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MC-13-297
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 185876 Permit Number: MC -2 -13 -297 Scheduled Inspection Date: March 18, 2013 Inspector: Perez, JanPierre Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Gamer Building Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: GARRISON MECHANICAL Permit Type: Mechanical - Commercial Inspection Type: -. Work Classification: Addition /ALteration Phone Number Parcel Number 1121360010160 -22 Phone: (954)441 -7000 Building Department Comments DUCT LESS MINI SPLIT EQUIPMENT INSTALLATION Infractio Passed Comments INSPECTOR COMMENTS False / 7 1.3 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments March 15, 2013 For Inspections please call: (305)762 -4949 Page 20 of 54 B��DIN PERMIT APPLICATION 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 FBC 20. � u G Permit No. y� Master Permit No. Permit Type: MECHANICAL JOB ADDRESS: 11300 NE MIAMI AVE GA2NO t 2 S 8k City: Miami Shores County: Miami Dade zip: 33161 -6628 Folio/Parcel #: 11- 2136 -000 -0040 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): BARRY COLt eeRiNigrJ Phone #: Address: 11300 NE 2 AVE City: MIAMI SHORES State: FL Zip: 33161 -6628 Tenant/Lessee Name: Email: 3oS811.7, 37:6- Phone#: CONTRACTOR: Company Name: Garrison Mechanical Address: 20851 Johnson St, Suite 108 City: Pembroke Pines State: FL Qualifier Name: Robert Garrison Phone #:,954 1 -7000 0 zip: 33029 Phone#: 954441 -7000 State Certification or Registration #: CACI 813260 Certificate of Competency #: Contact Phone #: 954441 -7000 Email Address: info @ganisonmechanical.com DESIGNER: Architect/Engineer: Phone#: el Value of Work for this Permit: $ !� /G Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration UNew ❑Repair/Replace ❑Demolition Description of Work: dvu/ less msn. Sp /i l` IAAi*// * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ L CCF $ CO /CC $ Is** * **********************************..*.* 4 Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ --24-24) Bonding Company's Name (if applicable) None' Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) N/A 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 FT.FCTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AENIUAVIT: 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be appronand a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of 4i Adly , 20 13 , by , GIAN r L16T whoismonallyAnanuijo me or who has produced As identification and who did take an oath. NOTARY I LIC: Contractor The foregoing instrument was acknowled ed before me this 62-8 day of Zat . , 20 1/, by A , who isspersonally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: NOTARY B.LIC PI •STATE OF FLORIDA T irn Yoder Commission #DD952710 .0/ Expires: JAN. 14, 2014 '0 co., IK. My Commission Expires: i 19 -1 *M+ k*+ p ,Mp+k****,k*A,F*******N ******i,•*************p*********,k**$******* s Examiner Structural Review Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) Zoning Clerk Property Information: Folio 11- 2136-000-0040 Property Address 11300 N MIAMI AVE Owner Name(s) BARRYeeli-EOE ( 1-y Malting Address 11300 NE 2 AVE t MIAMI SHORES FL 33161 -6628 Primary Zone 8700 UNCLASSIFIED Use Code 0041 EDUCATIONAL.- PRIVATE Beds/Baths/Half 222/230/0 Floors 4 Living Units 0 Adj. Sq. Footage 219,918 Lot Size 38.78 ACRES Year Built 1990 Legal Description 36 52 41 38.80 AC MIL SW1 /4 OF NE1/4 LESS E40FT LOT SIZE IRREGULAR Assessment information: Current Previous Year 2012 2011 Land Value $7,434,240 $6,758,400 Building Value $17,961,134 $18,065,338 Market Value $25,395,374 $24,823,738 Assessed Value $25,395,374 $24,823,738 Exemption Information: Current Previous Year 2012 2011 Homestead $0 $0 2nd Homestead $0 $0 Senior $0 $0 Veteran Disability $0 Civilian Disability $0 $0 Widower) $0 $0 atsclalmen MIAMI-DADE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT Honorable Carlos Lopez-Canters Property Appraiser Aerial Photography 2012 Taxable Value Information: Current Previous Year 2012 2011 Exemption/Taxable Exemption/Taxable County $25,395,374 / $0 $24,823,738 / $0 School Board $25,395,374 / $0 $24,823,738 / $0 City $25,395,374 / $0 $24,823,738 / $0 Regional $25,395,374 / $0 $24,823,738 1 $0 Sale Information: The Office of the Property Appraiser and Miami -Dade County are continually editing and updating the tax roll and GIS data to reflect the latest property information and GIS positional accuracy. No warranties, expressed or implied, are provided for data and the positional or thematic accuracy of the data herein, Ts use, or its interpretation. Although this website is periodically updated, this information may not reflect the data currently on file at Miarni-Dade County's systems of record. The Property Appraiser and Miami -Dade County assumes no liability either for any errors, omissions, or inaccuracies in the information provided regardless of the cause of such or for any decision made, action taken, or action not taken by the user in reliance upon any information provided herein. See Miami -Dale County full disclaimer and User Agreement at htipJ/ www. rniamidade .goviinfo/disclaimer.asp. Property information inquiries, comments, and suggestions mail: pawebmail@miamidade.gov GIS Inquiries, comments, and suggestions email: gis@miamidade.gov Generated on: Friday, January 25, 2013 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2012 THROUGH SEPTEMBER 30, 2013 DBA: Business Name: GARRISON MECHANICAL Owner Name: ROBERT SEAN GARRISON Business Location: 20851 JOHNSON STREET SUITE PEMBROKE PINES Business Phone: 954-441-7000 Rooms Receipt #.183-1.378 'REATING/AIRCONDITION CCNTth Business Type: (AIR CONDITIONING CONTRACTC Business Opened:o4/ov2oo4 10(State/County/CertiReg:CAC1813260 Exemption Code: Employees 12 Machines Professionals Number of Machines: For Vending Business Only Tax Amount 11=31==.1111111=21.1 Prior Years Collection Cost Total Paid 54.0 0 00 0 .0.6 0.00 . . 0.00 0.00 54.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred vvfien the business is sold. business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Melling Address: ROBERT SEAN GARRISON 20851 JOHNSON STREET SUITE 108 PEMBROKE PINES. 33029 2012 - 2013 Receipt *01C-21.00012259 Paid 09/17/2012 54.00 GARRI -1 OP ID: MR 'A�'�_,° -'? O� CERTIFICATE OF LIABILITY INSURANCE DA�`/12/13 "' 02/12/13 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 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 954- 561 -2220 Gulfstream Insurance Group Inc g54 -566 -06%3 P.O. Box 8908 Fort Lauderdale, FL 33310 -8908 David Arch E cT PHONE FAX (AIC. No. Ext): (A/C, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Trust Insurance Co LIABILITY COMMERCIAL GENERAL LIABIUTY INSURED Garrison Mechanical Service Corporation dba Garrison Mechanical 20851 Johnson St. Ste 108 Pembroke Pines, FL 33029 -1924 INSURER B : FCCI Commercial Ins -Co. GL00120302 INSURER C: 07/22/13 INSURER!) : $ - 1,000,000 INSURER E: $ 100,000 INSURER F : COVERAGES CERTIFICATE 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 SUBR WVD POUCY NUMBER POUCY EFF (MM/DD/YYYY) POLICY EXP (IMM/DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABIUTY GL00120302 07/22/12 07/22/13 EACH OCCURRENCE $ - 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 CLAIMS -MADE X OCCUR MED EXP (My one person) $ 5,000 GEN'L PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 AGGREGATE OMIT APPLIES PER: POLICY JF r LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ A AUTOMOBILE X X X LIABIUTY ANY AUTO ALL OWNED AUTOS HIRED AUTOS Brnd PIP X X SCHEDULED AUTOS NON-OWNED AUTOS DOC CA00189382 07/22/12 07/22/13 (CEO eBBIINdED SINGLE UMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE UMB00127432 07/22/12 07/22/13 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ DED X RETENTION $ 10,000 $ 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 WC STATU- TORY LIMITS OTH- ER E.L EACH ACCIDENT $ EL. DISEASE - EA EMPLOYEE $ E.L DISEASE - POLICY OMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) CERTIFICATE HOLDER C MIASHOR Miami Shores Village 10050 NE 2nd Ave Miami Shores Village, FL 33138 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 REPRESENTATIVE ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD CERTIFICATE OF LIABILITY INSURANCE ° 02/12/2013 ) 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 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(les) 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 Risk Transfer Programs, LLC 219 East Livingston Street Orlando, FL 32801 CONTACT pHgtE FAX (A/C. No. ExttJ 666 481 -9363 (A/C, No): EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :CastlePoint National Insurance Company 40134 INSURED Stafflink Outsourcing, II, III, IV, V & VI Inc. 1776 N. Pine Island Road Suite 108 Plantation, FL 33322 INSURER a :Tower Insurance Company of New York 44300 INSURER C: INSURER D : $ INSURER E : $ INSURER F : $ COVERAGES CERTIFICATE NUMBER:VEBESVTI( REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED 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 1ADDL INSR SUER WVD POLICY NUMBER POLICY EFF (MIWDDIYYYY) POLICY EXP (MDWYYYY) UMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ICLAIMS -MADE OCCUR EACH OCCURRENCE $ PREMISES (Ea occurrence) $ MED EXP (My one person) $ PERSONAL & ADVINJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ GENII AGGREGATE LIMIT APPLIES PER: —1 POLICY n JE n LCC $ AUTOMOBILE _ _ UABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) _$ $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA UAB EXCESS UAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED 1 1 RETENTION $ A B WORKERS COMPENSATION AND EMPLOYERSUABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/N N / A WSLTHPE00020008 WSLTHPE00014903 03/01/2012 03/01/2013 X I ICTA S I I E Y E.L. EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1,000,000 E.L DISEASE - POLICY OMIT $ 1,000,000 $ $ $ $ $ DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Coverage is extended to the leased employees of altemate employer in all states except in monopolistic states (ND, OH, WA, WY): Garrison Mechanical Service Corp DBA Garrison Mechanical #1206 (Effective 7/12/04) LLATION Miami Shores Village 10050 NE 2 Avenue Miami Shores Village, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITHTHE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) Page 1 of 1 @ 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 GARRISON, ROBERT SEAN GARRISON MECHANICAL 20851 JOHNSON ST *108 PEMBROKE PINES FL 33029 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridaiicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE STATE of FLOR DA AC# E 3 100 i.1 DEPARTMENT OF BUSINESS AND PROFESS' REGULAT I CN 2 128058477 I8 CERTIFIED tinder the prcviaic a :ox c .4$9 Ps sy?irstaon date, AUG 31, 2014 L12 0 82 8 0123 3 (.1 NT HAS A COLORED BACK?. OUND • MICROPRINTINa EMARK PATEN J PAPER AC #6 10041 STATE OF FLORIDA DBPARTNENT'OF BUST; CONSTRUCTION POMP TION SEW L12082803.233 BATCH NUMBER The CLASS A AIR CONDITIONING C Named below IS CERTIFIED Under the provisions of Chapt Expiration date: AUG 31, 2014 GARRISON, ROBERT SEAN GARRISON MECHANICAL 20851 JOHNSON STREET #108 PEMBROKE PINES FL 33029 RICK SCOTT GOVERNOR DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY TATE OF FLORIDA,: COUNTY OF LADE HEREBY CER7 FY is a plrof Nze riginal filed In this ITNESS nay lnnd and Of9cfal Sts' ' HARVEY RUViN, CL <, Sy_ 1111111 11111( 111111111111111 111(1111111111111 CFN 201:3R0118587 NOTICE OF COMMENCEMENT RECORDED RDED 02/.3/2011 1:11: O 02/13/2013 11e13er1] A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION HARVEY RUVI N e CLERK OF COURT MIAMI—DADE iCOUNTYr FLORIDA LAST PAGE PERMIT NO. TAX FOLIO NO. /1 - 00 -cow, 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 I4 OF and street / address: ) � J �l ke J J �+ _ n c�,� 36 52 41 38.80 AC description /4 OF NE1/4 LESS End street SIZE IRREGULAR ' '6 otg' 2. Description of improvement: 1J 2T4tA/ INAMKP w-lt Aci S' IA 3. Owner(s) name and address: p �J �/'y,//�� BARRY COLLEGE /AMY L 911 G Ire/ o " °� 11300 NE 2 AVE MIAMI SHORES FL 33161.6628 Interest in property: owner Name and address of fee simple titleholder: Contractor's name and address: Garrison Mechanical, 20851 Johnson St, Suite 108, Pembroke Pines, FL 33029 C :_11556 r rjY12C.�f 1Qs L CC.S tO 5 \ bbn ±_akbn \YOke,_ej 5. Surety: (Payment bond required by owner from contractor, if any) Name and Address: None Amount of bond $ 6. Lender's name and address: N/A 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 Uenor'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 from the date of recording unless a different date is specified) x Si • nature of Owner //J� // / �' 1 k jj I Print Owner's Name Cs; (M 1i e. 1'� � �f�,g I Prepared by glef 1- IrSof1 Sworn to and subscribed before me this . day of Muk,A .' " , 20 M Notary Public: Print Notary's Name: My commission ex•ires: Address: Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 186738 Permit Number: ELC- 3- 13-429 Scheduled Inspection Date: March 18, 2013 Inspector: Devaney, Michael Owner: , BARRY UNIVERSITY /' e'' C /lam Job Address: 11300 NE 2 Avenue Garner Building Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: MOODY ELECTRIC INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360010160 -22 Phone: (305)758 -2000 Building Department Comments ONE 3 TON MINI SPLIT AC SYSTEM 30 AMP CIRCUIT 250 VOLT. Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspe 20/5 March 15, 2013 For Inspections please call: (305)762 -4949 Page 26 of 54 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 itTkL)-dDIN G Permit No. (-C--1 g LI Z_`1 WAR 0 4 2013 PERMIT APPLICATION FBC 20 LCD Permit Type: Electrical Master Permit No/ %C OWNER: Name (Fee Si mple Titleholder) : Phone #: Address: 11340 ME 2 14.08 - 4 &_4 /A / /d Se In dek City: Mail)/ i9 State: FL Zip: 33/g 8' Tenant/Lessee Name: Al/1 • Phone #: Email: JOB ADDRESS: 6 City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: �I ?/I4L/ gi g.1 1€IC' /AY' Phone #: 'l0' ° 75 Z6W Address: ICy/ 4 Mai q0sr / City: /14 /14W1 State: FL., Qualifier Name: .---1014 'rl� ©� /��m Way State Certification or Registration #: bt oco Het 7 Certificate of Competency #: Contact Phone #: &,6 Cri —2600 Email Address: DESIGNER: Architect/Engineer: N/A zip: 33/. Phone #: Phone #: Value of Work for this Permit: $ [ 610 ° 470 Square/Linear Footage of Work: Type of Work: ❑Address OAlteration ONew Repair/Replace ❑Demolition Description of Work: One. 3 J 1'Y) / n l I 3,0 a� ace frc ** * * ** * ********* *** *** ************+ *** Fees** ** **** ************* ***************** **** ** Submittal Fee $S`20) Permit Fee $ /2-4--69/ all'a CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 10 °� 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 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 roust 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 a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this 2 ' day of 'ml, 20 a, by A who is personally knownne or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Signature Contra The foregoing instrument was acknowlend ed before me this / 9 day of , 2013 , by (,Yl niTin who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission ***** Hs************ Ha** .******* Ha***************** *****************************Ha APPROVED BY f% 4/ /16A 71-- Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) , MARY PAT BRIGGS MY COMMISSION # DD 979267 EXPIRES: May11,2014 Bonded Thru Notary Public Underwriters Hags Zoning Clerk