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MC-15-1984 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-240851 Permit Number: MC-8-15-1984 Scheduled Inspection Date: March 07,2016 Permit Type: Mechanical-Commercial Inspector: Perez,JanPlerre 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: F X P CORP Phone: (305)667-9145 Building Department artment Comments REPLACEMENT OF AHU-1 AND ASSOCIATED DUCT Infractio Passed Comments WORK AND PIPING AND EMS. INSPECTOR COMMENTS False Inspector Comments Passed RE Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid March 04,2016 For Inspections please call: (305)762-4949 Page 4 of 41 t , Miami Shores Village 10050 N.E.2nd Avenue NE �. Miami Shores,FL 33138-0000 ' Phone: (305)795-2204 q . E ,? Exp irat ion: 02110/2016 Project Address Parcel Number Applicant 11300 NE 2 Avenue Number: Cor Jesus Chaff 1121360010160-01 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: $ 218,000.00 F X P CORP (305)667-9145 ____ .�.•-..�... � Total Sq Feet: 0 Tons: Available Inspections: Additional Info:REPLACEMENT OF AHU-1 AND ASSOCIATED Inspection Type: Classification:Commercial Ventilation Approved:In Review Final Comments: Date Approved::In Review Rough Date Denied: Type of Work: Rough Duct Scanning:1 Dud Detector Test Review Mechanical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $130.80 Invoice# MC-8-1566632 DBPR Fee $98.10 7/2015 Credit Card $50.00 $7,038.00 DCA Fee $98.10 Education Surcharge $43.80 08/14/2015 Credit Card $7,038.00 $0.00 Permit Fee $8,540.00 Scanning Fee $3.00 Technology Fee $174.40 Total: $7,088.00 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 zoning. Futhermore,I authorize the above- ed nt or to wo ted. AN August 14,2015 Authorized Signature:Owner / Applicant / Contractor gent Date Building Department Copy August 14,2015 1 Miami Shores Village Building Department FAU2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972INSPECTION LINE PHONE NUMBER:(305)762-4949 BUILDING )kMaster Permit No. CC 315ff?' PERMIT APPLICATION Sub Permit No. 1 15- n9q ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING PTMECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 11300 P.F,- 24,YJ >A umO ue - (2o>' '•e5 L) C kla 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): I' orN Onl dersij-�j Phone#: Address: 11300 Me .Grp! i V(WUQ City: MAC107i 5hOy"eS State: /-Iarlda zip: 3316 Tenant/Lessee Name: Phone#: Email: CONTRACTOR—:]Company Name:. 16p C®i�• Phone#: b5 6G Address 1 S� �0 �2 WG City: M i G M l State: F ®lr d 4 Zip: �5S!55 Qualifier Name: F P12 n G i S G O -x. F-e r-e z Phone#: 305 State Certification or Registration#: C M C O 15D 0-)B Certificate of Competency#: DESIGNER:Architect/Engineer: MG 446trw 4Ss0y-q�S . ;k ?2QZPhone#: „AOS- 4N5=3`7657 Address: 27 50 Svt/ DoLA /ct3 City: M 4mi State: Zip: 333-2> 6 ue of Work r erm $ Square/Unear Footage of Work: M Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Ie lace- Demolition sari iortofiNe �. (f- rt i i lS Specify lor thru„��� Submittal Fee$ OQIPermit Fee$ b CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ 00 QN1 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 zoi ifig. "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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law br chure will be delivered to the person whose property is Subject to attachment. Also,a certified copy of the recorded noVs cement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit ise absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CO RACTOR- The foregoing instrument was acknowledged before me this this The foregoingi s ume was acknowledged before me this day of ��� 20 4•� ,by d V o Jk 20 1�5 .by o is per—nn ilown to who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUB C: \ ��ttN IRi8lIgl& Si •'••GOM�1SSiT �' � Sig Sign Prirt Y 1 ?�• •: Z Print: Yl/LEAN rBER �+• _ Notary Public-State of FIS Seal: iii y�*= Seal: Commission#FF 232828 :y My Comm.Expires Jun 28,201! �'•. .•'pQ'���� Borded tVational �*�****�***�**�*s*�a**•:�+IfNEfl�t�t11►1��**�a�**a�x�**�a**���s�+rs���a�se��r*�s�rs**��*w�*�a�s�*a�a�**��x**�r�**�x*a��ws�*��x��*�r**+�** APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) i STATE OF FLORIDA DEPARTMENT OF BUSINESS.AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY,LICENSING BOARD -cn�os�o�e t �t16CHANICAL CONTRACTOR � ' �..rdmed WOW IS CERTIFIED ! Under the provlslons-of Chapter 489.FS. I Explr#tioh date: AUG 31;2016 X, Rmto PEREZ, FRANCISCO XA�(1 °F P'CORPAMI •! ISSUED: 08111/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1408110001462 i' Tak Loca NO, ona� Miami-Dade County, State of Florida --THI$ IS. NOTA BILL - DO NOT PAY 4231320` �LB ~` BUSINt""wtEx;wATION RECEIPT NO. rxP CORP RENEWAL MIJER EXP!IR 's y 4900 5W 72 AVE 441$471 � �1 X01 fi Mutt be ols*;ed at place of businm MIAMI FL 33155 Pursuant:to County Code Ghaptar SA-ArL 9&10 OVVN6R SEC.TYPE OF BUSINESS PAYMENT RECEIVED FXF CARP 196 GENERAL MECHANICAL CONTRACTORBY TAX COLLECTOR Worker(s) 10 CMC057078 $78.00 07/24/2014 CHEGC21-14--034852 This Loon Bostaess Tax Reaeipt**oon&=payment of*a Lecei BusinessTax,TheIs not a kagm. pans 4 sf a ceafficaft of the holder'stotem,to do business.Ifolderamst eompty '...any Bev pental at 00"govemavental regulatory laves;aattraqutremeats WMO apply to the busfaess.. Tha RECEIPT W abo a taunt a disptayad on all commenfai veNc1as-4 1.Bgt#tssta Sea Be-vt For msre irdomratfon,vieftwoundonfila , FXPCO-2 OP ID:Al _ �. CERTIFICATE OF LIABILITY INSURANCE 0 ,a12015 " ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES OW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED RESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER WPORTANT: If the ceMonte holder is an ADDITIONAL INSURED, the pollcypes) must be endorsed. If SUBROGATION IS WANED, subject to the tams 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 endometnen s. PRODUCER BROWN&BROWN OF FLORIDA INC p E 14900 NW 79th Court SuRW200 Miami Lakes FL 3301644 Taryn P.iwAut INsu s AFFORDING COVERAGE NAIC>f INSURSRA:FCCI Insurance Company 10178 INSURED FXP Corp. INSURER a:FCCI Commercial Insurance Co 33472 7400 SW 50th Terr 0103 INSURERc:Natlonal Trust Insurance Co. 20141 Miami,FL 33155 INSURER D INSURER E: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS LS 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. IRM TYPE OF INSURANCE LM11TS GENERAL LIABILITY EACH OCCURRENCE $ C X COMMERCIAL GENERAL LIARNMY GL00060137 12116/2014 1211W MS PREMISESMe nce $ 188, CLAIMS•MADE �OCCUR MED EXP one ) $ 51 BLANKET WA VER PERSONAL&ADV INJURY $ Imo, ! BLANKET ADDL INSURED GENERAL AGGREGATE $ 2,WO,0 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO $ 2,00,0 POLICY X T0- LOC $ AUTOMOBILE LIABILM accident 1,000, B rANYAUTO CA00124537 12M612014 1211612015 BODILY INJURY(Per person) $ AALLOOS�D � LED BODILY INJURY(Per accident) $ HIRED AUTOS X MON-OWNED PE MAGE $ $ X UMBRELLA LIAR X OCCUR EACH OCCURR NCE $ 1,000, ® EXCESSLIAS CLANS-ME LMS00200271 12MS12014 1211612015 AGGREGATE $ 1,000, EI X 10,000 Pers In $ 11000, Wj NSA AN L VP LiaawiY X A ANY PROPRIETORlPARTf R1DCECUITI� YIN N 001 WC13AMM 12M$=14 12(1 6120'15 E.L.EACH ACCIDENT $ � 1,�, OFRCERIMEMBER EXCUJDEDT © N t A (Miumm rht in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000, H dWTIONewft uOF nderg E.L.DISEASE-POLICY LIMIT $ 1,000,0 •ESCRWTION OF OPERA7HM l LOCATIONS I VEHICLES(A#wh ACORD 101,Addidond Ramada BdwduI%irmae apace Is required) Mechanical Contractor's License #CMCOS7078 CERTIFICATE HOLDER CANCELLATION MIAMISH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN g ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 10050 N E 2nd Avenue AUTHOIffiEDREPRESENTATIVE Miami Shores,FL 33138 ®1988.2010 ACORD CORPORATION. Ali rights reserved. ACORD 26(2010105) The ACORD name and logo are registered marke of ACORD PARNot rs-s� G 157 —I q g q FXPCO 2 OP W.,RG �OR� CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGIHTS UPON THE C>E:RTIFICATE HOLDER. THIS CERTfFICATE DOES NOT AFFUNATIVELY OR NEGATIVELY A11001014 EXTEND OR ALTER THE COVERAGE AFFORDED MY THE POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWUN YNE ISSUING INSURER(S)j AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTA10 it the owd&gft holder Is an ADDITIONAL INSURED, the pOIMY Teal) must be endorsed. it SUBROGATION IS WAMW.subject t0 the teems and eondtgons of the polcy,cwWn policies may r�equlr s an endorsement. A stalemeal on this dertillu a does not tomer rights to fine card kmW holder In Rm of such. e primumm ACT BROWN&BROWN OF FLORIDA INC 14900 NW 79th Ccun Suit 3Q6364-7800 305 794A401 Miami Lakes.FL 330164M tmati irrltia.aom Taryn P.MMut MWAOtMAPOICIMNO RAILS :FCCI Insurance Com 101'x8 740 Corporation 1 T nee Co. 28141 7400'3W 50th Terrace wmiow Unit#103 Miami,FL 33158 ItaR0: t R - Fa COVERA"S 0WRICATE HUMBEL ION NUMBER: THIS 18 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO TIiH INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. !NOTWITHSTANDING ANY RIEOUIRBMENT.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.LMTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS. TYMOF WSWRAMMJim Vj1,3LANKFrWANnM ADM parms !.EATS ALA®I@WN.IJABAJiY LACHOCCLIRIiERCL IB 1,000, CLAmes-MADE Q OCCUR 12MB�15 12MSIMS X L INSURED F�ERta'ONAL a acv INJURY • 1,000, eW'Pmjr,yLCWATEUdItTAPPLIESPER 6E�ALASON"T6 8 2,000, PQHM (pp PRODUCTS-COAAPMPArpG S 2,ow, —:40T S AUTCAt08W�E LeRB11.rFY S 110001 A X ANY^= CAQ01Rf838 12Ma/2016 12'MGM19 GOOLYINJURY(Pv PMO) s AUTUSEmu= BODILY INJURY(Pat a S X HMMAUM ED s s UMBI ILLAtWs OCCUR EACHOCCliRRENCB S szom u" CLA1re6MAD@ = TB s >roR = ARD EM11LDrlers LMALM X A �RrYZCurlveR Y NSA 001WC18iA8t YIN 12HUMS 12�1WMG EL.IsaCHACctt�pT S 1,OOD, E.L,DISEASE-EA EMPLOYS 1,000, ttONs t�etow EL OW—AM-POLICY UjArt 1 DE9QAtP110rtoFOFBRATIOlIat1OCATlOI��VIsf��9(ACMiAI,Adm[onatRUNIftSoOdM.MWbs tt spwoo4rogLdmo MachanlOsl Contractors Licentsje BCMCOS7on FICATE 14OLMj TION MIAAAAl.SH AKCELLA SHOULD ANY OF THE ANOM M WW FCLJCIHS 8Z CANCELLED BEFORE Miami Shores Village THE EXPEA ION DATE THEREOF, NOTICE WILL BE DELrVEMD N Building Deltartmarrt ACCORDANCH W11H TM POLICY PROVISI Ng. 10050 N 9 2nd Avenue Mlam!Shores,FL 33138 ^uTM I�I+IaemetlTA Brown and Broom of F10*1q,Inc, ®1988 2014 ACORD CORPORATION. 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