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CC-12-1549 (2)Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 179877 Permit Number: CC -8 -12 -1549 Scheduled Inspection Date: October 15, 2012 Permit Type: Commercial Construction Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: New Job Address: 11300 NE 2 Avenue Flood Hall Miami Shores, FL 33138 -0000 Inspector: Bruhn, Norman Project: BARRY UNIVERSITY Contractor: EMERALD CONSTRUCTION CORPORATION Phone Number Parcel Number 1121360010160 -19 Phone: (954)241 -2583 Building Department Comments DUMPSTER PAD 10' x 18' WITH CHAINLINK FENCE AND SLATS WITH DOUBLE DOOR Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. October 12, 2012 For Inspections please call: (305)762 -4949 Page 34 of 35 PERMIT # c,ci la- )54-cl CONTRACTOR: —12_4 /_A t 641,-1 , L LI SUBMITTAL DATE: 6 k 0 9, ADDRESS: ase: AaR NAME: RESUBMITAL DATES: PROJECT TYPE: 0/ ) • ' __ Z " - _ FIRE STRUCTURAL IMPACT FEES ELECTRICAL HRSIDERM PLUMBING NOC MECHANICAL `��SS l� BLDG 10' 99e GARBAGE CAN AREA hiliarni Shores Village APPROVED BLDG DEPT SUBJECT TO COMPLIANCE WITH AU. FEDERAL STATE AND COUNTY RULES AND REGULATIONS EMERALD 'NSTR1i'tT. CUENT: crnr: MIAMI SHORES VILLAGE CHAIN LINK FENCE INSTALLED IN EARTH BARRY UNIVERSITY Designed Jonathan Cuesta Drown Checked Approved Drawing No. WI -702A Date 8/14/2012 SHEET 01 OF 02 TERMINAL POST HOOK BOLTS 24" MIN. TOP RAIL TOP RAIL TIE WIRES 24" CENTERS POST TIE WIRES CO 15" CENTERS LINE POST 11=1 1=1 I I 1' -0" TENSION WIRE END CLAMP 10 FT. MAX. FE \CE DETAILS CONCRETE 8" DIA. 10' Wide Gate Opening di . ■ .r a TENSION WIRE END CLAMP lFIliltl l■ 441 • 71111111 11 .. ► ' ►��♦ ■ CONCRETE EMERALD ONSTRUCTd ,,,, s" DIA 8" DIA. DOUBLE GATE DETAILS CHAIN LINK FENCE INSTALLED IN EARTH CLIENT: BARRY UNIVERSITY CITY: MIAMI , SHORES VILLAGE Designed Jonathan Cuesta Drawn Checked Approved Drawing No. WI -702A Date 8/14/2012 SHEET 02 OF 02 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 DING PERMIT APPLICATION Permit Type: BUILDING JOB ADDRESS: Permit No. Master Permit No., /.3 o o 4ve. City: Miami Shores FoliolParcel#: Is the BUH4ing l3isterl ► Bil�ted: Yes OWNER: Name (Fee Simple Titleholder): Address: City: ."12/(/" 1 Tenant/Lessee Name: irsscxoio 12� 101yYOIG byrkr FIB. N411 ' WvJ, ..;.. NO _ Food Zone 1)n yard Ag 'hone#:_ 4- 4 rap: , State: Email: _ V 414-1 /. 1:74c-r' CONTRACTOR: Company Name: ( ' l Address: /O f 10• LJ • City: t FR'cUe-- 04d—k State: Quajifier.Name: 4'k- //.i,.‘t0-,, State Certification or Registration #: C6 C Certificate of Competency Contact Phone#: #' Phone#:, Phone#: Email Address: DESIGNER: Architect/Engineer. %4- Value of Work for this Permit: $ Type of Work: tiAddition Description of Work: scD OAlteration Phone#: Square/Linear Footage of Work: ONew ORepair/Replace Zip: c q6 --Cr ODemolition Color thru tile: r******** * * * * * * * * * * * * ** * * * * * * * * * * * * * * * *F ************* * * * * ** * * * * * * * * * * * * ** * * * * * * * * * ** Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond Notary $ Trandng/Educatl Technology Fee $ on Fee $ Technol $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip A./ 4 Mortgage Lender's Name (if applicable) Mortgage Lender's Address rvh 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 A FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN TEND TO' I STAIN 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 appr' a reinspection fee will be changed Signature Owner or Agent The foregoing instrument was acknowledged before me this day of N al , 2011, by Wid ( ED 1010S who is personally know to me or who has produced As identification and who did take an oath. NOTARY ' LTC: Sign: Print My Commission Expires: l 1 Signature Contractor The foregoing instrument was acknowledged before me this day of, j , 20 L by ANA_ I1`'s4 4,Le s , who ':,.r ✓� , i y me or who has produced as identification and who did take an oath. "° ''''• Jonathan Cuesta NOTARY g ' 0MMlcS;O;sl*EE041198 '4'ExP E5: NOV, 09, 2014 WWW,AARONNOTARY,com Si My Commission Expires: *********************************************** * * * * ** * * * * * * * * * * * * * * * * * * * ** * * ** APPROVED BY Cr/6'4Z Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) * * * * * * * * * * * * * * * * * * * * * * * * * * * ** U `d d"IZoning Clerk 08/15/2012 09:50 9542412586 EMERALD CONSTRUCTION PAGE 01/01 �4.0 /Z�' EMERCON -01 _LRANDOLPH �--- CERTIFICATE OF LIABfLITY INSURANC °"�19120'""rti" THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY1AND CONFERS NO RIGHTS UPON HE CERTIFICATE HOLDER.ITHIS CERTIFICATE DOES NoT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERA E AFFORDED BY THE POLICIES • BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTMLITEI A CONTRACT BETWEEN THE IS UING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(i ®s) must be endorsed, If SUB oGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certi 'Gate does not confer rights to the , certificate holder in lieu of such andorsement(s)= PRODUCER _ - -- '•'— — CoUinaworth, alter, Fowler is French, LLC C M –1:1 18000 Govemore Square Blvd u .E>QI ;(305j 822 -1$00 Suite 909 ;Miami Lakes, FL 33010 ADtR�sa; _ . _,_,_ IN8URER(sI AFFORDIIC c IN01J0.6D -- - -• ._._„ .IN ^vLRERA� :Unsfed Specialty !neuron iN90 AREA B I SU • INRER G — Emerald Construction Corp 1086 NW 1st Court Hallandale Beach, FL 33009 INSURER : INSURER F: COVERAGES CERTIFICATE NUMBER: _ ! T REVIS HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAM N NUMBER: • INDICATED. NOTWtTHSTANDINO ANY REQUIREMENT, TERM OR CONDITION Ot ANY CONTRACT OR OTHER DOCUM • CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMIT L _ Y PAID CLAIMS. RAGE o ; {306) 362 -2443 — - - NAIG s0: — 71� S SHOWN MAY HAVE BEEN REDUCED B IL rlt GENERAL uItYPE y INSURANCE ! jNA • POLICY NUMBER i M� Y EPF (M - -- I 103109268 1 A I X cOOMMERCIAL GENERAL LIABILITY • X —.. ! GLRIMS -MADE ' j OCCUR 1 i GENI, AGGREGATE LIMIT APPLIES PER: I POLICY ; X� ( i LOC i AUTOMOBILE LIAEILJrY ANY AUTO is AAU. OWNED Et� HIREO AUTOS SCMEDULeu AUTOS r AUTOS ED r I' UMBRELLA LUIS • I per, UR EXCESS LIAE I C! AIMS MADE • I DEP : 1 RETENRON i WORNER COMPEM$A'rloN AND ;EMPLOYERS' LIABOXY ANY PROPRIETOR/PARn,1ERlEXECUTNE Y! N OFFICER/MEMSER EXCLUDEb? Ify ed NH) undo* t�reproN OF OPERATIONS below N1A be:MIR -1 M OF OPERATIONS 1 LDDATVMS 1 VEHICLES (Attach AGORD 101, Additional Remarks &.i s Sohodulo, if misusage Is mquired) Project: any Unlversity, 11300 NE 2 Ave, Miami Shores, Fl 33138 Certificate holder 1s named additional insured as respe required by written contract WD 4/5/2012 4/5/2013 1 EACH OC -PR MI • MED EXP I. PER GENE PRO I D ABOVE FOR THE POLICY PERIOD I NT WITH RESPECT TO WHICH THIS IN IS SUBJECT TO ALL THE TERMS, _. miffs .— uRRENEU .. 1,000,000; ej___; $ 100,0001 Any one mew) - ti $ 5,000: &ADVINJURY 1 $ 1,000,000, GREOATE , $ 2,000,000• -COMP/OP AGE ' $ 2,000,000, I (Ea 1.23.01Y 1 BODILY' I Per EACH OC I AGORE I WC f •ZOR 1 E.L. EACH El, aiS E.L D CERTIFICATE HOLDER Miami Shores, Village of Building Dept 10050 NE 2 Avenue MIti I Shores, FL, 33138 ACORD 25 (2010/05) SSINGLE LIMIT S URY (Per person) + $ URY (Per aooldonq, $ S ;S URRENCE I$ - E ig 'S UMrrr'$, IoR'. PENT ( s E -EA EMPLOYE S • POLICY LIMIT $ Commercial General Liability if CANCELLATION - • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRAT10N DATE THEREOF, ROTICE WILL Bs DELIVEREb IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTEDRP�D REPRE$P.NTATIVE The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. AU rights reserved.