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DS-13-1126Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 191930 Permit Number: DS -5 -13 -1126 Scheduled Inspection Date: June 20, 2013 Inspector: Rodriguez, Jorge Owner: , BARRY UNIVERSITY Job Address: 320 NW 115 Street Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY MEDICAL SCIENCE DI net Contractor: EMERALD CONSTRUCTION CORPORATION Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: New Phone Number Parcel Number 11213600000600 Phone: (954)241 -2583 Building Department Comments INSTALL SIDEWALK AT FACILITY MODULAR AT CCHMM 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. June 20, 2013 For Inspections please call: (305)762 -4949 Page 11 of 40 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 BUILDING PERMIT APPLICATION Permit No. Master Permit No. )S-IIZCP Permit Type: BUILDING ROOFING JOB ADDRESS: f3� (J#J Iv "- 4Ty1 /1306 Q.E. 2a►, Ave. i F,4ci 111 /ES�'� /Llvpu(Alue City: Miami Shores County: Miami Dade Zip: 37) 6 / Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): 1 A P _ Q y aA) i vensify Phone #: 3 0S-" - ✓ 99S- Address: 113 © 0 A. • 2. AIDE City: /tkAIMl c1.1�i2�� State: FL- Zip: 33/ h I Tenant/Lessee Name: Phone #: e- �' % % - 79 9.5- Email: CONTRACTOR: Company Name: .vi AL® COAJs or J Co* Phone #: J Z4/ 258'3 Address: / od'6 B CT: City: i4,C1LL L1rn1 OA Lia &4CIl State: Zip: 3300 Qualifier Name: M 412% )- $ State Certification or Registration #: C 16-1 976 Certificate of Competency #: Phone #: 9 -q Z 1 �S F Contact Phone #: 7I - I 13 3) Email Address: Mme. I2 )C r !roAlco 2 p' com DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ I7 / ®o ° m ° a Square/Linear Footage of Work: Type of Work: Addition OAlteration ONew ORepair/Replace Description of Work: tiNi s 1, ALL/ c R, I› J l A ,5' AT p4(.I Li r) minotioas Cc + M Color thru tile: ********* * * ** *** * ** * * * * * * * * ** * * * * * * * ** *F ** **, *** * *** * * ** * * ** * * * * * * * * * ** * * * ** * * * ** ** Submittal Fee $ Permit Fee $ I IS* CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 15 g.4tp Bonding Company's Name (if applicable) , Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) AV* 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 appro nd a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of ovtAy , 20 d3, by S who is personally known to me or who has produced As identification and who did take an oath. NOTARY ' UBLIC: Contractor The foregoing instrument was acknowled ed before Lme this -21 day of �ci.•7 , 20 a by G,.�Ki 17�, he l l4'. who is personally ]mown to me or who has produced ate°— as irlr�ntifiratinn a �j�yyho didttak an oath. �a�YP66 Melanin James epi '9= COMMISSION # EE144681 3;4" ,e". ,e".`'EXPIRES: NOV. 18; 2015 p /EXPIRES: 4gnn +� WWW.AARONNOTARY.com NOTARY PUBLIC: Sign: : ,�_ ' �'; i� y Si �� Print: My Commission Expires: APPROVED BY Structural Review Print: 01 n., a-- \% ,w.Q.�, My Commission Expires,,,,,,,, g•�pi!Y ?a, °w F :,, • ;a, James 44681 . 04<. -_ ;RES: nv.f 18,2015 , (Revised 5/2/2012XRevised 3 /12/2012XRevised 07 /10 /07XRevised 06 /10/2009XRevised 3/15/09) 3-7/ 5/(3 Zoning Clerk EMERCON-01 LRANDOLPH AWRIEr CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYTY) 3/18/2013 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 POUCIES 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, thepolicyfies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain pollcies may require an endorsement A statement on this certificate does not confer rights to the RR! :Fif ,14#1:11,1,4410e,mt). Mkt, Foultit Frenth„ rs Squats MA atio: 006) 362.2443 4 . 308) 822-7800 .• tot49,EN5 AFFORDING COVERAGE NAIC 1$ ...... . 1 MNWREFt4tVitittitiiinsurance ........... .. cortiothy ....,„ • : INSURED : INSURER B : ..,.._ INSURER C :,_ :-- INSURER D : INSURER E: S CERTIFICATE NUMBER: I 1!itnifErt f COVERAGES •._•..._............•••___. ....._.,_ REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES 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 ;1 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 POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID 4tattiyoul, Poucy Numpge: , • • • AJE..........___ TYPE OF MISURANCE •••_. •• • •••••••• ••• •. 7AIWILIELMEtt - LEM*. • 1 1 041.404AStaliii . ' i , • •. •. • : • 1 : EACH OCCURRENCE 4.I $ 1i000A00 , A [ A...i COMMERCIAL GENERAL UABILITY I X 1 OLP014485200 1 4/5/2013 I 4/612014 .11pirramisigrinoccunce) I $ 100,001 • le- i CLAIMS-MADE I X I OCCUR MED EXP (Any o)*ne*In) I $ 5000 I f — • . . ..•• . ..• s . . . : • • . . . • E..! . G. A , i s : I • , . . ., i s . : . . . • s , , LI pERSONAL & AN INJUR Y 1, • $ Imoomi GENERAL AGGREGA 2000:40 GENT AGGRTE UMIT APPUES PER PRODUCTS - COMP/OP AGG $ :2400000 , POLCY o LOC 41 i 1 i AUTOMOBILE MERRY :",.—, • LAP ti LociffAriti....:. . 1# • 1 ANY Atrro _ . I •• i BODILY INJURY (Per plamon) I $ ALL OWNED r —,, scHEDuLED ..• uT AuTos • 1 A os i • • i BODILY INJURY (Per =Mani); $ , • . .••• . 1 • . ". PgrAPMAtAM aAGE Emerald Construction Corp 1086 NW 1st Court Hallandale Beach, FL 33009 •-••••••••••••••^•••••,•••••^ 0417,;11,7, # •ITV. .7 ' : 1 • , • • , . : " $ • • • • . ± , • t UMBFIELLA LIAB 1 i (v.v., la I EACH OCCURRENCE 1 $ :-.—:: -- • , 1 EXCESS LIAB • . • i LCLAIMS-MADE i• : :: OED L.. ..L-1.,_ II. i ! WORKERS COMPENSATION AND EMPLOYERS LIABILITY • , y / N I : ANY PROPRIETOR/PARTNERIEXECUTNE : I OFFICER/MEMBER EXCLUDED? 1-7 N 1 A I: 1 1 1 Mandatory In NH) _ -- 1 : I l if yea, describe under DESCRIPTION OF OPERATIONS below ! : ,. ikFigoirc . Is i $ . ...1 r oickgm, I i OTH-1 ATOB..1__A_ER4,., . 14 EACH ACCIDEM" I DISEASE - EA EMPLOYEM• $ • EA- t , I EA- DISEASE - POUCY LIMIT I $ • , . • 1 DESCRIPTION OF OPERATIONS 1 LOCATIONS !VEHICLES (Attach ACORD 101, Addltkmal Remarks Schedule, II more space Is required) !Certificate holder is named additional insuredleff required by written contract, as respects Commerclal General L(ability. CERTIFICATE lipLopt •BaTty1/0*0014tylnc. 11300 NE 2nd Avenue Miami Shores, FL 33161 ACORD 25(2010105) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIV • / iotie @ 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE EMER -20 OP ID: LC DATE (MM/DD /YYYY) 04/10/13 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 `EPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. .MPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 endorsemen';' PRODUCER Brown & Brown of Florida, Inc. 1201 W Cypress Creek Rd # 130 P.O. Box 5727 Ft. Lauderdale, FL 33310 -5727 Scott H. Buser, CRIS 954-776-2222 954- 776 -4446 PHONE E-MAIL l9. attt: E -MA ADDRESS: INSURED Emerald Construction Corp 1086 NW 1st Court Hallandale, FL 33009 LA/C, Na): INSURER'S) AFFORDING COVERAGE INSURER A : *FCCI Insurance Company+ INSURER 0 : INSURER C : INSURER D : INSURER E =. INSURER F NAIC #.._.,... ........... 10178 COVERAGES ERTIFICATE NUMBER: REVISION U. a. THIS INDICATED, CERTIFICATE EXCLUSIONS IN R LT IS TO CERTIFY THAT NOTWITHSTANDING MAY BE ISSUED AND CONDITIONS THE POLICIES ANY REQUIREMENT, OR MAY OF SUCH OF INSURANCE PERTAIN, POLICIES, iTs • : , LISTED BELOW HAVE BEEN ISSUED TO TERM OR CONDITION OF ANY CONTRACT THE INSURANCE AFFORDED BY THE POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY THE INSURED OR OTHER DESCRIBED PAID CLAIMS. MM Ds Y NAMED ABOVE FOR THE DOCUMENT WITH RESPECT HEREIN IS SUBJECT TO IIIIIIIIIIIIIIIIIIIIIIIIIIMEEIIIIIIIIIIIIIIIIIII EACH OCCURRENCE EMtSES (Ea MED EXP (Any one parson) PERSONAL & ADV INJURY GENERAL AGGREGATE POLICY PERIOD TO WHICH THIS ALL THE TERMS, $ - TYPE OF INSURANCE POLICY NUMBER ! ' I GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE _ OCCUR $ $ $ IIII IIII GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG •PO,ICYinPRO- ■tt '. $ AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS 1 C to two some LIMIT BODILY INJURY (Per person) $ MNALL BODILY INJURY (Per accident) $ ® PROPERTY DAMAGE $ $ UMBRELLA LIAB EXCESS LIAB OCCUR EACH OCCURRENCE $ •. CLAIMS -MADE AGGREGATE $ DED RETENTIONS A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE' OFFICER/MEMBER EXCLUDED? (Mandatory In NH) IF yes, describe under LIE RIP.TION.•F OPE TIONS �d N N / A ( 64146 04/15/13 04/15/14 x WC1STATU• OTH- E,L.EACHACCIDENT $ 500,00!` EL. DISEASE - EA EMPLOYEE $ 500,00 t' be E.L. DISEASE - POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Mach ACORD 101, Additional Remarks Schedule, If more space 1s required) Project: Barry University 11300 NE 2 Avenue, Miami Shores, FL 33138 Miami Shores Village Attn: Building Dept. 10050 NE 2nd Avenue Miami Shores, FL 33138 MIAMISH 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 ACORD 25 (2010105) 01988 -2010 ACORD CORPORATION. All rights reserved:: The ACORD name and logo are registered marks of ACORD NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF BAST INSPECTION PERMIT NO. PS-S -13 -1126 TAX FOLIO NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE: 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. 1. Legal description of property and street/address: C. g ( I'OO N& ' 2.4 MJ 1111111111111111111111 11111111111111111111111 CIFiNI 2013R0432284- OR Bk 28656 Ps 01386 (1) RECORDED 05/31/2013 10:40:56 HARVEY RUVIN CLERK OF COURT I1IAMI -DARE COUNTY? FLORIDA LAST PAGE 1.6 1 tiAMIS14O�, r-k) 2. Description of improvement: £ 5 U U1 S1PJ 1" 4At ou ,`v {woDw.. Jvig cci-VAAN 3. Owner(s) name and address: -� Ql2i/ UVNMASI,TY (,113OO l L -7,40 AU / S F�°RES. , FL. 33) 4.1 Interest in .-property: 014)11 l— Aof2D t afAiliklatty Name and address of fee simple titleholder. 4. Contractor's name and address: CrWle r NSr(1 AGnON , /age ALIA) • NALLAN6ALE � (. 5300 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: NA^ Amount of bond $ /1/14^ 6. Lender's name and address: N ("4"- .7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following.person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year Yom the date of recording unless a different da�1- cified) Signature of Owner Print Owner's Name Sworn to and subscribed before me this Notary Public Print Notary's Nam My commission expires: 123.01 -82 PAGE4 8/ Prepared by le'AIrxt`T Address: 7$o1 Sid i3S 7eok. Pi ieciaterr L. 73a7. ,AIEOF FLORIDA, G HEREBY CERTIFY that this is a jag copy of the ,ngmal Bled in this office on day at NITNESS my hand aia. thole' Seal. \Cd bS-'- jh -IAR RUVIN, CLER of Circuit and oun Cour$s" Yy D.C. 1,AAy 2.2 2013 PERMIT #o Miami Sh ores Village APPROVED BY SYNAIAYSKIRUMANIKSAYE .•mmra•emn¢.�. SUBJECT i'O CCMPLIPNCE WIT' All FEDERAL STATE ANU CG UN I l RULES AND REGULATIONS Mmwei SynE1044 AR 0011628 3S'ALUMINUM RAMP AND LANDING BY OTHERS. • 10-10 3S ALUMINUM RAMP AND LANDING BY OTHERS. STY C.B.S. FACILITY TRAILER FLOOR PLAN SCALE 118 =1'-0• FACILITIES TRAILER SITE PLAN SCALE: 1W =1 A• 8 Away UklivEe Sr` 5 P Oe &ALIc5 '' f c i L, 4-9/ Ma Du&4LS c CAIN M CONt? ci P5Q$c4 I2ALp'14 I4CA C4E r e. Emadatia GOA)s'acce -i- v J 786 -Z- 1- 1331 BARRY UNIVERSITY CAMP(" - Miami Shores, Florida ) 4 29 UNIVERSITY Atxf NE Second Avenue /Sister Jeanne O'Laughlin Avenue Cor Jesu Chapel 2 Thompson Hall 3 Monsignor William Barry Memorial Library 4 Broad Center for the Performing Arts 5 Pelican Theatre 6 Fine Arts Quadrangle 7 O'Laughlin Hall 8 College of Health Sciences (Natural and Health Sciences Building) 9 Adrian Hall 10 Wiegand Center 11 Wiegand Annex 12 Kelley House 13 Farrell Hall 14. LaVoie Hall 15 Weber Hall 16 Browne Hall 17 Sage Hall 18 Dunspaugh Hall 19 Dalton Hall 20 Mottram Doss Hall 21 Flood Hall 22 Powers Building 23 Andreas Building 24 Lehman Hall 25 Garner Building 26 R. Kirk Landon Student Union 27 Health and Sports Center 28 John and Neta Kolasa Hall 29 Benincasa Hall 30 Center for Community Health and Minority Medicine 31 Silvester Tower 32 Alumni House 33 11600 Building 34 Holly House Apartments 3S Hopper Building 36 Villa 37 School of Adult and Continuing Education (ACE)