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MC-15-530 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-266080 Permit Number: MC-3-15-530 Scheduled Inspection Date: August 29,2016 Permit Type: Mechanical - Commercial Inspector: Perez,JanPierre Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration Job Address:11300 NE 2 Avenue Weber Hall Miami Shores, FL 33138-0000 Phone Number Parcel Number 1121360010160-13 Project: BARRY UNIVERSITY Contractor: F X P CORP Phone: (305)667-9145 Building Department Comments WEBER HALL RENOVATIONS Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed' Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 26,2016 For Inspections please call: (305)762-4949 Page 32 of 38 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-229907 Permit Number: MC-3-15-530 Scheduled Inspection Date: October 19,2015 Permit Type: Mechanical - Commercial Inspector: Perez,JanPierre Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration Job Address: 11300 NE 2 Avenue Weber Hall Miami Shores, FL 33138-0000 Phone Number Parcel Number 1121360010160-13 Project: <NONE> Contractor: F X P CORP Phone: (305)667-9145 Building Department Comments WEBER HALL RENOVATIONS Infractio Passed Comments INSPECTOR COMMENTS False L5 Inspector Comments � Passed Failed Correction ❑ Needed f Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 16,2015 For Inspections please call: (305)762-4949 Page 2 of 32 r Miami Shores Village - _ Building Department MA� 1 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 2015 Tel:(305)795-2204 Fax:(305)756-8972 ' INSPECTION LINE PHONE NUMBER:(305)762-4949 _ FBC 20 t6 BUILDING Master Permit No. I(I m x030 PERMIT APPLICATION Sub Permit NonC /5-- 25-30. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL F-IPLUMBING MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP J CONTRACTOR DRAWINGS JOB ADDRESS: /0 P� r� �V a`&- z� Q l V 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): ��`'� ���t��.3p Phone#: Address:_ �/ ��® ju �5' City: 1 a rel I State: Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: _ P. I Phone#: Address: / d (� l l J �GC, 1-,�. �f� /F City: / / /,? / State: Zip: 451 Qualifier Name: ��✓1 G i s�y X ���i/ >° Phone#: ��.5 —&�a z C �'A5 State Certification or Registration#: C (�l C 0 5 /D� Certificate of Competency#: DESIGNER:Architect/Engineer: �"� Phone#: ®Cvo®G Address: l ���.�2r .0h, ��c 500 City: - � �+a State: Zip: Value of Work for this Permit:$ 4c,,noo Square/Linear Footage of Work: 3 i zoo r Type of Work: ❑ Addition Altergation / ❑ New p ❑ Repair/Replace El Demolition Description of Work: �� 6 �0 /��no U��p®� Specify color of color 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$ D LR 9 (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�fi STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD o CMC057078 1e MECHANICAL CONTRACTOR f �, gamed below IS CERTIFIED >f' Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 PEREZ, FRANCISCO XAVIER. m qts—m F X P CORP 4900 SW 72ND AVE y MIAMI FL 33155` ISSUED: 08/11/2014 DISPLAYAS REQUIRED BY LAW SEQ# L1408110001452 Local Business Tax Receipt Miami—Dade County, State of Florida THIS IS NOTA BILL - CSO NOT PAY 42'31320 LBT BUSINESS NAMEILOCATION REC91PT NO. EXPIRES FXP CORP RENEWAL SEPTEMBER 30, 2015 4900 SW 72 AVE "184711 Must be displayed at place of basiness MIAMI FL 33155 Pursuant to County Cade Chapter 8A-Art.8&10 OWNER SEC.TYPE OP BUSINESS PAYMENT RECEIVED FXP CORP 196 GENERAL MECHANICAL CONTRACTOR BY TAX COLLECTOR Worker(s) 10 CMC057078 $75.00 07/24/2014 CHECK21-14-034852 This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt Is not a license, permit,or a cartification of the holder squalific®Nons,to do business.Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO.above must be displayed on all commercial vehicles-Miami-Dade Code Sec 88-276. For more Information,visit vvww.mismidadegpvltaxcoHectar FXPCO-2 OP ID:Al CERTIFICATE OF LIABILITY INSURANCE D03110/2015Y) 03!10/2015 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(les) must be endorsed. If SUBROGATION IS WANED, 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 BROWN&BROWN OF FLORIDA INC NAME: 14900 NW 79th Court Suite#200 PHONE aC No): Miami Lakes, FL 33016-5869 E-MAIL Taryn P.Matlut ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA:FCCI Insurance Company 10178 INSURED FXP Corp. INSURER B:FCCI Commercial Insurance Co 33472 7400 SW 50th Terr#103 INSURERC:Natlonal Trust Insurance Co. 20141 Miami,FL 33155 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. ILTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 TED C X COMMERCIAL GENERAL LIABILITY GL00080137 12/16/2014 12/16/2015 DAMA T EN x 100,00 PREMISES Ea occurrence) $ CLAIMS-MADE FKOCCUR MED EXP(Any one person) $ 5,00 BLANKET WAIVER PERSONAL&ADV INJURY $ 1,000,00 BLANKET ADDL INSURED GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,0011 POLICY X PRO- RO LOC $ AUTOMOBILE LIABILITY COEa accident $MBINED SINGLE LIMIT 1,000,00 B X ANY AUTO CA00124537 12/16/2014 12/16/2015 BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X NON-OWNED ERCEGE HIREDAUTOS AOPROPERTY $X X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 B EXCESSLIAB CLAIMS-MADE UMB00200271 12/16/2014 12/16/2015 AGGREGATE $ 1,000,00 DED I X I RETENTION 10,000 Pers Inj $ 1,000,00 WORKERS COMPENSATIONX WCSTATU- 0 AND EMPLOYERS'LIABILITY TORY LIMITS R A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 001 WC13A66068 12/16/2014 12/16/2015 E.L.EACH ACCIDENT $ 1,000,00 a OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Mechanical Contractor's License #CMC057078 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 AUTHORIZED REPRESENTATIVE Miami Shores,FL 33138 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD