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PLC-11-2091Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 66556 0- `k Permit Number: PLC -11 -11 -2091 Scheduled Inspection Date: D cember 21, 2011 Permit Type: Plumbing - Commercial Inspector: Hernandez, Rafae .Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: Addition /Alteration Job Address: 11300 NE 2 Avenue Benincasa Hall Miami Shores, FL 33138 -0000 Project BARRY UNIVE SITY Contractor: METROPOLITAN PLUMBING INC Phone Number Parcel Number 1121360010160 -34 Building Department Comments INSTALL CONDENSATE LINES FOR 4 VERTICAL PTAC UNITS Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments December 20, 2011 For Inspections please call: (305)762 -4949 Page 7 of 35 NeJ ialaou edloffo. Miami Shores Village g NOV 1 r: 2uii Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B Y: Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. P1011- 0,r/ R i Master Permit No. Ge ie' `Qg BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) A EV1 J "` °' '' "rtl Phone # Owner's Address 113od Nre 2ND AV NEE. City IMAM Cfto 4 ' State R(, - Zip 15 to r Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) 140 14 4 4 VS-44' City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # - 631) Is Building Historically Desi grated YES NO Contractor's Company Name Vkaro °`d�� 17 140% \)∎ `161 Contractor's Address 10 7-0 fr ctS 1444' $4C eF j City IA Q afi Qualifier Name lAt a.?A State c.(-, c-o`cand t4. Phone # 3o C- *CS1'w ?7 D Zip 3 /0to • 3 3(2- Phone # ggg - v4so State Certificate or R gistrati s n No. e,,,PC2,SII jS' Z- Certificate of Competency No. E -MAIL: Architect/Engineer's Name ( f applicable) 14.e. fwi ,NsEt,N4, Q+NSvaTA : Phone # 405-. gds — 4(pS2 4 %clue PwL , Value of Work For this Per it $ 3 0 0 Type of Work: W sditi n ['Alteration Describe Work:, , C Ov.it Square / Linear Footage Of Work: New ❑ Repair/Replace ['Demolition * * * * * * * * * * ** Submittal Fee $ Notary $ Training/Education Fee $ Technology Fee $ *, ,• * *** ** * ** * ** * *** * * *. Fees *, * ***** * ** ****** * *, ** ***'**** *** * *** * * * * ** Permit Fee $ / 1) J CCF $ CO /CC Scanning $ Radon $ DPBR $ Bond $ Structural Review. $ Code Enforcement $ Double Fee $ Zoning $ Total Fee Now Due $ See Reverse side —* 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 gittAltfit Lll tosrk win,* alisnOti compliance with all applicable laws regulating construction and 4otii • r.1451t11'74 T,4-1111 "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 approve a reinspection fee will be charged. Signature Owner or Agent y The foregoing instrument was acknowledged before me this 1St day of ?v. , 20 t1 , by R. AC& GLXM I O who is personally known to me or who has produced As udentiTiCatiOlnknd who did1101160 lui ide ti a 'o d who did take an oath. NOTARY PUBLIC: Signature • �rll� on, The foregoing instrument was acknowledged before me this day of ('. ' • , 20 , by ■9e\ C3 os -a∎AQ , who i ersonally known to me r who has produced NOTARY PUBLIC: Sign. Print: JEFFRY J. YAO My Commission Expir CO ON 0E36029 mamba 12,2014 FL Thalami Assoc. Co S. Print: V1.1 a6 c My Commission Expires: WIRES: AUG. 01, 2015 'y°,F „�,.�`�� 1MMIN.AARONNOTAR' com ****************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 02/08/06) Plans Examiner Engineer Zoning AWRL CE RTIFICATE OF LIABILITY INSURANCE OP ID: NIA DATE (MMFDD/YYYY) 11/04/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFF RMATIVELY 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 certlficate the terms and conditions of the certificate holder in lieu of such holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the endorsement(s). PRODUCER !Sure Insurance Brokers 2700 SW 137 AVE Miami, FL 33175 Javier A. Fernandez 305 - 223 -2533 305- 220 -0765 CONTACT NAME: PHONE INC. No, Ext): FAX (AFC, No): E -MAIL ADDRESS: PRODUCER METRO -1 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIL 0 INSURED Metropolitan Plumbing,Inc. 1020E 14 St Hialeah, FL 33010 INSURER A : Scottsdale Ins. 41297 INSURER e : Bridgefield Casualty Ins. Co. 10335 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 ADDL INSR SUBIF WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POUCY EXP (MMFDDIYYYY) LIMBS A GENERAL X LIABILITY COMMERCIAL GENERALLIABILI X OCC R CPS1358905 03131/11 03131/12 EACH OCCURRENCE $ 1,000,000 DAMAGES( RENTED PREMISES (Ea occurrence) $ 50,000 CLAIMS -MADE MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 I GEN'L AGGREGATE LIMIT APPUES PliR: —1 POLICY JECT PRO- LOC PRODUCTS - COMP /OP AGG $ 1,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE UMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yea, describe under DESCRIPTION OF OPERATIONS Y /N N / A 830 -23430 05/07/11 11/12/11 X WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 be E.L. DISEASE - POLICY UMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIO S / VEHICLES (Attach ACORD 101, Additional Remarks Schedule if more space Is required) plumbing residential & commer ial CERTIFICATE HOLDER CANCELLATION 1 Miami Shores Village Fax: 306-766-8972 10050 NE 2 Ave. Miami Shores, FL VILLAMS 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 �� %��2 ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Th4- $ T '. N*Med.-bexo F _ Fxpira£ioa dad,, THIS IS NOT A BILL - DO NOT PAY RENEWAL 398677- RECEIPT NO. 416083 -4 BUSINESS NAM / LOCATION METROPO ITAN PLUMBING INC STATE* CFC057152 1020 E 14 ST 33010 HIALEAH FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 OWNER METROPOLITAN PLUMBING INC Sec. Type of Bu Ines MBING CONTRACTOR THIS IS ONLY6A it BUSINESS TAX RECEIPT. DOES NOT PERMIT HOLDER TO VIOLATE EIUSTINO REGULATORY 0 ZONING LAWS OF COUNTY OR CITIES. N DOES IT EXEMPT HOLDER FROM ANY PERMIT OR U REQUIRED BY LAW. THIS I NOT A CER ICATION OF THE HOLDER'S QUAUFICA TIONS. PAYMENT RECEIVED MIAMI-DADE COUNTY TAX COLLECTOR: 08/31 2011 60000 00285 00004 .00 SEE OTHER SIDE _ _ _ WORKER /S 5 DO NOT FORWARD METROPOLITAN PLUMBING INC MIGUEL GUTARDINU PRES 1020 E 14 ST HIALEAH FL 33010 70