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ELC-13-1332 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-193474 Permit Number: ELC-6-13-1332 Scheduled Inspection Date:August 15,2013 Permit Type: Electrical-Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration Job Address:11300 NE 2 Avenue Health&Sports Miami Shores, FL 33138-0000 Phone Number Parcel Number 1121360010160-23 Project: BARRY UNIVERSITY i Contractor: TIRONE ELECTRIC, INC. Phone: 954-989-7162 Building Department Comments INSTALL DATE CABLING IN MODULAR BUILDING Infractio Passed Comments INSPECTOR COMMENTS False I Inspector Comments Passed r' Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 14,2013 For Inspections please call: (305)762-4949 Page 6 of 46 9 � t Miami Shores Village I l Building Department ��N 12 2�'3 Tr 10050 N.E.2nd Avenue,Miami Shores,Shores,Florida:33138 � Tel:(305)795.2204 Fats(305)756.8972 INSPECTION'S PHONE NUMBER:(305).762.4949 FBC 201 BUILDING Permit No. 1:3 —1-332 PERMIT APPLICATION Master Permit NX : `1 Permit Type: Electrical JOB ADDRESS: ° City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: C)®S® Is the Building Historically Designated:Yes NO X Flood Zone: OWNER:Name(Fee Simple Titleholder):Barry University Inc Phone#: Address:11300 NE 2nd Ave City: Miami Shores State: FL Zip: 33161 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Tirone Electric Inc Phone#: .954-989-7162 Address: 6151 Pembroke Rd City: Hollywood State: FL zip. 33023 Qualifier Name: Carmelo Tirone Phone#: .954-989-7162 State Certification or Registration#: EC-0000345 Certificate of Competency.#: EC-0000345 Contact Phone#: 954-989-7162 Email Address: kshields@tirone-electrlc.eom DESIGNER:Architect/Engineer: Phone#. Value of Work for this Permit:$4,750.00 Square/Linear Footage of Work: Type of Work: OAddress OAlteration )(New ORepair/Replace ODemolition Description of Works Install Data Cabling in Modular Building. Submittal Fee$ Permit Fee$ �4� CCF$ CO/CC$ Scanning Fee$ !Radon Fee$ DBPR$ Bond.$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE.$ '' e ' r 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 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 isstbed: the absence o h posted , the inspection will not be apps and a reinspection fee will be charged Signature Signature Owner or Agent &- Contractor The foregoing instrument was acknowledged before me this > � The foregoing instrument was acknowledged before me this day Of 20 3,byLP day of L2 ,20 ,c3,by who is personally known to me or who has produced who is nP ^^A�'°'-^^��m to me or who has produced As identification and who did take an oath. as identification.and who did take an.oath. NOTARY PUBLIC: NOTARY P IC:: Sign : Sign Print: Print: : .rq�e8 My Commission Expires: 1t Conusst i My Commis d� s: CYMHIA R08ALES t�D3 2 WTARY FL Motor Dim A s=ro � �' f AY COd�l�i^SION#�114019 EXPIRES:September 7,2015 • •. Bonded Thru Notary Pubtfa Underwriters APPROVED BY /X relcl 12 Plans Examiner Zoning Structural:Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3115109) a r � F61"1112013 TE(MMIDD/YYY1f) ICc CERTIFICATE OF LIABILITY INSURANCE 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(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: GulfShore Insurance,Inc. PHONE I No: - 1 4100 Goodlette Rd N Naples FL 34103-3303 AooESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A Amerlsure Insurance Company INSURED TIREL INSURER B.-AMeNSUre Tirone Electric, Inc. INSURER C:FCCI Insurance 6151 Pembroke Rd INSURER D: Hollywood FL 33023 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:63955456 REVISION 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. INL R TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY ALD EF POLICY N EXP LIMITS A GENERAL LIABILITY GL20744440201 /15/2013 /15/2014 EACH OCCURRENCE $1000000 X DAMAGE TO COMMERCIAL GENERAL LIABILITY PREMISES occurrence $300000 CLAIMS-MADE FKI OCCUR MED EXP(Any one person) $10000 PERSONAL&ADV INJURY $1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $2000000 POLICY X PRO- LOC $ FC A AuToMosiLE LIABILITY CA20744410201 /15/2013 /15/2014 Ea accident 1000000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS AUTOS AUTOS ED BODILY INJURY(Per accident) $ NON-OWNED PROPERTY HIRED AUTOS AUTOS w �nl) $ X Drive Other Car $ B X UMBRELLA LIAB OCCUR CU20744450202 1/15/2013 /15/2014 EACH OCCURRENCE $4000000 EXCESS LIAR HCLAIMS-MADE AGGREGATE $4000000 DED I X I RETENTION 0 $ C WORKERS COMPENSATION 001WC13A66094 /15/2013 /15/2014 X WC STATU oTH- AND EMPLOYERS'LIABILITY YIN ER TOR ANY PROPRIETOR/PARTNERiEXECUTIVE E.L.EACH ACCIDENT $1000000 OFFICERIMEMBER EXCLUDED? [N NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $1000000 If es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED iN MIAMI SHORES VILLAGE ACCORDANCE WiTH THE POLICY PROVISIONS. 10050 NE 2 AVENUE MIAMI SHORES VILLAGE FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD i �I a l,.s_...��_.,;__,::.. "v l 'R �:.:��,J!,�a�P+ai.:1'.�- a�°�C�+,�'�°.��t�»F�-�'S ! �`.(naL.JaF�;F,pA� n1mJ�7�� 6 ➢ e5� �0'3'�-..,.^ STATE OF..FLORIPA. I9EPAR �3F MIX PROF�E�SION :� TION LECTRI'CA C NTRACTAORS LICEON N BO SEQ#L12071101882 ` LICENSE NBR, 0.7 11 201 12700 421 8004 EC iiAaY. Co1Y.L .V'R Ta d.'.be7: '-w IS CtR T lPtli Under the° rovisiona of Expiration date. AUG 31, 2014': TIROME' LO TIRONE: ELSCTRIC, 6151 VMMRORE RD a HQLPYW OD hL 3o 23.. R1OK $GOTH KEN LAWSON OflSRNOR SECRETARY DISPLAY AS REQUIRED BY LAW ' w FROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm.A-100, Ft. Lauderdale, FL 33301-'1895-054-831-4000 VALID OCTOBER 1,2012 THROUGH SEPTEMBER X30,2013 •DBA: Receipt#:181-88517 TI.RONE ELECTRIC INC Business Name:; Business Type:ELECTRICAL/ALARMS/CONTRACT('ELECTRICAL CONTR) Owner Name:TIRONE CARMELO Business Opened:0.7/16/1993 Business Location:6151 PEMBROKE RD State/County/CerllReg:EC0000345 HOLLYWOOD Exemption Code: Business Phone:989-7162 i Rooms Seats Employees Machines Profession',als 2 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years C Ilection Cost Total Paid Y 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT'MUST RE'POSTED'CONSPICU®U,PLY'IN YOUR PLA0E.OF BUSINESS THIS BECOMES A TAX RECEIPT„ This tax is levied for the privilege of doing usiness within Broward County and is non [story in nature.You must Meet Count and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when 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. Mailing Address: �. TIRONE CARMELO I ; Redeipt #04A-11-00014231. 6151 PEMBROKE ROAD Paid 09/18/2012 27.00 HOLLYWOOD, FL 33023 i , a g. rr� • 'SAf�l}%ndEY. ' ...s .. .:r�rM•t+vpie'a:rN?�+ity{C.G6'� �ii.�P'r N's+s..t ra.,rwt•.w.4 i'.•3.. / TIRUf'1� PERMIT ,* 6151 PEMBROKE ROAD HPLS M V HOLLYWOOD, FL 330 16—DualCat6Data Drops MIAMI SHORES VIL E PH: (954) 989-7 . 2-Single Cat 6 Data Drops—High toward the to mount an access point DATE Et 00 4 A ROVED Gr FtELD P y NING Project Name and Address - u�--- --- RUCTURAL BARRY UNIVERSITY HSC MODULAR 11300 NE 2ND AVENUE MIAMI SHORES, FL 33161 s.m General Notes LUMBiNG ,. . .. INSTALL DATA CABLING IN Ethernet 72"above MODULAR BUILDING i finished floor i tCHANICAI JA Power and Ethernet above finished floo IV JUN 12 Floor Box for CO E WITH Conference Table OU 1IU1 AND REGULATIONV, ;% I i __- } 0 v r * ., ICYNV ROMES 5�1 M ., MYCOMMIS5101#EE114018 _ t F � � EXPIRES;September 7,2015 BondedTM°NeWy Pu6pc u Project Sheet Date 10f 1 06-11-13 S'°b NTS 13 - � 33L TIR+OPIE FPERMI� 31 avc MIAMI SHORES VILLAGE 6151 PEMBROKE ROAD HPLS M ba � HOLLYWOOD, FL 33023 16—Dual Cat 6 to s I LAY ) 989-71,16r, 2-Single Cat 4 Data Drops—Hig toward the ceiling DATE COPY -.-I o moun ij . _ 0 ZONING - i - --- t STRUCTURAL. - - --� Protect Name and Address i irs° --- - - BARRY UNIVERSITY + �ECJRI y ° HSC MODULAR 11300 NE 2ND AVENUE MIAMI SHORES, FL 33161 NG General Notes AL INSTALL DATA CABLING IN } E erne v MODULAR BUILDING i hed floor + . Zr-6 - - net 60" 7 dt SUBIECf'f4yt6WL obaWCE WIT 4 ALL FEDERAL t = -STATE AND COUNTY RULES RECULATtoNS JUN 1 2 2013 Floor Box + Conference Table IL F _IWALO° � ® Efl ra 9 o MY COhMISSiON#EE 11— 14. vim. Project Sheet Date 1 of 1 06-11-13 Scale NTS Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-190479 Permit Number: CT-5-13-925 Scheduled Inspection Date:August 20,2013 Permit Type: Construction Trailer Inspector: Rodriguez,Jorge Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: New Job Address: 11300 NE 2 Avenue Health &Sports Miami Shores, FL 33138-0000 Phone Number Parcel Number 1121360010160-23 Project: BARRY UNIVERSITY Contractor: HOME OWNER Building Department Comments INSTALL A 36 X 60 MODULAR TRAILER FOR OFFICE infractio Passed Comments SPACE INSPECTOR COMMENTS False 08/08/2013-AS PER NORM WHEN PERMIT WAS SUBMITTED OWNER BUILDER OK.AS Inspector Comments Passed Failed Correction Needed Re-inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 19,2013 For Inspections please call: (305)762-4949 Page 3 of 32