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MC-15-2613 qq� Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-245749 PermitNumber: MC-10-15-2613 Scheduled Inspection Date: February 17,2016 Permit Type: Mechanical - Commercial Inspector: Perez,JanPierre Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: Addition/Alteration Job Address:11300 NE 2 Avenue Wiegand&Annex Miami Shores, FL 33138-0000 Phone Number Parcel Number 1121360010160-09 Project: BARRY UNIVERSITY Contractor: THERMAL CONCEPTS INC Phone: 954-472-4465 Building Department Comments INSTALL NEW CHILL WATER AHU AND ALL Infractio Passed Comments ASSOCIATED ITEMS RELATED INSPECTOR COMMENTS False Inspector Comments Passed El Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid February 16,2016 For Inspections please call: (305)762-4949 Page 7 of 40 � r1 "M -' { �- �; Miami Shores Village �n) l- flTtEf[Iiia �0 10050 N.E.2nd Avenue NEOW086 Addltlon/Altet 0 , ••• "'" Miami Shores,FL 33138-0000 r mei'mirwr �. � i Phone: (305)795-2204 � ., � ,: , Date #/20x0 Expiration: 04/17/2016 Project Address Parcel Number Applicant 11300 NE 2 Avenue Number: Wiegand &Anr 1121360010160-09 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: $ 34,462.21 THERMAL CONCEPTS INC 954-472-4465 Total Sq Feet: 00 Tons: Available Inspections: Additional Info: Inspection Type: Classification:Residential Ventilation Approved:In Review Final Comments: Date Approved::In Review Rough Date Denied: Type of Work:INSTALL NEW CHILL WATER AHU A Rough Duct Scanning:3 Review Mechanical Duct Detector Test Review Mechanical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $21.00 Invoice# MC-10-15-57427 DBPR Fee $15.51 10/15/2015 Credit Card $50.00 $1,079.89 DCA Fee $15.51 Education Surcharge $7.00 10/20/2015 Credit Card $ 1,079.89 $0.00 Permit Fee $1,033.87 Scanning Fee $9.00 Technology Fee $28.00 Total: $1,129.89 l 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 EY%-VIT: AL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFI certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio and nin ermore,I authorize the above-named contractor to do the work stated. ' October 20, 2015 Authorized Signature: ner / Applicant / Contractor / Agent Date Building Department Copy October 20,2015 1 Miami Shores Village E: Building Department OCT 15 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY: ��- Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No.CC-914-1993 PERMIT APPLICATION Sub Permit No.w 15 — ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING 0 MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOBADDRESS: 11300 NE 2nd AVENUE City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-2136-000-0050 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):BARRY COLLEGE Phone#: Address: 11300 NE 2nd AVE. City: MIAMI SHORES State: FL Zip: 33161-6628 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: THERMAL CONCEPTS, INC. Phone#: 954-472-4465 Address: 2201 COLLEGE AVENUE City: DAVIE State: FLORIDA Zip: 33317 Qualifier Name: LAWRENCE D. MAURER Phone#: 954-472-4465 State Certification or Registration#: CAC039621 Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$34,462.21 Square/Unear Footage of Work: Type of Work: F-1Addition ElAlteration A New ❑ Repair/Replace ❑ Demolition Description of Work: INSTALL NEW CHILL WATER AHU AND ALL ASSOCIATED ITEMS RELATED TO PLANS AND SPECS. Specify color of color thru tile: Submittal Fee$ z�6 Permit Fee$ d 4CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ ® � (Rev1sed02/24/2014) Bonding Company's Name(if applicable) N/A 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 certfled 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 h Signature OWNER or AGENT CONTRACTOR The foregoing instrument wasacknowledgedbefore me this The foregoing instrument was acknowledged before me this III' day of �t" 1 e ,20 A ,by 1 1-3 day of ft z3 � ,20 (S by 1yza�n RD Y4? who is personally known to La i��l n /f l a-urea',who is Personally knowh 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. NOTA R BUC: NOTARY PUBLIC: s Sign: � Sign: Print: Print: a ROBIN L.KUSHNER Seal: Sea ..���u . f�ntary Public-State of Florida ,�`„grny'4p DEBRA SUE KING A4; '--cmm. Expi _s Jul 6.2016 ;r°. e`'oo �' • = Notary Public•State at Florida r :on # EE 199597 •z My Comm.Expires Aug 12,2018 "Jnt�arr ssn. swr a air*ewii(< ss* GfBp S gtl[+B�F APPROVED BY V Y PI S aminer Zoning Structural Review Clerk (Revised02/24/2014) r STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850)487-1395 �°�► 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MAURER, LAWRENCE DAVID THERMAL CONCEPTS INC 2201 COLLEGE AVE DAVIE FL 33317 COngratulationsi Wittt.this license become one of the nearly s� w A one million Floridians licensed by the b@park nt of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers,from boxers to barbeque restaurants, STATE OF.FLORIDAand they keep Florida's economy strong. DEPARTMR . EUSINESS AND ROF eryE $ ULATION Every day we word to improve the way we do business In order to P � CACp39gX r , you better. For information about our services,please tog onto ` r 07i13L2014 + •myfloridalicense.com. There you can find more inforrnetion 1 ' f � about our divisions and the regulations that impact you,subscribe D CERTIFIED " to department newsletters and learn more about the Department's Initiatives. Our mission at the Department is:License Efficiently,Regulate Fairly. We constantly strive to serve you bett@r so that you can serve your =4: customers. Thank you for doing business in Florida, and congratulations On your new licer�e! is CERTIF{fD-under 3fe provisions of Ch.48.9 FS,. PheH�ri :''aUG'313018 L14071300mm DETACH HERE RICK SCOTT,GOVERNOR . .: -.v� ..,.,. ...._.,�. .......... 'N LAWSON,SECRETARY StAT1=OF FLORIDA DEPRTIENTI3F BEL!$IKAM©PR FE -8 Cb ISTRt�C'I"IOAF J.IC1rNSIN $t/1, , CA1�ii�1 The Ct.AS AA1i CO° ND L'�NING C4NTRAG��� Natrted elawls;" ER'E FIE1 ,r y Under :provlafio0 of t;l�aler X89S. xpiraiTcn die At 31',-2 E1.6 MAURER, LAWRENCE DV . THERMAL CONCEE?' $ ■ 2201:;GOLLEGE Elet. tx ,yj..itSYM� WK; ' ISS DED: 07/13=14 DISPLAYAS REQUIRED BY LAW SEO L1407130000985 .. , I � � b ryy aw 7,42 wie COX tWrecei�rzc�ta Al-R CO Po E S V/S4NWWcrrt 40 Y 40. xo- 0 AWN bits sio Oft 00 ♦.'p .. �, -260, .,:201,14 2. THERM-6 OP ID:R3 CERTIFICATE OF LIABILITY INSURANCE D 08/3112015Y' 08!31!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 3ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED tEPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)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 O NTA Brown&Brown of Florida,Inc. 1201 W Cypress Creek Rd#130 jAm PHOS .854-776-2222 arc NI:954-776-4446 P.O.Box 15727 ADDRESS: Ft Lauderdale,FL 33310-5727 James F.Murphy INSURERS AFFORDING COVERAGE NAIC 8 INSURERA:Amerisure Mutual Ins Co 23396 INSURED Thermal Concepts Inc. INSURER a:Amerisure Partners Ins Co 11050 2201 College Avenue INSURER c:North River Insurance Co 21105 Davie,FL 33317 INSURER D:Amerisure Insurance Co 19488 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. A013L SUM POLICY LTR TYPE OF INSURANCE SD WVDPOLICY EFF POLY EXP-NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0001 CLAIMS MADE FKIOCCUR GL20572050603 09/04/2016 09/04/2016 pig Ea AMAG 3E TO NTocc�urenre $ 1,000,00 X Contract Liab MED EXP(Any om person) $ 10,00 X XCU Included PERSONAL&ADV INJURY $ 1,000, GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY�JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED ISN D SINGLE LIMIT $ 1,000,00C X ANYAUTO CA206W620706 09/04/2015 09/04/2016 BODILY INJURY(Per pemon) $ ALL OWNED SCHEDULED BODILY INJURY(Per acc derrt AUTOS AUTOS ) $ NON-OX HIRED AUTOS X AUTOS� D PROP=t) nt AMAGE $ $ X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 10,000,00 C EXCESS Llan CLAIMS-MADE 5811058629 09/04/2016 09/04/2016 AGGREGATE $ 20,000,000 DED I X I RETENTION$ 0 $ V40RKERS COMPENSATION I X SPER OTH- AND EMPLOYERS'tJABILITY Y r N TATUTE I ER D ANY PROPRIETORIPARTNERIEXECUTIVE WC206863906 04/01/2015 04/01/2016 E.L.EACH ACCIDENT $ 500,00 OFFICERWEMBER EXCLUDED? El N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 600,00 B yyeeaa describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 A Equipment Floater IM20942240003 09/04/2015 09/04/2016 JEqulpment 125,0 Leased/Rented Ded 2,50( DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddMonal Remarks Schedule,may be attached U more space to required) CAC039261 Mechanical Contractor FAX:305-756-8972 CERTIFICATE HOLDER CANCELLATION MIAMISH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 10050 NE 2nd Avenue AUTHORIZED REPRESENTATIVE Miami Shores, FL 33138 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD