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MC-13-2044Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 ( Z L,.,/ Inspection Number: INSP- 205258 Permit Number: MC -9 -13 -2044 Scheduled Inspection Date: January 06, 2014 Permit Type: Mechanical - Commercial Inspector: Perez, JanPierre Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: Fire Suppression System Job Address: 11300 NE 2 Avenue Landon Student Miami Shores, FL 33138 -0000 Project BARRY UNIVERSITY Contractor: NATIONWIDE FIRE SPRINKLERS INC Building Department Comments Phone Number Parcel Number 1121360010160 -32 Phone: (305)863 -7711 RELOCATE FIRE SPRINKLERS INC Infractio Passed Comments INSPECTOR COMMENTS False Q- I / 6(11 Passed Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP- 198883. need fire depart approval January 03, 2014 For Inspections please call: (305)762-4949 Page 22 of 27 Miami Sh®rey Village Building Department 10050 N.F?nd A\cnue. Miami Shores. Florida 33138 Tel: ( 305) 795. »04 Fax: ( 305) 756,89-11-1 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: MECHANICAL 84 JOB ADDRESS: 1 t 3 to we ,Q,.p L SEP L..Q FBC 20V9 Permit No. 13 041 Master Permit No.6d _gam 13.44 -?a City: Miami Shores County: Miami Dade Zip: Folio /Parcel #: tt-), ( 31r; 0000050 Is the Building Historically Designated: Yes NO load Zone: OWNER: Nance (Fee Simple Titleholder): & cr 2 Uers;, a Phone #: Citv: un; 5 d 4 `,J .P State: _ - — -- "Lip: 3-3 Tenant /Lessee Nance: Phone #: 33/3 Entail: CONTRAC TOR: Company Nance: )W tan w- a Ft re tWn kAPCj ?T62e- Phone #: -305 Address: 6 T s l A)r,W 7-ei he aue City. _�0 Qualifier Name: State: —Ft P: _.ate' a✓ /6 6 -- Phone #: State Certitication or Registration #: Certificate ot- Competency #: Contact Phone #: _.3D'R(�-77 -711 Email Address: Q�c-�°+P.�S YICrtenGUi(�oar�S�Gi.a /. US DESIGNER: Architect /Engineer: Phone #: Value of Work for this Permit: $ .1, 0,00 Square /Linear Footage of Work: VdG7 Type of Work: JAddress Alteration JNew JRepair /Replace JDentolition Description of Work: r n : i:* N= d= �: k: is8=: k�W�: k�: H:: Y��:: k3: �= k�:>:: i ==E =k�%k:i:d =�� ==k�:i =:i:g:�:�• �ry::e: ..• .. �: �: f: �:: 3:: i::?: 1 =m:G�8:8::F:Yk:F�:a:�::£::g�:3: H: %E:ri:%::Y�:k�::Yk=I =�:h Submittal Fee $ Permit Fee $_ _ I 'CF $ CO /CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ ructural Revie -w $ DBPR $ Bond $ Technology Fee $ TOTAL FETE NOW DUE: $ �\k\ ED% V 9onding Company's Name (if applicable) Bonding Co npany's Address City State 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 he performed to meet the standard, of all law, 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 foreuoinu, information is accurate and that all work will he 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 1111/1 all eslinnned value exceeding $2500. the applicant must promise in good faith that a cups of the notice of connncru•Clnem and construction lien lair brochure will be delivered to the person whose properiv is subject to attachment. Also, a certifleft cops o(the recorded notice o('commerlcentew nlnsl be poster( (it Ilse job site for the first inspection which occurs seven (7) (lays alter the building permit is issued. /n the clbse/We o(sc(Ch posted notice, the inspection trill not be appror)t%al a reins7rec7ion lee frill be charge(l. Signature _ Signature /,,,- �, " e _�z �10 Owner or Agent Contractor The foregoing instrument was acknowledged before me this day of 20 l3 . by who is personally known to me or who has produced_ As identification and who did take an oath. The foregoing instrument was acknowledged before me this — day of 04.0(0 20 15, by who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Su'uctural Res iew Revised 3 /12 /2012)(Revised 07 /1OAM(Revised 06 /1(/3(H)9))Revi.ed 3 /Ii /0111 4-*k* 1)tlg Clerk FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 683682-0 THIS IS NOT A BILL — DO NOT PAY RENEWAL BUSINESS NAME / LOCATION RECEIPT NO. 711063 -8 NATIONWIDE FIRE SPRINKLERS INC CC # 22443500012011 12459 SW 130 ST 13 33186 UNIN DADE COUNTY OWNER NATIONWIDE FIRE SPRINKLERS INC Sec. Type of Business WORKER /S 196 SPEC MECHANICAL CONTRACTOR 1 THIS IS ONLY A LOCAL BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR CONING LAWS of THE COUNTY OR CITIES. NOR DO NOT FORWARD DOES IT EXEMPT THE HOLDER FROM ANY LICENSE OR u NATIONWIDE FIRE SPRINKLERS INC REQUIRED REQUIRED BY LAW. THIS IS HIS IS NOT A CERTIFICATION OF RAFAEL SOSA PRES THE HOLDER'S 'S OUTA OUALI FlCA- 12459 SW 130 ST 13 TIONS. MIAMI FL 33186 PAYMENT RECEIVED MIAMI -DADS COUNTY TAX COLLECTOR: 09/28/2012 09010580001 ( j ] ) lilt)) ( }� 000075.00 I)itl!!)1111111�11)I) 111111111)) 111 1111111111131h 13411 4, NATIO -4 OP ID: DB '`�eiCORO CERTIFICATE OF LIABILITY INSURANCE DATE 081119/13 9 /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 pollcy(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). CONTA PRODUCER Phone: 407 - 774 -2327 NAME: CT Dawn Bennett Black Bear Insurance Agency PHONE FAX PO Box 914700 Fax: 407 - 786 -2327 (,IC, No, Ext).407- 774 -2327 (A/c, No): 407 - 786 -2327 Longwood, FL 32791.4700 EMAIL clientservices blackbeara enc com Andrew R. Roberts ADDRESS: @ g y• INSURER(S) AFFORDING COVERAGE NAIC a INSURER A: Travelers Casualty Ins Co of 19046 INSURED Nationwide Fire Sprinklers Inc INSURER 13: Bridgefield Employers Ins. Co. 10701 6754 NW 72nd Ave INSURER C Miami, FL 33166 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER- 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. INSR TYPE OF INSURANCE AODL SUBR' POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDD/YYYY MM /DD/YYW LIMITS GENERAL LIABILITY EACH OCCURRENCE S LSAMAGE i0 RHNTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) 3 _ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY S GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP /OP AGG S POLICY 20 LOC 5 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 100 00 (Ea accident) $ A X ANY AUTO BA6B780628 04118/13 04118/14 BODILY INJURY (Per person) S ALL OWNED SCHEDULED BODILY INJURY (Per accident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS -_ AUTOS (Per accident) S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS -MADE AGGREGATE S DED RETENTION S S WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y I N TORY LIMITS ER B ANY PROPRIETOR /PARTNERrEXECUTIVE 83048499 06/28/13 06/28/14 E L EACH ACCIDENT S 1,000+00 OFFICER/MEMBER EXCLUDED'/ NIA - (Mandatory In NH) E L DISEASE EA EMPLOYEE S 1+000e00 If yes, describe under DESCRIPTION OF OPERATIONS below - EL DISEASE - POLICY LIMIT ' S 1+000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) UtK I IrIUA I t MULLII IANUtLL.A I IUN Miami Shores Village 10050 NE 2nd Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ) n © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD AcORDe CERTIFICATE OF LIABILITY INSURANCE 8 /20/ D /20 /IDDIYYYY) 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 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 Tutton Insurance Services, Inc. 2913 S Pullman Street Santa Ana CA 92705 INSURED Nationwide Eire Sprinklers, Inc. 6754 N.W. 72nd Avenue (A /C No, Ext): (949) 261 -5335 ; (A//C. No): (949)261 -1911 EMAIL ADDRESS PRODUCER 00018789 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC S INSURER A :Gotham Insurance- Company 25569__ INSURER B. INSURER C IIYJURCR V . INSURER E Miami EL 33166 INSURE - -- -- - - - - -- - -. - -- -- -- -- INSURER F COVERAGES CERTIFICATF NLIMRER -13/14 Liab NIIMRFR- 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. iNSRT I MPMLICY EFF I POLICY EXP I LTR TYPE OF INSURANCE IIN IS�R POLICY NUMBER ID(YYYY MM /DDYYYY LIMITS GENERAL LIABILITY c H c- 1,000,000 E r E T • Ff - -E^ }— — -- P'r'Ehll E Ea - - -�.. 100 000 r A i L4IN_ tJ�LE X !_ : _ti -I- �GL2013ESC00630a/7/2013 6/71201$ EC E F iµn. i �- it- ( 5,000 �—i __ j IF?FF . ^J �:L 1 l.a lr.- j.�• 1,000,000 - --_ 2,000,000 LM17 .aFP. r - rD; F .F• .: ! .{ 2,000,000 ` INCLUDID j AUTOMOBILE LIABILITY: rL�J1I HE UI: _EC AV' i — t FI:' FET-C'r, -�,:t I'6 i.____._ _. -. _.... 1 UMBRELLA LIAB — ~EXCESSLIAB r I.- ":p: I_ ,.1 ::•.. ^;ca c.( qp_� *�- FETE.'Jil „r,J � I F WORKERS COMPENSATION I ^F T , AND EMPLOYERS LIABILITY Y / N fJ' PF F'FI'.T "F'Fr I FP,:c ,MEI�BEF ipEC ❑ IN /A. r - - - -- Mandatory In in NH) E F GE`;CR rTIVN .F --,PEPaTION b ?n; E _ G E E - L r ut, -: ! $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space is required) Evidence of Insurance (305) 756 -8972 Miami Shores Village 10050 NE 2nd Ave. Miami Shores, EL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE tanley Tutton /CLAUDI ACORD 25 (2009109) O 1988 -2009 ACORD CORPORATION. All rights reserved. INS0251.21:I;:.n.a; The ACORD name and logo are registered marks of ACORD casitt silica CHIEF FINANCIAL OFFICER BUREAU CHIEF Julius "alas a Keith McCarthy DIVISION DIREC'T'OR � `. SAFETY PROGRAM MANAGER N ' ''�."..... -....e FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF STATE FIRE MARSHAL 200 East Gaines Street - Tallahassee, Florida 32399 -0342 Tel. 850 -413 -3644 Fax. 850-410-2467 CERTIFICATE OF COMPETENCY OFFICIAL COPY THIS CERTIFIES THAT: Rafael Sosa 12459 SW 135th Ste 13 Miami Fl., 33186 BUSINESS ORGANIZATION: Nationwide Fire Sprinklers Inc �_oraractor II is limited to the execution of contracts requiring the ability to layout, fabricate, install, inspect, alter, repair, and service water springier systems, water spray systems, foam -water sprinkler systems, foam -water spray systems, standpipes, combination standpipes and sprinkler risers, all piping that is an integral part of the system beginning at the point of service, sprinkler tank heaters, air lines, thermal systems used in connection with sprinklers, and tanks and pumps connected thereto, excluding pre- engineered systems. Issue Date: Type: Class: County: License /Permit 4 Expiration Date: A014iig Chief Financial Officer 1 -42 06/21/2012 07 12 Miami -Dade 224435 - 0001 -2011 06/30/2014 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 RE- PERMIT #: 0 C- F--13- tf HPL DATE: d4 VCantractor T o Owner Architect Picked u 2 sets f plans and (other) Address: 15c"Zeuv o t4 ej- From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Dom, par finue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: `� Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 September 16, 2013 Permit No: CC 13 -1782 Building Critique Review 1. FIRE AND DERM APPROVAL REQUIRED. 2. FBC 1005.2, DOORS WHEN FULLY OPENED SHOULD NOT REDUCE THE REQUIRED MEANS OF EGRESS WIDTH BY MORE THAN 7 ". DOORS IN ANY POSITION SHALL NOT REDUCE THE REQUIRED WIDTH BY MORE THAN ONE - HALPH. 3. SPECIFY WIDTH OF CORRIDOR. 4. BASED ON FBC 2010, EXISTING BUILDING CODE, AND THE SCOPE OF WORK REFLECTED ON THE DRAWINGS, WAS THE CONFIGURATION OF THE SPACE IS BEING CHANGE; THE LEVEL OF ALTERATION SHOULD BE CLASSIFIED AS A LEVEL 2 ALTERATION. ALTERATION FOR THIS PROJECT SHOULD BE A LEVEL 2. Ismael Naranjo Building Official 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. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 August 8, 2013 Permit No: CC13 -1782 Building Critique Review 1. 1) Obtain approval from the Miami -Dade Fire Department. 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. Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 August 6, 2013 Permit No: CC13 -1782 ELECTRICAL REVIEWER COMMENTS 1. Is their any electrical devices in the wall to be removed? 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. x`- Department of Regulatory and Economic Resources Environmental Resources Management 701 N.W. 1st Court, 2nd Floor MIAMNDIADE Miami, FL 33136 AFFIDAVIT FOR ASBESTOS SURVEY SECTION a. Project Type: ❑ Demolition Po Renovation Process # o y QQo oz b. Project Name LANno) 2. oz. Mlz 17104 Cop(M Address it �Q0 C '2 �� i.1 j, j C City State L Zip Code Folio c. Project Dates (mm/dd/yy): Start 0G T_ 1 D1 Finish 0<-T 31.1 2. -.013 d. Contractor &Mf;iRALL CDalfWCTi o0 C_,t5 Florida License # + -_ r_lV e L75— e. Contractor Address 10eb 4)U)' ) CT ,1 AL14JaW-J� Contractor Telephone 91-q- �L4/ — Z5 ?3 yt f. Give -a brief description of work to be done at the above mentioned address: (include scope of work and the estimated area in )square feet that will be impacted by the project) WALL TD is R�oU5�t rs A p41zi -i -io„} 0P4LL 1z'- y'`�o�G �Y g/ TVU- -Th 69: t>4�;PAC. SFl . PA?c d F:Z.G02 I C& )L/10- A11),J 460 50JI -06 Dov(L AT SECTION II I, the undersigned, hereby attest that I am aware of the following: 1. Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, an asbestos survey at the above referenced property may be required prior to any renovation or demolition activity. 2. Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, all regulated asbestos containing materials' (RACM) must be removed prior to any renovation activity that may impact the RACM at the above referenced property. 3. Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, all regulated asbestos containing materials (RACM) must be removed prior to any demolition activity that impacts the RACM at the above referenced property. 4. ' Pursuant to 40 CFR 61, subpart M, section 145(a) and 469.001 -015 Florida Statutes, a written notification must be submitted to'DERM at least 10 working days prior to demolition or asbestos abatement activity at the above referenced property. - Additionally, I authorize Mlami -Dade County officials to inspect the premises during the project dates provided above. I am also aware that violations of the above- referenced regulations may result in civil or criminal prosecution or both and penalties and fines of up to $25,000 per day per violation. Wlef Name in Print (Qwner, see or Authorized Representative)/Title Address (Owner, Lessee or Authorized Rep.) Signature (Own, Lessee or Authorized Representative Telephone Number er , �i with Notarized Authorization Letter) The foregoing instrument was acknowledged before me this STATE OF FLORIDA) COUNTY OF DADE) ss: 20 by YT who did (did -nod take an oath. U 'c, S to of Florida 4t Large /4. Received by Name of RER Personnel /Section Dat ignatpm SUBMITTED-FOR RENOVATION OR DEMOLITION ST BE THIS IS NOT A�`°NN,E�HAP NOTIFICATION SEPARATE NOTIFICATION MU 161 _01- 154 `�' See Reverse Side for Additional Information - Effective Jul v 1, 1994, Florida Statutes 469.001 -015, require that no person shall conduct an asbestos survey, develop an operations and maintenance plan, prepare abatement specifications, or monitor and evaluate asbestos abatement, unless licensed as an asbestos Consultant of the State of Florida. No person shall conduct asbestos abatement unless licensed as an asbestos contractor by the State of Florida. NOTIFICATIONS Effective April 1, 1999, all NESHAP Notification for projects in Miami-Dade County must be submitted along with the applicable fees to: Regulatory and Economic Resources Environmental Resources Management Air Quality Management 701 N.W. 1st Court, 2nd Floor Miami, FL 33136 FOR INFORMATION PERTAINING TO ASBESTOS REGULATIONS, CONTACT RER'S AIR QUALITY MANAGEMENT 701 N.W. 1st Court, 2nd Floor MIAMI, FL 33136 (30S) 372-6925 NOTE: ALL SHEET MUST BE REVIEWED MIAMI -DADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES Herbert S. Saffir Permitting and Inspection Center 11805 SW 26th Street (Coral Way) • Miami, Florida 33175 -2474 a (786) 315 -2000 APPLICATION FOR MUNICIPAL PERMIT APPLICANTS THAT REQUIRE PLAN REVIEW FROM MIAMI -DADE FIRE RESCUE AND /OR ENVIRONMENTAL SERVICES F> Lot Block r a o z o Qualifier Name euiA (1 o a Subdivision PB o'er u 0 pg p z Address J d 134 SG,! / 30^.5 _ .' Z? Metes and bounds Cky �l� °��+o, State 25�Zp 33/190 [ ] New Construction on [ ] Demolish Vacant Land [ ] Shell Only Current use of property !la z [ ] Alteration Interior [ ] Addition Attached ( w w [ ] Alteration Exterior [ ] Addition Detached Description of Work Q. 6gn!J_ P ®07 4 01 c [ ] Relocation of Structure [ ] Re -Roof [ ] Enclosure [ ] Foundation Only _ [ ]Repair [ ]Tent Sq. Ft. �� Units Floors Repair Due to Fire Value of Work MBLD* rn [ ] Chg. Contractor W Owner f' -e .5, W Category [ ] Re -Issue Address Odd Affl! 2" [ ] MELE N [ ] Re -Stamp z CityH )amn) S' 4arf StatedZp [ ] MLPG [ ] Revision w Phone a [ ] MMEC [ ] Not Applicable for 3 Last four (4) digits of KFIRE Fire o Owner's Social Security No. w Name Vje, e,( �S c' ., Owner 0 oa Address k -7 �4 A) V' i� /�� wZ Address F , City (J asi!/� State ter Zip 33/400 o Z City State _.Zip a s Phone 3- de�7495_ a W Phone J z ., I am requesting a Special Request Plan Review (SRI) to be scheduled as soon as possible at the rate of $190 for the first hour a g E and $65 per each additional hour in addition to the review fees. Minimum charge one -hour. vat Nut 1st Request: Date: LL :) � 2nd Request: Date: x 31i Request: Date: z g 1 am requesting Optional Plan Review (OPR) to be scheduled as soon as possible at the rate of $75 for each discipline. a Additional review fees may apply. 0 o 111 Request: Date: ooE 2nd Request: Date: °Urr W 31d Request: Date: .a 123-01-192 613 PROVIDE MUNICIPAL PROCESS N NUMBER HE —/3 I.3 0 0 /(%� ��� �P 0 000ia�i� LL F J s�) I 0 o L Last four (4) digits of Qualifier No. � F Folio 0 o � C Contractor Name�on wi J z ., I am requesting a Special Request Plan Review (SRI) to be scheduled as soon as possible at the rate of $190 for the first hour a g E and $65 per each additional hour in addition to the review fees. Minimum charge one -hour. vat Nut 1st Request: Date: LL :) � 2nd Request: Date: x 31i Request: Date: z g 1 am requesting Optional Plan Review (OPR) to be scheduled as soon as possible at the rate of $75 for each discipline. a Additional review fees may apply. 0 o 111 Request: Date: ooE 2nd Request: Date: °Urr W 31d Request: Date: .a 123-01-192 613 BUILDING PERMIT CATEGORIES CATEGORY DESCRIPTION PERMIT TYPE BUILDING 01 GENERAL BUILDING - COMMERCIAL MBLD 02 SUB - GENERAL BUILDING- RESIDENTIAL MBLD 08 CANVAS AWNING MBLD 10 COMMUNICATION TOWER MBLD 15 DEMOLITION MBLD 29 METAL AWNING & STORM SHUTTER MBLD 48 SCREEN ENCLOSURES MBLD 55 SWIMMING POOL MBLD 56 TENNIS COURTS (SURFACE PAVING) MBLD 86 TRAILER TIE DOWN MBLD 88 WALK -IN COOLER MBLD 91 MARINAS MBLD 92 LOW SLOPE APPLICATIONS (GRAVEL, SMOOTH MODIFIED, SINGLE PLY) MBLD 95 SHINGLES (ASPHALT, FIBERGLASS) MBLD 96 SHINGLES (METAL ROOFS/WOOD SHINGLES & SHAKE) MBLD 97 STAGE 2 VAPOR RECOVERY SYSTEM MBLD 99 SOIL IMPROVEMENT MBLD 0100 BULK STORAGE PROPANE TANK MBLD 0101 REMOVABLE STORM PANELS MBLD 0107 TILE ROOF MBLD 0110 WATER MAIN MBLD 0111 SITE PLAN MBLD 0112 INDOOR EVENT /EXHIBIT MBLD ELECTRICAL 04 FIRE ALARM SPECIALTY MELE 16 SPECIALTY WIRING MELE 38 GENERATORS MELE LPGX 01 LIQUEFIED PETROLEUM GAS MLPG 02 MISCELLANEOUS MLPG 04 LIQUEFIED PETROL. GAS /STATE MLPG MECHANICAL 09 ABOVE/BELOW GROUND TANKS/PUMPS & POLLUTANT STORAGE SYSTEM MMEC 38 COMMERCIAL HOODS MMEC 43 FIRE CHEMICAL MMEC 46 SPRAY BOOTHS MMEC 48 SMOKE CONTROL MMEC 52 RESIDENTIAL ELEVATOR -MMEC FIRE 32 FIRE SPRINKLER FIRE ..r 111,71 T-M General Description The TYCO Series TY FRB, 5.6 Mador, Upright (TY313) and Pendent (TY323) Sprinklers described in this data sheet are quiet response, standard overage, decorative 3 mm glass bulb -type spray sprinklers designed for use in light or ordinary hazard, commercial occupan- des such as banks, hotels, and shop- ping malls. The recessed version of the Series TY FRB Pendent Sprinkler, where applica- ble, Is Intended for use in areas with a finished ceiling. This recessed pendent sprinkler uses one of the following: • A two-piece Style 15 Recessed Escutcheon with recessed adjust - the fl y pendent inch from • A two -piece Style 20 Recessed Escutcheon with recessed adjust - ment up to 1/2 Inch (12,7 rrrnj from the flush pendent positun. The adjustment provided by the Recessed Escutcheon reduces the accuracy to which the fared pipe drops to the sprinklers must be cut Intermediate level versions of Series TY FRB Sprinklers are described In Technical Data Sheet TFP357. Sprin- ider guards and shields are described In Technical Data Sheet TFP780. Page 1 of 4 . www.tyco4tre.com r Recessed Pendent Wnkfers 5ftndard Coverage NOTICE -' Sprinkler Identification Number (S /M) TY313 ....... Upright 5.6K,1/2° WdPT TY323 ...... Pendent 5.eK,112` NFrr Technical Daft ULL and uL listed FM and VdS Approved CE Certified Maximum Woridrng Pnmsure 175 psi 2.1 bad 250 psi 7.2 bar The maximum woricirtg presswe of 2550 psi (172 bar) only applies to time Ilstirrg by Un- dwarrit I= W4 Discharge Coefficient K =5.8 GPM/psic/2 (80,8 LPM/bari12) TemperaWm Ranting 135°F H(Sr 155°F 175 °F 200°F 286 °F 041-C) JAa UARV 2013 Finishes Sprinkler: Natural Brass, Chrome Plated, Pure White (RAL 8010) and Signal White (RAL 9003j. Recessed Esortoheon: Write Cued, Chrome PIaM 4 or Brass Plated PhyslcM Characterisifics Frame ................... Bronze Button .............. BrassJGopper . Stainless S�flig p� Steel w/TEFLON Bulb ......................Glass Compression Screw........ Bronze Deflector ................. Bronze TPP1T2 v Finishes Sprinkler: Natural Brass, Chrome Plated, Pure White (RAL 8010) and Signal White (RAL 9003j. Recessed Esortoheon: Write Cued, Chrome PIaM 4 or Brass Plated PhyslcM Characterisifics Frame ................... Bronze Button .............. BrassJGopper . Stainless S�flig p� Steel w/TEFLON Bulb ......................Glass Compression Screw........ Bronze Deflector ................. Bronze TPP1T2 TFPi72 Page 2 of 4 Componaft * Temperature rating is ** Pipe thread connections per ISO 7 -1 1 - Frame 4 - Bulb indk ated on Deflector. can be proved on special request. STYLE 16 or 20 2 - Button 5 - Compression 3 - wing Screw ESCUTCHEON PLATE 1/2° 7/160 (11,1 mm) RECESSED Assembly 6 - Deftctor* DEFLECTOR* SEATING SURFACE NPT** NOMINAL MAKE -IN ESCUTCHEON •iii= i�fi��'�, icy I t 7/16° (11,1 mrro NOMINAL MAKE4N 2. (50,$ MM) ass FLATS �- DEFLECTOR* 1 DLk CROSS SECWN UPFUGHT PENDENT RECESSED PENDENT FIGURE 1 SERIES TY-FRB UPRIGHT (M13) AND PENDENT (TYJ3j S'PRROUARS 5.6 K- FACTOR, 112 INCH NPT, QUICK RESPONSE . The glass bulb contains a fluid which expands when exposed to heat. When the rated temperature is reached, the fluid expands sufficiently to shatter the glass bulb, allowing the sprinkler to activate and water to flow. The TYCO Series TY -FRB, 5.6 Mactor, Upright (M13) and Pendent "323) Sprinklers are intended for fire protec- tion systems designed In accordance with the standard Installation rules rec- ognIzV by the Listing or Approval agency (such as, UL Listing Is tamed on the requirements of NFPA 13, and Fkrl Approval is based on the rlrements of FAA's Loss Prevention Data Sheets). Orgy the Style 15 or brie 20 Reoessed Escutcheon Is to be used for recessed pendent installations. installation The TYCO Series T Y FHB, 5.6 K factor, Upright (TY313) and Pendent "323) Sprinklers must be Installed In accor- dance with this section. General instruatloes Do not Install any bulb -type sprinkler if the bulb is cracked or there Is a loss of liquid from the bud. With the sprkr- Ider held horizontally, a small air bub- ble should be present. The diameter of the al bubble Is approximately 1/16 inch 0,6 mmi) for the 135-F WC) and 3/32 Itch (2,4 mm) for the 28" (141 °C) temperature ratings. A leak -tight 1/2 Inch NPT sprinkler joint should be obtained by applying a min- imum to maximum torque of 7 to 14 ft -lbs. (9,5 to 19,0 Nm). How levels of torque can distort the sprinkler Inlet with consequent leakage or impairment of the sprinkler. Do not attempt to compensate for insufficient adjustment in the Escutch- eon Plate by under- or over - tightening the sprinkles Re -admit the position of the sprinkler fitting to suit. Upright and Pendent Sprinklers The Series TY FRB Upright and Pen- dent Sprinklers must be installed In accordance with the following Instructions. Slop 1. Install Pendent sprinklers in the pendent di en'sin th ricer upright - Stop 2. With per- thread sealant aped to the pipe threads, hand - tighten the sprinkler Into the sprinkler Wig- Step 3. Tighten the sprinkler into the sprinkler fitting using only the W Type 6 Sprinkler Wrench (Figure 2� With ref- erence to Figure 1, apply the 1N Type 6 Sprinkler Wrench to the wrench flats. Torque sprinklers 7 to 14 ft. lbs. (9,5 to 19,0 Nm). Recessed Pendent Sprinklers The Series TY FRB Recessed Pendent Sprinklers must be installed In accor- dance with the following Instructions. Step A. After Installing the Style 15 or Style 20 Mounting Plate over the sprin- kler threads, and with pipe- thread sealant applied to the pipe treads, hand - tighten the sprinkler into the sprinkler fitting. Step B. Tighter the sprinkler into the sprinkler fitting using only the W Type 7 Recessed Sprinkler Wrench ( Flgure 4 With reference to Figure 1, apply the W- 7 Recessed Sprinkler Wrench to sprinkler wrench flats. Torque sprinklers 7 to 14 ft. -bas. (9,5 to 19,0 Nm). Step C. After ceiling installation and fi n- Ishing, slide on the Style 15 or Style 20 Closure over the Series TY-FRB Sprin- kler and push the Closure over the Mounting Plate until its flange comes in contact with the ceiling. Cara and Maintenance The TYCO Series TY -FRB, 5.6 K factor, Upright (TY313) and Pendent (TY323) Sprinklers must be maintained and ser- viced in accordance with this section. Before dosing a fire protection system main control valve for maintenance work on the fire protection� that it controls, obtain perm on to strut down the affected fire protection systems from the proper authorities and notify all personnel who may be affected by this action. Absence of the out piece of an escutcheon, which Is used to cover a clearance hole, can delay sprinkler operation in a fire situation. The owner rout assure that the sprin- klers are not used for hanging any objects and that the sprinklers are only cleaned by means of gently dusting with a feather duster, otherwise, non - operation in the event of a fire or inad- vertent operation may resutL Sprinklers which are found to be leak Ing or exhibiting visible signs of oorro- sion rruast be replaced. Automatic sprinklers must new be painted. plated, coated, or other- wise altered after leaving the factory. TF'P172 Page 3 of 4 2 -7/8' DYL (73,0 mm) 2 -1/4' DUL FACE OF (57,2 mm) SPRINKLER FITTING 5/8' (15,9 mm) FLUSH 31815116' 7. (9,517,9 mm) ,% MOUNTING 1!8" SURFACE (32 mm) CLOSURE SERIES MOUNTING 1-318' (34,9rrxn) TY-FRB PLATE 314' (19,1 mm) FIGURE 4 SERIES TY-FRB RECESSED PENDENT SPRINKLER ASSEMBLY f TrJM WITH TWO PIECE 518 INCH TOTAL ADJUSTMENT STYLE 15 RECESSED ESCUTCHEON 2 -718' DIA (730 rnrn) FACE OF SPRINKLER 2 -114' DUL FITTING (572 mm) 5/1611/4' 112'(12.7 mm) (7,916.4 mm) FLUSH ,17 1/' SURFACE (3.2 mm) CLOSURE SERIES MOUNTING 1-3f8' (34,9 mm) TY-FRB PLATE 7/8' (22.2 mm) SERIES TY -FRB RECESSED PENDEN FIGURE SPRINKLER ASSEMBLY ffY324 WITH TWO PIECE 112 INCH TOTAL, ADJUSTMENT STYLE 20 RECESSED ESCUTCHEON Modified sprinklers must be replaced. Sprinklers that have been to corrosive products of combue but have not operated, should be replaced If they cannot be completely cleaned by wiping the sprinkler with a cloth or by brushing it with a soft bristle brush. Care must be exercised to avoid dam- age to the sprinklers - before, during, and after installation. Sprinklers dam - aged by dropping, striking, wrench twistislippage, or the Ice, must be replaced. Also, reps any sprinkler that has a cracked bulb or that has lost liquid from its bulb. (Ref. Installation Section.) The owner is responsible fo' the Inspection, testing, and maintenance of their fire protection system and devices In compliance with this document, as well as with the applicable standards TFP172 Page 4 of 4 P /N*77- M- X- M I 135 1 155°F ($8°G) 1T5 1 SPRINKLER 200 2 TEMPERATURE 2� 2 FINISH RAnNGS SIN 1 NATURAL BRASS 370 5.6K UPRIGHT (1/2- NPT) TY313 4 SIGNAL WHITE (RAL SOBS) 371 5.6K PENDENT (V2- NPT) TY323 3 PURE WHITE PAL 9010 ` • USO SUM Y for 1;0 7-1 M 9 CHROME PLATED for nPW 77-370-4-175-1 swmn sus only TABLE A SERIES TY FRB UPMGW AND PFMDENT SPRIJICLERS ® PART NUMBER SELECTIM — Ordering Procedure Contact your local distributor for avail- ability. When placing an order, Indicate the full product name and Part Num- ber (PIN). Sprinkler Assembles with NPT Threw Connections Specify. Series TY FRB (SIN), K=5.6, (t�right or Pendent) Sprinkler OuIck �(spec'fi�t�UNT ?r ing, Ish, /W able A Recessed Escutcheon Specffy: a 15 R Escutcheon �, (qm finish. P/N (specM Specify: Style 20 Reed Escutch- eon With (specify') finish, P/N (speCM ' Rater to Technical Data TFP770. Sprinkler Wrench Speoify: W Type 6 Sprinkler Wrench, PIN 56 -0006 -387 Specify: WType 7 Sprinkler Wrench, PIN 56- 850 -4 -001 n. 133 1 13,5°F (57°Gq 135 1 155°F ($8°G) 1T5 1 1i5°F (79°C) 200 2 2D0 °F(93°C) 2� 2 286°F (141°C) H