) H "4.; kt..L.1.1-e uttti 0 !,t7 POST THIS DOCUMF_NT 1N A CONSPICUOUS PLACE NOT TRANSFERRABLE OR VALID AT ANOTI IER ADDRESS UNLESS APPRJ,,Z,`; :BY THE FINANCE DEPARTMENT, CITY OF MIAMI 4, 4 S.W2 AVE eTH FLOOR, MIAMI, FL 33130, PHONE (305)418-1918. EFFECTIVE YEAR OCT. 1, 2011 THRU: MP. 30, 2012 RECEIPT FOR SACNILLER IRONWORKS 1SSAIEL OCT 03,;9:11 TOTAL FEE PAH? :$1360 ACCOUNT NUMBER • • RECEIPT NUMBER NAME OF SUSI NESS LOCATION :383603-00509381 157426-0002 BACHILLER IRON WORKS 295 NE 71 ST IS HErkE3Y IN COMPLIANCE TO ENGAGE IN OR iViANAGE THE OPE TON OF: MANUFACTURES - OPER POWER MACHINES THIS It NOT A MU_ DO NOT PAY This lasitannts of a 11-w-faxes tax reoviet tileee oat permit the holder to violate any zoning laws of the City nor to it exempt the holder from any Itcentie or permitv that may b required 'ay FaZI: This clocuninnt do-ox not cionstiatte a canificatien that the :hoider it quell:Napa to Gavotte in the bueineet,Onototivien Qr�upthn Gpecified hetet& The olocumentlni;katesosonent of the 1-411if47188 tax r'e•....,eipt only • DIANA A M. GOMEZ R5iance Director Miami -Dade County - Building and neighborhood Compliance Office Page 1 of 1 Home Product Control 1 Contractors 4 Building Officials 1 Contact us 1 Contractor Number: Contractor name: Address: City, St, Zip: Phone: Other Phone: Fax: Email: D /B /A: Contractor Status: Contractor License Information 07BS00877 BACHILLER IRON WORKS INC 295NE71 ST MIAMI (305) 751 -7773 (305) 751 -7765 GYPSY.B @JUNO.COM ACTIVE FL 33138 Class Category Category Description Expiration Date BLDG 18 FENCE 09/30/2012 BLDG 35 ORNAMENTAL IRON 09/30/2012 CONTRACTOR INQUIRY COMPLETE Contractor Inquiry and Comoiaint Search 1 Home Page, 1 State License Search Menu 0 Home 1 Using Our Sitq 1 About 1 Phone Directory 1 Privacy I Disclaimer E -mail your comments or questions to BLDGDeotCdtmiamidade.gov © 2001 Miami -Dade County. All rights reserved. http: / /egvsys. metro- dade.com:1608/W W WSERV /ggvt/BNZAW941.DIA ?CNTR =07B S00... 6/13/2012 A�G�l21�� PRODUCER CERTIFICATE OF LIABILITY INSURANCE DA tie$ 2"Y' South Pacific Professional Ins, 500 K W. 49th Street Hialeah, FL 33012 Phone (305)825 -3535 Fax (305)825 -5694 SURED BACHILLER IRONWORKS, INC. DORAL, FL 33138- GYPSY.B @JUNO.COM 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 NAJC INSURER A: SCOTTSDALE INSURANCE COMPANY INSURER B: ASCENDANT UNDERWRITERS,LLC ■ INSVI C" -I-LO'YD-eF- LONDON INSURER D: INSURER E: COVERAGES 1 INSURER F: THE POLICIES OF INSURANCE LISTED 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 OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR; ADD1 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS 4TR _INSRD'.___..._ ._.E... INSURANCE ._.. _ ._ .. DATE (MMIDD/YYJ DATE thiM /DD/YYl ;.._.._ 1,000,000; 418220 07/25/11 100,000 GENERAL LIABILITY EACH OCCURRENCE 07/25/12 DAMAGE TOIt ENTED PREMISES (Ea occurencel COMMERCIAL GENERAL LIABILI (AIMS MADE Nei OCCUR CPS GEN'L AGGREGATE LIMIT APPLIES PER:? POLICY [j PROJECT LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS J) HIRED AUTOS V! NON OWNED AUTOS CA- 27872 -2 09/23/11 09/23/12 MED EXP (Any one person) 1,000; PERSONAL & ADV INJURY 1,000,000; GENERAL AGGREGATE 1 2,000,000. PRODUCTS - COMPIOP AGG 1 2,000,000 € COMBINED SINGLE LIMIT (Ea accident) 1,000,000 E LIABILITY ANY AUTO CESSIUMBRELLA LIABI,, 1GL- 03444481 6 OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTNE OFFICER / MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below. OTHER DESCRIPTION OF OPERATIONS ! LOCATtO CERTIFICA HOLDER 02/25142 02125113 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC..,!_ AUTO ONLY: EACH OCCURRENCE i 3,000,000 AGGREGATE 3,000,000; AGG S ! VEHICLE Miami Shores Village Building Department 10050 NE 2 "d Avenue Miami Shores, FL 33138 08) OF WC STATU- OTH- LQ6Y_LIMITS ER......., E.L, EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE POLICY UMIT t EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO TH UT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY KIN UPON THE INSURER, ITS AG 1S OR REPRESENTATIVES. IZECS REPRESENTATIVE ©ACORD CORPORATION 1988 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 7/17/2012 ADM INSR 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 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy()es) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER EMMANUEL INSURANCE& ASSOC INC 2370E 8th Ave Hialeah, FL 33013 CONTACT Sarai Medina PHONE AX (NC Le, (305)693 -0003 1 ( FA/C, No):(305)691 -4381 Ext): ADDRESS: sarai@emmanuelinsurance.com INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: COMMERCE AND INDUSTRY INS. INSURED BACH ILLER IRON WORKS, INC. 295 NE71 Street Miami, FL 33138 786473 -3194 INSURER B: INSURER C : $ INSURER D: $ INSURER 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 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 ADM INSR SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ICLAIMS -MADE n OCCUR EACH OCCURRENCE $ .9vP • -18' c. PREMISES (Ea occurrence) $ MED EXP (Any oneperson) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER POLICY Fl JECT n LOC PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE — _ LIABILITY ANYAUTO ALLOWNED AUTOS HIRED AUTOS — _ _ SCHEDULED AUTOS NON -OWNED AUTOS –COMBINED SINGLE-LIMO' (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident ) $ PROPERTY DAMAGE (Per accident) $ $ — UMBRELLA LIAB EXCESS LIAR _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED ■ RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE (Mandatory C�In NH)IX�UD N DESCRIPTT1 N OF OPERATIONS below NIA WC051752158 6/18/2012 6/18/2013 X WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $1,0/010.000 $ 1,000,000 E.L. DISEASE - EA EMPLOYEE E.L.DISEASE - POLICY LIMIT $ 1,000.000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If morespaceis required) IRONWORK/ FENCE ERECTIONMETAL Workers Compensation contain a blanket Waiver of Subrogation CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGEBLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 II 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 . -- ACORD25 (2010/05) © 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NOTICE OF COMMENCEMENT A RECORDED COPY MOST BE POSTED MIKE JOB SITE AT TIME OFt7RST INSPECTION PERMIT NO. TAX FOUO NO. ifr 2/36 -ooa• 056 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: 114E UNDERSIGNED hereby gives notes that improvements will be made to certain real property, and in accordance wlh Chapter 713, Raida Statutes, the following information Is provided in this Notice of Commencement. 1 11111111111111111111111111111111111111111111 GF11 20128:)4-01022 OR E1: 28139 Ps 38891 (1Pst RECORDED 06/07/2012 09:04:2:5 HARVEY RU4'IN, CLERK OF COURT I1IANI -DARE COUNTY/ FLORIDA LAST PAGE cc. " L i- 1 ocng Space above reserved for use of recording office 1. Leos of property and street/address: Barry University, 11300 NE 2nd Ave Miami Shores FL 3316 2. Description of immanent .. Flood Hall - Renovation (Rit:ves-3 3Owner(s) name and address Barry University, 11300 NE 2nd Ave. MS. FL 33161 interest in property: Name and address of fee simple taleholder. 4. ors addressaannddphone Emerald Construction, 1086 NW 1s1 CT. �anc ale Beach, FL 330019 & Surety: (Payment bond required by owner from contracts U any) Name, address and phone number: Amount of bond $ O. Lender's name and address: 7. Perms within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(x)7., Fiord Statutes, Name, address and phone number 8. to addition to himself, Owners designates the following pew to receive a copy of the Uenoes Notice as provided h Section 713.13(1)b), Florida Statutes. Name, address and phone number 9. Expiration date of this Notice of Commencement pMai deters 1 year from the date of taaotbirg unloose afferent date Is epa l WARNING TOOWNBb ANY PAYA: NT$ MADE PA' THE OWNER AFTER THEE7OPRATIONOFT IE NOTICE OF COMMENCINEINTARECONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTf. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF ••1 , ENOEME NT: Signature(s) of Owner(s) or' • •4.r.,469 Authorized Officer/Director/Partner/Manager Prepared Sy Prepared Tay Prird Name : ?l ,y ' L/7f y' Print Name Title Dfltce ; i p Gr T /Office STATE OF FLORIDA COUNTY OF MIAMI -DADE The before rite this 30h day of MAY . 2or z/ 1,1 Individually, or ' es V ' PersonatlY known, or ❑ produced the following type of Signatwe of Notary Pubda I all ►'T'i t . Vi l::a.. it Ji ..J Le �!i l.:•i� 'y�.r.: _f • Under penalties of perjury, l declare that 1 that the facts stated In It are true, to the best Signature(s) of Owner(s) or J Authorized Officer r/ who signed above: By ia.s1. 4 PAC O eno DATE OF FLORIDA, COUNTY OF D AD€ HEREBY CERIFY dhat[IIis Is oink 's:?. afOle '►ipinsi Ned ki Nis office on-day of JUN, D 7 :201' AO.2 M1P SSrrtyltanalalmQ . ,r t .. Seat. INKY }; Y oft adandtc rfyavts DC. TANASHIA ARNOLD 1144 IVI iami Shores V Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RECEIPT PERMIT #: c , b) 2 I D61 DATE: Fn ontractor uwner Architect Picked up 2 sets Address: plans and (other f From the building department • n 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 De rtnento continue fitting process. Acknowledged by: w PERMIT CLERK INITIAL: RESUBMITTED DATE: VSO PERMIT CLERK INITIAL: L Permit No: 12 -1069 Job Name: June 21, 2012 Miami Shores Village Building Department Building Critique Sheet 1) Provide approval from Miami Dade Fire. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 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 - 762 -4859