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ELC-14-1849LI, Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-218433 Permit Number: ELC-8-14-1849 Scheduled Inspection Date: May 07, 2015 Inspector: Devaney, Michael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue LaVoie Hall Miami Shores, FL 33138-0000 Project: BARRY UNIVERSITY Contractor: DADE ELECTRIC SERVICE INC auiiding Department Comments OFFICE SPACE RENOVATION Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition/Alteration Phone Number Parcel Number 1121360010160-12 INSPECTOR COMMENTS False Phone: (305)887-4645 Inspector Comments _ p Passed Er i/'qr Failed ❑ tz e Correction, Needed Re -Inspection ow/❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. May 06, 2015 For Inspections please call: (305)762-4949 Page 5 of 42 0 Miami Shores Village Building Department AU '2 5 201 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972t` INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No.—' 01 PERMIT APPLICATION- Sub Permit No.��-`�� 1 � - ❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS [:]CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: (LAVO I E HALL) 11300 NE 2ND AVENUE City: Miami Shores County: Miami Dade Zip: 33161 Folio/Parcel#: 11-2136-000-0050 Is the Building Historically Designated: Yes NO . Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): BARRY COLLEGE Phone#: (3 0 5) 899-3000 Address: 11300 NE 2ND AVENUE City. MIAMIState: FL Zip: 33161 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: DADE ELECTRIC °SERVICE INC Phone#: 305-8$7-4645 Address: 8191 NW 91ST TERRACE SUITE 9 City: MEDLEY State: FL Zip: 33166 Qualifier Name: RICHARD M. WHITE Phone#:305-887-4645 State Certification or Registration #: EC 0 0 0 0 94 6 Certificate of Competency #. DESIGNER: Architect/Engineer: SYNALOVSKI ROMANIK SAYE Phone#: 954-961-6806 Address: 1800 ELLER DRIVE SUITE 500 City:F . LAUDERDALEState: FL Zip: 3 3 316 Value of Work for this Permit: $ 3 3 , 0 0 0. 0 0 Square/Linear Footage of Work: 2 , 9 0 0 Type of Work: ❑ Addition 0 Alteration ❑ New Description of Work: OFFICE SPACE RENOVATION Specify color tile: tile: r Submittal Fee $ "c�'�-� v Permit Fee $ 9190 !n� CCF $, Scanning Fee $ Radon Fee $ Technology Fee $ Trallning/Education Fee $ Structural Reviews $ (Revised02/24/2014) ❑ Repair/Replace ❑ Demolition DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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. Signature 91 — OWNER or AGENT The foregoing instrument was acknowledged before me this - day �u of �� .20 �t by A,4 U Semi A-/ , who is personally known to me or who has produced as identification and who did take an oath. NOTARY Print: Seal:„b,,aa._. _. ---- MY COMMISSION # EE36829 �a EXPIRES: Novenber 1Z 2014 . 6FF °...e.. FL NoWy D mt AU= Co. CONTRACTOR The foregoing instrument was acknowledged before me this 30 day of JULY .2014 by RICHARD M. WHITE , wh s personally kno to me or who has produced as identification and wb(o did take an oath. NOTARY wwa�ex�«+te*+v*a�u�ra��xa+x�ea*ea��xwsa�xwe�s*www+s�xe�xwwe�sa*a�+eaex�+r*wea�s�x*a�q APPROVED BY Pleol"Pians Examiner Structural Review (Revised02/24/2014) Notary Public State of Florida Albert Mendez My Commission EE 850325 Expires 121228018 Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING MIELECTRIC ❑ ROOFING Master Permit No. 00 - I �q - COL3 Sub Permit Noli� -o e (4ASQff REVISION ❑ EXTENSION ❑ RENEWAL ❑PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION SHOP CONTRACTOR DRAWINGS 10B ADDRESS:All 10 ny e ��f �I - L& X 7A kt City: Miami Shores County: Miami Dade Zip• Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Address: l l City: NI1AVAII� Tenant/Lessee Name: Email: hone#: CONTRACTOR: Company Name: t erc / c— Phone#: 1 Address:-71?11�IA City: M, State: Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: —Architect/Engineer: �7 ff Phone#: Address: �Cx✓O �`�' ��0 0� City: /-&,-& d,(- state: F Zip:. 3`2 X Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration E-1New f� ❑ Repair/Replace ❑ Demolition Description of Work. OZ -10C moi/ Specify color of color thru tile: Submittal Fee $ Permit Fee $ %S / d® CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Structural Reviews $ Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) 1 Bonding Company'sName (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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 low 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. SlgnaturL4" OWNER or AGENT The foregoing instrument was acknowledged before me this 1Z day of JIiw �R' � 020 19 , by S@who is personally known to Signature . q CONTRACTOR The foregoing instrument was acknowledged before me this 2.3 day of, !! y 20 1 , by , who is personally known to me or who has produced as me or who has produced a as identification and who did take an oath. identification and who did ake an oath. NOTARY PUBLIC: J NOTARY U N public bite of Florida / '\ 11 A n �� 1 Mlv om EE 850325 Print: Print: JeRry J Y8o Seal: � MyCommisW nFF188481 Seal: erw Expkes IllIZ2018 1®,lrl! APPROVED BY Z Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) r" --MON DADEE01 OP ID: MA '4 Ro CERTIFICATE CSF LIABILITY INSURANCE ��'MI0"YY''' 10/3412414 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. MPORTANT: 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 snderssmenffsl_ PRODUCER FILER INSURANCE, INC. 9440 S.W. 77 Avenue Miami„ FL 331566 Keith R. Miller INSURED Dade Electric Servi 8191 NW 91 Terr #9 Medley, FL 33166 Inc. INSURER 9: Hanover INSURER C : BrldgeflE P -Ins: -Go: --- Ins. Co. ers Ins. Co. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 95 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. LNSR TYPE OF INSURANCE ADD SUB POLICY NUMBER MMID EFF MMID EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 0 occuR X X ZDJ8478444 11101!2014 11101!2015 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES Ea cccurrerrce $ 300,0 MED EXP (Any one person) $ 3,00 PERSONAL & ADV INJURY S 1,000,00 GEN'! AGGREGATE LIMIT APPLIES PER: POLICY a JECT LOC OTHER. GENERAL AGGREGATE $ 2,000,00 PRODUCTS -COMPIOPAGG $ 2,000,00 $ AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS X X AZJ8468258 11/01/2014 11/01/2015 COMBINED SINGLE LIMIT Ea accident $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accU $ B X UMBRELLALUAB EXCESS LIAS X OCCUR CLAIMS-tNADE X X UHJ8478443 11/01/2014 11101/2015 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ DED I I RETENTION $ S C WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTiVE OFFTCER/MEMBER EXCLUDED ® (Mamfamwir in NH) D Aescribe under PTIONOFOPERATIONSbelow N I A X 0830-48420 11/01/2014 11/01/2015 X PER OTH- STATUTE ER E.L. EACH ACCIDENT S 1,000,00 E L DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) See note attached STOBS01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Stobs Brothers Construction THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Carol Stobs 580 NE 92 Street AUTHORIZED REPRESENTATIVE Miami Shores, FL 33138 dL—Q- Manelle Beraza P184346 4 ®1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD