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ELC-15-1748 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-243255 Permit Number: ELC-7-15-1748 Scheduled Inspection Date: September 15,2015 Permit Type: Electrical - Commercial Inspector: Devaney,Michael Inspection Type: Final Owner: ,BARRY UNIVERSITY Work Classification: Addition/Alteration Job Address:11300 NE 2 Avenue Cor Jesus Chaps Miami Shores, FL 33138-0000 Phone Number Parcel Number 1121360010160-01 Project: <NONE> Contractor: LANGER ELECTRIC COMPANY Phone: (786)251-8585 Building Department Comments ELECTRICAL AS PER PLANS-NEW FIXTURES, FIRE Infractlo Passed Comments ALARM, PANEL BOARD, METER CAN INSPECTOR COMMENTS False Inspector Comments Passed EJ CREATED AS REINSPECTION FOR INSP-238970. Pending fire alarm final. Failed Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid September 14,2015 For Inspections please call: (305)762-4949 Page 40 of 56 Miami Shores Village I�Ec WMED Building Department JUL 2 9.2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 V INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20/x/ r� BUILDING Master Permit No. CC 3 157 PERMIT APPLICATION Sub Permit No.L/c Z,— -- 17L/U ❑BUILDING ELECTRIC ❑ ROOFING X REVISION ❑ EXTENSION ❑RENEWAL F-1 PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION ❑ SHOP NasI /� jCONTRACTOR DRAWINGS JOB ADDRESS: / /te 30® Ad Cor es a City: Miami Shores County: Miami Dade ZiD: 5k2IG Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): V nfr' IJIC ;\Jeir�j 1 Phone#: Address: 11300 k),e A-vz City: Adirzlni Shooes State: Elon a zip: 33 i l I Tenant/Lessee Name: Phone#: Email: O CO. o�c �a11 CONTRACTOR:Company Name: Y) e lr 1 dV iC--e LPhone#: 1-� COY-6W37 Address: 65oo �/4/ 2-1s- U City: &—Y4 ZgLc Qk Q& le- State: EjQr d Zip: 33043 Qualifier Name: Phone#:?55"C70i/- 0�oaq State Certification or Registration#: ' nn I Certificate of Competency M DESIGNER:Architect/Engineer: MG 7'/A h eN As5o,6alcs Phone#: ' Ll45-2)9 Address: 2`7S0 SLO .000g1A5 E22GIGI City: L O -n State: rLZip: 33133 Value of Work for this Permit:$ Square/Linearfootage of Work: Type of Work: ❑ Addition El Alteration ❑ New ,.Repair/Replace ❑ Demolition Description of Work: dr-ea e, Se1(-di.?--e Specify X10 of C�q�,4, thm tftl. Submittal $ -,: Permit F66'$' �J�G CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ e (Revised02/24/2014) Bonding Company's Name(if applicable) V1 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. Y,, Signature Signature OWNER or AGENT fwass ACTOR The foregoing instrument was acknowledged before me this The foregoing instrumecknowledged before me this 7 da of �/�/ 20 �✓ ,by 9-3y day of�f"" 20 by !, 40100 A who is personally known to Been )t M Ili ,who is personally known o me or who has produced as me or who has produced e��tr— as identification and who did take an oath,,0t"NIf/pj,�� identification and who did take an oath. NOTARY PUBLIC: ••�� ' NOTARY PUBLIC: �'� Q 24 Sig ••• = Sign: Print: �!� � •'�•� Print: Seal ��yiq ��STA7E ��`````� Seal: �'',� Y"''•£ MILOREO Y.t';OME2 7�///f/IIIIIININ� 3• Notary Publk-State of Flodda My COMM.E*r08 Aug 24.2017 CommiseiO4#►FF 40660 ��+� APPROVED BY % 4 Z Q'A"4Y1 SJ Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) J. o Miami Shores Village I 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 -2204 7,, J4 Phone: (305)795 Expiration: 0120/2016 Project Address Parcel Number Applicant 11300 NE 2 Avenue Number: Cor Jesus Cha 1121360010160-01 BARRY UNIVERSITY INC Miami Shores, FL 33138-0000 Block: Lot: Owner Information Address Phone Coll BARRY UNIVERSITY INC 11300 NE 2 Avenue MIAMI SHORES FL 33161-6628 11300 NE 2 Avenue MIAMI SHORES FL 33161-6628 Contractor(s) Phone Coll Phone Valuation: $ 110,000.00 LANGER ELECTRIC COMPANY (786)251-8585 (305)759-5777 Total Sq Feet: 0 Type of Work:ELECTRICAL AS PER PLANS-NEW FIXTU Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:I 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 $66.00 Invoice# ELC-7-15-66321 DBPR Fee $49.50 07t24/2015 Check#:7098 $3,578.00 $0.00 DCA Fee $49.50 Education Surcharge $22.00 Permit Fee $3,300.00 Scanning Fee $3.00 Technology Fee $88.00 Total: $3,578.00 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 information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonir%g, Futhermore,I authorize the above-named contractor to do the work stated. July 24,2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy July 24,2015 L Miami Shores Village -�� g Building Department ' �T�11! 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 JUL 3 2 15 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 ijy. FBC 20 10 BUILDING Master Permit No. CFL'--F, 57-2— PERMIT APPLICATION Sub Permit No. 1�7C'C 6 1-7 4�2) ❑BUILDING Xj ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION EISHOP CONTRACTOR DRAWINGS JOB ADDRESS: 13yO /if— zrd n /'ac Coy- SP!S0 City: Miami Shores County: Miami Dade Zip: 33 (Cat Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): !�--mt fc.A ,)0VP-if'S i Phone#: Address: I1300 NE. Znd A-VWQe, City: m i G m i 51no,'+Ps State: F/o Yi d Cg- zip: S51 ro t Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: dA/'/'M /��1�0 �dd>,��eri� Phone#: 109'�� y Address: c� O` City: 'Iee,4 ele State: ®�� Zip: Qualifier Name: Phone#/On --'�� State Certification or Registration#: ®,� Certificate of Competency#: �{ DESIGNER:Architect/Engineer: M G eWAA !'nnf`�Soct Gi�e Phone#: 305- yy5-YxS7 Address: 2990 Sw S 302 City: Minwl; State:-F-Zip: 13 Value of Work for this Permit:$ 1101 b(CO Square/Linear Footage of Work: Type of Work: ❑ Addition A Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: ,C ee`7'rd 49e� OV . oeA,j Specify color qfpq1or 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) 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. Signature Signature OWNER or AGENT CONT CTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of N77/40020 ,by a day of H .20 IS- ,by A who is personally known to q-PY �-.rn,✓►� � ,who is personally known to me or who has produced as or who has produced as identification and who did take anoath. . identification and who did take an oath. "%'. 'till:i i f i. . W UR �� NOTARY PUBLIC: �` .•`';°L`'s r, NOTARY PUBLIC: 4 ..i:,.v,�iv . Sig �' t - Sign: 11 Print: 3oT •`�r Print: �� ilvil Seal: '1-�'yi °SrATEOr �°°`,� Seal: �°'' Siam FLATAU,JR lw/f/i /NU1111U1ti•° ��,r ,i'- W WNNISSION#EE 116573 EXPIRES:August 2,2015 Btd Tluu Notary ftft tholemiters *wwwsse*��*xxx�+r*gym****s*�a*s**►Www*xw*>ka*a��r�*aa**rxxse***sas*sx�*a�as**�*�*+rw�wxs*axtr**��*s**��*�**�*xamw*s 011, APPROVED BY 1,4 Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014) LANGE-2 OP ID:F4 • A�✓R©� CERTIFICATE OF LIABILITY INSURANCEDATE(MWDDNYYY) 03/05/2015 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((es)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. PRODUCER CONTACT Brown&Brown of Florida,Inc. NAME: 1201 W Cypress Creek Rd#130 IAN ICo .954-776-2222 P.O.BOX 5727 E-MAIL No 954-776-4446 Ft Lauderdale,FL 33310-5727 ADDRESS: Andrew Noye,CIC,CRIS INSURERS AFFORDING COVERAGE NAIL# INSURER A:FCCI Commercial Ins Co+ 33472 INSURED Langer Electric Company INsuRERa:"FFVA Mutual Insurance Co.+ 10385 Langer Electric Service Co 6500 NW 21 st Ave,Suite#1 INSURER c Fort Lauderdale,FL 33309 INSURER D: INSURER E: INSURER F 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. IEFF POLICY EXP L R TYPE OF INSURANCE POLICY NUMBER M POLICY MMID LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY GLOO16519 03/10/2015 03/10/2016 PREMISES NTEU ras $ 100,00 CLAIMS-MADE tX OCCUR MED ERP(Any one person) S 5,00 PERSONAL BADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S 2,000,00 POLICY FX-1 PRo Loc Emp Ben. $ 1,000,00 AUTOMOBILE LIABILITY COMBINED SINGLE LOMB 1,000,00 accant A X ANY AUTO CA0026498 03/10/2015 03/10/2016 BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PRR DAMAGE AUTOS $ X UMBRELLAuA6 X OCCUR EACH OCCURRENCE $ 51000,00 A EzcESs UAB CLAIMS-MADE UMB0018624 03/10/2015 03110/2016 AGGREGATE $ 5,000,00 DED X RETENTION$ 0 $ WORKERS COMPENSATION X WC STATU- OTH- ANDI I B ANY PROS IMETO ART LIABILITY rcRM7(EWWE YIN N C84000300132016 01101/2015 01/01/2016 E.L EACH ACCIDENT $ 500,00 OFFICERfMEMBEREXCLUDED7 F NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 500,00 DESLR N OPERATIONS below E.L.DISEASE-POLICY LIMB I$ 500,00 A Equipment Floater CM0008069 03/10/2015 03/10/2016 Leased& Rented 100,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Aneeh ACORD 101,Additional Remarks Schedule,H more space is required) License # ECO000099 CERTIFICATE HOLDER CANCELLATION MIAMI-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Building&Zoning THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g g ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave Miami Shores,FL 33128 AUTHORIZED REPRESENTATIVE 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 252010105 ( ) The ACORD name and logo are registered marks of ACORD s V ' l oao�ts Loc* o koB:usl.n6ss�.Ta*..lRoc,e ! Miami-Dade Coun y;. State of. Florida: -THOS is NOTA BILL CO N(YrFAY i1.t •5 .tt.a 7537.81 8u8tNlt38 NAN19It oOgT1ON RB An LANCM IRECiRIC COMPANY �.S Orr ENM IW3S` DOING BUS IN DARE CO 263787. r.- .15- b9 ayed at PTa�e of biisinesa MIAMI FL 33gp4 :Putterit to Coin!Com . . • t9lapter8A—Art,9&10 OWRBR ffieCa'Typo OF GUSINE"* PAYME Nr MOOD IANQR ELECTRIC COMPANY 198 ELECTRICAL CONTRACTOR BY TAX CO11.r6OTOB. workers) lo EC0000089 % : .•$75= 09/08/2614 . :::• .. :��,�• ,•CR�RCARp-14•-055965 Ibis Deal TmZ lmaeild m11 obeflea�s RofoR d the teed es"Tea.TIM bi not a R®e �a aartl6aatJep e1 ibs tmHin'e9�bAfiaos,m da besiasss.Nsblaramtt •�119evo�siolal• oraaagoveram.orafraBal.tDrytorat®re�l�emoebsrl�,eP�tOfbsboai�:';•; . Tba RECEIPT R above Beret be iWlaW m aP adai vahiaigs''Ai .O s Cole i6bbo in,aB For more•I�adan.vb� �5�r' ' STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850)487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 ter r T ` 1 LANGER,ROGER E LANGER ELECTRIC COMPANY -• 8B00 NW 21STAVENUE Bly SUITE 1 ^--------»-� FORS'LAUDERDALE FL 33309 Congratulations! With this license you beoome one of the nearly one million Floridians tiaensed by the Uerparimem of business and Professional Regulation. Our professionals and businesses range „ STATE-OF FLORIDA from architects to yacht bracers.from boxers to berbeque restaurants, DEPARTMENT OF BUSINESS AND and they keep Fiorida'a economy strong. ,: PROFES8"sREi3U1.A7lQN Every day we Work to improve the wary we do business in order t0 ECOOp0099 *'I38Ui=1�. 08M012014 serve you better. For information about our sernlces,please log onto www.in"aoridaalllxanscoorn. There you can find more kdomtafion CERTIFIED EL*E , "� 'CO,NTRAG7.OR about our divisions and the regulations that impso you,subscribe LANGER, `„> to department newaletiers and learn nwore about the Departments LANGER ELE ” ' initiatives, r.:r•Ya.:�. -_ Our mission at the Department in:License Efficiently,Regulate Fairly. _.... We constantly strive to serve you better so that you can some your customers. Thank you for doing business In Florida, 1$CERTIFIE4 ander tee'provislons of Ch.400 FS and congratulaadons on your new Iicensel EwWw*eo:AUG 31 2016 t14pa12617a=? DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROF93SIONAL REGULATION , ELECTRICAL COWMCTORS LICENSING BOARD i=C000m The ELECTRICAL.CONTRACTOR � •�• Named below IS CERTIFIED Under the provisions of Chapter 489 FS. - Expiration date: AUG 31.2016 -.. :� d,r .• . lhN. ♦. LANGER,ROGER E ,. LANGER ELECTRIC CO ` W 6500 NW 21STAVE NUE FORT LAUDER6AL°E FL; 33Q9 `, � '" " ' s • ' � ..iv'"..'.:^.-'"S,�^r •`"yn•X 't:'�'s�r+s"'"^ '��••. �v.�'i�rtir�i '• 1$$UE1:1• 084MM14 l7iSPI,AY AS RE01 11RF(!RY i AW 4a:l1 1 7At+ arm.,00a�