MC-14-1667 P-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-217038 Permit Number: MC-7-14-1667
Scheduled Inspection Date: November 10, 2014 Permit Type: Mechanical - Commercial
Inspector: Perez,JanPierre
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: COLTEC ENGINEERING INC Phone: (305)256-0046
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 IM]
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
November 07,2014 For Inspections please call: (305)762-4949 Page 8 of 35
4
Miami Shores Village RECET ID
Building Department ju 6 1 200
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 LQD
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
r-1 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
F-1 PLUMBING 0 MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 11300 NE 2nd Avenue
City: Miami Shores County: Miami Dade Zip:
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
city: Miami Shores State: FLZip: 33138
Tenant/Lessee Name: Phone#:
Email: / �) /��
CONTRACTOR:Company Name: 6v�i-E� ) - S 0�° Phone#: 305 05(a'00"
Address: v
City: C i Y9 f�� State: ��• Zip:
Qualifier Name: LQ Phone#• �� ���� 20 7
State Certification or Registration#: /--)-4q A"i Certificate of Competency#:
DESIGNER:Architect/Engineer: Bruns-Pak Phone#: 732-248-4455
Address: City: State: Zip:
Value of Work for this Permit:$ \®® .00 0 Square/Linear Footage of Work: 600SF
Type of Work: ❑ Addition ❑■ 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$ ~ WO 0'0CCF$ 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) 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 exceed2 0, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure 1 e elivered to the person
whose property is subject to attachment. Also,a certified copy of the recorded notice of commenceme t e posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issue In the abs of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature .�Z� Signature
OWNER or AGENT CONTRACTOR
Theforegoinginstrument was acknowledged before me this Thepoing instrument was acknowledged before me this
x' day of rr' 20 14 by day of -S V 20 ,by
who is personals known to GO� z�'�L���Iv(l��ho i personall kno 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 PUBLIC: NOTARY PUBLIC:
Sign• Sign
Pr' t u Print: � 40 2t-
JEWRY
S MYCOMMIssION#EE36929 Seal: MARITZA GONZALEZ
EXPIRES:November 12,2014 MY COMMISSION#EE79944
g eyrtoTARY Fi.NaTs Assm C°• e` EXPMES:Nay 28,2015
***************************** ********** ***A/kPl 's
APPROVED BY4M Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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I°3 ' 88CRBTARY
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Local Business TaX eipt
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COL1EC DIGINEERM INC 106 GENERAL MECHANICAL CONTRACTOR My TAX COLLWrCM
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CERTIFICATE OF LIABILITY INSURANCE �oriz 014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RK#ITS 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 On col lie holder Is an ADDITIONAL INSURED,the polky(Ies)must be endorsed. If SUBROGATION IS WAIVED,K*Ioct to
ft farms and conditions of the poft,certain policies may nsquke an endorsmnent A staftmsrk on this certiticats doss not confer r1liblo to the
cerlltieats holder M Hsu of such endo s.
PRODUCER GINnim
Orwan m Brown of Floslds,In&
1201 W Cypress Creek Rd 5130 wouma IP Not
P.O.Box 671
Ft Lauderdale.FL 3331044
Scott H.Buser.CRM IMMUM AFFORM0 COVERAGE NAIL s
WMMRA:Amerisure Mutual Ins.Co. 23398
INSURrm Coltec E1�nearing,Inc. a:Amerisure Insurance Cam 19488
Attn: MarNza Gonzalez
12168 S.W.131st Avenue loRmc.
Miami,FL 331884453 INSUMM D:
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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. NOTWMISTANDING 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 CLAM.
TYPE or o4i kwick UNFIS
GEML%U.LIA8LnY GAONOOMMtENCE S 1.000,000
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A Equipment Fftlar CPP201982110 04111)'1014 04121/2015 Leased 5, loolow
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QdC 124984S
CERTIFt ATE HOLDER CANCELLATION
MIAMISH
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Miami Shores VII THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
10021 N.E.2nd Avenue
Miami Shores,FL 33198 Au1NOJe NEPRsNCIATIM
®1018.2010 ACORD CORPORATION. All rights reserved.
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