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FW-12-1650• Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 178082 Permit Number: FW -9 -12 -1650 Scheduled Inspection Date: June 07, 2013 Inspector: Rodriguez, Jorge Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Miami Shores, FL 33138- Project: BARRY UNIVERSITY Contractor: TURNER CONSTRUCTION COMPANY Permit Type: Fence/Wall Inspection Type: Final Work Classification: Wire Fence Phone Number Parcel Number 1121360010160 Phone: (786)621 -9000 Building Department Comments INSTAII TEMPORARY CHAIN LINK FENCE AROUND CONSTRUCTION PROJECT TO SECURE JOB SITE Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 07, 2013 For Inspections please call: (305)762 -4949 Page 4 of 24 PERMIT # tiO 12.-- 1(0 0. CONTRACTOR: \_IA J ►� 1 1 # /, SUBMITTAL DATE: G) c 1 2- ADDRESS: NAME: RESUBMITAL DATES: PROJECT TYPE: . ,a 4P. iu L P? �, 4) .. FIRE STRUCTURAL IMPACT FEES ELECTRICAL HRSIDERM PLUMBING NOC MECHANICAL BL ��0 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 APPLICATION RECEIVED SEP 0 6 2012 Permit No FBC 1.2 - ftd5C) Master Permit No Permit Type: (BUILDING) ROOFING JOB ADDRESS: ! 130a N. e, Zoo f ,EIvtic City: Miami Shores County: Miami Dade Zip: 33161 Folio /Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): iJ i°l fifisi UN 11/ El; S 1 T Y Phone #: 30.s- $11- 3000 Address: 11 300 Pt 200 rivEPt4 City: 111heti S11o1ies State: FL- Zip: Tenant/Lessee Name: Phone #• Email: CONTRACTOR: Company Name: Tut,. i4; ComSl'Auc.Tta.N Cot?PA•NY Phone #: Address: 1000 NW $7 C,veT City: 11 tE h 1 State: L.- Zip: 33 12. Qualifier Name: cfA Oc, 9`'I ® Phone #: 76 22 I _ 30 State Certification or Registration #: Ci5 ( 15/ 6'/45- Certificate of Competency #: Contact Phone#: 'IO' 1 371 34575 Email Address: Gj z.A 1 A °� T CC a . c *e DESIGNER: Architect/Engineer: Phone #: Y ©y - 371- 3$15- Value of Work for this Permit: $ a , 0 0 0 Square/Linear Footage of Work: a 4'� g. t~ Type of Work: °Addition ©Alteration ©New ORepair/Replace °Demolition Description of Work: 1 N.SS At-tr TE riPo AMY CHA1,&1 41141K FE c 6 ilA0um A CONSivcrtaAi eiko -fGT To SEcoRe (re, 6 6tT .' Color thru tile: * * ** * ** * * * ***** * *** ** *** ** * ** ** * * *ex ** Fees******* *** * **** * *****a *******44 ***** ***apse*** Submittal Fee $ Permit Fee $ 2 OO' 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 Natne (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 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 approved any <- einspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of %Pr, . 20 11-; by 1311A4 GDWArba„V who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY AO ts3y °`•aYJ.YAO MY I; ,1 ,i ON #E136829 EXPIRES: November 12, 2014 1.800.341MY Not ayDimond Ass= Co. Signature Con The foregoing instrument was acknowledged before me t 's day of -cfr -720 it by J- k , fi7't g& who is personally known to me or who has produced as identification and who did take an oath. Plans Examiner Structural Review (Revised 3/12l2012XRevised 07 /10/07)(Revised 06/10/2(X9)(Revised 3/15/09) My Commissio*P itac.. • — 4 la< r.•"p ,. PAUUNE K. TOFT NELSEN a ` = e` s Notary Pubk - State of AGM* 4 Bonded Through National Notary Assn Clerk 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)758 -8972 Permit NO. FW -9 -12 -1650 Issue Date: Not Issued Expires:1 /1 /2999 Folio Number:1121360010160 Owner's Name: BARRY UNIVERSITY Job Address: 11300 2 Avenue Miami Shores, FL 33138- Owner's Phone: Total Square Feet: 200 Total Job Valuation: $ 2,000.00 Contractor(s) TURNER CONSTRUCTION COMPANY Phone Primary Contractor (786)621 -9000 Yes Planning and Zoning Criteria and Comments Approved: Yes Comments: Date Approved: 9/6/2012 : Yes DATE: 9/5/12 TO: Tumer Construction ATTN: Greg Zaia SENT VIA: PickUp TRANSMITTAL REF: Physical Science Labs Bany University Facilities Management 11600 NE 2nd Avenue Suite #15 Miami, Florida 33161 Telephone (305) 899-3790 Facsimile (305) 899 -3794 www.barry.edu No. DATE No. COPIES DESCRIPTION 9/5/2012 9/5/2012 1 1 Physical Science Lab Temporary Fence - Building Permit Application SIGNED Physical Science Lab Temporary Storage Containers - Building Permit Application SIGNED Received by: Print Date COMMENTS: Signed Permit applications for your use and submission to building department. cc: SENT BY: Sheli Romer Project Coordinator GISTICS PLA ir 2 151 Deliveries/ Trash Route „ kkk.Q Win NNIN Temporary .....s.) Casework an Frr e_ d A A .= 7.1 111,0#1. WIN 11CiMMIlltlE1111111 MEE );! Mt, n•11:=AM.W _ - -_- � 2:- Hio = 578356 -9 BUSINESS NAME Ll a t1O +I TURNER.CONSTRUCTIO 1000 NW 57 CT, 33126 UNIN DADE COUNTY `. i A"BILL -, 1 P AC 603075 -3 10469 First -CLASS U.S. POSTAGE PAID MIAMI, PL PERMIT NO. 231 OWNBA TURNER CONSTRUCTION COMPA GENERAL ` ILDING.'CONTRACTOR Ti - T r�OrA�: MOLDER PERMIT THE _ , OOHi VIOLATE ANY REGULATORY OR ZONING LAWS OF THE COUNTY ORS. 11"01.8d ROM e. WWI' stf t iw -TFS FR NOT A CERTIFICATION OF :HE':NOLOER's =ALMA- PAYMENT DAOE COOUNIY TAX 08/30/2011 60030000223 000275.00 SEE OTHER SIDE DO NOT FORWARD TURNER CONSTRUCTION COMPANY RICARDO AMARO 1000 NW 57 CT 200 MIAMI FL 33126 106 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION N CONSTRUCTION RUCCTTIION INDDUSTRYREET�SINU BOARD (850) 487 -1395 TALLAHASSEE FL 32399 -0783 AMARO RICARDO TURNER CONSTRUCTION COMPANY 14708 BALGOWAN RD MIAMI LAMES FL 33016 DETACH HERE OCUA S ".➢ CO L 9 ,C3( Cfi {)U O °i f& ) i1£711NC ;d ACC 6160156 56. DEPAR STATE. OF FLORIDA ffici Tier AND ARMIgi }NALl_ igraTIO 3 SECS L120612G0760 tsa7CH NU1t3E p 06/12/ 2012.118202730 CGC151046/' ,- The GINERAL CONTRACTOR Named below IS CERTXFIED Under the provisions of Cha tex: Expiration dates AUd 31, 2014 , TIIURNER CONSSTRUUCPION COMPANY'. 14708 BALOOWAN RD MIAMI LAKES FL 33016 RGO RNORT DOVE OR DISPLAY AS REQUIRED' BY LAW ® ACORD CERTIFICATE OF LIABILITY INSURANCE DATE {MM/DD/YYYY) 10/27/2011 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 BYTHE 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(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 endorsement(s). PRODUCER 'Rimer Surety and Insurance Brokerage, Inc. 300 Tice Boulevard - Suite 250 Woodcliff Lake, NJ 07677 CONTACT NAME: PHONE 201 -644 -2500 FAX (A/c. No. Ext): (A/C, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Liberty Mutual Insurance Company 23043 INSURED Tumor Corporation Turner Construction Company 3 Paragon Drive Montvale, NJ 07645 INSURER 8 :Liberty Insurance Corporation 42404 INSURER C : 11/01/2012 INSURER D : $ 2,000,000 INSURER E : $ 2,000,000 INSURER F : $ 10,000 • L JV CRHVCO arc as i a ,ve„ a. ,wn.v...•. '-.......•••,•• • 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 SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL X UABIUTY COMMERCIAL GENERAL LIABILITY T81- 825 - 092815-041: Ea. Occ, Darn to Rent Prem, Pers & Adv IN: $250k. TL1- 625. 092815 -081: Ea. Occ, Pers & Adv Inj, Dam to Prem: $1.75mm. Total Aggs at right. 11/01/2011 11/01/2012 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 2,000,000 MED EXP (My one person) $ 10,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 5,000,000 PRODUCTS - COMP /OP AGG $ 12,500,000 GEM- AGGREGATE LIMIT APPLIES PER: 7 POLICY n JECT 17 LOC $ AUTOMOBILE — LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS — _ _ SCHEDULED AUTOS NON -OWNED AUTOS CO aBINED SINGLE LIMIT (Ea BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ P PERTY DAMAGE (Per accident) $ $ J UMBRELLA UAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED 1 1 RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A WC7- 625 - 092815 -031 Employers Liab. /Stop -Gap OH, ND, WA, WV, yyY 11/01/2011 11/01/2012 X I PRY TATU 1 ER E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 DISEASE - POLICY LIMIT $ 2,000,000 $ $ $ $ $ DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) EVIDENCE OF INSURANCE FOR PERMIT PURPOSES GEK I II ILAI C rIVLUtR MIAMI SHORES VILLAGE 10050 N.E. 2ND AVENUE MIAMI SHORES, FL 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 - _- ., ..n°° 1n10 ACORD CORPORATION All r(nhfs resArved_ ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD