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ELC-15-711 L _ Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231241 Permit Number: ELC-3-15-711 Scheduled Inspection Date: May 12,2015 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: <NONE> Contractor: CHI ALARMS, INC. Phone: (305)827-2856 Building Department Comments INTERCONNECT FIRE SUPPRESSION SYSTEM WITH Infractio Passed Comments BUILDING FILE ALARM SYSTEM. INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. May 11,2015 For Inspections please call: (305)762-4949 Page 9 of 42 art i 111 - f IN Miami Shores Village �? Type )e trical 10050 N.E.2nd Avenue NE tIR r Vifr rft CTa .s alfcin:Ad � �o Miami Shores,FL 33138-0000 Phone: (305)795-2204 Pe P "ate 41111 " Expiration: 0912812015 Project Address Parcel Number Applicant 11300 NE 2 Avenue Number: Garner Buildin 1121360010160-22 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: $ 4,570.00 CHI ALARMS, INC.....____ (305)827-2856 Total Sq Feet: 20100 Type of Work:INTERCONNECT FIRE SUPPRESSION SYSTE Available Inspections: Additional Info: Inspection Type: Classification:Commercial Final Scanning:3 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical W.W. Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $3.00 Invoice# ELC-3-15-54980 DBPR Fee $2'25 03/30/2015 Credit Card $50.00 $115.50 DCA Fee $2.25 Education Surcharge $1.00 04/01/2015 Credit Card $ 115.50 $0.00 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $4.00 Total: $165.50 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 info tion is accurate and that all work will be done in compliance with all applicable laws regulating construction and i rmo ,I authoriz e� amed contractor to do the work stated. J + April 01, 2015 Author) S lure:Owner / Applicant / Contractor / Agent Date Building Department Copy April 01,2015 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-237381 Permit Number: CC-7-14-1666 Scheduled Inspection Date: June 24, 2015 Permit Type: Commercial Construction Inspector: Rodriguez,Jorge Inspection Type: Final Building Owner: , BARRY UNIVERSITY Work Classification: Alteration Job Address:11300 NE 2 Avenue Garner Building Miami Shores, FL 33138-0000 Phone Number Parcel Number 1121360010160-22 Project: <NONE> Contractor: OHL-ARELLANO Phone: (305)994-9901 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 CREATED AS REINSPECTION FOR INSP-236025. Pending final fire CALL BERNIE 305-608-1091 F ❑ 06-19-15 FailedCall BernieBand left a message, he did not call back during the day. Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid June 23,2015 For Inspections please call: (305)762-4949 Page 17 of 30 w _ Miami Shores Village TZEC MAR ' ® 2015 At 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.CC-7-14-1666 PERMIT APPLICATION Sub Permit No. E�_C— 5--�t L ❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 11300 NE 2 Avenue-Garner Building, 2nd FI City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:1121360010160-22 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Barry University Inc. Phone#: Address: 11300 NE 2 Avenue Cit,. Miami Shores State: Florida Zip: 33161-6628 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Chi Alarms, Inc Phone#: 305-827-2856 Address: 14070 NW 82 Ave Cit. Miami Lakes State: FL Zip: 33016 Qualifier Name: Rene Chi Phone#: 786 367 8977 State Certification or Registration#: EF0000876 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ 5-7®-®z� Square/Linear Footage of Work: , J"0 Type of Work: ❑ Addition ❑■ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Interconnect fire suppression system with building fire alarm system. Specify color of color thru tile: Submittal Fee$_ 'CZ Permit Fee$ I 3'�V;01& 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) Bonding 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 the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatur J1031a RQn 110 Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 2�day of f�'' .20 V> by day of ea L�q,�'1 .20 I 5 by Su N &%14141 A`- ho is personally known to who 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 who did take an oath. NOTARY PU IC: NOTARY PUBLIC: Sign• Sign: • °•°,y,?U IRO LEONARD Pri Print ;F Jethy J Yeo �•a EXPIRES:December 1,?.015 Sea my 6auf!Mfll w=FF 188481 Sea[: °%i yf Qp Bonded Thru Notary Public Undernr tern p,q Explo"11H22018 1.� APPROVED BY v , AVZ Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY- STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD EFWW876 The ALARM SYSTEM CONTRACTOR I R Named below IS CERTIFIED " Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2016 CHI, RENE ■ CHI ALARMS,INC 14070 NW 8tiDAVE „ p. u MIAMI LAKES ' FL J 016 N ' ISSUED: 05/13/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1405130001251 (For the protection of our professional license holders,this license contains hidden security features to prevent counterfeiting. Unauthorized reproduction is strictly prohibited•and will be prosecuted to the fullest extent of the law) The Department of Business and Professional Regulation(DBPR),issues licenses for many licensed businesses and practitioners in the State of Florida. DBPR is changing the way you interact with state government. Many of DBPR's services are available online at www.MyFloridaLicense.com We encourage you to utilize these services to make address changes,licensing changes or to renew your license. Name changes require legal documentation verifying the name change,which must be mailed to the DBPR. An original,a certified copy or a duplicate copy of an original or certified copy of a document that shows the legal name change will be accepted,unless the DBPR has a question about the authenticity of the document. If applicable,the DBPR will send a renewal notice to your last known address or email address of record. If you have not received your renewal notice,please call our Customer Contact Center at 850.487.1395 or online at www.MyFloridaLicense.com/contartus. Please refer to your profession's governing statutes and Administrative codes for further information regarding renewals. These may be accessed from our website. Ac# 439746 1 - 1 ., 007653 �Zk Local Business Tex Receipt Miami-Dade County, State of Florida -THIS IS NOTA BILL - DO NOT PAY NLBi 3999365 BUSINESS NAMEtLOCAmoN RECEIPT NC. EXPIRES CH!AL Rens INC RENEWAL SEPTEMBER 30'. 3015 14070 IW 82 AVE 417379E � LAKES�.33016 Must be displayed at place of business _MMI . Pursuant to County Codep Chapter SA—Art.9&10 � OWVNER SEC.TYPE Of BUSINESS ,, CHI ALARMS INC 196 SPEC ELECTRICAL CONTRACTOR PAYMENT RECEIVED EFOOOO876 BY TAX COLLECTOR Worker(s) 2 $45.00 07/18/2014 ECHECK-14-140144 .. This local Business Tax Receipt only confirms payment of the Local Business Tex.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 maiigovenmiental regulatory lacus and requirements which apply to the businas. The RECEIPT NO.above must be displayed an all commercial vehicles-Miami4ade Code Sac Ia-276. ` For more information,visit www miamidede.amtbx I+�g laetar _x" r r �., _ � s ti pit t� zR �'- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY1fY) 02!23/2015 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 terns 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 CONTACTNA (ao C Insurance,Inc C&C Insurance,Inc. PHONE ;.-@%431-2W8 Fax 704-M7 1921 NW 150 Ave. E-MAIL , info@mdclnsurance.com Ste.101 PRODUCER CLIMMER 10 9,,D Pembroke Pines FL UM INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURERA: Philadelphia Indemni18058 Cull ALARMS INC. INSURER B:Technology 11234 14070 NW E2 AVE INSURER C: INSURER D: MIAMI LAKES FL 33016 INSURER E INSURERF: 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 CONTRACTOR 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP POLICY NUMBER YYI 1800y8 LIMITS GENERAL LIABILITY EACH OCCURRENCE $1 A X COMMERCIAL GENERAL LIABILITY X X PHPK121 10i01/A14 10(01!2015 DAMAGE TO RENTED $1 CLAIMS-MADE ®OCCUR MED EXP(Any oneperson) $ X Blanket Waiver of Subrogation PERSONAL a ADV INJURY $1 X Blanket Additional Insd GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICYFX PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $BOOM A X EXCESS UAB CLAIMS-MADE X X PHUB470470 10101/2014 1010112015 AGGREGATE $5000000 DEDUCTIBLE $ X RETENTION 1 $ WORKERS COMPENSATIONX WC STATU- OTH- AND EMPLOYERS'LIABILITYImITR PR B ANY PROPRIETOR/PARTNER/EXECUTIV� X TWC345046r 01/0112015 01/01/2016 E.L.EACH ACCIDENT $1000000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1 If es,describe under D SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,K more space Is required) NOTE:Errors&Omissions cover e-$1 'Workers Compensation contract includes Blanket Waiver of Subrogation EFDDW876 CERTIFICATE HOLDER CANCELLATION VILLAGE OF MIAMI SHORES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1 2ND AVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES,FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD