MC-14-1472Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-215586
Scheduled Inspection Date: November 19, 2014
Inspector: Perez, JanPierre
Owner: , BARRY UNIVERSITY
Job Address: 11300 NE 2 Avenue Fine Arts Quad
Miami Shores, FL 33138-0000
Project: BARRY UNIVERSITY
Contractor: THERMAL CONCEPTS INC
5unding Department comments
Permit Number: MC -7-14-1472
Permit Type: Mechanical - Commercial
Inspection Type: Final
Work Classification: Addition/Alteration
REPAIR AND REPLACE CHILL WATER PIPE INSULATIONI Infractio
LOCATED ON ROOF OF BUILDING INSPECTOR COMMENTS
Phone Number
Parcel Number
False
1121360010160-06
Phone: 954-472-4465
November 18, 2014 For Inspections please call: (305)762-4949 Page 5 of 41
Inspector Comments
Passed �1
Failed
Correction
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
November 18, 2014 For Inspections please call: (305)762-4949 Page 5 of 41
W�D#��lD611�D0�
Pexh rJ
BUILDING
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
PERMIT APPLICATION
FBC 20
Permit Type: MECHANICAL
JUL 10 2014
Permit No.
Master Permit No.
Owner's Name (Fee Simple Titleholder)?Q.PA �� ��� �� \ Phone #
Owner's Address 11,3 D® U. e, L AUC
Ci ty HI A Ma 6k Q -r--5 state F L zip ,3 I A �
Tenant/Lessee Name NO N i✓ Phone #
Email
Job Address (where the work is being done) 1 j I V � E 2 Ad t, — ,' w S
City Miami Shores Villaee County Miami -Dade zip
FOLIO / PARCEL # 11 > Z I � L - (0f) - 0Q5 0
Is Building Historically Designated YES NO V Flood Zone
Contractor's Company NameT1A1C(Q,%h �� Phone #
Contractor's Address. Co ".0c -le G
City 'ON(t State 'F:(—k zip
Qualifier Name L &W re nck- to �ra- /� Phone # �i 6 L4 L412 - U d ( 5
State Certificate or Registration No._ &A(- Q ?Ahl1 Certificate of Competency No.
Contact Phone __%q - g cA1 E-mail. [)S[ 1+ P ACA -PHEW 01 W mrk-I E S, O C T
Architect/Engineer's Name (if applicable) r V Phone # /A,
Value of Work For this Permit $ t 1 { o I_D Square / Linear Footage Of Work:
Type of Work: ❑Addition []Alteration ❑New { Repair/Replace ❑ Demolition
Describe Work: -(I,-�>t
xsrx-rm o i -A
Submittal Fee $ 1 -r,, Permit Fee $� /)� CCF $ CO/CC $
Notary $
Training/Education Fee $.
Scanning $ Radon $.
Double Fee $
Structural Review. $
DPBR $
Technology Fee $
Bond $
Violation date:
Total Fee Now Due
See Reverse side
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 he 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.he job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence ofTsuchposted no the
inspection will not be approved and a reingpectionfee will be charged.
I &M -
,Signature Si
Owner or Agent
The foregoing instrumentwasacknowledged before me this
day of 'b , 20 =l , by SUSAN ftS� pt, ,
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC*
fh1w�. 1
Print:
My Commission
My coIvI MoN # EW6829
EXPIRES: Novi 12, 2014
APPROVED BY
(Revised 07/10/07XRevised 06/10/2009)
Contractor
The foregoing instrument was acknowledged before me�tlhis t
day of 20 �, by AWye_V1Pe J rIQ_V V&
who is personally known to me or who has produced
6s ' as identification and who did take an oath.
W I 1 � \% Plans Examiner
Engineer
PUBLIC:
Sign: I I I L L/
L LW
Print: a
MARY C. RAPANESE
`.
My Cc mmmission Ex -
MY COMM. EXP. JULY 19, 2016
COMMISSION t EE 217905
BONDED THROUGH WESTERN SURETY CO.
Zoning
Clerk checked
DATE: 06.19.14
TO: Thermal Concepts
2201 College Ave
Davie, FL 33317
ATTN: Dale
SENT VIA: Pick-up
TRANSMITTAL
Barry University
Facilities Management
11600 NE 2nd Avenue
Suite #15
Miami, Florida 33161
Telephone
(305) 699-3785
Facsimile
(305)899-3794
www.baq.edu
REF: Fine Arts - Chilled Water Insulation
No.
DATE
No. COPIES
DESCIRJPTION
1
06.19.14
1
1 -Signed - MSV MechanicalPermit pp
Received by:
Print
Date
COMMENTS: Be advised key for Business & Finance VP Office is in Finance Office - Located in door lock - on Green Key Chain. Please
return after use. Also, this key is to be returned on Monday.
cc:
SENT BY: Jeff Yao
Construction Manager
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
• +�°`. T940 NORTH ALLAHHAASSSEEMONROE STREET
LT32399-0783
MAURER, LAWRENCE DAVID
THERMAL CONCEPTS INC
2201 COLLEGE AVE
DAVIS FL 33317
>�1'p
Congra#ulations! With this license you become one of the nearly one million 4 D$g
Florldlans licensed by the Department of Business and Professional Regulation 1,E
Our professionals and businesses range from architects to yacht brokers, from
boxers to barbeque restaurants, and they keep Florida's economy strong.
CAC039'6
Every day we work to Improve the way we do business in order to serve you bette
For Information about our services, please log onto www.myfloridalicense.com.
There you can find more information about our divisions and the regulations that ~ 'i+► _ . ,
Impact you, subscribe to department newsletters and loam more about the T$ER]KAL
Department's initiatives.:
mission at the Department Is: License Efficiently, Regulate Fairly. We
8tantly stove to serve you better so that you can serve your customers.
jWk you for doing business In Florida, and congratulations on your new license! 18 itTy>E
sipjsatSem m
.,,
DETACH HERE
��fiATE �� FLbktl
(850) 487-1395
ACS 6-r•:r 5 5 1
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MAUR$,it, LAWRENCL DAVID
2xE$RMAL :CONCLPI =NG_
220'1' LOLL_ EGL AVE
DAVO:F: -
FL .33317 •'.�.`>::_;.,:.,,;,:,
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GOVERftOR .' .
rvQ01 nY AA Rl=nl IIR;=n RY 1 AW
RENT LAWSON
SECRETARY
07/10/2014 THU 11:34 FAX 9547764446 Brown & BYOWM Of FL
2001/001
THERM -6 OP ID: C7
CERTIFICATE OF LIABILITY INSURANCE
DATE iA1M101>1YYYY)•
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED I3Y THE POLICIES DESCRIBED HEREIN IS SUUJECT TO Al.l. THE TERMS,
07/10/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY Oft 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(ie6) 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
Oertlflcate holder In lieu of such endorsementlS)-
PRODUCER
Brown & Brown of Florida, Inc.
CN60.MNE: T
1201 W Cypn s Cm9k Rd # 130
(AH& id Fill: tom, No): _
P.O. Box 5727
Ft. Lauderdale, FL 33310-5727
aimliLFss:
James F. Murphy
INSURERIS) AFFORDING COVERAGE NAIC d
09104/2013
INSURERA:Amerisure Insurance Company 18488
INSURED Thermal Concepts Inc.
_
wsURrp a:Amerisure Partners Ins Cc 11050
College Avenue
Davie, FL 33317
INSURER C: North River Insurance Company _ 21105
INSURER D.Amerisure Mutual Ins. Co. 23386
INSURER E!
INSURER F:
COVERAGES CERTIFICATE NI IMRFR• aGVImInRI Val IRRnee.
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 CONDn'ION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED I3Y THE POLICIES DESCRIBED HEREIN IS SUUJECT TO Al.l. THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED 13Y PAID CLAIMS.
1� SR TYPE OF IISUPANCE 5116 LI i+OLICY E%P
POLICY NUMBER AD11 YYYY1 IMMIDDNVVYf LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000.00
A
X COMMERCIAL OLNEHAL UARII nY
OL20672050601
09104/2013
09/0412014
PREMIS11-61 ra uccwrOenae
$ 3001000
CLAIMS -MADE ' OCCUR
$ 10,00
MM [XP (Anyone arson)
X Contract Liab
_-
PERSONAL &ADV INJURY
$ 1.5DO,001
_.
GENERALAOOREGATE
$ 2,000,00
PRODUCTS - COMPlUP ALTO
GF.N'L AGGREGATE LIMIT ArPLIE5 PER
$ 2,000,00
POLICY X P�_IrCT LOC
$
AUTOMOBILE LIABILITY
COMBI11tU SINGLE I.Imff
Fa a�a3aril
1,000A0
B
ANY AUTO
CA20666620505
09/04/2013
09/04/2014
HOUILY INJURY (Per parrmi)ALLOWNhU
SrJ IGDULED
AUTOS AUTOS
n)c
INJURY (Por owdonl)
$
HIREDAUIUS X NON-0WNFI)
AUTOS
UAlBODILY
PROPERTYMOE
(PFR ACCIDGN
$
X
UMBRELLA LIAS X OCCUR
EACH OCCURRENCE
$ 10.000.00
C
I
PXCEss LIAR CLAIMS-MAnF
5811020712
09/04/2013
09/0412014
AGGREGATE
S 20,000,000
DED I XT REI ENI ION 0
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ROW 0TH-
X TORY LIMITS
A
ANY PROPRIC.r0gARTNELWXECUTW YIN
OFFIG6RIMEMDCR CXCLUD.07
N rA
C206S53906
04/01/2014
04/01/2015
t L EACH ACCgDENT
$ $00.00
_
(Mandatory in NH)
u
E.LDISEASE - to EMPI OYFF
$ 500,00
E.L.CDISEASE -POLICY LIMIT
DCRCAeUt'LKArIONG hel.
S 500,00
D
Equipment Floater
CPP20566GOOD0013
08/04/2013
09/04/2094
Equipment 125.0
Laased/Rented
Ded 2.50
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES IMUCII ACORD 101, Addidonal Ren hike Schedule, if more apace Ia required)
CAC039261 Mechanical Contractor
FAX:305-756-8972
MIAM(SH
Miami Shores Village
Building Department
10050 NE 2nd Avenue
Miami Shores, FI_ 33138
SHOULD ANY OF TME ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE IML.L BE DELIVERED IN
ACCORDANCEIIUITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
®1986-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
115 S. Andrews Ave., Rm. /4100. Ft. Lauderdale, FL 33301-1895 — 954-831-4000
VALID OCTOBER 1, 2013 THROUGH SEPTEMBER 30, 2014
Dok T�3zbuu' �a3csPTs-INC ..... °Ipf83-742
TMG/AIRCoenrMON crx
swinioilly-Narrs�. Business -Type. WKeTfFiso AIR Cors CMMU
Owner Nam LAWRENCE DAVID MAURER, Business Opened:04/01/1985
BLq*" Sri Location: 2201 COLLSt3B AVE StatC/COUffty1C8rtfR":CA-C039621
DAVIE Exemption Code:
8uvinee6 Phone:472-4465
Roam Bomb..: 800*001 Maddnee ProfeaNamie
'10
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
TIVS BECOMES A TAX REMPT This tax h levied for the privilege of doing business **dn Bmward Caxdy and is
norKeguh tory in nature. You must meet all County andfor MwWpdV plannbrg
WHEN VALIDATED and zoning mquUemerds. This Business Tax Receipt must be transfOmed when
the budness is sold, business n ome has flanged or you larva moved the
bushuess locedlon. ThB receopt does not indicole that the business is legal ort o
it is In compliancewith Stabs or tical liars and reguft m.
Malgng Address:
THERMAL CONCEPTS INC
2201 COLT AVE
DAVIE, PL 33317
2014
RWeipt #138-3.2-00010403
Paifl 07/18/9013 27.00