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ELC-14-812Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-218844 Scheduled Inspection Date: November 04, 2014 Inspector: Devaney, Michael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Nat & Health Sc Miami Shores, FL 33138-0000 Project: BARRY UNIVERSITY Contractor: SENTRY SECURITY INC comments Permit Number: ELC-4-14-812 Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1121360010160-08 Phone: (954)452-8500 RELOCATE 1 HORN / STROBE IN FIRE ALARM SYSTEM ...... INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-218272. CREATED AS lz� REINSPECTION FOR INSP-211187. 29 aug. 2014 Canceled did not pass fire. Failed Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. November 03, 2014 For Inspections please call: (305)762-4949 Page 14 of 33 Miami Shores Village ECF' Building Department APR 2 9 2014 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 BY: Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 FBC 20 BUILDING Permit No. PERMIT APPLICATION Master Permit No. Permit Type: Electrical JOB ADDRESS: 11300 NE 2 Avenue - NHS Building City: Miami Shores County: Miami Dade Zip: 33161 Folio/Parcel#: Is the Building Historically Designated: Yes NO X Flood Zone: OWNER: Name (Fee Simple Titleholder): Barry University Phone#: 305-899-3785 Address: 11300 NE 2 Avenue City: Miami Shores State: FL Zip: 33161 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Sentry Security Inc. Phone#: 954-452-8500 Address: 10001 NW 50 Street, Suite #111 City Sunrise State. FL Zip: 33351 Qualifier Name: Evan Katz Phone#: 954-452-8500 State Certification or Registration #: EF0001190 Certificate of Competency #: Contact Phone#: 954-452-8500 Email Address: Permits@sentrysecudVfl.com DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 2,400.00 Square/Linear Footage of Work: Type of Work: OAddress Alteration ONew ORepair/Replace ODemolition Description of Work: C t O'er She nJ 4 as S Submittal Fee $< �5_0 .Oe-) Permit Fee $ '0,0' CCF Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ _ Structural Review $ CO/CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 1 I a- R) ' Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. 4 - f ?r " Signatur Owner o< A e The foregoing instrument was acknowledged before me this day of(9tgo fa , 20 J, by QJt bit ALI :1( who Is personall �!v knowato me or who has produced As identification and who did take an oath. NOTARY PUBLIC: My Commis �yO�Expires: ��110{0011111 ? f c pRA J. Signature Contractor , The foregoing instrument was acknowledged before me this_'"' day of , 20 1 by —E V an I` `�n±L who is n onal known to me or who has produced as identification and go did take an oath. NOTARY Pi: c _ . : c OF FLORIDA NOTA,RY PUBLIC: �o•"" 6. C. Ramos 0, Commission # EE036736 Expires: OCT. 24, 2014 Sign: 8 BD THRD ATLANTIC BONDING CO,= APPROVED BY nnn veneerns Examiner Print: — TK1.A My Commission Expires: 40?cv[ Zoning anes tructural Review Clerk (Revised 3/12t2012)(Revised 07/10/07)(Revised 06/10P2009)(Revised 3/15/09) BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-1.00, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2013 THROUGH SEPTEMBER 30, 2014 DBA. Receipt ELECTRICAL�ALARMS/CONTRACTQR Business Name: SENTRY SECURITY INC Business Type: (,ELECTRICAL CONTRACTOR) Owner Name: EvAN KATz Business Opened:/ -0/23/2012 I Business Location:10001 Nw 50. ST STE #111 State/County/CeiVileg:EF0001190 SUNRISE Exp Io. Code: i Business Phone: Rooms Seats' Employees Machines Professionals 10 For Vending Business only Number of Machines: Vending Type: w Tax Amount Transfer Fee NSF Fee p8nalfy Prior Years Collection CostETolal Pa]1d 27.00 0.00. D.r�.b=, O.Ob . 7 0 60, . z. 0.00 27 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax Is levied for the privilege of doing business within Broward County and is non -regulatory In nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred 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: SENTRY SECURITY INC Receipt #04A-12-00013287 10001 NW 50 ST STE #111 Paid 08/12/2013 27.00 SUNRISE, FL 33351 i U.S.A. 2013 -2014 ------ -- . 1 IC 6�2�17 ;� ST/TE.�F FLO�21pA. ,',DEEIARTriEiV >AE�YBUS N'ES�AND..PROF `SSxONAL .2GUi,ATION ELE TR C//A + ONTA CT�QR3 L ENS Nf BO RDj SEQ#112071400496 ifs`tttiii4y,n:. .k,,,.,. F �4•%;i . I.CE SENBR`s� T 1r, a 5 The A,LARi S °BEM.' CQNTACTpR ed bei ow -1.5 CE)-TIFIED :,:Nam Tindet the i�ovis & a- of Chapt - Expi3�ati:on date:AUG 31, 2014: TZ;.`'E�AN!iA'C NTR$.,..SECURITY 0001 -NW 5 OTfj STREET !ir'r{ , fiQ ",V i *44; ' >` VI.TE 111 FLk3335 UNR SE 1 7. Aft kp h KEW LAWSON tltri� bT 5 SECRETARY GOVERNOR •.E:: : ':_ .` DISPLAY AS R0Q6IRED-:B`? LAW _w _._............... T 490 A4E9O V CERTIFICATE OF LIABILITY INSURANCE D03/31/2014YI� 03/31 /2014 THIS CERTIFICATE IS ISSUED AS A'MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain polities may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER - - CONTACT _ NAME: Bouchard Insurance for CoAdvantage 101 Starcrest Drive Clearwater, FL 33758 PHONE FAX Arc No): E-MAIL ADDRESS- .NSURE S AFFORDING COVERAGE NAIC # INSURERA: American Zurich Insurance Company 40142 INSURED INSURER B : CoAdvantage Corporation Alt. Emp: Sentry Security, Inc 3550 Buschwood Park Drive #200 INSURERC: Tampa, FL 33618 INSURER D : INSURER E : INSURER F: EXP An one person $ COVERAGES CERTIFICATE NUMBER: 14FLO77862521 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. ILTR TYPE OF INSURANCE IM ADDL WVD SUER POLICY NUMBER POLICY M DD EFF MPOM/LDICD/ EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ MERCIAL GENERAL LIABILITYPRANEINAIGE COMisr TO RENTED occurrence) $ EXP An one person $ CLAIMS -MADE F-1OCCURMED ff— PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- jFCTLOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ r accident UMBRELLA LIAB Id OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY OFFICER/ME BER EXCLUDEECUTIVE❑ NIA WC 56-11-942-00 04/01/2014 04/01/2015 X WC STATU- OTH- EL EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yea, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 Location Coverage Period: 04/01/2014 04/01/2015 Client# 20015 -FL DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Coverage is provided for Sentry Security Inc only those employees 10001 NW 50th St#111 leased to but not Sunrise, FL 33351 subcontractors of: Miami Shores Village Building Department 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ,acoRo®CERTIFICATE OF LIABILITY INSURANCE I°°/YYY"' 8/15/20115/2013 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(les) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER BB Insurance Marketing Inc 11870 W. State Road 84, C-15 Ft. Lauderdale FL 33324 CON TA NAME:CT Cad Hernandez Ext. 309 PHONE IFAXAIC No Exu:954 52A900 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER AiLexington Ins Co 19437 /16/2013 INSURED SENTRA INSURER B:Mapfre Insurance Company of FL 34932 INSURER C : Sentry Security Inc 10001 NW 50th St, Ste 111 Sunrise FL 33351 INSURER D : GENERAL AGGREGATE $2,000,000 INSURER E: INSURER F: $ CUVERAGES CERTIFICATE NUMBER: Aan7Rlrnn 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 LTR TYPE OF INSURANCE ADDL INSR SUBR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MMOD LIMITS A GENERAL LIABILITY MERCIAL GENERAL LIABILITY N:7011CLAIMS -MADE 15F]OCCUR Y 34587 /16/2013 /16/2014 EACH OCCURRENCE $2,000,000 DAMAGEPREMISESS (R NTED a occurrence $50 000 MED EXP (An one person) $Excluded PERSONAL & ADV INJURY $2,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- CT F]LOC PRODUCTS - COMP/OP AGG $2,000,000 $ B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOOrAUTOS HIRED AUTOS X NON -OWNED AUTOS Y N 4150120006375 /16/2013 /16/2014 wmbiNtzu SINGLE LIMIT Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) PIP $10,000 UMBRELLA LIAB EXCESS LIAB HOCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) Ii yes, describe under DESCRIPTION OF OPERATIONS below / A I WC STATU- TH- LIM E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ A PROFESSIONAL LIAB 34587 /16/2013 /16/2014 EACH OCC 2,000,000 AGGREGATE 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) Alarm & CCN Contractor. Comprehensive and Collision Deductible $500/$500. rFRTIGIr:ATF wni r1FR r`AAI(`GI I ATInM ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave Miami Shores FL 33138 A}UTHOR¢ED REPRESENTATIVE 6 s�� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD FIRE ENGINEERING & WATER SUPPLY BUREAU 11805 SW 26 STREET, SUITE 150, MIAMI, FL. 33175 TELEPHONE (786) 315-2771 www.miamidade.gov/mdfr FIRE ALARM REVIEW DISAPPROVAL COMMENTS DATE: April 9, 2014 REVIEW BY: Lt. C. Nash AI -Imam BLDG. DEPT. TK#: 534260 BLDG. DEPT. M2014006556 NAME OF PROJECT: National Health Science ADDRESS: 11300 NE 2 Ave 1. INFORMATION PROVIDED IS INCOMPLETE. THE FOLLOWING COMMENTS ARE BASED ON A REVIEW CONDUCTED ONLY TO THE EXTENT THAT THE INCOMPLETENESS OF THE INFORMATION PROVIDED ON THE PLANS ALLOWS. ADDITIONAL COMMENTS TO THOSE INDICATED BELOW MAY FOLLOW ON SUBSEQUENT REVIEWS AS MORE INFORMATION IS PROVIDED. 2. CLARIFY ON PLANS; ALL ITEMS CIRCLED IN RED AND ALL e CIRCLED ITEMS ON ATTACHED FIRE ALARM CHECKLIST. 3. PROVIDE MFG. SPEC. SHEETS FOR ALL ITEMS LISTED IN LEGEND. 4. PROVIDE A COMPLETE RISER SHOWING ALL DEVICES, UNIQUE ID NUMBERS FOR DEVICES AND OUTLINING DEVICES IN SCOPE OF WORK WITH BOLDED DASHED LINES. 5. PROVIDE LEGIBLE PLANS, FONT TOO SMALL. 6. MECHANICALLY REPRODUCE CORRECTIONS (I.E. NEW SHEETS) AND RETURN ALL PREVIOUSLY REVIEWED VOID SHEETS FOR COMPARISON, OR A FULL REVIEW FEE WILL BE ASSESSED. RESUBMIT PLANS FOR "DROP-OFF" FOR REWORK (For questions, concerns, or clarification on disapproval comments, you must schedule a Design Professional Appointment. Appointments are held on Monday's & Thursday's only. Appointments shall be scheduled the previous working day of the appointment between the hours of 8:30 am and 4:30 pm by calling 786-315-2771 or logging in to www.miamidade.ciov/building Please know the reviewer's name and Dade County Process # You may now visit the Miami Dade Building Department's website and view the following: - Track and check status and of Plans Review. View disapproval comments. Schedule a Design Professional Appointment for reworks. www.miamidade.gov/building You also may visit the Miami Dade Fire Rescue website and view the following: Submittal Application Pre -Submittal Checklist Useful Resources/Guidelines Fee Schedule www.miamidade.gov/mdfr F, NOTE: ALL SHEETS MUST BE REVIEWED MIAMI-DADE COUNTY BUILDING DEPARTMENT Herbert S. Saffir Permitting and Inspection Center 11805 SW 26th Street (Coral Way), • Miami, Florida 33175-2474 - (786) 315-2100 APPLICATION FOR MUNICIPAL PERMIT APPLICANTS THAT REQUIRE PLAN REVIEW FROM MIAMI-DADE FIRE RESCUE ND/OR DEPARTMENT OF ENVIRONMENTAL RESOURCES MANAGEMENT 7)i-) /V /'1n t. <Sf..' PROVIDE MUNICIPAL PROCESS NUMBER HERE 11300 NE 2ND AVENUE, MIAMI SHORES 33161 Job Address Contractor No. EFOOO 1190 Y. FW o z Folio , l INO 000 ® e) S 0 z 1z Last four (4) digits of Qualifier No. � Z 0z LU2 v F Contractor Name SENTRY SECURITY, INC a o Lot Block Qualifier Name EVAN KATZ x ° 5 Subdivision p6P9 z o c°, LL Address 10001 NW 50TH STREET #111 Metes and bounds City SUNRISE State FL Zip 33351 [ ] New Construction on I l Demolish Current use of property EDUCATION FACILITY Vacant Land [ ] Shell Only F z [ ] Alteration Interior I l Addition Attached U. o H W [ ] Alteration Exterior [ ] Addition Detached Description of Work RELOCATION OF HORN STROBE 0 [ ] Relocation of Structure [ ] [ ] Enclosure [ ] Foundation Only [ ]Repair Sq. Ft. Units Floors � [ ] Repair Due to Fire Value of Work i [ ] MELD - [ ] Chg. Contractor OwnerUj Category [ ] Re -Issue W Address LSAW t4k 2TAla Ave . [ x] MELE 04 [ ] Re -stamp z City f.� I AM1 S Nba ate JL Zip L a [ ] MLPG [ ] MMEC [ ]Revision W Phone [ ] FIRE [ ] Not Applicable for Last four (4) digits of Fire Owner's Social Security No. z Name GRETCHEN MEYNARD/ SARAH RAMOS Name z a Address 10001 NW 50TH STREET #111 W Address 0 w n SUNRISE FL 33351 City State Zip z z City State Zip ad Phone �5�-i—+-{�-J 2.—Q��OC'Z aW Phone 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 and a z $65 per each addition hour in addition to the review fees. Minimum charge one-hour. Tu 1st Request: Date: N LU L By E 2"a Request: Date: ir z 3`d 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. Additional IL review fees may apply. 1st Request: Date: F 0 2"d Request: Date: W 3`d Request: Date: Y:To=00102-Municipal Permit Applicntioadoc Miami -Dade Fire Rescue Fire Alarm Pre -Submittal Checklist Based On NFPA 72 2007' Ed. &NFPA 1 and 101 2009' Ed. MIAMI ET; Designed by: Phone #: l 5 4 —1 S� Signature: VI�' Created by: MDFR 0812012 THIS IS A REQUIRED DOCUMENT ON ALL FIRE ALARM PLAN SUBMITTALS 1 OF 2 Building Dept. Process Number is (Begins with C or M): Date: 1 Project Name: Irf S4 he'll 1 1 lOit Cl is provided in title block of plans. YES NO N/A 2 Address in title block shall mat address in "Building 'Dept. Computer System" and ached permit application. If address contains r a specific building, floor, suite, or unit number or letter, it shall be provided in title block, to match Building Dept. Computer System. yC The total cost of the installation to the customer is $ 2 LA Q() .� and a copy of the contract or a notarized affidavit 3 from the owner showing this amount is attached. 4 Fire Alarm Systems costing more than $5,000 are sealed or stamped b dda.Re istered Professional Engineer. 5 The total number of DEVICES and COMPONENTS being installed is 6 The alarm qualifier's state license number IS EC EF Ef # L L and a copy Is attached to plans. Complete, current manufacturer's Specification and Installation sheets are attached for all control units, components, devices, 7 modules and relays listed on Legend. 8 Is this permit application for fire alarm work a result of a Notice Of Violation (NOV) issued by Miami -Dade Fire Rescue? If yes, a copy of the Notice of Violation is attached. This fire alarm: J0 is required under (fill in the Occupancy Chapter & Section from NFPA 101 9 OR, L_) is a life safety equivalency OR, C_) is a non -required system or component. This is an "EXISTING (Local) Fire Alarm System" and is stated as such _op plans. AHJ will require documentation of prior 10 ,the } approval of system as a (Local) Fire Alarm System in the form of the onginal Fire Dept. approved job copy set of fire alarm plans or certified microfilm co of same. •\ 11 This is a "NEW Local Fire Alarm System" and is stated as such on plans. This is an "EXISTING Central Station Service Fire Alarm System" and is stated as such on the Plans. A copy of the existing 12 BUILDING UL or ETL certificate, or FM Placard, specifically identifying this protected premise by address, and uniquely identifying this building's fire alarms stem, is attached. If the company that issued the existing certificate or placard for this building's fire alarm system is different than the company 13 applying for this permit; is the required Affidavit to Work on another Company s Certificated or Placarded Fire Alarm System Provided? 14 This is a NEW Certificated of Placarded "Central Station Service Fire Alarm System" and stated as such on the plans. 15 If this is a NEW "Central Station Service Fire Alarm System," a copy of the UL or ETL certificate of FM placard from the contractor, or from the Central Station Service Company, issuing the building certificate/placard, is attached. This is an "EXISTING Remote Supervising Station Fire Alarm System" and is stated as such on the plans. AHJ will require 16 documentation of prior approval of system as a Remote Supervising Station Fire Alarm System in the form of the original Fire Dept. approved job copy set of fire alarm plans or certified microfilm copy of same. 17 This is an "EXISTING "Sprinkler Waterflow and Supervisory System" only and is stated as such on plans. X 18 This Is a NEW "Sprinkler Waterflow and Supervisory System" only and is stated as such on plans. The system is monitored off-site and provides emergency forces notification through a Certificated (_) or Placarded (___) "Central Station Service Fire Alarm" and is stated as such on the plans. A omplete detailed statement of the "SCOPE OF WORK" is stated on the plan. Please note that the complete tenant space, in its 19` a tlrety, will be Inspected for compliance with NFPA 72 (2007) and NFPA 101 (2009), or prior editions of these codes if applicable. Also outline scope of work with bolded dashed lines on floor plan and riser for existing systems. The building is "New"( or "Existin " and is Indicated as such on the plans. F 21 A description of the building is provided, including fire sprinkler systems, fire suppression systems, number of stories, square footage per floor, and elevation of the last occupied floor if over 5 stories. ac A location Key is provided showing the area of proposed work within the building. Also provided is a site key for projects with 22 multiple buildings showing locations of all buildings with addresses 23 All interconnected Fire Alarm Control Panels are arranged to function as a single sstem and monitored for integrity er NFPA 72. `74 The class/style is shown for all Initiating Device Circuits (IDC), Signal Line Circuits SLC and Notification Appliance Circuits (NAC). 25 The maximum number of each device type Is provided for each IDC based on device load or each SLC, based on class and style, k r NFPA 72 and the manufacturer's specifications. 26 ; A speck "Sequence of Operation" including all alarm, supervisory, trouble and control functions such as fire sprinkler, door 'r release, smoke control, elevator recall, suppression systems, and transmission of signals offsite, etc. arespecified on the plan. 27 ,! The type of monitoring station, (Listed Central Station, Remote Supervising Station, Listed Proprietary Supervising Station), where "Sequence alarm, trouble, and supervisory signals are transmitted to, is clearly and concisely stated in the of Operations" 28 The method of communication to the monitoringstation is included on the riser. 29 If this building contains elevators that are not capable of recall, it shall be stated as such on plans and written documentation on elevator contractor's letterhead statin that "Elevators are not capable of providing recall function", Is provided, 30 If this building does not contain a fire alarm system, and the fire alarm panel is used exclusively for elevator recall; plans shall clearly designated panel as "Elevator Recall Control and Supervisory Panel" 31 Manufacturer, model number and unique symbol for each model number is provided for each device, module, relay, component, x ower supply and fire alarm control panel is specified in the symbol legend. t!32 ; Each device, module, appliance and component is identified with its own unique number and indicated on the floor plans and riser. X 33 Floor plans are drawn to 1/8" scale or, if using another scale, all device coverage is diagrammed on the floor plan and all room dimensions are Included. Designed by: Phone #: l 5 4 —1 S� Signature: VI�' Created by: MDFR 0812012 THIS IS A REQUIRED DOCUMENT ON ALL FIRE ALARM PLAN SUBMITTALS 1 OF 2 Miami -Dade Fire Rescue Fire Alarm Pre -Submittal Checklist Based On NFPA 72 2007' Ed. & NFPA 1 and 101 2009' Ed. RM 34 All rooms & spaces are labeled indicating their use, and the occupant load has been provided for all assembly use rooms with an / occupant load of 50 or greater. �( 5 All new, existing, replaced or relocated devices are indicated on the floor plans and a complete riser diagram showing all new and exis in devices_of the entire fire alarm system is -provided. 136 Ceiling a and height is provided for all ceiling mounted -devices. 37 All devices and components located in areas in which the voltage, temperature, and humidity variations exceed those conditions stated in NFPA 72 are listed for conditions and all such areas are identified. J� 38 A note is provided on the plans stating "Room containing FACP, Booster Power Supply, Voice Evacuation and Amplifier panel(s), Dialer, or Radio is mechanical) ventilated", as applicable. 39 The FACP or Remote Annunciator and as applicable EVAC panel or Remote Microphone is located at the main entrance/lobby in �( single tenant buildings, or in a common area main entrance/lobby of a multi -tenant building. 40 The FACP, Communicators, Amplifiers, NAC Panels and all sub -panels are protected with a smoke detector. 41 If a complete automatically activated system, not less than one manual fire alarm pull box shall be provided to initiate system. The pull box shall be located where AHJ specifies. 42 If a manually activated system, the travel distance to reach a pull station is less than 200' feet and within 5' feet of all required floor J and/or building exits. 43 All automatic initiating devices are shown and are located in accordance with NFPA 72, the manufacturer's specifications, and accepted engineering ractices. 44 Area smoke detectors, if used, shall provide coverage throughout the entire smoke compartment. 45 All visual notification appliances are placed per tables in NFPA 72 and each strobe has its candela rating on the floor plan and riser. 46 All corridor spaced strobes are placed a maximum of 100' feet apart and within 15' feet from the ends of the corridor. 47 All spaces throughout the entire building shall meet the audible characteristics of NFPA 72 and NFPA 101. 48 Bell used for water flow annunciation is shown on floor plan, riser and legend. Bell shall be located so as to be visible and heard from roadway or parking area within close proximity to Fire Dept. Connection (FDC). Flow Bell sequence of operations shall state as follows: 49 A) Flow bell shall activate upon water flow only. B) Flow bell shall continue to sound as long as water is flowing. C FACP shall not be capable of silencing Flow Bell. 50 The location of Backflow Preventer (BFP), Post Indicating Valve (PIV) and Fire Dept. Connection (FDC) are indicated on the floor y tans, riser and legend forsprinkled buildings. /1 51 Walls, partitions, racks, shelves and equipment that do not extend to ceiling, are shown with their heights indicated on floor plan. Duct detectors or relays for duct detectors are shown on the floor plan and riser for all systems greater than 2000 CFM supply or greater than 15,000 CFM return. Duct detectors shall derive their 24 volt do power source from the Fire Alarm System to satisfy the monitorin for intri re uirements of NFPA 72.4.4.7, for devices and conductors. Please show corn liance on riser. L54 A complete system riser diagram is provided showing each floor of the buildingwith all zones and circuits labeled. A( The conductor size, type, and quantity are provided for each circuit on riser. The fire pump is monitored for: A) Pump or Motor Running, B) Loss of phase, C) Phase reversal, and, if applicable, D) Controller 55 connected to an alternate source; and are indicated at (__) a continuously manned location, or (___) the supervised fire alarm !X` system, 56 Show all relays on floor plan and clarify function on riser. (Sprinkler, Wet Chem., Dry Chem., Clean Agent, Foam, Elevator Shunt- x Trip, Music Shut -Down, Door Release and other building control functions. 57 The AMPACITY of each Power Supply and Notification Appliance Circuit is specked for each FACP & Power Supply Panel on tans. In addition, the individual device current is specified on riser for each notification appliance Homs / Speakers / Strobes). 58 The total "ACTUAL" footage to the last device along with voltage drop calculations are provided on plans for each NAC for each ower supply. 59 The wattage tap is indicated for all speakers. 60 1 The wattage capacity and load is provided for each amplifier. All load values for "STANDBY" & "ALARM" used in calculations are high -lighted on the manufacturer's specification or installation 61 sheets. Also, AMPACITY of equipment/components and circuits are high -lighted on manufacturer's sheets. O< 62 This system includes Emergency Voice Evacuation and is provided with 15 minutes of secondary alarm power. Required in all high V rises and assemblyoccupancies with an occupant load greater than 300. /� This system is being provided back up power by an emergency generator and will provide 4 hours of standby power plus the 63 appropriate seconds alarm power. X 64 Battery calculations, detailed in chart farm, showing all information required per NFPA 72.4.4.1.5.3.1 are provided on plans for each back-up ower supply. The replacement of the Fire Alarm Control Panel with anything other than the exact same make and model number panel; or the 65 addition of a Fire Alarm Control Panel which will provide or replace any of the functions of the existing FACP, shall require the fire X alarm system to be up -graded to current code standards, per code of Miami -Dade County, Part III, Chapter 14, Article III, Section 14-66 9 & 10 If the scope of work includes greater than one-half of the entire fire alarm system's devices, then the entire fire alarm system shall 66 be up -graded to current code standards, per code of Miami -Dade County, Part III, Chapter 14, Article III, Section 14-66 (9). Designed by: Phone #: 7,N ` `��Is crp Signature: Created by: MDFR 08 / 2012 THIS IS A REQUIRED DOCUMENT ON ALL FIRE ALARM PLAN SUBMITTALS 20F2