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SGN-14-1671 (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-217066 Permit Number: SGN-7-14-1671 Scheduled Inspection Date: August 29, 2014 Inspector: Rodriguez, Jorge Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Miami Shores, FL 33138-0000 Project: BARRY UNIVERSITY Permit Type: Sign Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1121360000050 Contractor: DONNIE BENNETT LIGHTING MAINTENANCE COMPANY Phone: (561)688-2511 Bullicung uepartment comments CAMPUS MONUMENT SIGNS INSPECTOR COMMENTS False August 28, 2014 For Inspections please call: (305)762-4949 Page 15 of 27 Inspector Comments Passed 561-707-5969 GIL Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. August 28, 2014 For Inspections please call: (305)762-4949 Page 15 of 27 4 M1: 8-0" CMU with 1-0" Stucco Finish M2: 3/16" x 2-0" aluminum all -thread studs. Minimum 4 per letter. M3: 1/4" deep Aluminum Plate letters + crest M4: 1/4" round x 2-1/4" deep drilled pocketwith silicon sealant/adhesive Wind Design Criteria: Signs Designed to Meet or Exceed FBC 2010 Designed to withstand 180mph windspeeds "Ultimate Exposure D" as per ASCE 7 -10 141.2"w 174"w CLIENT Barry University 11300 N.E. 2nd Avenue Miami Shores, FL 33161 John Holt State Reg. # 152522 925 Azure Ave. WPB, FL 33414 561_;Z 3 'R43 .'k Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 cTN,TT7D JUL 31 2014 BY: S " - �Q!�EL FBC 20 BUILDING Permit No. PERMIT APPLICATION Master Permit No. E622 Permit Type: BUILDING ROOFING JOB ADDRESS: 1-�AM� (ANIVR), C [US WN�Jlei 7fI r S:Ir .j' City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): k fj Va,f 1 V 1TV Phone*- ?—T • �91 .:l 1. Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Donnie Bennett Lighting Maintenance Company phone# 36-68 Address: 4645 Southem Blvd Suite J City: West Palm Beach State: Florida Zip: 33415 Qualifier Name: Donnie Phone#. 561-688-1511 State Certification or Registration #: ES12000358 Certificate of Competency #: Contact Phone#: 561-688-1511 Email Amoss: lori@bennettlighting.com DESIGNER: Architect/Engineer: Phone#: p f4ilz-7 Value of Work for this Permit. $ �. e O G ear Footage of Work: L--1 C�1 f I M41 ,3.PI- Type of Work: LlAddition DAlteration ONeew ORepair/Replace ODemolition �/�- Description of work: My rt !'ts i2 ! i (q E a I ' oe Le s C IN ►l A se I Ler. �Cernt r a I St d N E 2"d I'� 3 — C0rQr JV hi Mi fl e if q -C Color thru tile: ,,xeee��a���������e�r�������Feesr�a��+s��������ee��a�s����amaee�**a��a�+a� Submittal Fee $ � Wo Permit Fee $ I �%� ' CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training(Education Fee $ Technology Fee $ Double Fee $ Stractoral Review $ TOT FEE NOW DUE $ '4 ° Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 22 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) dVs after the building pe rmi d. In the absence of such posted notice, the inspection will not be approved and a rekWectioreffle will be charged Signature Si afore Owner or Agent Contractor — The foregoing instrument was acknowledgedbeforeme this The foregoing instrument was acknowledged before me tlus't day of —, 20 Lq , by SAN IW ��� r� Q Ls day of OLAY 20 tl/, by be nj/w A who is personally known to me or who has produced who is personally knowno me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: _ NOTARY Sign: � — Sign: Print: _ Print: L J M Commission Expires Y p �- MYCOMA9d3SION # E MM9 EMUS: NoYember 1Z 2014 My Commission Expires:OF g 1 --NOTARY FLNosary DkG0=A=&C&k ,puu ,r W pgsR �����..' 14 u�23,20 APPROVED BY i - Plans Examiner G Hing Structural Review Clerk (Revised 3/1212012XRevised o7/1=7)WTised 06110fM)(Revised 3/15/09) M Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES fS: SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION F " "` n IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. 4OPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) ::Z D. :_�:COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 .--� l_nMOIXTF t MUTRAPMRIC itichRmAnAm BUSINESS BUSINESS STATE I (—,- ZIP(( CODE 7 J 1 1 v 1 BUSINESS PHONE: �'r// FAX NUMBER S11/ &KV" - �7 CELL PHONEM2QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: E-MAIL ADDRESS OF APPLICABLE): CmatW on 3119109 BY MV 1 RV 300 MWV 3�;— 1tf0n(-6jn-N ACORO® CERTIFICATE OF LIABILITY INSURANCE 0311712014 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: N the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 Neu of such endorsement(s). PRODUCER Jacobs Insurance Inc 2135 S Congress Avenue 4b West Palm Beach FL 33406 ptAME; Jackie Egerton Ieto (561)967-8400 Pax . 561-967-9088 . JEGERTON acobsinsinc oom WSU s AFFORDING COVERAGE NAIL # IMSURER A : Capitol Specialty Ins co INSURED DOtNNIE BENNETT LIGHTING MAINTENANCE CO 4645 SOUTHERN BLVD STE J WEST PALM BEACH FL 33408 wsuRER e : TITAN INS CO INSURER C : CASTLEPOINT FL U43URER D : INSUPM E : INSURERP: CAVFRAGES 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 TMKISU 10050 NE 2nd Avenue POLICY NUMBER Mlaml Shores Village FL 33138 TiVE LIMITS rA GENERAL LIABILITY X COMMERCIAL ORAL LIABILITY I CLAIMS -MADE FX .00CUR X BLANKET AI X CCP808793 03/29/2014 03/29/2015 EACH OCCURRENCE $ 1,000,000 PRE StEa aaurtenon S 100,000 MED EXP &y one ) S 5,000 PERSONAL s ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GENS. AGGREGATE LIMIT APPLIES PER: X POLICY 31'O- LOC PRODUCTS - COMPIOP AGO $ 1,000,000 S AUTOMOBILE LIABILITY ANY AUTO CHEDULEO ALL OWNED Auras X Auros a X HIRED AUTOS X NON -OWNED I 7719952 03125/2014 03/25/2015 c Id nt 1,000,000 BODILY INJURY (Per parson) $ (Par BODILY INJURY sodderd) S a $ $ UNBRRt l d LIAR EXCESS LIAS OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE S DED $ C WORKERS COMPENSATION ANMEMPLOVERS'LIABILITY YIN ANY PROP UETORIPARTNERIEXECUTIVE OFFlCERIMEMBER EXCLUDED (Mandatary In NH) I dasafbe under DESCRIPTION OF ERA noNS below N / A WCPT80484201 09/21/2013 09/21/2014 14&,—ST—ATIJw I X PR E.L. EACH ACCIDENT $ 1.000,000 E.L. DISEASE - EA EMPLOYE $ 110001000 E.L. DISEASE - POLICY LIMIT $ 1,000.000 A EQUIPMENT FLOATER I i CCP808793 I 03/29/2014 103r29120151 1 15,000 DESCROWIM OF OPERATIONS I LOCATIONS I VEHICLES (Attach AC ORD 101, AddWartal Remurks Schedule, t1mare apace Is required) Erection, Installation, repairs and maintenance pf signs with or without lights, Including operation of cranelboorn truck during normal operations of the business. Coverages subject to all applicable policy terms, conditions, DmitaUons, exclusion and/or deductibles. 11517d-i-913ra-ViLff:roTo11=1: a-T�r 3i7`rr.. P%UVKIJ iO IAUIVIUO) _ - tCrr9s8-2o ACORD CORPORATION. Aar rights reserved. The ACORD name and logo are r stared marks of A RD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BL= ELLED BEFORE Village of Miami Shores THE EXPIRATION THEREOF, NOTICE WILL DELIVERED IN 10050 NE 2nd Avenue CCORDANCE WITH OLICY PROVISIONS, Mlaml Shores Village FL 33138 TiVE P%UVKIJ iO IAUIVIUO) _ - tCrr9s8-2o ACORD CORPORATION. Aar rights reserved. The ACORD name and logo are r stared marks of A RD STATE OF FLORIDA - ...� DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 BENNE 1 1, DONALD ARZA DONNIE SENNETT LIGHTING MAINTENANCE CO 4645 SOUTHERN BLVD SUITE J WEST PALM BEACH FL 33415 Congratulations) _With this license you become one of the nearly one mi>lIon Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from [kers to barbeque re staorants, and they keep Florida's economy strong. Every day we worts to improve the way we do business in order to serve you better. For information about our services, please log onto v�+rar ayflorldalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Departments initiatives. Our mission at the Department is: License Effider* Regulate Fairly. We constanij to serve you better so that you can serve your gtstor118rs. you for doing business in Florida, and congratulations on your neer license! RICK SCOTT, GOVERNOR DEPARTMENT'OF ELECTRIG4 DETACH HERE (850) 487-1395 STATE OF FLORIDA SINESg.AND PROFE: KEN LAWSON, SECRETARY [ME IM rs l l , t SEQ a L140701OW1974 ANNE _ a GANNON P.O- Box 3353, West Palm Beach. PL 33402-3353 , JJG t s iset7ls>tat�L, t COLLECTOR �+�►ww pbc tmcom Tel:. (561) 355- Selig Pa Int Bradt Connty Serving you. **LOCATED AT** 4645 SOUTHERN BLVD #t WEST PALM BEACH, FL 33415- 0000 TYPE OF BtiSiNESS OWNER CERTIFICATION 0 1 RECEIPT NDATiz PAIDAfviT PAID Blll 23.01w cw wxc3R m SPECIALTY BENNETT DONNIE ES12000358 813.1426880 - 07126/13 5264.60 &s{i199990 This document is vii only when recelpted by the Tax Collector's Office. 83-293 DONNIE BENNETT LIGHTING MAINTENANCE CO DONNIE BENNETT LIGHTING MAINTENANCE CO 5'..SOUTHE SOUTHERN BLVD D WEST PALM BEACH, FL 33415-2122 122 ae��®tt��tt�tt�wtos��t�a�®ae�ttttt��ttrtltl�o STATE OF FLORIDA PALMy ■■ ¢¢ BEACH, This receipt grants the privilege of engaging inor managing any business profession or occupation within its jurisdiction; and MUST be conspicuously displayed at the place of business and In such e manner as to be open to the view of the public.