CC-12-768 (3) ♦S�0RFS
won u••• Miami Shores Village
Building Department
.0 10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CERTIFICATE OF OCCUPANCY/COMPLETION
CHECK LIST
Building permit card. �-T"_c, $160" 'gy ALL T&AIXS.3
--U Surveys(2 copies) Final as built- Required Items: Elevations of buildings showing all intended
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setbacks from property lines and other existing structures. Ingress+ Egress, required parking
spaces, Wheel stops,stripping, and all paving to exterior.
Certificate of Elevation-(Sealed by surveyor). Expiration date required on the form. , elj .
Certificate of Insulation. Oseco lq�7�M
Certificate of Soil Treatment(Final treatment-original)\ LAS uaEAQ
CHAPTER 2913-5 TERMITE PROTECTION: "This Building has received a complete treatment
for the prevention of subterranean termites.Treatment is in accordance with the rules and
law as established by the Florida Department of Agriculture and Consumer Services."
Health Department Approval Letter(On septic or private water).
Note: If the house is on septic tank, approval letter is required from Health Dpt.
<<_ Soil Compaction Letter(Density report is required) E G,CR
Final certification letter from the Engineer/Architect(on masonry,trusses, special structure, etc)
Backflow preventor certificate(Required on commercial projects only) CRI& etp 4
Certificate of use. (Recorded in Miami-Dade Clerk of Courts) TcCd
PLEASE NOTE THAT THE SAME ITEMS ARE REQUIRED FOR TEMPORA Y CO
• Emergency CO (Without 24 Hrs Processing)Additional fee is$80.00.
• Temporary CO(Up to 90 days max)$75.00.
• Residential CO fee is$150.00
• Commercial CO is$200.00
r
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-192950 Permit Number: CC-5-12-768
Inspection Date:June 06,2013 Permit Type: Commercial Construction
Inspector: Hernandez, Rafael Inspection Type: Plumbing II
Owner: , BARRY UNIVERSITY Work Classification: Addition
Job Address:11300 NE 2 Avenue Wiegand&Annex
Miami Shores, FL 33138-0000 Phone Number
Parcel Number 1121360010160-09
Project: BARRY UNIVERSITY
Contractor: TURNER CONSTRUCTION COMPANY Phone: (786)621-9000
Building Department Comments
ADD NEW CHEMICAL STOCK ROOM Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed BLACK FLOW PREVENTOR FINAL CERTIFICATION
Failed El
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections please call: (305)762-4949
June 06,2013 Page 1 of 1
- �
MIA I-DADE WATER&SEWER DEPARTIEN
METER OPERATIONS&MAINTENA�IC
MIAMI-DADE CROSS-CONNECTION CONTROL UNl +
• 1 .W.11 STREET MIAMI FL 3:1136-
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Pho a(305)547-3045 Fax(786)
PREVENTION ASSEMBLY TEST REPORT,
FORM.
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NOTE:TEST FORM MUST BE COMPLETED IN ITS ENTIRETY.. INCOMPLETE TEST,FORMS WILL L BE RETUR
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Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-192947 Permit Number: CC-5-12-768
Inspection Date:June 06,2013 Permit Type: Commercial Construction
Inspector: Dacquisto, David Inspection Type: Survey Final
Owner: , BARRY UNIVERSITY Work Classification: Addition
Job Address:11300 NE 2 Avenue Wiegand&Annex
Miami Shores, FL 33138-0000 Phone Number
Parcel Number 1121360010160-09
Project BARRY UNIVERSITY
Contractor: TURNER CONSTRUCTION COMPANY Phone: (786)621-9000
Building Department Comments
ADD NEW CHEMICAL STOCK ROOM Infractio Passed Comments
INSPECTOR COMMENTS False
ffInspector Comments
Passed
Failed El
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
For Inspections please call: (305)762-4949
June 06,2013 Page 1 of 1
dl
SKETCH OF AS BUILT SURVEY
I
EXISTING BUILDING _
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---� ----------- M�
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areerged ;Concrete walk
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This is not a Boundary Survey.This SKETCH OF AS-BUILT SURVEY represents the location and the F"
- Concrete wak-. Existing Concrete wal elevation of the"CHEMICAL STOCKROOM AND ANATOMY LAB BUILDING(PHASE 1) Q
co V W 46
Elevations are referred to National Geodetic Vertical Datum (1929). Elevations are based on Miami
- Dade County Benchmark NOM RM#3, same being a brass disc In a concrete monument set 44 feet ::E
a' North of centerline of NE 119 Street, and 36 feet East of the centerline of NE 1st Avenue, elevation O
Existing Mech./Utility ,t�tg�� T I 13.90 feet. Z O
Equipment PE�lY9f 1 :
(not located) /+3 The elevations as shown are based on a dosed level loop to benchmark noted above, and meets or U
=V, P Miami Shores Villa W I O
exceeds the Minimum Technical Standards as set forth by the Florida Board of Professional Surveyors C):f I—
APPROVED y 8Y DA " Z i and Mappers as contained in Chapter 5J-17.051(3)(b)15.a, of a closure in feet of plus or minus 0.05 N
' > I feet times the square root of the distance in miles Q
c.` ZONING DEPT " Q This map is intended to be displayed at a scale of 1"=201 or smaller. m
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Q. BLDG DEPT SURVEYORS CERTIFICATION: _
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I SUBJECT TD COMPLIANCE WITH ALL FEDERAL. :
This is to certify to the herein named firm and/or persons, that in m professional opinion, this AS-
STATE——— AND COUNTY AND REGULATIONS W I BUILT SURVEY is true and correct based on our field Survey dated March 05, 2013. l further certify
cD ( �� PL K Y Z that this map or plat meets the Minimum Technical Standard Requirements, adopted by the Board of
Professional Surveyors and Mappers, pursuant to Chapter 472.027 Florida Statutes, as set forth in 0 M
I sn (; X:Concrete walk Chapter 5J-17, Florida Administrative Code, under Sections 5J-17.051 and 5J-17.052 and is a "AS- F-
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m ° ' 170'f(scaled) 35' -1 BUILT SURVEY"as defined in Section 5J-17.050(10)(a). ^ N
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•' V I C �
ffig 'X ° E.R. BROWNELL&AS CIATES, INC.
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I X o I Thomas Browne/ N
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W" Executive Vice President M �
ABBREVIATIONS: Professional Land Surveyor#2891
CBS Concrete Block Structure State of Florida
PL Planter Z
The survey map and notes and/or report or the copies thereof are not valid without the signature and m
the original raised seal of a Florida licensed surveyor and mapper. L2 °
N SKETCH OF AS BUILT SURVEY ��
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N _ _— EXISTING BUILDING———————_ (� M 4
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LOCATION MAP
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Roof overhang.IineJ PL x SURVEYOR'S NOTES:
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This is not a Boundary Survey.This SKETCH OF AS-BUILT SURVEY represents the location and the Q
Concrete walk.. d ,'�' Existing Concrete wal elevation of the CHEMICAL STOCKROOM AND ANATOMY LAB BUILDING(PHASE 1). Q
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Elevations are referred to National Geodetic Vertical Datum (1 929)• Elevations are based on Miami LaJ
Dade County Benchmark NOM RM#3, same being a brass disc in a concrete monument set 44 feet m
d' North of centerline of NE 119 Street, and 36 feet East of the centerline of NE 1st Avenue, elevation z O
( Existing Mech./tllt1ity I 13.90 feet. 0
E PERMIT #• =. u
(not located)
Miami Shores Villas W I The elevations as shown are based on a closed level loop to benchmark noted above, and meets or v0
P _ exceeds the Minimum Technical Standards as set forth by the Florida Board of Professional Surveyors N
M Y. ,.:
APPROVED BY DATE Z and Mappers as contained in Chapter 5J-17.051(3)(b)15.a, of a closure in feet of plus or minus 0.05
W� feet times the square root of the distance in miles Q
ZONING DEPT Q I p m y
( y i This map is intended to be displayed at a scale of 1 =20 or smaller.
BLDG DEPT C I SURVEYOR'S CERTIFICATION: _
SUBJECT TO CCMPLMM VM ALL FEDERAL hi
This is to certify to the herein named firm and/or persons, that in my professional opinion, this AS-
STATE AND=N7YRUL]ES AND RMULA17O _ W BUILT SURVEY is true and correct based on our field Survey dated March 05, 2013. 1 further certify
• PL ^X
a or
c� c� Z that this ma plat meets the Minimum Technical Standard Requirements, adopted b the Board
�. � - ,.....� P p q � p Y of
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� ;�'l. . , . . ti o Professional Surveyors and Mappers, pursuant to Chapter 472.027 Florida Statutes, as set forth in � m
o
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(: x:Concrete walk• Chapter 5J-17;Florida Administrative Code, under Sections 5J-17.051 and 5J-17.052 and is a "AS- ~ o
w m '' 170't(scaled) ° 35' BUILT SURVEY"as defined in Section 5J-17.050(10)(a). ^ N
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E.R. BROWNELL&AS_20CIATES, INC. r Z
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Thomas Brownel M I
Executive vice President M
ABBREVIATIONS: Professional Land Surveyor#2891 co
CBS Concrete Block Structure State of Florida
PL Planter o z
The survey map and notes and/or report or the copies thereof are not valid without the signature and m m
e, the original raised seal of a Florida licensed surveyor and mapper. °
h Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-192947 Permit Number: CC-5-12-768
Inspection Date: June 06,2013 Permit Type: Commercial Construction
Inspector: Dacquisto, David Inspection Type: Survey Final
Owner: , BARRY UNIVERSITY Work Classification: Addition
Job Address: 11300 NE 2 Avenue Wiegand&Annex
Miami Shores, FL 33138-0000 Phone Number
Parcel Number 1121360010160-09
Project: BARRY UNIVERSITY
Contractor: TURNER CONSTRUCTION COMPANY Phone: (786)621-9000
Building Department Comments
ADD NEW CHEMICAL STOCK ROOM Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed El
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections please call: (305)762-4949
June 06,2013 Page 1 of 1
I ,PECTION RECORD POST ON SITE
I
Permit NO. C C-5-1 2-7 6 8
• `'N�' s`� Miami Shores Village t� g .Psrm�P Type:Gommarcial Contructlon
e+ 10050 N.E.2nd Avenue
.... p ..u�� Wcric C/asslficafic�ri :Addition
Miami Shores,FL 33138-0000
Phone: (305)795-2204 Fax: (305)756-8972 Issue Date:1/23/2013 Expires:07/22/2013
A
INSPECTION REQUESTS: (305)762-4949 or Log on at https:llbldg.miamishoresvillage.com/cap
REQUESTS ARE ACCEPTED DURING 8:30AM-3:30PM FOR THE FOLLOWING BUSINESS DAY.
Requests must be received by 3 pm for following day Inspections.
Commercial Construction Parcel#:1121360010160-09
Owner's Name:BARRY UNIVERSITY Owner's Phone:
Job Address: 11300 NE 2 nueni ieS cite• Weciand &Annex Total Square Feet: 5400
Miami Chores FL 33138_0000 731 208.00
Total Job Valuation: $
Bond Number: 2194
WORK IS ALLOWED MONDAY THROUGH SATURDAY,
7:30AM-6:0012M.NO WORK IS ALLOWED ON SUNDAY
Contractor(s)- Phone Primary Contractor OR HOLIDAYS.
TURNER CONSTRUCTION COMPAP (786)621-9000 Yes
BUILDING INSPECTIONS ARE DONE MONDAY
THROUGH THURSDAY. ROOFING INSPECTIONS ARE
DONE MONDAY THROUGH FRIDAY. NO BUILDING
INSPECTIONS DONE ON FRIDAY.
d__a.
ee
sm
• 4f
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a
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NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS
THE PERMIT APPLICANTS RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER
THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO
*YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
INSPECTION RECORD
STRUCTURAL ZONING PLUMBING
INSPECTION I DATE I INSP INSPECTION DATE I INSP I
INSPECTION DATE INSP
• Foundation Zonin Final
4 Stemwall ZONING COMMENTS Rough
• Slab Water Tv ice
• Columns 1 st Lift s 2"d Ro
. Columns 2nd Lift) Top Out
. Tie Beam Fire Sprinklers
• Truss/Rafters Septic Tank
Roof Sheathing d " Sewer Hookup
. Bucks Roof D� 'ns
Windows/Doors Gas If
Interior Framin g IINSPECTION DATE INSPI LP Tank
Insulation
Temporary.Pole Well
Ceiling Grid 30 Day Temporary Lawn S rinklers
Drywall Pool Bonding Main Drain
Firewail Pool Deck Bonding Pool Piping
Wire Lath Pool Wet Niche Backflow Prevento
Pool Steel Under round .A Interce`tor
Pool Deck Footer Ground Catch Basins
Final Pool Slab Condensate Drains
Final Fence Wall Rou HRS Final
Screen Enclosure Ceiling Ro �1
Driveway Roug PLUMB G C ENTS
. Drivewa Base Telephone Rough
Tin Cap Telephone Final
Roof in Progress TV Rough
Mop in Progress TV Final
Final Roof Cable Rou
Shutters Attachment Cable Final d
Final Shutters Intercom Rough
Rails and Guardrails Intercom Final MECHANICAL
ADA compliance Alarm Rough INSPECTION''' DATE INSP
Alarm Final Under round Pipe
DOCUMENTS Fire Alarm Roug
• Soil Bearin Cert Fire Alarm Final u h
• Soil Treatment Cert Service Work With
Floor Elevation Survey Ve�tiliion Rough
Reinf Unit Mas Cert ELECTRICAL COMMENTS Hood Rough
Insulation Certificate C Pressure Test
Spot Survey f Final Hood
Final Survey Final Ventilation
Truss Certification Final Pool Heater
STRUCTURAL COMMENTS Final Vacuum
MECHANICAL COMMENTS
INSPECTION DATE INSP
Final
Sprinkler Final Alarm
4k C-FN 2012R0863044
OR Bk 28380 Ps 3955f Qps)
RECORDED 12/03/2012
NOTICE OF COMMENCEMENT HARVEY RUVINP CLERK OF COURT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 111ANI-DARE COUNTY FLORIDA
LAST PAGE
PERMIT NO.(f TAX FOLIO NO.—
LORIDA,$
DA,COUNTY OF LADE
I HEREBY Q RTIFY that MIS is a y of the 0 Cott
STATE OF FLORIDA: UM
COUNTY OF MIAMI-DADE: original riled in *!h Go ON CL
dal Of
WITNESS my ,and and THE UNDERSIGNED hereby gives notice that improvements will be made to ddft&VEV4kUW1N, Official 1114;11t T.
CLER U.County Cmffft IN
property,and in accordance with Chapter 713,Florida Statutes,the following inigm jion yAy
i 14— .7bK"�_
s provided in this Notice of Commencement. _ .D•c•
1. Legal-description of property and street/address: Barry University, 11300 NE 2nd Avenue,
Miami Shores, FL 33161
2. Description of improvement: Physical Science Improvements - Wiegand - Lab Renovation
New Chemical Stock Room, Student Study Area
3,Owner(s) name and address: Barry University, 11300 NE 2nd Avenue, Miami Shores, FL 33161
Interest in-property:
Name and address of fee simple titleholder:
4. Contractor's name and address: Turner Construction, 1000 NW 57th Court, Suite 200
Miami, FL 33126
5.Surety: (Payment bond required by owner from contractor, if any)
Name and address:__._...--.—
Amount of bond$
6. Lender's name and address:
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 f this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a
different date i led)
Signature of Owner
Print Owner's Name &rIN"U0 �1:7f � S
.,\P4 r
.� Prepared by
Sworn to and subscribed before me this 14 11 of 1 20 11 ZW
-
Notary Public Address:
4c,
Print Notary's Name YIl) 3301'�
My commission ex PAF4.-.- Ay
123.01-52 PAGE 4 8/02 MY COMMISSION#EE36829
Expntm:November IZ 2014
1•*0-3-N07ARY
Fl.Notoy Discount Assoc.Co.
INSPECTION RECORD POST ON SITE
�. Permit NO. FW-12-12-2376
y�Q 9 ` Village Miami Shores
Permrt TypeencelUVall
c+ 10050 N.E.2nd Avenue
S ._ Via, �� �
••�• 0 •��•,"' W4r Ciassrrtion:Masonry
Miami Shores,FL 33138-0000 '
Phone: (305)795-2204 Fax: (305)758-8972 Issue Date:1/23/2013 Expires:07/22/2013
INSPECTION REQUESTS: (305)762-4949 or Log on at https:ll bldg.miamishoresvillage.comicap
REQUESTS ARE ACCEPTED DURING 8:30AM-3:30PM FOR THE FOLLOWING BUSINESS DAY.
Requests must be received by 3 pm for following day inspections.
FenceNVall Parcel#:1121360010160-09
Owner's Name:BARRY UNIVERSITY Owner's Phone:
Job Address 113 0 NE 2¥ueSuite: Wiegand &Annex Total Square Feet: 80
I1Aiami ChnraS, FL 33138-0000 Total Job Valuation: $ 1,000.00
Bond Number:
WORK IS ALLOWED MONDAY THROUGH SATURDAY,
7:30AM-6:001PM.NO WORK IS ALLOWED ON SUNDAY
Contractor(s) Phone Primary Contractor OR HOLIDAYS.
TURNER CONSTRUCTION COMPAP (786)621-9000 Yes
BUILDING INSPECTIONS ARE DONE MONDAY
THROUGH THURSDAY. ROOFING INSPECTIONS ARE
DONE MONDAY THROUGH FRIDAY. NO BUILDING
INSPECTIONS DONE ON FRIDAY.
,%G3mGm
ti yr "
r 7,
N , OF
NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED. PLANS ARE READLY AVAILABLE. IT IS
THE PERMIT APPLICANTS RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER
THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO
.YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO
OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
INSPECTION RECORD
STRUCTURAL ZONING PLUMBING
INSPECTION DATE INSP INSPECTION IDATE INSPI INSPECTION DATE INSP
Foundation Zoning Final
Stemwall ZONING COMMENTS Rough_
Slab Water Service
Columns 1 st Lift 2"d Rou gh
Columns 2nd Lift Top Out
Tie Beam Fire Sprinklers
Truss/Rafters Septic Tank
Roof Sheathing Sewer Hook�u
Bucks Roof Drains
Windows/Doors ELECTRICAL Gas
Interior Framing INSPECTION DATE IRWI LP Tank
Insulation
Temporary,Pole Well
Ceiling Grid 30 Day Temporary Lawn Sprinklers
Drywall Pool Bonding Main Drain
Firewall Pool Deck Bonding Pool Piping
Wire Lath I I Pool Wet Niche Backflow PreVento
Pool Steel Under round Interce for
Pool Deck Footer Ground Catch Basins
Final Pool Slab Condensate Drains
Final Fence `_ 5 Wall-Rough HRS Final
Screen Enclosure Ceiling Rough
Driveway Rough PLUMBING COMMENTS
• Driveway Base Telephone Rough
Tin Cap Telephone Final
Roof in Progress TV Rough
Mop in Progress TV Final
Final Roof Cable Rough
Shutters Attachment Cable Final
Final Shutters Intercom Rough
Rails and Guardrails Intercom Final
MECHANICAL
ADA compliance f Alarm Rough INSPECTION DATE INSP
3 Alarm Final Underground Pipe
DOCUMENTS Fire Alarm Rough
Soil Bearin Cert Fire Alarm Final Rou h
Soil Treatment Cert Service Work With
Floor Elevation Survey Ventilation Rough
Reinf Unit Mas Cert ELECTRICAL COMMENTS Hood Rough
Insulation Certificate Pressure Test
Spot Survey final Hood
Final Survey 44L
Truss Certification
STRUCTURAL COMMENTS
NT$
INSPECTION DATE INSP
Final Sprinkler
Final Alarm
FINAL
•
Y
i
rl -12
' Rv Village f { 'srr�r� e Fell a
Mil L.
a� iami Shores
10050 N.E.2nd Avenue NEe> s
Miami Shores,FL 33138-0000s
3
Phone: (305)795-2204 , ..
5i` t�rs:A `YED`
12 Expiration: 07/2 2013
Pro)ect.Address Parcel Number Applicant
11300 NE 2 Avenue Number: Wiegand &Anr 1121360010160-09 BARRY UNIVERSITY INC
Miami Shores, FL 33138-0000 Block: Lot:
Owner Information Address Phone Cell
BARRY UNIVERSITY INC 11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
Contractor(s) Phone Cell Phone Valuation: $ 1,000.00
TURNER CONSTRUCTION COMPANY (786)621-9000 (786)229-3036 Total Sq Feet: 80
Approved: Available Inspections:
Comments: Inspection Type:
Date Approved:: Tie Beam Bond Beam
Date Denied: Tie Beam
Type of Construction:Masonry Additional Info: Final
Class cation:Commercial Scanning: 1 Columns
Foundation
Fill Cells Columns
Review Building
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee InvOICe# FW-12-12�F6211
$3.00 12117/2012 Credit Card $50.00 $160.50
DCA Fee $3.00
Education Surcharge $0.20 01/29/2013 Check#:86234 $ 160.50 $0.00
Permit Fee-Concrete&Masonry $200.00
Scanning Fee $3.00
Technology Fee $0.70
Total: $210.50
Applicant Copy
FpInspections,t or all (305) 762-4949 or Log on at https://bldg.miamishoresvillage.com/cap/.
Requests must be received b 3 m for following day inspections.
Q Y P 9
NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
additional restrictions applicable to this property that may be found In GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
the public records of this county. DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES.
January 29,2013 2
. Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
inspection Number: INSP-192949 Permit Number: CC-5-12-768
Inspection Date: June 06,2013 Permit Type: Commercial Construction
Inspector: Bruhn, Norman Inspection Type: F. Insulation Certificate
Owner: , BARRY UNIVERSITY Work Classification: Addition
Job Address:11300 NE 2 Avenue Wiegand&Annex
Miami Shores, FL 33138-0000 Phone Number
Parcel Number 1121360010160-09
Project: BARRY UNIVERSITY
Contractor: TURNER CONSTRUCTION COMPANY Phone: (786)621-9000
Building Department Comments
ADD NEW CHEMICAL STOCK ROOM Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed El
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections please call: (305)762-4949
June 06,2013 Page 1 of 1
I
MIAMI
>` W1D Miami-Dade County Building Department
1 1805 S.W.26 Street,Miami,FL 33175-2474
www.nl ill())idade.wv/build it)ii
ENERGY, SOUND AND IMPACT CERTIFICATE
Building Permit No: C C- 5 - 12- �6S
Project Name: Barry University Physical Science Lab
Job Address: 11300 NE 2nd Ave,Miami,FL 33161
STATEMENT OF COMPLIANCE
We,the undersigned,hereby certify that the ENERGY.SOUND AND IMPACT INSULATION has been installed in the above
referenced project,in compliance with the latest edition of the FLORIDA BUILDING CODE,the APPROVED ENERGY
CALCULATIONS_and Plans and in accordance with good construction practice.The insulation furnished and installed has the
characteristics shown below:(check only applicable boxes),
1) Exterior CBS Walls Insulation:R- 6,5 (Min.):Material: Tuff-R Commercial Insulation
Thickness: 1 inch(es):Density: 2 MLR:Mfgr: Dow
2) Exterior Framc/Mclai Stud Walls:R- (Min.):Material:
Chtgkn.CSS:. ingh{esk Density;. Ib/R:..Mfgr: ......... ................. ...
3) Exterior solid concrete walls:R- (Min.):Material:
Thickness: inch(es):Density: lb/fl:M(gr.
4) Interior walls separating A/C from non A/C spaces insulation:R- 11 (Min.)
Matcrial$att Insualttotrhickness: 3 1/2 inch(es);Density: .51 lb/ft Mtgr:Certainteed
5) MULTI-FAMILY RESIDENTIAL.CONSTRUCTION ONLY:The COMMON(Party)walls to two separate conditioned
tenancies shall be insulated to a minimum of R-I I for frame walls,and to R-3 on both sides of common masonry wails
See ENERGY CODE,2007,paragraph 13.602.ABC.1.1,on page 13.74,latest edition.These Minimum levels of
insulation",are not included in the Energy Calculations,but shall be installed in the field.
6) Ceiling insulation R- 19 (Min.);Materilal:__- Kraft Batt Insulation
Thickness: 6 1/4 inch(es): tensity: lb/fl:Mfgr._ Certaineed
7) Walls,partitions and floor/ceiling assemblies between dwelling units or between dwelling units and adjacent public or service
areas such as halls,corridors,stairs,etc.most have a sound transmission class(STC)of not less than 50(penetrations most
maintain the required rating).
8) Floodcciling assemblies between dwelling units or between dwelling units and public or service areas such as halls,corridors,
stairs,etc,must have an impact insulation class(IIC)rating of not less than 50.
Make photocopies of this sheet in your office,as required for future jo
Installed by: Sagoma Construction Services,Inc
Insulation Company Name nsulation Contractor Signature
Insulation Contractor Cow 1511575 Date Certified: -7Q MAY 1-
O.C./Buildcr.
Company Name G.CJBuildces Signature
Building Contractor CC#: Date Certified:
Note:For lightweight Insulating concrete,use appropriate forms,separate from this one.
Revised 02-26-2009
t
- 1
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)7564972
inspection Number: INSP-192948 Permit Number: CC-5-12-768
Inspection Date: June 06,2013 Permit Type: Commercial Construction
Inspector: Bruhn, Norman Inspection Type: F. Elevation Certificate
Owner: , BARRY UNIVERSITY Work Classification: Addition
Job Address: 11300 NE 2 Avenue Wiegand &Annex
Miami Shores, FL 33138-0000 Phone Number
Parcel Number 1121360010160-09
Project: BARRY UNIVERSITY
Contractor: TURNER CONSTRUCTION COMPANY Phone: (786)621-9000
Building Department Comments
ADD NEW CHEMICAL STOCK ROOM Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passedaj
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections please call: (305)762-4949
June 06,2013 Page 1 of 1
DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
.U.S.EDERAUEMERGENCYMANAGEMENTAGENCY MB 0-0008
National Flood Insurance Program Important: Read the instructions on pages 1-9. E July 31,2015
SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Barry College(Chemical Stockroom and Anatomy Lab) Policy Number
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIL Number
11300 NE 2nd Avenue
City Village of Miami Shores State FL ZIP Code 33161
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
SE 1/4,NE 1/4 Section 36-52-41 Folio No.11-2136-000-0050
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Non-Residential
A5. Latitude/Longitude:Lat.25°47.9°N Long.080°11'41.3"W Horizontal Datum: ❑ NAD 1927 N NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1B
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) NA sq ft a) Square footage of attached garage NA sq ft
b) Number of permanent flood openings in the crawlspace b) .Number of permanent flood openings in the attached garage
or enclosure(s)within 1.0 foot above adjacent grade NA within 1.0 foot above adjacent grade NA
c) Total net area of flood openings in A8.b NA sq in c) Total net area of flood openings in A9.b NA sq in
d) Engineered flood openings? ❑ Yes N No d) Engineered flood openings? ❑ Yes N No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number B2.County Name Jorida.State
Fort Lauderdale, City of 120652 Miami-Dade County
B4.Map/Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone
12086CO139 L 9/11/2009 Effecti9e/Re ise Date Zone(s)) AO,use bases flood depth)
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered.in Item B9. NA
❑ FIS Profile N FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item 69: N NGVD 1929 ❑ NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes N No
Designation Date:N/A ❑ CBRS ❑ OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* N Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
J;C2. Elevations-Zones Al A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,AR/Al-A30,AR/AH,AR/AO.Complete Items C2.a-h
below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters.
Benchmark Utilized:NOM RM#3 Vertical Datum: NGVD-1929
Indicate elevation datum used for the elevations in items a)through h)below. ®NGVD 1929 ❑NAVD 1988 ❑Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a)Top of bottom floor(including basement,crawlspace,or enclosure floor) 14.8 N feet ❑meters
b)Top of the next higher floor NA N feet ❑meters
c) Bottom of the lowest horizontal structural member(V Zones only) NA N feet ❑meters
d)Attached garage(top of slab) NA N feet ❑meters
e) Lowest elevation of machinery or equipment servicing the building NA N feet ❑meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 12.0 N feet ❑meters
g) Highest adjacent(finished)grade next to building(HAG) 12.6 N feet ❑meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support 12.0 N feet ❑meters
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation
information.I certify that the information on this Certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001.
N Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
❑ Check here if attachments. Licensed land surveyor? N Yes ❑ No
CertfiePs Name Thomas Brownell License Number 2891 �'�`-RE
Title Professional Land Surveyor Company Name ER Brownell&Associates,Inc. LS#2891
Address 4 ane �Cfty M iami State FL ZIP Code 33133 05-28-2013
Signature 5-28-2013 Telephone (305)860-3866
FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions.
IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE ,
Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No Policy Number
11300 NE 2nd Avenue r.
City Village of Miami Shores State FL ZIP Code 33161 Company NAIC Number.
SECTION D—SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner.
Comments Job#57630 A5.Latitude and Longitude was obtained using Google Earth.C2)Benchmark is a USC&G brass disc NOM RM#3 set in concrete
monument,located NE corner of NE 119 St and NE 1 Ave,elevation 13.90 feet.C2e)No machinery or equipment servicing the Chemical Stockroom and
Anatomy Lab at grade,AC unit servicing the building is on the roof.
Signature Date 5-28-2013
SECTION E—BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),complete Items E1—E5.If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B,
and C.For Items E1—E4,use natural grade,if available.Check the measurement used.In Puerto Rico only,enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawlspace,or enclosure)is
El feet ❑meters [I above or El below the HAG.
b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or El below the HAG.
E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters
• ❑above or[I below the HAG.
E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑Yes ❑ No ❑ Unknown.The local official must certify this information in Section G.
SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑Check here if attachments
SECTION G—COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G
of this Elevation Certificate.Complete the applicable items)and sign below.Check the measurement used in Items G8—G10.In Puerto Rico only,enter meters.
G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
G3.❑ The following information(Items G4—G10)is provided for community floodplain management purposes.
G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for ❑New Construction ❑Substantial Improvement
G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters Datum
G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters Datum
G10.Community's design flood elevation: ❑feet ❑meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
®Check here if attachments
FEMA Form 086-0-33(7/12) Replaces all previous editions.
ELEVATION CERTIFICATE,page 3 Building Photographs
Photo ra hs
See Instructions for Item A6.
IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number.
11300 NE 2 Avenue
City Village of Miami Shores State FL ZIP Code 33161 Company NAIC Number.
If using the Elevation Certificate to obtain NFIP flood insurance,affix at least 2 building photographs below according to the instructions
for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, Right Side View" and Left Side
View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as
indicated in Section A8. If submitting more photographs than will fit on this page,use the Continuation Page.
A.
s :JZ't' '
North Side 5-28-2013
ppgO 4L
r
South Side 5-28-2013
FEMA Form 086-0-33(7/12) Replaces all previous editions.
'ELEVATION CERTIFICATE, page 4 Building 9 p Photo ra hs
Continuation Page
IMPORTANT:In these spaces,copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number:
11300 NE 2nd Avenue
City Village of Miami Shores State FL ZIP Code 33161 Company NAIC Number.
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8.
Entrance East side 5-28-2013
FEMA Form 086-0-33(7/12) Replaces all previous editions.
. b
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-192948 Permit Number: CC-5-12-768
Inspection Date: June 06,2013 Permit Type: Commercial Construction
Inspector: Bruhn, Norman Inspection Type: F. Elevation Certificate
Owner: , BARRY UNIVERSITY Work Classification: Addition
Job Address: 11300 NE 2 Avenue Wiegand&Annex
Miami Shores, FL 33138-0000
Phone Number
Parcel Number 1121360010160-09
Project: BARRY UNIVERSITY
Contractor: TURNER CONSTRUCTION COMPANY Phone: (786)621-9000
Building Department Comments
ADD NEW CHEMICAL STOCK ROOM Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed Z3
Failed El
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections please call: (305)762-4949
June 06,2013 Page 1 of 1
U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date:July 31,2015
SECTION A-PROPERTY INFORMATIONO,R,INSURANCE GOMPAAIY USE
Al. Building Owner's Name Barry College(Chemical Stockroom and Anatomy Lab) Policy Number:
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No.
11300 NE 2 Avenue Company NAIC Number
City Village of Miami Shores State FL ZIP Code 33161
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
SE 1/4,NE 1/4 Section 36-52-41 Folio No. 11-2136-000-0050
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Non-Residential
A5. Latitude/Longitude:Lat.25°47.9°N Long.080*11'41.3"W Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 113
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) NA sq ft a) Square footage of attached garage NA sq ft
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s)within 1.0 foot above adjacent grade NA within 1.0 foot above adjacent grade NA
c) Total net area of flood openings in A8.b NA sq in c) Total net area of flood openings in A9.b NA sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number B2.County Name 63.State
Fort Lauderdale, City of 120652 Miami-Dade County Florida
B4.Map/Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone
12086CO139 L 9/11/2009 Effective/Revised Date Zone(s) AO,use base flood depth)
9/11/2009 x NA
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No
Designation Date:WA ❑ CBRS ❑ OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* N Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/Al-A30,AR/AH,AR/AO.Complete Items C2.a-h
below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters.
Benchmark Utilized:NOM RM#3 Vertical Datum: NGVD-1929
Indicate elevation datum used for the elevations in items a)through h)below. ®NGVD 1929 ❑NAVD 1988 ❑Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a)Top of bottom floor(including basement,crawlspace,or enclosure floor) 14.8 ®feet ❑meters
b)Top of the next higher floor NA ®feet ❑meters
c) Bottom of the lowest horizontal structural member(V Zones only) NA ®feet ❑meters
d)Attached garage(top of slab) NA ®feet ❑meters
e) Lowest elevation of machinery or equipment servicing the building NA N feet ❑meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 12.0 ®feet ❑"meters
g)Highest adjacent(finished)grade next to building(HAG) 12.6 ®feet ❑meters
h)Lowest adjacent grade at lowest elevation of deck or stairs,including structural support 12.0 ®feet ❑meters
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation
information.I certify that the information on this Cerfificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 98 U.S. Code,Section 9009.
® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
❑ Check here if attachments. Licensed land surveyor? ® Yes ❑ No
Certifier's Name Thomas Brownell License Number 2891
Title Professional Land Surveyor Company Name ER Brownell&Associates,Inc. LS#2891
Address 2434 SW 2e Lane City Miami State FL ZIP Code 33133 05-28-2013
Signature ate 5-28-2013 Telephone (305)860-3866
FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions.
IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number
11300 NE 2nd Avenue r.
City Village of Miami Shores State FL ZIP Code 33161 Company NAIC Number.
SECTION D—SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner.
Comments Job#57630 A5.Latitude and Longitude was obtained using Google Earth.C2)Benchmark is a USC&G brass disc NOM RM#3 set in concrete
monument,located NE comer of NE 119 St and NE 1 Ave,elevation 13.90 feet.C2e)No machinery or equipment servicing the Chemical Stockroom and
Anatomy Lab at grade,AC unit servicing the building is on the roof.
Signature Date 5-28-2013
e�
SECTION E—BUIL ING ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),complete Items E1—E5.If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B,
and C.For Items E1—E4,use natural grade,if available.Check the measurement used.In Puerto Rico only,enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG.
b)Top of bottom floor(including basement,crawispace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG.
E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG.
E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑Yes ❑ No ❑ Unknown.The local official must certify this information in Section G.
SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge.
Property Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑Check here if attachments
SECTION G—COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized bylaw or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G
of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8—G10.In Puerto Rico only,enter meters.
G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
G3.❑ The following information(Items G4—G10)is provided for community floodplain management purposes.
G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for ❑New Construction ❑Substantial Improvement
G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters Datum
G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters Datum
G10.Community's design flood elevation: ❑feet ❑meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
®Check here if attachments
FEMA Form 086-0-33(7/12) Replaces all previous editions.
ELEVATION CERTIFICATE, page 3 Building Photographs
See Instructions for Item A6.
IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number.
11300 NE 2 Avenue
City Village of Miami Shores State FL ZIP Code 33161 Company NAIC Number.
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions
for Item A6. Identify all photographs with date taken; "Front View" and Rear View"; and, if required, "Right Side View" and "Left Side
View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as
indicated in Section A8. If submitting more photographs than will fit on this page,use the Continuation Page.
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� 4
North Side 5-28-2013
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S k - 71
South Side 5-28-2013
FEMA Form 086-0-33(7/12) Replaces all previous editions.
L
ELEVATION CERTIFICATE, page 4 Building Photographs
Continuation Page
IMPORTANT:In these spaces,copy the corresponding information from Section A- FOR INSURANCE COMPANY USE
Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number:
11300 NE 2 Avenue
City Village of Miami Shores State FL ZIP Code 33161 Company NAIC Number.
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8.
Entrance East side 5-28-2013
FEMA Form 086-0-33(7/12) Replaces all previous editions.
Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
nspection Number: INSP-192951 Permit Number: CC-5-12-768
Inspection Date:June 06,2013 Permit Type: Commercial Construction
Inspector: Bruhn, Norman
Inspection Type: F. Termite Letter
Owner: , BARRY UNIVERSITY Work Classification: Addition
Job Address:11300 NE 2 Avenue Wiegand&Annex
Miami Shores, FL 33138-0000 Phone Number
Project: BARRY UNIVERSITY Parcel Number 1121360010160-09
Contractor: TURNER CONSTRUCTION COMPANY Phone: (786)621-9000
Building Department Comments
ADD NEW CHEMICAL STOCK ROOM Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Comments
Passed J
Failed
Correction
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections please call: (305)762-4949
June 06,2013 Page 1 of 1
II
Certificate of Compliance for Termite Protection
(as required by Florida Building Code (FBC) 1816.1.7)
USA Pest Control
P.O. Box 570134
Miami, FL 33257
(305) 378-2522
11300 NE 2nd Ave. Miami Shores, FL 33161
Method of Termite Prevention Treatment Soil Treatment for termites
Chemical used Termidor 80 WG EPA No_ 7969-209
Number of gallons applied 273.0 Gallons
Area treated (square feet) 2,730 SF
Stage of treatment Slab
The building has received a complete treatment for the prevention of subterranean termites. Treatment Is In accordance
ith°r rd lawsblishsd by the Florida Department of Agriculture and Consumer Services.
�►tt orized Signature Date