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FW-12-140Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 1 nspection Number: INSP - 175673 Permit Number: FW -1 -12 -140 Inspection Date: August 31, 2012 Inspector: Bruhn, Norman Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Miami Shores, FL 33138- Project: BARRY UNIVERSITY Contractor: TESS ENTERPRISES INC Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wire Fence Phone Number Parcel Number 1121360010160 Phone: (727)573 -9701 Building Department Comments NEW BATTING CAGE 7/2/2012 - PENDING NOC 07/06/2012 - NOC SUBMITTED Passed .." Inspector Comments CREATED AS REINSPECTION FOR INSP- 169258. Foundation does not match plan. NB .. Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled re- inspection fee is paid. until August 31, 2012 For Inspections please call: (305)762 -4949 Page 1 of 1 8 • or-ALL 041-11" ammo cm. g R ishaig NOTICE OF .COMMENCEMENT A RECORDED COPY NIUST BE TIME POSTED ON THE JOB SITE AT TIN OF ARST INSPECTION PERMIT NO.t W -1-12 - 1 4 C' TAX FOLIO NO. STATE OF FLORIDA COUNTY OF MIAMi -DADS THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement 1111111Mil 11111111111111111111 1111111111111 CFN 2012R134-7522 OR 24: 28177 Ps 1079► (fps) RECORDED 07/06/2012 13 :02:51 HARVEY MJVIN/ CLERK OF COURT HIAi1I -DADE COUNTY, FLORID LAST PAGE for tT 4f rimcGrdIrg office 1. Legal description of property and street/address: II3cxa I palmist-tams, rL '3 316 j 2. Description of improvement: GJ�.G 3. Owner(s) name and address: Interest in property: Cita Name and address of fee simple titleholder: 4. Contractor' name, ddress and ph • a number. VNI1VE5. it AV S i 5. Surety: (Payment bond required by owner from contractor, any) Name, address and phone number: Amount of bond $ 6. Lender's name and address: • 7. Persons within the State of Florida designated by Owner upon whom notes or other documents may be served as provided by Section 713.13(1X47., Florida Statutes, Name, address and phone number: 8. In addition to himself, Owners drates the following person(s) to receive a copy of the Lienar's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number: 9. Expiration date of this Notice of Commencement . (the exlratlon date Is 1 year from the date of fa cal:Mg unless a different date Is spealed) • WARNING TO OWNER: ANY PAYMENTS MADE BYTHE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN 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:NOT10E OF «e,, MENCEMENT. Signatirre(s) of Owner(e) or • 6. ed Ofticer/Directw/Pait ier/Manager Print t N By Name D ' f 19GF E btaitt, 12)5 Print Name Title/Office VICE PRES 1 DEtfl VoTZ BMWS& A 'iitle/Office STATEOFFLORIDA rINANGE • COUNTY OF MIAMI -DADE The foregoing Instrument was acknowledged before me this .3 day of Prepared By By- ... �. t3. c ❑4ndivldually, or 0 as tier personally known, or ❑ produced the following type of identificatii Signature of Notary Public Print Name: (SEA-) Y�RIF7CATION TO PURSUANT SECTION 92.525, FLORIDAaSTATUTES Under penalties of perjury, I declare that I have read the foregoing and that the fads stated in it are true, to the best of my knowledge and belief. Signature(s) of Owner(s• s)'s Authorizer) Officer/Director/Partner/Manager who signori abo By 183.01-$2 RA1303 3.10 By 'STATE OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFY that this is a true copy of the )r a! riled this office on day of and County Courts D.C. 01,l4?._ai 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 j Permit No. `I" Lk J Master Permit No. ° 1 Q "11-1116 JAN 27 :2 BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titlehnolder))!: 1:V 1. Vfi %4 6 ( j4 Address: 1 � 3�Q NE G/ � Awn Phone #: 19- 3®5O City: I 1 i Qntj «6 State: F) orl dot- Zip: 33141 Tenant/Les a Name:! Phone#: Email: ur 5 mp.l 1_ Irf (i om. JOB ADDRESS: 000 N E AW II 11L — A (kT `.0 H "V City: Miami Shores County: Miami Dade Zip: 331491 Folio/Parcel #: 11 11,4 0000040 Is the Building Historically Designated: Yes NO ✓ Flood Zone: CONTRACTOR: Company Name` € ri +� pC Phone#: � ° S73-61701 Address: 3 5 A �f • • gox 1 7.70 7 727 O.73 " 34178' tin /��y ' ri City: �.aLdlw ' a State: T i 0 �►�• Qualifier Name: a C� W. egweswh ('M1VCC State Certification or Registration #: dge.0 60Wel Certificate of Competency #: ityA Contact Phone#: 1/1 • La a ° vq ®3 Email Address: t) MC 11 % "P Y4.0e. cede DESIGNER: Architect/Engineer: t f5Or� L&aine 1 RE • Phone# 72:7-452- 0423 ,/ILhZip: 33n2.. Phone#: '7,27 - '/2Z Value of Work for this Permit: $ �•••. Square/Linear Footage of Work: Type of Work: °Addition New °Alteration Description of Work: New Mew URepair/Replace r f.✓ °Demolition QJ Submittal Fee $ Permit Fee $ ILJ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ • Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S APFII]AVIT: 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 Hurst promise in good faith that a copy of the notice of commencement and constriction lien law brocluire 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 urs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be apprl, nd a reinspection fee will be charged. Signature Owner or Agent Signature Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 5— day ofaNUNLY,201Z -,by 1UCao day ofa" Ao't4.er-/20 Zbyeeef5'_ • Aellin 111 who is personally known to me or who has produced who is personally known to me or who has produced FL .bL As identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print: .7:6 g. yA0 My Commission E Sign: Print: My Commission Expires: 169�15' APPROVED BY "O j-.7/90--/ .2 ` Plans Examiner Notary Public State of Florida qy Co7rimrssjori'rres 1113012015 EE 149863 Structural Review (Revised 07 /10107)(Revised 06110/2009)(Revised 3/15/09) Clerk " %/""uC CERTIFICATE OF LIABILITY INSURANCE 1 01/04/DD/YYYY) 01/04/2012 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: It 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 A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Alley, Rehbaum & Capes Assurance, Inc. 2433 Gulf to Bay Blvd. P.O. Box 4620 Clearwater, FL 33758 CONTACT Name me 727.797.5193 IAN,) ;727.725.5773 PRICY EFF 1MM/DD/YYYY) POLICY EXP (MMIDDIYYYY) LIMITS CUSTOMER ID t INSIRER(S) AFFORDING COVERAGE NMMCs INSURED Tess Enterprises, Inc. P.O. Box 17385 Clearwater, FL 33762 PI RA: Hermitage Insurance Company INSURER B: HGL5672221102/0212011 IN C; 02102/2012 INSURER D: $ 1,000,000 INSURER E : DAMAGE TO RENTED PREMISES PREMISES (Ea axasrence) INSURER F : COVERAGES CERTIFICATE NUMBER: 11-12 Liab REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MISR LIR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER PRICY EFF 1MM/DD/YYYY) POLICY EXP (MMIDDIYYYY) LIMITS A GENERA- LIABILITY COMMERCIAL GENERAL UABIUTY I OCCUR HGL5672221102/0212011 02102/2012 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED PREMISES PREMISES (Ea axasrence) 100 000 s CLAIMS -MADE X MED EXP (Any one person) $ Excl uded PERSONAL & ADv INJURY $ 1,000,000 GENERAL AGGREGATE $ 2 , 000, 000 GEM. �I AGGREGATE UMIT APPUES PER: n 7 LOC PRODUCTS - COMP/OP AGG 3 2,000,000 $ AUTOMOBILE UABILITr ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT (Ea acdtlent) $ BODILY INJURY (Per per) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA UAB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ _ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORM COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below y /hi N / A I LIMITS I I ER EL EACH ACCIDENT $ E.L DISEASE - EAEMPLOYEE $ E., DISEASE - POLICY UMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES (Attach ACORD 101, Additional Ranmdas Schedule, If more space Is required) CERTIFICATE HOLDER CANCELLATION GNC Development Corp. Attn: George Ceram 3684 58th Avenue N 5t9 Petersburg, FL 33714 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Signature on file w / Company ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 02/08/2012 11:16 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES lj001 * * * * * * * * * * * * * * * * * * * ** * ** TX REPORT * ** * * * * * * * * * * * * * * * * * * * ** TRANSMISSION OK TX /RX NO 2210 RECIPIENT ADDRESS 93058993058 DESTINATION ID ST. TIME 02/08 11:14 TIME USE 01'26 PAGES SENT 2 RESULT OK kjI2— 3i Permit No: 12 -140 Job Name: February 1, 2012 Miami Shores Village Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 1) Provide zoning approval. 2) Provide approval from Miami Dade County Health Dept. (DOH /HRS) 3) Provide an accessible route to the new feature. 4) I have no plans or permit for electrical. Does the equipment require power. 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 F 3)5-- 8qq -- 3 c58' l4I2. - Permit No: 12 -140 Job Name: February 1, 2012 Miami Shores Vivage Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 1) Provide zoning approval. 2) Provide approval from Miami Dade County Health Dept. (DOH /HRS) 3) Provide an accessible route to the new feature. 4) I have no plans or permit for electrical. Does the equipment require power. 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 FAx•. c3)5— gR _ 305 8 1 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit NO. FW -1 -12 -140 Issue Date: Not Issued Expires:Not Issued Folio Number:1121360010160 Owner's Name: BARRY UNIVERSITY Job Address: 11300 2 Avenue Miami Shores, FL 33138- Owner's Phone: Total Square Feet: 2300 Total Job Valuation: $ 30,000.00 Contractor(s) TESS ENTERPRISES INC Phone (727)573 -9701 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: No Date Denied: 1/27/2012 Comments: SITE PLAN REQUIRES APPROVALOF THE PLANNING BOARD. ACORD ,� CERTIFICATE OF LIABILITY INSURANCE D�1"IEIIA1UDDlYYY11I 06 /01/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TillS 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 antificate holder is an ADDITIONAL INSURED, the pollcypes) mast be endorsed. if SUBROGATION 13 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this cer0ficate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Alley, Rehbaum & Capes Assurance, Inc. 2433 Gulf to Bay Blvd. P.O. Box 4620 Clearwater, FL 33758 CON /Acr Name I NAEatl:727.797.5193 lam* 727,725.5773 ADDRESS: NAlcs INSURER A: Hermitage INSWRED Tess Enterprises, Inc. P.O. Box 17385 Clearwater, FL 33762 tea: c: INSUIRER D: INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER 12/13 Liab 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE O POURANTE INSR IYI91 GETERAL LIABILITY COMMERCIAL GENERAL LIABIUTV /CLAIMS -MADE LJ OCCUR GENT. AGGREGATE LIMIT APPLES PER: POLICY n . i l LOc HGL56913512 POLICYTFF SAUDISYM 0212212012 POLIO' Mb 02122/2013 EACH OCCURRENCE E uAmACt-t IUKtNItu PREMISES (Ea ocaarence) MED EXP (Anyone pin) PERSONAL A ADV INJURY GENERAL AGGREGATE PRODUCTS -COMPf PAGG uAIBmr ANY AUTO ALL OWNED — SCHEDULED AUTOS AUTOS -° NON.OWNED HIRED AUTO AUTOS omammum (axa t LNU* $ 1,000,000 $ 50,000 $ Excluded S 1,000,000 $ 2,000,000 $ 2,000,000 $ $ BODILY INJURY (Pet perms) $ BODILY INJURY (Peradident $ PROPERTY DAMAGE (Per awklanG $ $ UMBRELLA LOB EXCESS UAB CLAIMS -MADE DED 1 1 RETENTION $ EACH OCCURRENCE $ AGGREGATE WORKERS COMPENSATION AND EMPLOTSIE LIAB&ITV YIN ANY CERP EMBERIP OED? VIM (Mandatory In Nit) under DES4RIPTI OPERATIONS below NIA I WC I TORY STATU- 1 I °ER ER $ $ E.L EACH ACCIDENT E.L DISEASE . EA EMPLOYEE S E.L DISEASE- POLICY UMW $ DESCRIPTION OF OPERATIONS I LOCATIONS !MECUM (ALMA ACORD 1O1,AddElaad Remarks Schedule, LI mate space Is required) CERTIFICATE HOLDER CANCELLATION Barry University 11300 NE 2nd Avenue Miami Shores, FL 33161 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EEPULATION DATE THEREOF, NOTE WILL BE DEUVERED Ni ACCORDANCE WITH THE POLY PROVEMONA AUTHORED REPRESENTATIVE Signature on file w/Co. ACORD 25 (2010105) CA 1988-2010 ACORD CORPORATION. All rights resumed. The ACORD name and logo are registered marks of ACORD