PT-15-1304 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-241229 Permit Number: PT-6-15-1304
Inspection Date: January 01,2999 Permit Type: Paint
Inspector: Rodriguez,Jorge Inspection Type: Final
Owner: , BARRY UNIVERSITY Work Classification: New
Job Address:11300 NE 2 Avenue Health&Sports
Miami Shores, FL 33138-0000
Phone Number
Parcel Number 1121360010160-23
Project: BARRY UNIVERSITY
Contractor: LONDON PAINTING CONTRACTORS Phone: (786)295-2090
Building Department Comments
PAINT Infractlo Passed Comments
INSPECTOR COMMENTS True
Inspector Comments
Passed 1:2 C D AS REINSPECTION FOR INSP-235766. Colors do not match
samples
A wide band painted black along the side of building
Failed El
Correction a
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid
For Inspections please call: (305)762-4949
October 14,2015 Page 1 of 1
`#mShores
Building Department JUN
� p BY:
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2204 Fags(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949
BUILDING Permit No.
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type:PAINT
OWNER:Napie(Fee Simple Titleholder): L��f
Address: � 36 - N9 21�� r-7Lg3JGJ
City:
stateI e ztn. 3S
—���►. _
Tenantdzssee Name: Phone#:
Email:
A
JOB ADDRESS: IPL44 kw� sa> S
City: Miami Shores Couttty: Miami Dade Zip: r_
Folio/Parcel#•
IS the Building Historically Designated:Yes NO Flood Zone:,
CONTRACTOR:Co an Name: r
mP Y Phone#: 3 ,
Address:
City: State: Zt
�= p
Qualifier Name: t,-%,3 T>a C&. &gLk&, r' Phone* 4 s' R7S 9-0 90
State Certification or Registration# Certificate-
Contact
of Co a #: y�
este m � Y
Contact Phone#• 1-96 Email Address: 4
Value of Work for this Permit:$ a¢•s- 9 - 00 Sgnare/ i>iear Footage o�W
ork:
Description of Work:
�tl (�
Application is hereby made to obtain a permit to do the work and instillations as indicated. I certify that no work or installation has commenced prior
to the issuance of a permit and that all work will be pea, rdW',tojn6et•the standards of all,taws•regulating construction in this jurisdiction. I
understand that a separate permit must be secured fWr 4A(:i1 ICAL WO1M PLUMBING, SIGNS,WELLS, POOLS,FURNACES,BOLI.ERS,
HEATERS,TANKS and AIR CONDITIONERS,ETC:
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY ' ESUL T • IN YOUR PAYING 'TWICE FOR
BIPROVEMENTS TO; YOUR PROPERTY. IF, YOU INTEND TO OBTAIN
_ : .+ "
FINANCING,. CONSULT WI'�'I� -YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
Notice/o AW#cant;.As a condition to the issuance of a building permit with an estinuned value exceeding$2500,the applicant must promise in goad faith that a copy of
the notice of commencement and construction lien law brochure will be delivered to the person whose Property is subject to attachment. Also,a cert(JJed copy of the
recorded notice of conunencement must be posted at the Job site for the first inspection which occurs seven(7)days 4*er the building permit is issued In the absence of
such posted notice,the inspection will not be approved and an inspection fee will be charged
s�+ss<ae*e�e��ee**� ee�eeaea+se��+«e���*e**F�s�>:*�e�s< ssa+ssa* *ee�ee +aees<��+a+ee*s�*see
Permit Fee$ CCF$ Notary$ Training/Education Fee.$
Technology Fee$ Double Fee$ TOTAL FEE NOW DUE$ �
l ;
r - ` PAINT COLOR APPROVAL AND AGREEMENT
All elements on.the site must be listed and indicate the color to be painted
DIRECTION&Please circle corresponding number to appropriate color sample.
Walls: 1 2 3 4
Attach color - - - --- -
Fascla: 1 2 3 4
Drip edge: 1 21 3 4
Soffit: 1 2 3 4
Roof: 1 2 3 4 -
Flower Blow- 1 2 . 3 4
Shptters: 1 2 3 _ 4 ��
Awnings: 1 2 3 _ 4
2.
Chimney: 1 2 --
Doors&Jambs:1 2 3 4
Garage Doors: 1 2 3. 4 =M�
-- - 3. -
l 2 3 4
-- _
Fences: 1 2 3 4 C.,.
All Brick: 1 2 3 4
Stucco Bands: 1 2 3 4
Other Stucco 4.
Feature: 1 2 3 4
Accessory Bldg: 1 2 3 4"
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.
Signature; z
Signature•
Owner or Agent ntractor.
Thef going instrument was acknowledged before me thi, The. g instrument was acknowledged before me thisL
day o;2?;—
20:by;::,52 5�i* day of. 20 r are0
who is personally known to me or who has produced who is personally known to me or who has produced -
AS identification and.who;did take lot identification and who did take an oath.
- NOTARY PUBLIC: � �•� gsN'•.1V( ARY PUBLIC:
SOM
•
Pruft. 4 ,..�,, ,�. Joanna M FellWho
My Commission Expires: r �� �O/ Ova.l, 0 Mr- �� 'Commissi Mho a� "182 08 83
aye*�+�+�e*see�v*:esena�es+e��se*a+gas+�e��s+�*+s*d��eeeHae��aseaeeeet:e�eee�+�s ��eee$ �ae�ese � +s
APPROVED BY: f'/(J'Code Official
Preservation Board
_ a
oam"
Local Business Tax Receipt
Miami-Dade County, State of Florida
;fNlS IS NOTA BILL — t)ONO7'PAY
3750750
sums=NOMEMOVATUM RtCBP7"% EXPIRES
LONDON PAIN'T'ING GONTRACtbtLS 1tE1lIIEIIYAL SEPTEMBER 3Q, X01
947 NW N RIVER 13R =15968 Muot ba dfoolayed at place of buobwm
MIAMI R.33136 Purauard to County Code
Chapter 8A—Art 9&10
CNMER 419L I wpm op Guam"* PAVM5W
0 FERNANDO J 188 SPECIALTY BUILDING CONTRACTOR tent TAX SCUM
WcErkmrts) 1 WSW= $45.00 09/22/2014
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Pormew barlor�,t�it
ZiS'd 2-689SZS0£:0l :WONJ 4T:TO ST02-02-A W
Municipal Contractor's Tax Receipt
Miami—Dade County, State of Florida
TRIS IS NOT ABILL—00 NOT PAY [MC
CC NO 968500380
8VVNBs8 NAMNILOCATION REcetpr No. EXPIRES
COMMACTMS
9947°HongN RMR OR SEPTEMBER 30, 2015
MIAMI,FL 33136 7488840
Pursuant to County Cede
S.o 10 z4
OWNER TYPG OF RVOINUM PAYMENT RECONED
CAMARGO FERNANDO J SPECIALTY BUIDING C0111MC TUR BY TAX Cot.t.MOR
1875 05/20/3015
0221-15-W5760
Restricted to City of Miami Shares
�Ma For more 104nobtlae.vIX11 ..w.mle�tde��.0►riUre�llRat4i
T T'd aGE39SLS02 c Ol :1408A 9T:TO ST02-02-A W
5/20/2015 11 :52 AM FROM: 7276667636 TO: +13057568972 P. 2
Date
CERTIFICATE OF LIABILITY INSURANCE 5/20/2015
Producer: Plymouth Insurance Agency This Certiticarte is isshmd as a matter of information only and confers no
2739 U.S. Highway 19 N. rights upon the Certificate Holder. This certificate does not amend,extend
Holiday, FL 34691 or alter the coverage afforded by the policies below.
(727)938-5562 Insurers Affording Coverage NAIC#
Insured: South East Personnel Leasing, Inc. 8t Subsidiaries Insurer A: Lion InLsurance Company 11075
2739 U.S. Highway 19 N. Insurer B:
Holiday, FL 34691 Insurer C:
Insurer D:
Insurer E:
COVei igeS
The polid"of insurance listed ow have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement,term or condition of any contract or other docurnert
with respect to which this certificate rnay 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.Aggregate
limits shown may have been reduced by paid claims.
INSR ADDL Policy Effective Policy Expiration
LTR INSRO Type of Insurance Policy Number Date Date Limits
(MM/DD/YY) (MM/DD/YY)
GENERAL LIABILITY Each Occurrence
Commercial General Liability Damage to rented premises(EA
Claims Made 1:1 Occur occurrence)
Mad Exp
eneral aggregate limit applies per.
Personal Adv Injury
Policy Project ❑ LOC
General Aggregate
Products-CompfOp Agg
AUTOMOBILE LIABILITY Combined Single Limit
Any Auto (EA Accident) S
AU Owned Autos
Bodily Injury
Scheduled Autos
(Per Person)
Hired Autos Bodily Injury
Non-Owned Autos (Per Accident)
Property Damage
(Per Accident)
EXCESS/UMBRELLA LIABILITY Each occurrence
Occur claims Made Aggregate
Deductible
A Workers Compensation and WC 71949 01/01/2015 01/01/2016 X wC statu- OTH-
Employers'Liability I torY Limits ER
Arty proprietor/partnedexecutive off fir/member E.L.Each Accident S1,0DO1000
excluded? NO
K Yes,describe under spacial provisions below. E.L.Disease-Ea Employee $1,000,000
E.L.Disease-Policy Limits $1.000.000
Other Lion Insurance Company Is A.M.Best Company rated A-(Excellent). AMB#12616
Descriptions of Operations/Locations/Vehicies/Exclusions added by EndomementfSpecial Provisions: Client ID: 82-65-281
Coverage only applies to active employee(s)of South East Personnel Leasing,Inc.&subsidiaries that are leased to the following"Client Company":
London Painting Contractus,Inc.
Coverage only applies to injuries incurred by South East Personnel Leasing,Inc.&Subsidiaries active employee(s),while working in:FL.
Coverage does not apply to statutory employee(s)or independent contractor(s)of the Client Company or any odd entity.
A list of the active employee(s)leased to the Client Company can be obtained by faxing a request to(727)937-2138 or by calling(727)938-5562.
Project Name:
ISSUE 05-20-15(TLD)
In
CERTIFICATE HOLDER CANCELLATION Be-weDate 102011
MIAMI SHORES VILLAGE Should any of the above described policies be cancelled before the expiration date thereof,the issuing
insurer will endeavor to mail 30 days written frolics to the certificate holder named to the left,but failure to
10050 NE 2N0 AVE do so shall impose no obligation or liability of any kind upon the insurer,its agents or representatives.
MIAMI SHORES, FL 33138
f
P0 . 0
BarrjUnivemfty
Facilities Management
Health and Sports Center
Exteri®r Painting 2015
Revision z 03 17 15
Revision 3 03 30 15
Option B
t
P100
BarryUniversity
Facilities Management
Index
Cover Sheet Po.o
Index P1.o
Exterior Color Palette Pz.o
Existing HSC 1 P4.0
Proposed HSC 1 P4.1
Existing HSC i P4.2
Proposed HSC a P4.3
Proposed HSC 2.1 P4.3.1
Existing HSC 3 P4.4
Proposed HSC 3 P4.5
Existing HSC 4 P4.6
Proposed HSC 4 P4.7
Existing HSC 5 P4.8
Proposed HSC 5 P4.9
End Cover P4.10
P2 . 0
BarryUniversity
raa�tics�;ar,agement
Exterior Color Palette
P-13
P-3
P-14
P-15
P-16
P-17
P-10
P-8
Exteior Paint Options
Paint Color
$ P-3 Sherwin Williams Versatile Gray SW 6072
$ P-8 Sherwin Williams Salute SW 7582
$ P-10 Sherwin Williams Mink SW 6004
$ P-11 Sherwin Williams Black Magic SW 6991
$ P-13 Sherwin Williams Kilim Beige SW 6106
$ P-14 Sherwin Williams Intellectual Gray SW 7045
$ P-15 Sherwin Williams Divine White SW 6105
$ P-16 Sherwin Williams Rare Gray SW 6199
$ P-17 Sherwin Williams Link Gray SW 6200
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P4 . 2
BarryUniversity
xa Existing 2
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An
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P43
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BarryUniversity
HSC Propos
A ...
P4 . 3 . 1
BarryUniversity
",inagemen'
HSC Proposed
ori I S.
P44
■
BarryUniversity
HSC Existing 3
C .a,
v
5
P45
■
BarryUniversity
.7@S Management
HSC Proposed 3
P4 . 6
BarryUniversity
acoities Ma^ac,
HSC Existing o
1:1110 je
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P47
■
BarryUniversity
HSC Proposed 4
}
P4 . 8
BarryUniversity
Facilities ma;, .
HSC Existing
--, 4w
school of Human Perfo
rmance
d leisure
Science
th:uitl SPotts Center
xsa
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kL_,i;; gN�N�►.I�]]IIIII� ���IIlill 11161111111
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BarryUnivemity
Facilities Management
Health Sports Center
Exterior intin 2015
8/12/2015
Colors do not match samples
A wide band painted black along the side of building