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PLC-16-1427 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-259594 Permit Number. PLC-5-16-1427 Scheduled Inspection Date: August 22,2016 Permit Type: Plumbing -Commercial Inspector. Hernandez, Rafael Inspection Type: Main Drain Owner: ,BARRY UNIVERSITY Work Classification: Addition/Alteration Job Address:11300 NE 2 Avenue Adrian Hall Miami Shores,FL 33138-0000 Phone Number Parcel Number 1121360010160-07 Project: <NONE> Contractor. MARLIN PLUMBING OF MIAMI INC Phone: 305-652-6108 Building Department Comments INSTALL SMALL LIFT STATION AND INSTALL 160 FEET I ctio Passed Comments DRAIN AND WATER LINES. INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. to KC-,6- A 16442,7,! , 5 ,yk :$.3 ,y�,°RFs it Miami Shores Village l�ertrl Typ Plumbin + ommer i l 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 - Phone: (305)795-2204 �LOAIOA Issue pate 512 '1201 Expiration: 11/23/2018 Project Address Parcel Number Applicant 11300 NE 2 Avenue Number: Adrian Hall 1121360010160-07 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: $ 17,140.00 MARLIN PLUMBING OF MIAMI INC 305-652-6108 Total Sq Feet: 160 Type of Work:INSTALL SMALL LIFT STATION AND INST Available Inspections: Type of Piping: Additional Info:ANDRIAN HALL AND FINE ARTS Inspection Type: Top Out Classification:Commercial Re Pipe Scanning:3 Main Drain Heater Water Service Final Water Main Lavatory Review Plumbing Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $10.80 DBPR Fee Invoice# PLC-5-16-59904 $7.71 05/27/2016 Check#:2393 $517.42 $50.00 DCA Fee $7.71 Education Surcharge $3.60 05/24/2016 Check#:2391 $50.00 $0.00 Permit Fee $514.20 Scanning Fee $9.00 Technology Fee $14.40 Total: $567.42 In consideration of the issuance to me of this permit,I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself,my agent,servants,or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-named contractor to dot ork stated. May 27, 2016 Authorized Signature:Owner / Applicant / Contractor ent Date Building Department Copy May 27,2016 1 \k/ Miami Shores VillageFMAY �`" 4 2016 Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 : Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 s}� FBC 20N BUILDING Master Permit No. ?L-C- I Co PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL `PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: I I30a AJE Zn j "e.C AIn6aA,, 440 City: Miami Shores County: Miami Dade zip: 33/to Folio/Parcel#:_11-2134-000-00540 Is the Building Historically Designated:Yes NO Occupancy Type: E'jjArA,4. Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): llalrirsjT 00110-a 0- Phone#: 3As�'•3g9? Address: 11300 /JE oRnA flVe City: kira& i %Wes State: FL Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: Mad4n Qlum b ir► b-Fmeapui ToL Phone#:30S-('0Sa 3031 Address: Q0iUS A/1F 1/A plea-a— City:_4° Aki&&t, ieiez l State: Zip:35/74 Qualifier Name: EdU-)"d Z- wa-tker Phone#:3O$�(o5a^3D3J State Certification or Registration#:CF0 D q5�019a Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: 17,140-no City: State Zip: Value of Work for this Permit:$_ Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: fSL'n pe ok Ploy Aj-( �1A.I 9'42 P 4r-rr ) 1164 1'621 Specify color of color thru tile.- Submittal ile:Submittal Fee$5d 'L)-6,D24, Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ I Z (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 /m_e this The foregoing instrument was acknowledged before me this day of 20 by 0 O day of M ctA*_ .201( by ✓t/3q,►� f2QSdr�7h who is personally known towho is personally known to .may me or who has produced as me or who has produced as identification and who did take an oath.``��81 � ///� identification and who did take an oath. NOTARY PUBLIC: •DS/pNoF/.��� �i NOTARY PUBLIC: iG 1128,?p e rt,• � • N• Iw S' S :* Sign• 7hw` �� Print: Seal /�%1���STAf" ����*`` Seal: 9j ,= Notary ubllc-State o Florida " 1111111 � ., •a� My Co m.Expires Dec B,2017 o felt�� ° Com lesion#FF 070897 APPROVED BY W wW Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) "• PROPOSAL MARLIN PLUMBING OF MIAMI,INC. 20145 N.E.16th PLACE,NORTH MIAMI BEACH,FL 33179 (305) 652-3031 fax(305) 652-3135 License CFC048292 Page 1 of 2 PROPOSAL SUBMITTED TO WORK TO BE PERFORMED AT Name: Barry University Name:Adrian Bldg&Fine Arts Street: 11300 ne 2nd Ave Miami Shores, FL 33161 Phone: 561-222-4310 Joel Campbell Email:icampbell(a barrv.edu We hereby propose to furnish the materials and perform the labor necessary for the completion of: Marlin Plumbing to supply and install 1-LIB-SYS P682XPRG101 W Liberty Duplex grinder and 1-HP 115 12AMP System including duplex control with alarm. Marlin Plumbing to supply and install approximately 150ft of 2"drain line from new lift station towards eastside and make final connection at 3"cleanout on sidewalk area,Barry University has field verified and confirmed that 3" cleanout is connected to sanitary line,Materials to be used will be sch40 pipe and fittings. Marlin Plumbing to supply and install approximately 150ft of 1"water service and strap to Northside of building with unistrut clamps,.Materials to be used will be copper pipe and fittings Marlin Plumbing to disconnect stainless steel sink at fine arts and relocate to class room at Adrian. Marlin Plumbing to supply and install 2 single handle goose neck faucets and connect cold water only. Marlin Plumbing to supply and install 1 stainless steel laundry tray sink with single handle goose nesk faucet and connect cold water only. Contract $17,140.00 NOTE: Any deviations from scope of work mentioned above will be extra to contract and done at time and materials,Marlin Plumbing not responsible any landscaping,floors,walls or tile patching. All Material and Workmanship is Guaranteed for One(1)Year starting from Completion date. Note: Marlin Plumbing will not be responsible for any underground water pipes, sprinkler lines,gas or electric lines while doing any trenching. If needed, Marlin will call for location services to mark services. All materials and workmanship is guaranteed for one (1) year from the completion date of the contract to be as specified, and the above work to be performed in accordance with the drawings and specifications submitted for the above work and completed in a workmanlike manner for the sum of$17,790.00 *!n the event that the customer fails to make any payments to Marlin Plumbing in accordance with the terms and conditions of this agreement, Marlin Plumbing shall be entitled to all reasonable attorney's fees on collection and/or litigation or other court proceeding including attorney's fees on appeal. Respectfully submitted:Marlin Plumbing of Miami, Inc. By:Raul Bringas Date 5/2/16 marlinpropdoc/form 1/1998 0 DATE(MM/DD/YYYY) A`CORL> CERTIFICATE OF LIABILITY INSURANCE 5/5/2016 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(ies)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 endorsement(s). PRODUCER CONTACT Keyes Coverage Insurance PHONE Lauren Mayer FAX 5900 Hiatus Road .954724-7000 .954-724-7024 Tamarac FL 33321 E-MAIL ,Imayer@keyescoverage.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Bnd efield Employers Ins Cc 10701 INSURED 5937 INSURERB:Wesco Ins Co -25011 Marlin Plumbing of Miami, Inc. INSURER C: 20145 N.E. 16th Place Miami FL 33179 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:705419136 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. INSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INS. . POLICY NUMBER MMMO MM/DD LIMITS B X COMMERCIAL GENERAL LIABILITY Y Y WPP115738602 5/8/2016 5/8/2017 EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑X OCCUR DAMA E TO RENTED PREMISES Ea occurrence $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ^ I PE0 F-1 LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY LE I $ Ea accident ANY AUTO BODILY INJURY(Per person) $ AUTOS AUTOS SCHEDULED BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERSCOMPENSATION y 830-25781 12/1/2015 12/1/2016 X STATUTE ER H AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION 30 Days Notice/10 Days for Non-Pay MIAMI SHORES VILLAGE BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2ND AVENUE ACCORDANCE WITH THE POLICY PROVISIONS. MIAMI SHORES FL 33138 ''1tAUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 1 MARLIN PLUMBING OF MIAMI,INC 20145 NE 16TH PLACE ... .. .. . . . .. .. . NORTH MIAMI BEACH,FL 33179 • EDWARD J WALKER CFC048292 • . . ... . . . . ... 305-652-3031 . •.. . ... . .. . TV 0 7MAY4 Z010 .. . . .�:V. .. Qfs22Y UA) VCrS� Y . . . BY: .. . . . . . ... .. to, rr lel tv .6'�c(3C ��►+P1. THERESA MCCREERY Notary Public-State of Florida I! sc-A qo Puc— PIPS L� 1 e y Z�- oae My Comm.Expires Dec 6.2017 Commission#FF 070897 lie iA)¢o CxGv-wt3 CD W4 ml- , eruic 6:' o N o LU Cr W J co i ® 0 I J o wC C7 U Z - ¢ I u� N . Vo re 680 QuickTree = Qy • QuickTree technology allows easy R access and removal of switches without disturbing um or plumbing. ' • Integrated rubber seals permanently attached to cover. • Unique cord seal technology - integrated into the inspection cover. r� • Shallow basin design (24")for easier a r installation in difficult soil/bedrock locations. TS • Large 46 gallon capacity for I' longer pllnlp cycles. • Integrally molaed torque G, stops secure the pump in its proper position. • Integrally molded anti- K` flotation collar. --Durable polyethylene construction. • Completely assembled. �, %i � � �,• ,. ;��� a ;�: ��� Iry ■■■■■■■■��■ a�.. .. It ,