ELC-15-1529 (2) 1
�9 Miami Shores VillagRECI
e
yr� Building Department JUN
V 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 —
Tel:(30S)79S-2204 Fax:(305)756-8972 ���
INSPECTION LINE PHONE NUMBER:(305)762-4949
t FBC 204
BUILDING �3 -3 1 Master Permit No. C6-3-16'52=
PERMIT APPLICATION Sub Permit No:cL
❑BUILDING CE ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING [:] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: L` N1,W_
City: Miami Shores County: Miami Dade Zip: WAtoI
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construct`io'n Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): V �� e i s Phone#:
r��
Address: \kIAZ l41E_ L-...
City: State: Zip: Munk
Tenant/Lessee Name: Phone#:
Email:
nk
CONTRACTOR:Company Name: �ae'A i"\V�U��i'il; �1 '\cZi� Phone#: 3C.6 -w" -\ma
Address: !A Y1
City: State: Zip: 3",-N\
Qualifier Name: �v+ Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit:$ O. Square/Linear Footage of Work:
Type of Work: N Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: e4,2t,i� C
Specify color of color thru tile:
Submittal Fee$ J Permit Fee$ /t P &P CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Revile ws Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
• S �r
ROWD RUANER ELECTRIC INC
4735 S.W. 74 AVE
Miami,1{133155
Electrical Contractor
Since 1994
Fire Alarm-Data-Automation
State Certified EC-0001696 �
F:305-267--1530
www roadrumerokctric.com O '3
0.
Boriding Company's Name(if applicable)
Bonding Company's Address
City State Zip
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 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 a abs nce of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
&4w Signature Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
Ao day of�/4'�- 20� ,by ,�(( //���"��day of ��yl-. ,20 by
-7n o3�7 who is personally known to ftl � � �'� ,wh is personally known to
Me or who has produced as me or who has produced as
identification and who did take an oath. identification and wh did take o
NOTARY PUBLIC: %W11111ill/111, NOTARY PUBL
\``����� ••IRIS Tgga
• � ;GpMMISgj�•;� ice /
Sign: ,•'�, �d128,�,�6f: _Sign:
Print --1�� A� t `�•� N; Trint: �-' �
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Seal: �•.�`9��gj�a�r,,�. . OSeal ��t� m�J
'�AG••"�C eNiv+ 't Q�\\` �4.��p„ SMY QIII I..
//���/�+•••••••• p�`���\ � P %�'. MY COMMISSION#IS:854717
EXSTATE O� PIRES:November 28,2018
Bon*Thm Nor puM UndeWNS
wwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwwww wd��8wwwwwwwwwww
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
. 33 Y
Miami Shores VillagePe e a '1b, MM
l t�)
10050 N.E.2nd Avenue NE
dirk �aC4ddit Alter6l�rt
" Miami Shores,FL 33138-0000
" . Phone: (305)795-2204 ` �3E 'T !
�. isar �t �t4120 Expiration: 01131/2016
Project Address Parcel Number Applicant
11300 NE 2 Avenue Number: Landon Studen 1121360010160-32 BARRY UNIVERSITY INC
Miami Shores, FL 33138-0000 Block: Lot:
Owner Information Address Phone Cell
BARRY UNIVERSITY INC 11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
11300 NE 2 Avenue
MIAMI SHORES FL 33161-6628
Contractor(s) Phone Cell Phone Valuation: $ 1,500.00
ROAD RUNNER ELECTRIC INC (305)267-1013 Total Sq Feet: 0
Type of Work:FIRE ALARM ADD NEW RELAY FOR KITCHE Available Inspections:
Additional Info:
Inspection Type:
Classification:Commercial
Final
Scanning:3 Meter Box
Alteration
Relocation
Fire Alarm
Service Change
Review Electrical
Review Electrical
W.W.
Underground
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.20
DBPR Fee Invoice# ELC-6-15-56049
$2.25 08/04/2015 Credit Card $ 110.70 $50.00
DCA Fee $2.25
Education Surcharge $0.40 06/22/2015 Credit Card $50.00 $0.00
Permit Fee $150.00
Scanning Fee $3.00
Technology Fee $1.60
Total: $160.70
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing informati n is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore,I authorize the above- a contractor to do the work stated.
August 04, 2015
Authorized Signature:Owner / Applicant / Contr or / Agent Date
Building Department Copy
August 04,2015 1
SIEMENS Fire SWbW
TRI Series
Intelligent Initiating Devices Interface Modules
for MXL Fire Detection Panels TRI-S,TRI-DZ `l
ENGINEER AND ARCHI SPECIFICATIONS
• Interfaces and Supervises Normally Open Contacts
• Integral SPDT Relay(up to 4 amps) on TRI-R Model
• Dual Input onTRI-D Model
• Multi-color L.E.D. indicates status (green, amber, red)
• Easy front access to programming port and ' ' #
wiring terminalsmg
• Mounts in 4 inch square 2'/4 deep box, or double
gang box
• Dynamic Supervision
• Comes with 5x5 inch faceplate
• Two wire operationt �R
• Model DPU or FPI-32 Programs and Verifies ,
Device's Address and Tests Device's functionality
• Electronic Address Programming is Easy
and Dependable
• UL Listed, ULC Listed
CFSM, FM, NYMEA Approved
Introduction module reports the contact's status to the control
The TRI Series Intelligent interface modules are panel. The TRI-S model can only monitor and report the
designed to provide the means of interfacing direct status of the contact, while the TRI-R incorporates an
shorting devices to the MXL system's ALD loop addressable Form C relay. The TRI-R relay and contact
circuit. device input are controlled at the same address. For
the MXL system, the relay and input contact can be
TheTRI Series Intelligent interface modules provide controlled as a separate function. The relay is typically
the market's most advanced method of address used where control or shunting of external equipment
programming and supervision, combined with sophis- is required.
ticated control panel communication. Each TRI Series
interface module incorporates a microcomputer chip. The TRI-D is a dual input module and is designed to
The TRI Series microcomputer chip technology and its supervise and monitor two sets of dry contacts.This
sophisticated bi-directional communication capabilities interface module requires two address settings. The
with the control panel, achieve the state of an "Intelli- TRI-D is ideal for monitoring a waterflow switch and its
gent Device! respective valve tamper switch.
The TRI has a multi-color Light Emitting Diode that
Description flashes green when operating normally, amber if unit
The TRI Series Intelligent interface modules are avail-
able in three models. The TRI-S and TRI-R are designed
to monitor a normally open dry contact. The interface
CATALOG NUMBER 6179
is in trouble condition, and red to indicate a change of Mounting Data
state. The TRI-D flashes twice, once for each address, Addressable interface Model TRI-S,TRI-D,TRI-R
the TRI-R red L.E.D. indicates a change of state in
the relay. mounts directly into a 4 inch square 2'/a deep box
or a double gang box (user supplied). A 5 inch square
The device's microcomputer chip has the capacity of off-white faceplate is included with each TRI.
storing, in memory, identification information as well
as important operating status information. cUrlmr" S
FOR,a INCH
Siemens Building Technologies, Fire Safety Division SVATCHBOX
innovative technology allows all TRI Series intelligent
interface modules to be programmed by using the - -
model DPU or FPI-32 Programmer[Tester. The Pro-
grammer/Tester is a compact, portable, menu driven —
accessory that makes programming and testing an
interface device faster, easier and more dependable MODULE
than previous methods. '
The DPU or FPI-32 eliminates the need for mechanical WKOLE
' (
addressing mechanisms, such as program jumpers, - S FOR
DIP switches or rotary dials, because the Programmer/
t` diTtir�LATE
Tester electronically sets the TRI interface's address
into the interface's microcomputer chip nonvolatile
memory. Vibration, corrosion and other conditions that _
deteriorate mechanical addressing mechanisms are no
longer a cause for concern. MOUNTING SWT-13
The TRI Series is fitted with screw terminals for FOR DOUBLE
connection to an addressable circuit. SWITCHBOY
The TRI Series is fully compatible on the same MXL Figure
circuit with all intelligent FP, IL and ID-60 Series Mounting the TRI-S/-R/-D
detectors, MSI Series addressable manual stations
or any other addressable intelligent modules, such
as the CZM or ICP. Electrical Ratings
All TRI Series intelligent interface modules are
UL listed. 'C 1 i3r r_Ap cit to b+} f l
Environmental operating conditions for all TRI Series TRI Relay Ratings
modules are 32°F (°C) to 120°F (49°C) with a relative Resistive: 4A, 0 VAC
4A,30 VDC
humidity of not greater than 93% non-condensating.
Inductive: 3.5A, 120 VAC (0.6P.F.)
Ordering Information 3.OA, 30 VDC (0.6P.F.)
2.OA, 120 VAC (OARS.)
Shipping Wt. 2.OA, 120 VAC (0.35P.F.)
Model Description Lb. Kg. 2.OA,30 VDC (0.35P.F.)
TRI-S Single Input 7 oz 2
TRI-R Single Inputw/Relay 7 oz. 2
TRI-D Dual Input 7 oz. 2
Fire Safety Fire Safety
8 Fernwood Road 2 Kenview Boulevard
Florham Park, NJ 07932 5/06 Brampton, Ontario
Siemens Building Technologies Tel: (973)593-2600 5M Canada L6T 5E4
g nog12S FAX:(973)593-6670 SFSAG Tel: (905)799-9937 May2OO6
Fire Safety Website: vdww.sbt.siemens.com/fis Printed in U.S.A. FAX:1905)799-9858 supersede.ansa:dated gyros
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
AND/OR DEPARTMENT OF ENVIRONMENTAL RESOURCES MANAGEMENT
13
PROVIDE MUNICIPAL PROCESS NUMBER HEREt.
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Contractor No. m Otte
Job Address \\
U.y 1Z Z Last four(4)digits off Qualifier No. ►��`�\
z� Folio ° Contractor Name '\-4 c>, �say Ct ��e Q�
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Metes and bounds
03 Address
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City wkt i � State Trp \ 'y
[ ] Ne\i Construction on [ ] Demolish Current use of property r.•
co Vacant Land [ ] Shell Only
ZU.Uj [ Alteration Interior [ ]Addition Attached
°UJI [ ]Alteration Exterior [ ]Addition Detached Description of Work �®
a'o Relocation of Structure [ l Re-Roof F
] Foundation Only
[ ] Enclosure Sq. Ft. nits Floors
[ ] Repair v�OO.O®
[ ] Repair Due to Fire Value of Work
[ ] MBLD" [ ] Chg. Contractor Owner
W Category [ ] Re-Issue Address
[ ] MELE ` [ ] Re-stamp H City \�%Nyz\�� State - Zip
[ ] MLPG W Phone
W [ ] MMEC _ W [ ] Revision
a o Last four(4)digits of
�] FIRE OA [ ]Not Applicable for
Fire Owner's Social Security No.
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W Name iPVIF� Name
z g Address ►������ $►;`KAt w W Address
City WP.W� State Trp \�� OZ LU he
City State Zip
a Phone _ Uo4s) ° - \0�3 a W Phone
I am requesting a Special Request Plan Review(SRI)to be scheduled as soon as possible at the rate of$190 for the rirst hour and
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$65 per each addition hour in addition to the review fees. Minimum charge one-hour.
yw w 1st Request: Date:
o E 2"d Request: Date:
yj a 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
a it review fees may apply.
14a
OO
1st Request: Date:
r
0 2"d Request: Date:
c3`d Request: Date:
Y:\Porm 00102-Municipal PurmitAppliotiomdoc
A `r
..
` MIAMI•DADE 3.
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: July 8, 2015 REVIEW BY: Lt. C. Nash AI-Imam
BLDG. DEPT. TK#: 225198 BLDG. DEPT. M2015011376
NAME OF PROJECT: Kitchen upgrade
ADDRESS: 11300 N Miami Ave
1. UNIQUE ID NUMBER FOR RELOCATED DEVICE IS ILLEGIBLE.
2. PROVIDE BOLDED DASHED LINE FOR SCOPE OF WORK ON RISER, FOR RELOCATED
DEVICE.
3. 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"FAST-TRACK" FOR REWORK
(For questions, concerns, or clarification on disapproval comments, you
4 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.clov/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.miamdade.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-q v/mdfr
`A
A V ► ' I J 1
ARCHITECTURE
Designing Possibilities
Since 1938
STOCKHOLDERS
William B.Harvard,Jr.,AIA April 9,2015
,I :*ey E.Cobble,AIA
Michael K.Hart,AIA
Ward J.Friszolowski,AIA
Steven M.Heiser,AIA
Alejandro F.Gonzalez,AlA Mr. Ismael Naranjo, Building Official
Jack Williams,Jr.,AIA Miami Shores Village Building Department
Stephen L Johnson,AIA 10050 NE 2Avenue
Philip L Trezza,Jr.,AIA
Rend Tercilla,AIA Miami Shores Village, Florida 33138
Jacquelyn S.Spears,ASID
Leslie D.Brunell,AlA Re: Barry University—Landon Hall Roussell Dining Hall-Serving Line Remodel
Maria Harvard Rawls
Louis B.Kubler11 11300 NE 2nd Avenue, Miami Shores, FL 33161
Charles J.Clees,RLA,ASLA Miami Shores Village Plumbing and Building Comments—CC-15-522
Howard W.Braukman,AIA HJA Project No: 14160.01
Drazen Ahmedic,AIA
Ronald R.Zajac,AIA
Joseph E.Blouin,Jr.,AIA Dear Mr. Naranjo:
Winola H.Davidson,IIDA
Amy E.Jarman,RA
Candace E.Shepherd Please accept our responses to the following comments posted for the above mentioned
Robert S.Cusick,AIA project. They are as follows:
Damond Holloway,AIA
Michael R.Johnson,AIA
David N.Sobel Plumbing Comments:
Debbie D.Wilkinson,AIA 1. As per Miami-Dade Ordinance Chapter 8-10 - show the location of all applicable
Bobby Cresap,RA utilities.This shall include but not limited to sewer, sewer lateral, water meter, water
Carole F.Mayer
Laurie D.Henry service and any gas lines or tanks on property.
Chad Jones,AIA
Emmet
yE.We er,AlA,AlA Response: Project scope is a renovation to the Dining/Serving Area of the Roussell
Amy E.Weber,AIA p � p �` g
Dining Hall at Barry University. Existing waste,vent, and cw piping within the building
that were impacted are shown on Drawing P.101. Existing site utilities were not
impacted. Drawing P.501 revised to include site plan showing existing grease
interceptor and sanitary serving building.
2. FBC 107.1 Plans shall be submitted to DERM for review and approval.
Response: Contractor shall submit.
3. FBC 107.1 Approval from The Department of Business and Professional Regulation
division of Hotel and Restaurants.
Response: This project does not fall under the DBPR, this project falls under the
Department of Health.
See excerpt from Florida State Statutes:
In Florida,three agendes share responsibilities for ensuring that only safe,and wholesome food
is provided to the public Those agendes are the.- The Department ofAgriculture and Consumer
Services (DADS), The Department of Business and Professional Regulations (DBPR) and the
2047 Vista Parkway,Suite 100 Department ofhealth.
West Palm Beach,FL 33411 . The Department of Agriculture and Consumer Services conducts inspection on grocery
(561)478-4457 stores,food processing plants,food storage and distdZit on points
www.harvardaollv.com
AAC000119
Barry RDH—Miami Shores Plumbing and Building Comments
April 9,2015
Page 2 of 4
• The Department of Business and Professional Regulation licenses and Inspects restaurants, mobile food
vehides and caterers
• The Department of Health is responsible for working with food service establishments that indude
lnswutlons,schools,civic or fiatemal organizatlons,bars and lounges,and theaters that serve traditional
theater foods(such as soft drinks, popcorn, hot dogs, etc) The Department of Health also addresses
temporary food events,mobile food units,and vending machines that operate at or through any of these
fadlities County Health Departments inspect and issue food certificates to these fadlrties Unless
exempted,these food operations need to comply with food manager certification requirements
Our project falls under the Department of Health responsibility.
4. FBC 107.1 Water Supply Certification. All new construction, addition, renovation or changes in use
resulting in an increase in water consumption need a Water Supply Certification letter. The Miami-
Dade Water and Sewer Department's program is designed to assure adequate water supply is
available to all County water users.
Response: Scope of project does not increase the existing building water consumption.
5. FBCP 604.4 Maximum flow and water consumption. As per Miami-Dade Ord. 8-14 separate sub
meters shall be required for each tenant space.
Response: This is a renovation.The building does not have multiple tenants. Code reference does not
apply.
6. FBCP 607.1 Hot water supply at hand sinks tempered water.
Response: Project scope does not include any new hand sinks. Existing hand sinks that are served by
hot water are fed by 110—120 degree hot water piping system per existing drawings.Code referenced
allows either hot or tempered water to hand sinks.
7. FBCP 608.13 Backflow protection. Means of protection against backflow shall be provided in
accordance with Sections 608.13.1 through 608.13.9.As per Miami-Dade County Ord. Sec. 32-154 all
buildings to come into compliance.
Response: Backflow prevention is provided to equipment requiring backflow prevention per code listed
above. Refer to Food Service Equipment General Notes#4 and#6 on Drawing P.001.
8. FBCP 802. All indirect waste piping that exceeds two feet in developed length measured horizontally
or four feet total developed length shall be trapped.
Response: Note added to Food Service Equipment General Notes on Drawing P.001 to comply.
9. FBCP 1003.1 Provide size and location of grease trap for the Dining Hall. Shall meet requirements for
FBCP 2010 and DERM Chapter 24 Miami Dade County FOG I.S.
Response: Grease interceptors are existing, and project scope does not impact size. Drawing P.501 is
revised to include site plan showing existing grease interceptors.Grease interceptor sample station has
been added downstream of existing grease interceptors. Refer to Sample Station Detail added to
Drawing P.001.
E U 11u, IA 11MMi
ARCHITECTURE
Barry RDH—Miami Shores Plumbing and Building Comments
April 9,2015
Page 3 of 4
10. FBCP 1003.5.1 Provide calculation used to establish grease trap size based on seating capacity of
dining hall.
Response: Grease interceptors are existing. Project scope does not increase Dining seat capacity.
Capacity is actually reduced to the increase in millwork and the size of the food service equipment
which was replacement for the serving line and salad line.
11. FBC FG 401 Provide type of gas to be used (Natural gas or LP). List gas table to be used for gas, inlet
pressure, pressure drop and specific gravity. • Provide gas isometric showing the following • Source
and type of gas • Pipe material • Pipe size • Total BTU's • Total developed length.
Response: Project scope does not include gas equipment or impact the existing gas piping installation.
References to gas in the Plumbing Legend on Drawing P.001 have been removed.
12. FBC FG 505.1.1 Commercial cooking appliances vented by exhaust hoods.Where commercial cooking
appliances are vented by means of the Type I or Type II Kitchen exhaust hood system that serves such
appliances, the exhaust system shall be fan powered and the appliances shall be interlocked with the
exhaust hood system to prevent appliance operation when the exhaust hood system is not operating.
Dampers shall not be installed in the exhaust system. Exception: An interlock between.the cooking
appliance(s) and the exhaust hood system shall not be required where heat sensors or other
approved methods automatically activate the exhaust hood system when cooking operations occur.
Response: The exhaust hood will be furnished with a factory installed heat sensor located in the
exhaust duct collar. The heat sensor is interlocked with the hood control panel and will automatically
start the fans once cooking occurs and the surface temperature of the appliances reaches 85 degrees.
The heat sensor is accepted by the FBL Fuel Gas Code 505.1.1. The detail for the heat sensor is shown
on Sheet 1 of the Captive Aire Shop Drawing on the plan view of the hood.
Building Comments:
1. Fire, DERM, Health Department,and DBPR Hotels and Restaurant section approval required.
Response: Acknowledged. The plans have been submitted to Fire, DERM,and Health Department for
review and have been approved. This project is not under the DBPR regulations. See response under
Plumbing Comment 3 above.
2. Sheet X1.1 Code Criteria. Accessibility should be based on the 2012 Florida Accessibility Code
pursuant to Section 553.503, Florida Statute.
Response: The code reference has been updated on Sheet X1.1.
3. On the floor plan show the location of the required accessible seating.
Response: Please note,all seating is existing and no work is required in the seating area. The existing
seating is flexible and not fixed in place. We have identified the areas for accessible seating on the
updated Sheet A1.2 for your review.
HARVARD-JOLLY
AR C H I T E C T U R E
Barry RDH—Miami Shores Plumbing and Building Comments
April 9,2015
Page 4 of 4
4. See Sheet A-17.1 for red markings.
Response: We have reviewed the red markings on the documents. The section cut tags sheet
reference has been corrected to read A17.1. Updated Sheet A17.1 is attached for your review.
Additional clarifications to the millwork design are included on the revision.
5. Provide smoke index and flame spread for the interior finishes.
Response: The Flame Spread Index is shown on Sheet X1.1. The Smoke Index (Smoke Development
Index) has been added to Sheet X1.1.
6. Show the location of the required occupant load sign.
HJA Response: The locations of the occupant load sign have been identified on the updated Sheet
A1.2.
Sheets which have been revised include:
X1.1 —Comment Clarification Updates and Index Coordination
A1.2 —Comment Clarification Updates
A4.2 —Comment Clarification Updates
A5.2 —Comment Clarification Updates
A17.1 —Comment Clarification Updates and Millwork Updates
P.001 —Comment Clarification Updates
P.501 —Comment Clarification Updates
If you have any questions please let me know. Thank you.
Re tf1 ,
Debbie DeBartolo Wilkinson,AIA, LEED AP, CPD
Associate/Senior Project Manager
Enc: Revised Sheets listed above
cc: File; R. Tercilla — HJA; J. Campbell — Barry University for distribution; D. Smith — Arellano; S.
Wijegunawardana and N.Wilkie—OCI;J.Merlino—MA;
HARVARD-JOLLY
ARCHITECTURE
• Inspector. FAMIALA
Permit
Permit#:
HEALTH
ENVIRONMENTAL HEALTH
1 /f LETTER OF PLAN REVIEW
Date: /�2'�(!�j Facility Type:6,1If
�w
For: O "Construction Water Source:
Iteration for a New Establishment Sewage:
( ) Alteration for an Existing Establishment Septic Tank Approval:
( ) New Name ( ) New Owner
Facility Name: Capacity:LILou s e ire 9 �+All
Owner/Operator Name: Home/Work Phone(—.t5) el 9
d111� e^ Cell Phone: c5
Facility Em it address:
'Lt �� 2 �e
Address:_ foo I �164�.A G ,cam
Mailing Address:
(APPROVAL GRANTED BY THIS DOCUMENT IS FOR THE PLANS REVIEWED AND NOT FORTHE EQUIPMENT
INSTALLED, MATERIALS USED, OR ANY ASPECT OF THE CONSTRUCTION)
These plans have been reviewed and APPROVED ✓HEDISAPPROVED
subject to the following requirements:
1. Comply with chapter 64E-10, Florida Administrative Code,in reference to toilet facilities and the Florida Building
Codes in regards to:
a. Under sink*grease interceptors are not allowed in the food preparation area
b. Provide hot and cold water to all hand wash sinks utilized by employees, including restrooms.
2. Comply with Chapter 64E-6,Florida Administrative Code,Standards for On-Site Sewage Disposal Systems.
3. Comply with Chapter 64E-8,Florida Administrative Code,concerning Water
Systems regulated by the Department of Health
-OR-
Comply with Chapter 62-550, Florida Administrative Code,concerning Water Systems regulated by the Department of
Environmental Protection
4. Comply with Chapter 64E-11, Florida Administrative Code, Food Services, in all respects,including the following:
Page 1. See reverse
Shown
on Plan Provide N/A
Three-compartment sink with hot and cold running water. Sanitizing by asppropriate
chemical(water temperature not to exceed 120°F)or hot water at 170°F.
A 1-compartment❑and/or 2-compartment J�4lnk with hot and cold running water.
Drain-boards provided for two/three compartment sink(s),or moveable dish-table.
Utility sink with hot and cold running water.
Commercial automatic dishwasher of approved type.
Dipper well(required for the service of bulk ice cream)
Water Heater of adequate size for ALL operations requiring hot water.
Hand-wash sink(s)in the food preparation/dish-washing area(s)with hot and cold
running water.
Adequate protection against the entrance of vermin at ALL openings.
Adequate garbage disposal facilities.
' w
AdegUate refrigeration fac)lities equipped with atcurate thermometers.
Adequate restroom fixtures for the facility capacity.
Walls and floors of a smooth,durable,easily cleanable impervious,material.
A coved-type baseboard at the juncture of the wall and the floor.
All stationary equipment sealed to adjacent surfaces or adequate space behind the
upits to[adilitate cleaning.
ADDITI NAL REQUIREMENTS: J
Y' (/(
CL Co I(v k st' e -
f^ 'S CG��k e �� .
I understand that an ' ction of this establishment will bemade f L of t requirements in the
previously Ii hap t s of the Florida Administrative Code.
FLO IDA 0 T H Client Signature:
DADE TY HEALTH DEPARTMENT printed Name: •� �.�
ENVIROWNIENTAL HEALTH
1725 N.W. 167th STREET
MIAMI, FPlan Reviewer Signature:
Printed Name:ZmI//S fp/-/—S
APPROVED FOR PERMIT: Account PIN #:J M_
�hJ�
Amount Du . U Ay ?
Sanitation and Safety Specialist
Date: Amount Paid:
r Page 2. See reverse
l
s
L— I
Inspector. y t
Permit
Viz-
� � a� ,. 3� Permit#:
Hi
ENVIRONMENTAL HEALTH
LETTER OF PLAN REVIEW
Date: �I�1�f�j Facility Type:c6l
For: ( ) "Construction Construction Water Source: _MA W 6
L,YAlteration for a New Establishment Sewage: AA 1,l pq W
( ) Alteration for an Existing Establishment Septic Tank Approval:
( ) New Name ( ) New Owner
Facility Name: Capacity:-! WVZrS( US e yll" RAII
Oyvner/Operator Name: HomeMlork Phone(- ��q
tf01� ( Cell Phone:
Facility Email address:
Address: I t?DD 2
I �� SAA.G t -Cour)
AVn i U , EL 060
Mailing Address:
(APPROVAL GRANTED BY THIS DOCUMENT IS FOR THE PLANS REVIEWED AND NOT FOR°THE EQUIPMENT
INSTALLED, MATERIALS USED, OR ANY ASPECT OF THE CONSTRUCTION)
These plans have been reviewed and APPROVED ti/ DISAPPROVED
subject to the following requirements:
1. Comply with chapter 64E-10, Florida Administrative Code,in reference to toilet facilities and the Florida Building
Codes in regards to:
a. Under sink grease interceptors are not allowed in the food preparation area
b. Provide hot and cold water to all hand-wash sinks utilized by employees,including restrooms.
2. Comply with Chapter 64E-6,Florida Administrative Code,Standards for On-Site Sewage Disposal Systems.
3. Comply with Chapter 64E-8,Florida Administrative Code,concerning Water
Systems regulated by the Department of Health
-OR-
Comply with Chapter 62-550, Florida Administrative Code,concerning Water Systems regulated by the Department of
Environmental Protection
4. Comply with Chapter 64E-11, Florida Administrative Code, Food Services,in all respects,including the following:
Page 1. See reverse
Shown
on Plan Provide N/A
Three-compartment sink with hot and cold running water. Sanitizing by appropriate
chemical(water temperature not to exceed 1209 or hot water at 1700F.
A 1-compartment 0 and/or 2-compartment V4ink with hot and cold running water.
Drain-boards provided for two/three compartment sink(s),or moveable d ssh-table.
Utility sink with hot and cold running water.
Commercial automatic dishwasher of approved type.
Dipper well(required for the service of bulk ice cream)
Water Heater of adequate size for ALL operations requiring hot water.
Hand-wash sink(s)in the food preparation/dish-washing area(s)with hot and cold
running water.
Adequate protection against the entrance of vermin at ALL openings.
Adequate garbage disposal facilities.
AdegUate refrigeration facilities equipped with accurate thermometers.
Adequate restroom fixtures for the facility capacity. s
Walls and floors of a smooth,durable,easily cleanable impervious;matereal.
A coved-type baseboard at the juncture of the wall and the floor.
All stationary equipment sealed to adjacent surfaces or adequate space behind the
k 4 upils to facHitate cleaning.
ADDITI NAL REQUIREMENTS:
( G.n3l 21(ouvw-dSt-/-e .
rovd, 'S r'6'vie e �
I understand that an ' ction of this establishment will be made f L of t requirements in the
previously li hapt of the Florida Administrative Code.
FLORIDA D }T Client Signature:
°JADE JTY HEALTH ✓�EPARTIVENT Printed Name: M,krz,
ENVlRDaW-k,IENTAL HEALTH
1725 WV/. 167th STREET
M1Avl9, 1=raDA5 Plan ReviewerSignature:
Printed Name: yl-.S
1
APPROVED FOR PERMIT: Account PIN #: �--
Amount DuJQ 1Y,3
Sanitation and Safety Specialist )�
Date: Amount Paid:
Page 2. See reverse
FLORIDA DEPARTMENT OP
HEA,T STATE OF FLORIDA �.: arttf�ot Nier
DEPARTMENT OF HEALTH
APPLICATION FOR A SANITATION CERTIFICATE
AUTHORITY: Chapter 381, Florida Statutes
Ins
Willi 1 Prcivide the remainder of •the: #nformatten tequasfed b�iQw � If anp of the ire-c�rn�t
trtfiormatton is tncvrrect phanges Stgn the,app
l anon =returr 1, along the required
ntr> send + ash) aa oto + Hai partimen rtew=:apllcattirt to.rttreuxrtor nein a refaa �as
lor>gs the>tntarmattc►n blow remains the same"
w
NAME OF FACILITY + ` 1
LOCATION �.�a tAl
Street City State ` Zip Code
OWNER'S NAME1''
O.WNER'S ADDRESS J O �- "' 1�1 P _ \( _'. �_ 1 `� �A , 3/C
Street City State Zip Bode
OWNER'S PHONE 'J(��' S 1 �CX�U BUSINESS PHONE
21;""r 01DIE"M�"USLMMENT
School Cafeteria Fraternal/Civic Organization Detention Facility
Hospital Bar/Lounge Residential Facility
Nursing Home Movie Theater Other Food Service
Child Care Center Assisted Living Facility Mobile Food Unit
Limited Food Service
COMMENTS/SPECIAL INSTRUCTIONS: G
x
'THEA A 'NUJ
ordaabl f ° i�rt# Wsitf ►��
t3
it/
M ll)IR Ad C43 a5 city it
z
rrnt:mia 'CIUdt the alb Vtlrssbef+ C
,
The undersigned owner/owner's representative hereby agrees to operate the food establishment described in this
I application in accordance with the regyirements of Chapter 381, Florida Statues, and Chapter 64E-11, Florida
Administrative Code. The infgrmation cp/ntained in this application, which serves as the basis for licensure, is true and
correct. I understand' th an Is representation of the facts in this application, or failure-to comply with sanitary
standards, is grounds for eni or rev cation of the sanitation certificate.
C Sig wner/Ow ee a ive to
-� s z
Si nature'`Enviornmental Health Cfate of Certificate
H 4086,7/98(Replaces DH 4086, 12/97,Which may be used)
(Stock Number:5744-000-4086-6)
pt 2:Applicant's Copy
STATE OF FLORIDA pF COEgT9T�
DEPARTMENT OF HEALTH
PURPOSE: COUNTY HEALTH DEPARTMENT . .s
o ROUTINE o REINSPECTION FOOD SERVICE f
"�o
O CONSTRUCT. O CHANGE OF OWNER INSPECTION REPORT D WE T��s
= COMPLAINT ED CONSULTATION
O QA SURVEY o OTHER
o OTHER V an
NAME OF ESTABLISHMENT t�.t\l1=� 1 � c6 Satisfactory
CITY q o Incomplete
� o Unsatisfactory
ZIP ' °.�.
b,1 Correct Violations by
o Next Inspection
I' �� t�'�tAT�GE PHONE 0 8:00 AM on:
GIN°" END } d
DATE 41OSITION CERTIFICATE NUYIB>I2 TYPE
r[Airtmal
E2 ft atsm - 4g - E� Hospital 05
E3D to FM EB3 E03�O- 05 cW E0-E�a ID3 I� E0D E071 EW o Nursing ��di d: 06
E4E Ilii d:3 ct:t t I t i E_106 dl L-b EmsE1_3 m E!b rAD cID Eb CID Ela J d.E d-` o Detention E21:27 db°° „07
1,20 5--20 E2j cZ E2 c E 07 C12D E2 E21 Eli c2i dtic2i EZi c2i dtiE2DE2ac23rZ
� = Lounge 133 E3j EW=08
ESi 2_5 c&�255 ZW E23 Eal_ 08 E2213D Z"t E33 ESD E3E cW E3E c33 E3j = Civic cm EM t--7 09
t„@
r-23 t30 LY rL� E4=09 1MEM 1b EM 04D EM nucm ou ut Aw, o Movie C51 C5D®10
Atn EEl ��10 c5ic5jc5rc5Dc � c5Jc5E E5IE53Lai i, School E15-1 �=11
' ate
Ego 481 r�40 11 EdDEOiE$7EBE E� C&EOD E�Eel E8I� Residen. � 7. 12
R0143 d045 -23 L7J=12 E±jr71Ml$ ,Fy_� Cyj Em c23 E7:1 c231-7-11T3 = Child z&i a_'=13
41] 1--t 50 $ ca 13 :8,EaE cwt �1&c8_i'E&I&- = Limited E9D -9=14
12:55' 12 5 -9J c9:=14 9 E s rRJr9E_-9-31:90 o Other E- OUT OF BUSINESS
g e utc?14t t r {zr� etit of r� te£° lJ 4f the 1 ric/a 0ministrct4w Cady 4nd mit
FOOD SUPPLIES 0 14.Sneeze guards 0 27.Design and fabrication ® OTHER FACILITIES
C= 1.Sources,etc. = 15.Transportation of food 28.Installation and location AND OPERATIONS
FOOD PROTECTION = 16.Poisonous/Toxic materials O 29.Cleanliness of equipment = 39.Other facilities and operations
0 2.Stored temperature PERSONNEL o 30.Methods o£washing TEMPORARY FOOD
0 3.No further cooking/Rapid cooling p 17.Exclusion of personnel SANITARY FACILITIES SERVICE EVENTS
0 4.Thawing D 18.Cleanliness AND CONTROLS 40.Temporary food service events
D 5.Raw fruits p 19.Tobacco use p 31.Water supply VENDING MACHINES
C� 6.Pork cooking 20.Handwashing p 32.Ice O 41.Vending machines
0 7.Poultry cooking D 21.Handling of dishware 0 33.Sewage MANAGER CERTIFICATION
= 8.Other animal cooking EQUIPMENT/UTENSILS O 34.Plumbing = 42.Manager certification
O 9.Least contact/Reheating 0 22.Refrigeration facilities/Thermometers = 35.Toilet facilities CERTIFICATES AND FEES
010.Food container o 23.Sinks = 36.Handwashing facilities r--1 43.Certificates and fees
011.Buffet requirements o 24.Ice storage/Counter-protector - 37.Garbage disposal INSPECTION/ENFORCEMENT
-12.Self-service condiments = 25.Ventilation/Storage/Sufficient equipment o 38.Vermin control 44.Inspection/Enforcement
013.Reservice of food = 26.Dishwashing facilities
ITEM COMMENTS AND INSTRUCTIONS
` NUMBERS (continue on attached sheet)
OC
C4 u 'U Vr C y,
1
1 v r l D C-
HEALTH DEPARTMENT INSPECTOR: r (�r PHONE:t
ZAVa } d 1 3
COPY OF REPORT RECEIVED BY / � DATE: `
DH Form 4023,1/05(Obsoletes Previous Editions)
ESTABLISHMENT/FACILITY K -
INSTRUCTIONS
Note:Complete this form in its entirety.Shade each applicable bubble in pen or pencil.The EXPLANATION OF CODE REFERENCES is for informational purposes only
and is subject to change.The current Florida Administrative Code should be consulted for the official version of these references.
EXPLANATION OF CODE REFERENCES
FOOD SUPPLIES
1.Food Supplies 64E-11.003.All food is from approved sources.Food is not adulterated misbranded or spoiled.No foods from private homes. Ice must be from an
approved source.
FOOD PROTECTION
2.Storage Temperature.64E-11.004(1)(2).Food is stored at proper temperatures(541°F or>_1400F).
3.Chilled Product/Rapid Cooling,64E-11.004(3). Cold foods shall be prepared from chilled products.Foods shall be rapidly cooled using an approved technique.
4.Thawing.64E-11.004(4).Foods shall be thawed in refrigerators,in microwaves,under cold running water,or as part of the cooking process.
5.Raw Fruits.64E-11.004(5).Raw fruits and vegetables shall be washed prior to use.
6.Comminuted Meats.64E-11.004(6).Comminuted meats shall be cooked to 155 OF for at least 15 seconds.
7.Poultry.64E-11.004(7).Poultry,stuffing,and stuffed meats shall be cooked to 165 OF for at least 15 seconds.
8.Other Animal Products.64E-11.004(8)(9)(10)(11).Raw animal products such as eggs,fish,lamb,pork,or beef(except roast beef),etc.,shall be cooked to 145 OF for
15 seconds.Roast beef and Corned beef shall be cooked in accordance with 64E-11.004.Table 1,FAC.Microwave cooking shall comply with 64E-11.004(10),FAC.
9.Manual Contact/Reheating.64E-11.004(12).All foods shall be prepared with the least possible manual contact. Reheated foods shall be cooked to 165 OF.
10.Storage Containers.64E-11.004(13)(14).Food storage containers shall be clean,covered,and marked with their contents.Refrigerated,ready-to-eat,potentially
hazardous food prepared in the facility,must be marked with date of preparation,if held>24 hours. Food must be stored six inches above the floor.
11.Buffets,Serving/Ice Dispensing Utensils.64E-11.004(16),(19).Buffet foods shall be displayed and served to minimize contamination.Clean plates shall be made
available to customers.Dispensing utensils shall be used to avoid unnecessary manual contact and stored properly.
12.Condiments.64E-11.004(17).Self-service condiments shall be single service or from dispensers that protect their contents.
13.Reservice of Food.6412.11.004(18)(15).Food once served to a customer shall not be served again.Refrigerated potentially hazardous food that requires date
marking,shall be discarded if not sold or served within 7 calendar days.
14.Sneezeguards.64E-11.006(1)(f).Unwrapped foods which are displayed or placed on counters will be provided with sneeze guards or other protection.
15.Transportation of Food.64E-11.004(20).Food and utensils being transported to other locations will be protected.
16.Poisonous Material.64E-11.004(21).Only poisonous or toxic material needed to maintain the establishment shall be stored onsite.They will be used as per the ;
labeling and when used food will be protected at all times.
PERSONNEL
17.Exclusion of Personnel.64E-11.005(1);64E-11.004(22). No person with a communicable disease that can be transmitted through normal food operations will work
in the food prep area. Notify the department in the event of an emergency occurrence that may contaminate the food.
18.Clothing.64E-11.005(2).Employees must wear a hair restraint and clean outer clothing. Gloves must be worn when nails are polished,artificial,or not trimmed.
19.Tobacco.64E-11.005(3).Employees will not use tobacco in the food prep or storage areas.They will wash their hands after the use of tobacco.
20.Washing Hands.64E-11.005(5).Employees will wash their hands after:using the toilet,handling soiled equipment,coughing or using tobacco,eating,etc.
21.Other Practices.64E-11.005(4),(6).Spoons,knives and forks shall be picked up by their handles.Other dishware shall be handled to prevent touching inside or lip
surfaces. Only authorized individuals necessary for the food operation are allowed in the food preparation or utensil washing areas.
EQUIPMENT/UTENSILS
22.Refrigerators.64E-11.006(1),(1)(a).There will be sufficient,working refrigerators. Each refrigerator will have a working thermometer.
23.Prep.Sinks.64E-11.006(1)(b).There will be sufficient,working food prep sinks.
24.Storage.64E-11.006(I)(c)-(e).There shall be sufficient cabinets,water dispensing devices,storage for single service articles.
25.Hoods.64E-11.006(1)(g)-(I).There will be approved hoods over cooking equipment.Proper dispensers for tableware.There will be sufficient spoons,scoops in the
food prep and service areas and sufficient utensils.Dipper wells for ice cream.There will be a janitor sink or can wash.
26.Dishwashing.64E-11.006(m)-(o).There will be appropriate dishwashing equipment.
27.Designed.64E-11.006(2).All equipment will be the proper design and fabrication.
28.Installed.64E-11.006(3).All equipment will be installed and located to facilitate cleaning and allow full compliance with this code.
29.Cleaned.64E-11.006(4).All equipment will be maintained in a clean and sanitized manner.
30.Methods of Washing.64E-11.006(5).There will be approved methods of washing,rinsing,and sanitizing all required equipment.
SANITARY FACILITIES AND CONTROLS
31.Water.64E-11.007(1).The watersupply will be from an approved source.
32.Ice.64E-11.004(19).Ice brought into the facility will be from an approved source.
33.Sewage.64E-11.007(2).There will be an approved sewage disposal system.
34.Plumbing,64E-11.007(3).Plumbing will comply with the plumbing authority having jurisdiction.Backflow prevention will be provided where needed.
35.Toilets.64E-11.007(4).Toilet rooms will comply with the plumbing authority having jurisdiction.Toilet rooms will be vented,provided with toilet paper,well lighted,and
have self-closing doors.
36.Handwash Sinks.64E-11.007(5).Handwash facilities will be located in employees'restrooms,food prep areas,and in mechanical dishwash areas.
37.Garbage.64E-11.007(6).Garbage will be disposed of to prevent vector harborage.Garbage containers will be leak proof.Outside storage will be on top of a smooth
nonabsorbent material.
38.Vermin.64E-11.007(7).Effective measures shall be taken to protect against rodents,flies,roaches and other vermin.All openings to the outside are protected
against vector entrance.
OTHER FACILITIES
39.Other Facilities.64E-11.008.Floors,walls,and ceilings shall be smooth and washable.20 foot candles of light shall be provided.Adequate ventilation shall be
provided.A mop sink or garbage can wash down will be provided.No living quarter shall open to the facility.No live animals.Exterior area shall be kept clean.
TEMPORARY FOOD SERVICE EVENTS
40.Temporary Food Service Events.64E-11.009.All temporary events on regulated facilities will comply with 64E-11.009,FAC.
VENDING MACHINES
41.Vending Machines.64E-11.010.All vending machines on regulated facilities will comply with 64E-11.010,FAC.
PROCEDURES WHEN INFECTION IS SUSPECTED and MANAGER CERTIFICATION
42.Suspected Infection 64E-11.011 Restriction or exclusion of food personnel. Manager Certification.64E-11.012.Managers will have a valid certification.
CERTIFICATES AND FEES
43.Certificates and Fees.64E-11.013.Establishments will have a valid certificate prior to opening.Submit plans for new or remodeled facilities to the Department.
INSPECTION.ENFORCEMENT AND PENALTIES
44.Inspection,Enforcement and Penalties.ss381.0072(2),F.S.Department personnel will have the right of entry into establishments.
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MIAMI�AD6
E'n 2�:-r Miami-Dade Water and Sewer Department
P O Box 026055
Miami, FL 33102-6055
Name: BARRY UNIVERSITY
Account Number: 0213911793 ailing Inquiries(hours 800 AM-4 30 PPA)305.6657477
Billing Date: 04/18/2014 Report any hazardous conditions to 305.274-9272
Past Due Date: 05109/2014 Water Conservation Program information-Call 311
Page 1 of 3
Message Account Summary
Pay your bill and vtew}cora account ori-line Previous Balance $5,308.29
at Payment Received -5,308.29
www.miatnidadegowlvaterrinakega nnenrs. Current Charges 4,921.53
usp. To pay byphone, call!-8"- 63t-93UU
to irse a banktn account or Total Account Balance ' $
1-877-729-5590 to use a credit card.
Service Service Meter Days of Prior Current Consurxil0ion Consumption
From To Number Service Reading Reading in CCF in Gallons
03114/14 04/14/14 99400910 32 11284 11300 16 11968
Service Address: 11300 N MIAMI AVE
Water Charges
,,.ap-"I,,, Water Charges 26.31
n Hydrant Charge „ 0.80
re Water Charges Subtotal $27.11
MR
Aar ma Am ILap Sea 6t ar..v NC.tm a'ap 4Wr q(4• > �.1s`. e.a n +I 7 -•,
c-) ( / ��.5-00 d
Service Service Meter Days of Prior Current Consumption Consumption
From To Number Service Reading Reading in CCF in Gallons
0.3/14/14 04/14/14 45880992 32 58913 5M 452 338096
For more information see back of bill
Return this portion with Payment
Miami-Dade Water and Sewer Department
P O Box 026055
Miami,FI.33102.6055
Account Number Past Due Date Amount Due(US$) Amount Enclosed
0213911793 OSAM014 $4,921,63 Thank you for your prompt
payment
• Payment in US funds must be received by the past due
date to avoid discontinuance of service A 10%late charge w it BARRY UNIVERSITY
be assessed if payment is not received by the past due date ATTN.ACCOUNTS PAYABLE
0 Check box for address change Please print changes on reverse side 11300 NE 2ND AVE
received by the past due date
• Pay by phone or Online MIAMI FL 33161-6628
1.877.565-9300 checking/savings
1877-729.5590 credit card www miamidade gov
02139117936 000000000492153
AAiami-Dade Water and Sew®r Dqmfted
P 4 Box 025
Miami, FL 33102
Name: BARRY UNIVERSITY
Account Number. 0213911793 aang i WWW Omm&.m AM-4.30 PM)3MOS74"
Billing Date: 0411812014 ReW alar Mb=ar s=dd=b Xr3-2?4-9M
Past Due Date: 05MO14 waw Caraervanon PMW=kftfMaftrl-Cd 311
Page 2 of 3
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1rj;•!Yrif ���: -��� �z� Miami-Dade Water and Sewer Department
J -
P 0 Box 026055
Miami, FL 33102-6055
Name: BARRY UNIVERSITY
Account Number: 0213911793 Billing Inquiries(hours 8 00 AM-4 30 PM)305.865-7477
Billing Date: 04/1$/2014 Report any hazardous condlUons to 305.374-9272
Past Due Date: 05/0912014 Water Conservation Program Information-Call 311
Page 3 of 3
Water Fees and Taxes
Meter Number:45880992 Excise Tax 197.75
Utility Service Fee 148.31
Water Fees and Taxes Subtotal �$U6.09
Service Service Meter Days of _ Prior Current Consumption Consumption
From To Number Service Reading Reading in CCF in Gallons
03114/14 04/14/14 99400910 32 11284 11300 16 11968
03114/14 04/14/14 45880992 32 58913 59365 452 338096
Sewer Charges
Sewer Charges 2,387.21
Sewer Charges Subtotal 5 2,=.21
Sewer Fees
Utility Service Fee 179.04
Sewer Fees Subtotal $179.04
0.
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
FBC 20
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
QBUILDING ❑ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION r-1 RENEWAL
❑PLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 11300 NE 2 Ave (Roussell Dining Hall)
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 Titleholder):Bary University Phone#:305-899-3000
Address:11300 NE 2 Ave.
City: Miami Shores State: FL Zip: 33161
Tenant/Lessee Name: Phone#:
Email: JCampbell@barry.edu
r OHUArellano Construction 305-994-9901
CONTRACTOR:Company Name: Phone#:
Address: 7051 SW 12 St.
city. Miami State: FL Zip: 33144
~ Qualifier Name: Frank Vilar Phone#: 305-994-9901
State Certification or Registration#: CGC1522283 Certificate of Competency#:
DESIGNER:Architect/Engineer: Harvard Jolly Phone#: 561-478-4457
Address:2047 Vista Parkway, Suite 100 City: West Palm Beach state: FL Zip: 33411
Value of Work for this Permit:$750,000 Square/Linear Footage of Work:
Q Alteration ❑ New El ❑ Demolition
Type of Work: El Addition
Description of Work: -Xvyle-n o r RewiJe-1 of eX i T t Y1 q b tm i Vt Cx "al
ooJ Se, ICe 619 ZIA T7vpy dewy® X e-n4 1G ���►� �e� NIoc3'-�ICA��ovls
4'o Mr-,P Coy, in w &J Sey-Vio hv\-C.color of color thru tile:
Submittal Fee$ Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
(Revised02/24/2014)
a
e
Bonding Company's Name(if applicable)
FVnding Company's Address
City State Zip
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 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.
7
A
Signature Signature
G "
OWNER or AGENT CONTRACTOR
g .
The foregoing instrumenttnnp����was acknowledged before me this The foregoing instru AmAent was acknowledged before me this
21dA1 day of MW .20 L� by day of I~4rJA 20 r5 ,by
Kg4 � ��� p Y � Y
who is ersonall known to 1 Y'�ylky'��� who is ersonall know to
r�or who has produced as me or who has produced as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign•c..ld'.,-�, 4
ri stain of pidaymm Print:Uto n 1.5
Jellify J Yeo
e My Commis FF 16e481 Seal:
Exp6es 11/t?l20t8 4 et " Notary Public Stats of Florida
Dennis Smith
,O My CommisOm EE 884884
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
W