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ELC-14-1668 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-217046 Permit Number: ELC-7-14-1668 Scheduled Inspection Date: November 12, 2014 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration Job Address: 11300 NE 2 Avenue Garner Building Miami Shores, FL 33138-0000 Phone Number Parcel Number 1121360010160-22 Project: BARRY UNIVERSITY Contractor: DADE ELECTRIC SERVICE INC Phone: (305)887-4645 Building Department Comments DATA CENTER RENOVATION. INTERIOR RENOVATION Infractio Passed Comments CONSISTING OF DEMOLITION OF EXISTING DOORS, INSPECTOR COMMENTS False FRAMES, HARDWARE, FINISHES, HVAC, FIRE PROTECTION AND ELECTRICAL SYSTEMS TO RECEIVE NEW LAYOUT. CONVERTING OF TWO ROOMS INTO ONE FOR MORE DATA EQUIPMENT SPACE. Inspector Comments Passed Failed Correction 12, /el/ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 10,2014 For Inspections please call: (305)762-4949 Page 11 of 49 Miami Shores Village ' Building Department ju 3 014 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY:- -- Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 tO BUILDING Master Permit No.0_0 _� q `Q( PERMIT APPLICATION Sub Permit No. ` O �— 0 GG9 ❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOBADDRESS: 11300 NE 2nd Avenue City: Miami Shores County: Miami Dade Zia• Folio/Parcel#: 11-2136-000-0050 Is the Building Historically Designated:Yes NO x Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): Barry University Phone#: Address: 11300 NE 2nd Avenue Cit,: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Dade Electric Service, Inc. Phone#: 305-887-4645 Address: 8191 NW 91 Ter. #9 Cit,. Medley State: Florida Zip: 33166 Qualifier Name: Richard M. White Phone#: 305-887-4645 State Certification or Registration#. EC0000946 Certificate of Competency#: DESIGNER:Architect/Engineer: Bruns-Pak Phone#: 732-248-4455 Address: City: State: Zip: Value of Work for this Permit:$ �5 y50d Square/Linear Footage of Work: 600SF Type of Work: ❑ Addition N Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Interior Renovation consisting of demolition of existing doors, frames, hardware, finishes, HVAC, fire protection and electrical systems to receive new layout. Converting of two rooms into one for more data equipment space. Specify 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) s Bonding Company's Name(if applicable) N/A 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 the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Z"a, /y!. O usel Signature OWNER or AGENT CONTRACTOR The forgoing instrument as acknowledged before me this The fyf egoing instrunt vias acknowledged before me this I/ day of 20 by day of 20 rtJ by who is personally knowritc� is personally known to me or who has produced as me or who has produced as identification and who did take an oath. tidentiflicattioand who d• oath. NOTARY PUBLIC:Sin �g Gr/l�p�� Print: Print: Seal: AE�A 0��OiiSeal: NAaq PufHio-State of flotl0a My Comm.Expires Jan 12,2018 o��t 16,?"W.% %'F •`' Co"s"#�FF X77888 *�*x�*axxx**� aw*x*��x�*ww�+�r»�*w*xxa�'�x#�+x*x**xx*wa�****xx*xx��x*xxxwxw*�*xxx*xx*xxax*xxx�xxa**axxxxxx #FF 113990 APPROVED BY i 9'• r � �+�•'�� Plans Examiner Zonis 7/;/", ,//"��1110rI111Nt� Structural Review Clerk (Revised02/24/2014) KIL;K JI:U 1 I, UL)vtKNUK KLN LAVVJIJN, JtL Kt IAKY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION _s ELECTRICAL CONTRACTORS LICENSING BOARD y EC0000946 y- The ELECTRICAL CONTRACTOR Named below I E S CERTIFIED Under therovisions of Chapter 489 FS. p p Expiration date: AUG 31, 2016 a�- a WHITE, RICHARD M - DADE ELECTRIC SERVICE1NC 8191 N.W. 91 TER. #9 MEDLEY FL 33166 ISSUED: 05/29/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1405290003018 ' ootsxt Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOTA BILL - DO NOT PAY LBT 909227 BUSINESS NAMEJLOCATION RECEIPT NO. EXPIRES DADE ELECTRIC SERVICE INC RENEWAL SEPTEMBER 30, 2015 8191 NW 91 TERR 9 909227 Must be displayed at piece of business MEDLEY FL 33166 Pursuant to County Code Chapter SA-Art.9 IN 70 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED DADE ELECTRIC SERVICE INC 196 ELECTRICAL CONTRACTOR BY TAX COLLECTOR worker(s) 20 ECO000946 $75.00 07/17/2014 CHECK21-14-022984 This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license, permit,or a certification of the holder's qualifications,to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO.above must be displayed an all commercial vehicles-Miami-Dodo Code Soc fla-276. For more information,visit yuww.mingii ode govitaxcnlioctor e N OF O V Z (� X11/ C Town of Medley LOCAL BUSINESS TAX RECEIPT 201401405 01 3 = 01 DADE ELECTRIC SERVICE, INC. RICHARD M. WHITE 8191 NW 91 TER 8191 NW 91 TERR, #9 9A MEDLEY FL 33166 MEDLEY FL 33166 Is hereby issued a Local Business Tax Receipt for Town of Medley, valid through September 30 of tax year listed above for the occupation of ELECTRICAL CONTRACTOR. The issuance of this Tax Receipt or acceptance by the applicant in no way confers any right to violate any law, ordinance or regulation of this State, County, or any municipality. RESTRICTIONS: NO LIVING ON THE PREMISES. This Local Business Tax Receipt must be exhibited conspicuously at your place of business . CDPR3020rev b TOWN CLERK DADEE01 OP ID:AM A © CERTIFICATE OF LIABILITY IN E0712W2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), 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 endomemen s. Am PRODFILER N URANCE,INC. T____y Mencla 9440 S.W.77 Avenue PHONE �o,Exti:305-270-2169 ):305-270-2195 Miami„FL 33166 Ei�iJL Keith R.Miller ADDRESS:amencla@fiferinti.com INSURER AFFORDING COVERAGE MAIC 9 _ INSURER A:Massachusetts Bay Ins.Co. 22306 INSURED Dade Electric Service,Inc. INSURER B:Hanover Insurance Company 22292 8191 NW 91 Terr#9 INSURER C:Brid efield Em to ers Ins.Co, 90701 Medley,FL 33166 INSURER 0: INSURER E: INSRF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, 1TYPE OF INSURANCE POLICY NUMBER I LIMIT$ GENERAL LIABILITY EACH OCCURRENCE S _ 1sOQdr A X COMMERCIAL GENERAL LIABILITY ZDJ8478444 11/01/2013 11/0112014 �kE'IO 300,00 CLAIMS-MADE CX 1 OCCUR MED EXP Any�,a pareon) 6.00 PERSONAL 8 ADV INJURY s 1,000,00 GE NERAL AGGREGATE S 2,000,00 GEML AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGO S 2,000100 POLICY rX i F LOC AUTOMOBILE LIABILITY CO tat a I L uMl 1,000,00 tet) B X ANY AUTO ZDJS478444 11/01/2013 11/01/2014 BODILY INJURY(Per person) S ALL SOS SCHEDULED AUTOS BODILY INJURY(Per accident) S NON-OWNED PROPERTY DAMAGE HIREDAUTOS AUTOS PER ID NT $ S UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,00 S ExCEssLlae CLAS-MADE ZDJ8478444 11/01/2013 11101!2014 AGGREGATE s 1,000, X IM RTE ION 0 S WORIUM COMPENSATION X W STA U- O H• 1 AND EMPLOYERS'LIABILITY Y 1 N - TSt�Y.6lldlTa• H. ------.--- C ANY PROPRIETORIPARTNEWEXECUTIVE Q 0830-46420 11/01/2013 11101120'14 El EACH ACCIDENT 1,000,00 OFFICERAMMSER EXCLUDED? _ N t A _ _ (Mmulatory In NH) E.L.DISEASE-EA EMPLOYEE $ W 1,000,00 11. s,doscnbe tinder RIPT.0 OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ASach ACORD 101,Additional Ramsrks Sclwdula,U mora space Is required) Electrical Contractor License #: EC0000946 CERTIFICATE HOLDER CANCELLATION VIU A04 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE Miami Shores Village Bldg Dept ACCORDANCE mTH THE POLICY PRflVISIONS.E ALL BE DELIVERED IN 10050 N.E.2 Avenue Miami Shores„FL 33138 AUTHORIZED REPRESENTATIVE Aymara Meneia A269211 ©1988-2010 ACORD CORPORATION. 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