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MC-10-605Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 140355 Permit Number: MC -4 -10 -605 Scheduled Inspection Date: February 16, 2011 Inspector: Perez, JanPierre Owner: , BARRY UNIVERSITY' Job Address: 11300 NE 2 Avenue Thompson Hall Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: HILL YORK SERVICE CORP Permit Type: Mechanical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360010160 -02 Phone: (305)756 -6501 Building Department Comments REPLACE CHILLER IN THOMSON HALL Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments let)i-te:m, iPov- a 14,5a (cAiiic,,n wA45 v‘),_ .zy,r1 y CAAA. February 15, 2011 For Inspections please call: (305)762 -4949 Page 2 of 21 Protect Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Expiration: 11/23/2010 Applicant 11300 NE 2 Avenue Number: Thompson Hall 1121360010160 -02 Miami Shores, FL 33138 -0000 Block: Lot: BARRY UNIVERSITY INC Owner Information Address Phone CeII BARRY UNIVERSITY INC 11300 NE 2 Avenue MIAMI SHORES FL 33161 -6628 era or Contractor(s) HILL YORK SERVICE CORP Phone (305)756 -6501 CeII Phone Valuation: Total Sq Feet: $ 155,761.00 0 1 Tons: Additional Info: CHILLER REPLACEMENT Classification: Commercial Approved: In Review Comments: Date Denied: Date Approved: : In Review Type of Work: Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $93.80 $31.20 $4,672.83 $30.00 $124.80 $4,952A3 Pay Date Pay Type Amt Paid Amt Due Invoice # MC -4-10 -37554 05/28/2010 Check #: 107949 $ 4,952.43 $ 0.00 Available Inspections: Inspection Type: Ventilation Final Rough Rough Duct Duct Detector Test In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy May 28, 2010 Date May 28, 2010 1 CITY OF MIAMI -BUILDING DEPARTMENT NOTICE OF COMMENCEMENT Please file at 22 N.W isT PERMIT NUMBER: )(L- (OC FOLIO NUMBER: State of Florida County of Miami-Dade 1111111111111111111111111111111111111111111 CFN 2010R0395608 DR Bk 27317 Ps 0311i (Ps) _ RECORDED 06/11/2010 1215037 HARVEY RUVIHr CLERK OF COURT MIAMI-DADE COUNTY, FLORIDA LAST PAGE STATE OF FLORIDA, COUNTY OF DADE I HEREBY CERTIFY that this is ejre copy of the vriginal fil- : office on WITNESS my h HARVEY RUVI By The undersigned hereby gives notice that improvements will made to certain real property, and in accordance with Chapter 713.23, Florida Statutes, the following in provided in this Notice of Commencement. Street address 11360 NE, 2nd 46 and Legal description of property Description of improvement: d and Off CL A D 20 tat Seal. f Ci wit a y of Coun Courts WAINFiirALW C0/1447. c‘o CLERK D.C. Owner(s) name any UnIVIKS1-4 Interest in property: Name of fee simple titleholder (if other than owner): and address Contractor's n Phone number: Amount of Surety bond: $ : (Payment bond required by owner from contractor, if any) Stirety Name and address Phone number: Lender's name and address Phone number: 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)(47., Florida Statues, Name and address: and address In addition to hfinselt Owner designates the following person(s) to receive a copy of a Lienor's Notice as provided in Section 713.13(1)(b), Florida Statues, Name and address • Phone munber: Expiration date of year from the da otice of Commencement: (the expiration date is one In g unless a different date % specified) Print Owner's Name: ruee_. tleetiatid-S By 'SW Gist.") A ; , ) .---) Personally t • -- • . 4. . ..... 10 , 2711,0- Sworp to and spbscri if,. be fore me on this '-'1011 Day of ANk5 Notary Public 1,VA LA 1. ' Print Notary's Nam., AViiea7fi, 11:76/1/16 Oath taken 1 4reath not Commission Expiration: Pre Address: Rev: 5/2004 likitaeratile FL- ,ityie IRDST MaNI 2.I an 10 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 Nom BUILDING PERMIT APPLICATION FBC 20 Permit Type: MECHANICAL rrO�i�• 2060 Master Permit No. Owner's Name (Fee Simple Titleholder) I4 If r9 Owner's Address t 0 N O t Z !k ,, �a City a«t 5kow25, State Phone # Zip 1 fdi Tenant/Lessee Name Phone # Email Job Address (where the work is being done) HMV NE Z City Miami Shores Village County Miami -Dade Zip 331 ioi U FOLIO / PARCEL # 112-1310 O1120650 Is Building Historically Designated YES Contractor's Company Name 6'f t tli "JO( k. NO Flood Zone Contractor's/ Address 1,©15J® Ev W i^,4- City Wixom , r State f� Qualifier Name a- Q..„45 L.R.A7�■s,, AA �+� State Certificate or Registration No. i.i'1Y1�L 05S 1q9 9 Phone # 7g6 03g S 7319 Contact Phone Zip 33t Phone # 0154 52-6- 0291 Certificate of Competency No. I gi E -mail Architect/Engineer's Name ('f applicable) F YW. LA E-et9trwriyhone # (5 5g 33le 6 1.6'0 Value of Work For this Permit 0� Square / Linear Footage Of Work: Type of Work: ['Addition Describe Work: (ate- ['Alteration ['New ,Rep 0 Demolition **** **** * * ** * * **** * * * *x **** * * * ** r ** * ** e s* * * * * * ** *** * * * *** * ** *** * * ** * ** * * * * ** * * * ** ** Submittal Fee $ Permit Fee $ A40 t �� Notary $ Training/Education Fee $ Scanning $ Radon $ CCF $ 6 Q_ coicc Technology Fee $ 1 a4 ® D DPBR $ Iond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 4-)c15 ' 43 See Reverse side -4 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, HEALERS, 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,, a : einspection fee will be charged. Signature ('- Owner or Agent The foregoing instrument was acknowledged before me this 30 day of 01e, , 20 B) , by 1 eat vS who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: L My Commission Expires: Contr.: tor The foregoing instrument was acknowledged before me this day of Aprls I , 20 l_Q, by Q f5 who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: APPROVED BY Sign: Print: A'I& My Commission EEpiresil ANA R0 Notary Yobbo - Slots of Rod* My Comm. Expires Feb 15.2014 CommNaion • 12) 201990 t`" Boated Droopy IMAM Nola, Aba. Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07XRevised 06/10/2009) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. fn(s Li) - Job Name Date MECHANICAL CRITIQUE SHEET II a t, do ec Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 /(f' Permit No: /0 'A91-- Job Name: i33,42filAY tieW/'7c4-*A° /121 / y f-P/2- V , 2009 Page 1 of 1 ELECTRIC Critique Sheet 'a/; y yG% Leo-I Pei7 'PP/ 12 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. Mike Devaney 305 - 795 -2204 04/19/2010 11:00 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES 1 1001 * * * * * * * * * * * * * * * * * * * ** * ** TX REPORT * ** * * * * * * * * * * * * * * * * * * * ** TRANSMISSION OK TX /R% NO 4921 RECIPIENT ADDRESS 93057566501 DESTINATION ID ST. TIME 04/19 10:59 TIME USE 00'55 PAGES SENT 5 RESULT OK Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795,2204 Fax: (305) 756.8972 Permit No. M 10 _ 6° Job Name Date MEC NICAL CRITIQUE SHEET .' • 606 Barry University Division of Legal Affairs LaVoie 209 (SOS) 899-4784 §30TERW3 a MAY 2 6 zolo BY0.4.4.1011144441111111111441144,14 4g, e;g4., is. Contract Routine,. Log Contract Title: • t 411 4:4 Department: .111filniangnm_ Canteen Lin a Mitts , ExtairL Date: 3/18/2010 Contract Read and Approved by Department. Department Can Comply with ternis, X Revisions are needed. .414 Mw4cv Signatute: ititatlats.; Print Name: Linda Mitts Date: 3/18/2010 Department Summary : replace the Afill n Poitoo gad Thipapaugh wit*, 3 AMU's, Repiacka 10.•cot ; •• rtac APPx!wed by DY4.44„1.?Mt.q1IFIt • ottuget •e: • - • 4 _ 41■ t 0 Signature-kso A. Date 10-13303-000001 CIE, Library 159,442.34 Amount: 447,879.00 10-13309-000001 CIP Thompson 155,761.39 10-13316-000001 CIP D/D 132,675.27 Contract Reviewed by Legal Contains revisit:0.1s ."4""1142°/-)4-4171 / tz No te siona Total $447,879.00 511c).0 --/sii14-072,10-)24, (1,14')/..e...Y1 /7-1> 441t-/el) (-A-Oct 14114 j:ryi Li ****Please be sure a fully executed original goes to Lena Mercea**** CONSTRUCTION PROJECT SERVICE AGREEMENT This Services Agreement ( "Agreement") is entered into as of March 10, 2009 (the "Effective Date "), between Barry University, Inc., a not for profit educational institution, ( "University ") and Hill York ( "Contractor"). WITNESSETH WHEREAS, University has engaged the Contractor to perform certain construction services; WHEREAS, the parties hereto desire to reduce the terms of this Agreement to writing; NOW THEREFORE, for and in consideration of the mutual promises to each other, as set forth, the parties hereto do mutually agree as follows. 1. Services Provided. A: Contractor is a State of Florida licensed contractor and is legally permitted to provide the University with the construction services herein contracted. Contractor shall provide the University with a copy of its current license and insurance certificate(s) before commencing work under this Agreement. B: The Contractor Scope of Work shall be as follows: 1) DaltonlDunspaugh Hall, replace the existing AHU with 3 new AHD's. 2) Library, replace existing Chiller #1. 3) Thompson Hall, replace Chiller #1. See, Campus Map www .barry.eduiaeneraUcampusmap.htm for Building Locations. The price includes all equipment, labor and materials necessary to complete the work as shown on the following drawings designed by Fine Line Engineering Inc. DaltonIDunspaugh Hall M-1 Mechanical Schedules and Specifications M -2 Mechanical Floor Plan M -3 Mechanical Details E -1 Electrical Demolition Plan E -2 Electrical Floor Plan Library M-1 Mechanical Schedules and Details M -2 Mechanical Demolition Plan M-3 Mechanical Floor Plan E -1 Electrical Demolition and Electrical Floor Plan E-2 Existing and New configuration of Main Dist. Panel board Thompson Hall M -1 Mechanical Schedules and Specifications M -2 Mechanical Demolition and New Mech. Floor Plans E -1 Electrical Demolition and New Elec. Floor Plans Mechanical Book Specifications Sections 15000 Electrical Book Specifications Sections 16000 The price shall also include the following: Dalton/Dunspaugh Hall 1- Provide means and methods to remove existing AHU -I and its associated equipment from the existing Mechanical Room. Provide, to owner, certified legal disposal of this unit off-site. 2- Provide for the installation of new AHU's inside the existing Mechanical Room with associated ductwork, piping, valves and controls. Libra 1- Provide means and methods to remove Chiller #1 and its associated equipment from the existing Mechanical/Electrical Room. Provide, to owner, certified legal disposal of this unit off -site. 2- Provide for the installation of new Chiller #1 inside the existing Mechanical/Electrical Room with associated piping and valves. Thompson Hall 1- Provide means and methods to remove Chiller #1 and its associated equipment from the existing Mechanical/Electrical Room. Provide, to owner, certified legal disposal of this unit off -site. 2- Provide for the installation of new Chiller #1 inside the existing Mechanical/Electrical Room with associated piping and valves. C: Pamagel. Contractor agrees that any damage caused to University property either directly or indirectly during the construction of this project or any other Contractor activity on University property, shall be the sole responsibility of the Contractor. The Contractor will at its own cost repair or replace any damage caused by the Contractor its employees or agents. Contractor shall also assume responsibility for the repair and/or replacement any damage caused directly or indirectly to the University's property by the Contractor's subcontractors during the construction of this project. 2. Project Permitting. Contractor shall be responsible for obtaining all necessary permits for this project from Miami Shores and /or Miami -Dade County and any other governing governmental entity at no additional expense to the University. The Contractor shall obtain and provide the permits to the University prior to the start of any work. 3. Construction Schedule The Contractor agrees that the various portions of the scope of work shall be completed in accordance with the University's construction schedule on or before the following dates: Dalton/Dunspauah Hall: The contractor shall order the new equipment on the first business day following the contract award. The contractor will confirm the delivery date of the new equipment and will send in writing, to the owner and owner representative, an established date for the delivery and owners approval for the dates to install and commission this equipment. The complete installation must fall within the summer break period between May 17th and June 18th (4'2010. Library and Thompson Hall: The contractor shall order the new equipment on the first business day following the contract award. The contractor will send, in writing to the owner and 4 i t owner representative, a confirmed date for the delivery and installation of the new equipment. The contractor shall provide, install and maintain temporary chillers, mounted on trailers, at these two buildings to provide chilled water at 44 degrees F., while the removal and installation of the new chillers is underway. Upon acceptance of the work the temporary chillers shall be removed. The duration of the installation of the new equipment at these two buildings shall not exceed 30 days for each building. 4. Term., The term of this Agreement will begin as soon as possible (no later than the date the Agreement is executed) and end when the University has deemed the work as described herein complete. The Contractor agrees all work will be completed six (6) months from project start date. Contractor shall not be responsible for forces beyond its control that may extend the contract time. Dalton/Dunspaugh Hall The construction period shall conform to the approved schedule defined above. Library The construction period shall conform to the approved schedule defined above. Thompson Hall Bldg. The construction period shall conform to the approved schedule defined above. 5 Fee. The total amount for the services provided will be four hundred forty seven thousand eight hundred seventy nine ($447,879). A final payment including retention will be made upon completion of the services. No other compensation will be paid for any work performed unless the University agrees, in writing and in advance, to the execution of such work. 6. Payment Terms. Periodic payments (no less than 30 days) based upon an owner's representative's, "certificate for payment ", based upon a percentage of work completed, less ten percent (10 %) retention. 7. Payment to Subcontractors. Contractor is solely responsible for payment to any and all subcontractors hired by the Contractor to provide services under this agreement. Contractor must obtain a Release of Lien, which includes a statement of full and satisfactory payment, from all subcontractors hired for this project prior to the University's release of the 10% retention payment withheld on this project. 8. Payment and Performance Bonds. Will be required for 100% of the total project cost to include Thompson Chiller, Library Chiller and Dalton/Dunspaugh AHU 9. Insurance. Contractor, at its expense, agrees to procure and maintain, during the term of this agreement, a policy of commercial general liability insurance in an amount of not less than one million dollars ($1,000,000) single limit and three million dollars ($3,000,000) aggregate, against claims for bodily injury, death and property damage occurring in connection with Contractor's services. This insurance must name Barry University, Inc. as an additional insured. Contractor must provide University with a certificate evidencing this insurance coverage no later than two (2) days prior to Contractor beginning its services. Further, Contractor acknowledges that it has workmen's compensation insurance for its employees. 10. Liability. Contractor agrees to conduct its services in a careful and safe manner in accordance with the professional, industry standards of licensed contractors. As a material part of the consideration to University, Contractor agrees to assume all risk of damage to and loss or theft of Contractor's property while on University property, damage to the University's property, and injury or death to persons related to Contractor's services. Contractor further agrees to indemnify and hold harness the University, its Board of Trustees, officers, employees, faculty, agents, and students, against all elaims, suits, liabilities, costs, damages and expenses (including reasonable attorney's fees) to the extent caused by: (i) Contractor's construction services, or any activity or thing done while performing on the University's property, performed or suffered by Contractor, its agents, its employees, invitees, subcontractors, or persons attending or participating in Contractor's services in or about the University's property; or (ii) any Loss, injury, death or damage to persons or third parties on or about the University's property caused by any act, omission or negligence of Contractor, or any of its agents, its contractors, its employees, invitees, or subcontractors; or (iii) any breach or default in the performance of any obligation on Contractor's part to be performed under the terms of this Agreement. Contractor's indemnity obligations will not extend to any liability caused solely by the negligence of University or its agents or employees. 11. Warranty. In addition to the Contractor's other obligations including warranties under the Contract, the Contractor shall, for a period of one year after Substantial Completion of each section, correct work not conforming to the requirements of the Contract Documents. The sections being Dalton/Dunspaugh Hall, Library and Thompson Hall. Manufacturers warranties shall pass to the Owner. 12. Environmental Regulations. Contractor will not permit any Hazardous Substance to be used, stored, generated or disposed of on, in or about, or transported to or from, the University's property, by Contractor, Contractor's agents, employees, subcontractors or invitees without first obtaining University's written consent, which University may give or withhold in its sole discretion, or revoke at any time. If Contractor breaches these obligations, or if the presence of Hazardous Substances on, in or about the space caused or permitted by Contractor results in contamination of any part of the space, or if contamination by Hazardous Substances otherwise occurs in a manner for which Contractor is legally liable, then Contractor will indemnify and hold harmless the University, its Board of Trustees, officers, employees, faculty, agents, and students, from and against any and all claims, actions, damages, fines, judgments, penalties, costs, liabilities, losses and expenses (including, without limitation, any sums paid for settlement of claims, court costs, attorneys' fees, consultant and expert fees) arising during or after the expiration or termination of this Agreement as a result of any breach or contamination. Without limitation, if Contractor causes or permits the presence of any Hazardous Substance on, in or about the University's property and this results in contamination of any part of the University's property, Contractor will promptly, at its sole cost and expense, take all necessary actions to return the space and any adjacent facility to the condition existing prior to the presence of any Hazardous Substance; provided, however, Contractor shall first obtain University's approval for any such remedial action. "Hazardous Substance" means any substance regulated by any local government, the State of Florida or the United States government. "Hazardous Substance" includes any material or substances that are defined as "hazardous material," "hazardous waste," "extremely hazardous waste" or a "hazardous substance" pursuant to state, federal or local government law. "Hazardous Substance" includes but • is not restricted to asbestos, polychlorobiphenyls and petroleum. The Dalton/Dunspaugh Hall, Library and Thompson buildings have been surveyed for asbestos content. The Contractor can obtain a copy of this recent report from Barry University Facilities Department. 13. Assignment. Contractor does not have the right to assign this Agreement without the prior written consent of University. 14. pefault. If Contractor fails to comply with or observe any other provision of this Agreement, in addition to any other remedy that may be available to University, whether at law or in equity, University may immediately terminate this Agreement and all rights of Contractor. 15. Enforcement Costs. if any legal action or other proceeding is brought for the enforcement of this Agreement or because of an alleged dispute, breach, default or misrepresentation in connection with any provisions of this Agreement, the prevailing party or parties shall be entitled to recover reasonable attorneys' fees, court costs and all expenses, even if not taxable as court costs (including, without limitation, all such fees, costs and expenses incident to appeals and other post - judgment proceedings incurred in that action or proceeding ), as well as any costs associated with any mediation, arbitration, and any other relief to which such party or parties may be entitled. Attorneys' fees shall include, without limitation, paralegal fees, investigative fees, administrative costs, and all other reasonable charges billed by the attorney to the prevailing party. This provision applies whether or not either party uses an in -house legal department. 16. 1nternretatIon. This Agreement constitutes the entire agreement and understanding of the parties with respect to its subject matter. No prior or conternporaneous agreement or understanding will be effective. This Agreement may not be modified or amended except by written instrument signed by both parties. This Agreement shall be governed by the laws of Florida, the courts of which state shall have jurisdiction over its subject matter, Contractor agrees that venue is only proper in Miami-Dade County. 17. j<.2elatlonship. Neither Contractor nor any personnel or subcontractor of Contractor will for any purpose be considered employees or agents of University. Contractor assumes full responsibility for the actions of Contractor's personnel, and is solely responsible for their supervision, daily direction and control, payment of salary (including withholding income tuxes and social security), worker's compensation and disability benefits. 18. ,Authority,. The individual signing below on behalf of Contractor hereby represents and warrants that s/he is duly authorized to execute and deliver this Agreement on behalf of Contractor and that this Agreement is binding upon Contractor in accordance with its terms. 19. &l^ieitation of Bidders, Barry University reserves the right to award this work to single or multiple Bidders contractors for any combination of the, base bid or add /alternate bids as explained in the Bid Form doounients, BARRY UNI SITY, INC. Hill York CONTRACTOR COMPANY NAME D. Bruce Edwards VP for Business & Finance Reviewed for Legal Suffiolency ancine T, S eelman sslstant General Counsel and Risk Manager Name: Title: Date: keto-1,, RAN 1 Protect Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 11300 NE 2 Avenue Number: Thompson Hall 1121360010160 -02 Miami Shores, FL 33138 -0000 Block: Lot: BARRY UNIVERSITY INC i Owner information Address Phone Cell BARRY UNIVERSITY INC 11300 NE 2 Avenue MIAMI SHORES FL 33161 -6628 Contractor(s) JAFE CONTRACTING CO Phone Cell Phone (954)921 -6360 Valuation: Total Sq Feet: $ 10,000.00 0 1 Type of Work: ELECTRICAL Additional Info: HOOK UP FOR UNIT INSTALLATION Classification: Commercial Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $6.00 $2.00 $300.00 $3.00 $8.00 $319.00 Pay Date Pay Type Amt Paid Amt Due Invoice # ELC -5 -10 -38002 06/11/2010 Check #: 108093 $ 319.00 $ 0.00 Available Inspections: Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Change NOC W. W. Underground In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. June 11, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date June 11, 2010 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 513010:C3D MAY 2 6 2010 BY: V V" ".... Permit No. jJv 10 l4_` Master Permit No. Al C -'+i D } 605 Permit Type: Electrical �, Owner's Name (Fee Simple Titleholder) Bur UI n vas-14-ti, inc./ Phone # Owner's Address 1130-0 £ 02nd a City m laf yii 1 V! D iri6 State FIN Zip 3 a Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) Mw C •i City Miami Shores Village County Miami -Dade FOLIO / PARCEL # j I v 1 3 coo 10 (Cs10 1"7, Phone # Zip Is Building Historically Designated YES NO Contractor's Company Name 1 ;''F.E- C (-_,.4. A rc&c.A 4 in) Cb. Phone # 9 LI- '1011-631. o Con or's Address c -C`� � • �./ t X. re. r\-- q%Al�) CA 1 * 1 l City.� `\ W ©UC,J, State \ Zip 330 D Qualifier Name �,., ©3 L& L k aY't'eS A"i Phone # 95-) — y s— CI bq C. State Certificate or Registration No. tli._ \?b \\.3a 1' Certificate of Competency No. 05.' C_f'& •' 5(,6- X E -MAIL Jo*\ 4, yt c.Orrkcoc. iv, S• CO YIN 65 EootiRio Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 0 7. /� Square / Linear Footage Of Work: Type of Work: DAddition ❑Alteration New Describe Work: HO t C1 C 11Wepair/Replace 0 Demolition ******* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *Fees * * ** Submittal Fee $ Permit Fee $ Notary $ Scanning $ S . ) Radon $ DPBR $ v Training/Education Fee $ Bond $ Code Enforcement $ Structural Review. $ CCF $ ( ' CO /CC Technology Fee $ 'op Zoning $ Double Fee $ ^ Total Fee Now Due $ el q .00 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 CONDmONERS, 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 occur seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved 6a reinspection fee will be charged. Signature Signature Owner or Agent 41,- Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 3 day of mkt , 20 ID , by r Sa NW , day of AI c , 20 tC, , by 477s6.4%,_ 1, - P,fiX -;, who is personally known to me or who has produced who i personally known to me or who has produced as identification and who did take an oath. As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Notary Public State of Florida My Commission DD613542 * * * * * * * * * * * * * * * * * * * * * ** 12J t 1 NOTARY PUBLI Sign: Print: GAYLELCRRUSO ,Y, lssioid # DD772448 .a�;. '.�• -^ NIV COMM s: June 1,2012 • - 4 3 r v - Boded rANotacyPuba°U renleta a My Commission Expires: Surte * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** 121E***************** * * * * * * * * * * * * * * * * * * * ** * * * * * * * * ** APPLICATTON APPROVED BY: (Revised 02/08/06) Plans Examiner Engineer Zoning Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 0 -1-0( Inspection Number: INSP - 144463 Permit Number: ELC -5 -10 -949 Scheduled Inspection Date: July 27, 2010 Permit Type: Electrical - Commercial Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: Addition /Alteration Job Address: 11300 NE 2 Avenue Thompson Hall Miami Shores, FL 33138 -0000 Inspector: Devaney, Michael Project: <NONE> Contractor: JAFE CONTRACTING CO Phone Number Parcel Number 1121360010160 -02 Phone: (954)921 -6360 Building Department Comments HOOK UP FOR UNIT INSTALLATION Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments °/ July 26, 2010 For Inspections please call: (305)762 -4949 Page 6 of 25