The URL can be used to link to this page

MC-16-699 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL I , Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-254983 Permit Number: MC-3-16-699 :Inspection Date:August 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 ALTERATION ON DUCTWORK. Infractio Passed Comments INSPECTOR COMMENTS False o Inspector Comments Passed 10 Failed El Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 August 22,2016 Page 1 of 1 YyYt C-31, KDltF.9 �x i Miami Shores Villages 7 hariical oixlI�ial; 10050 N.E.2nd Avenue NE Y!w �e A�itii�Tfl t�A BtM� radon Miami Shores,FL 33138-0000 Phone: (305)795-2204 -� � �� t:112016 „ Expiration: 10108/2016 Project Address Parcel Number Applicant 11300 NE 2 Avenue Number: Wiegand &Ani' 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: $ 2,000.00 THERMAL CONCEPTS INC 954-472-4465 Total Sq Feet: 0 Tons: Available Inspections: Additional Info:ALTERATION ON DUCTWORK. Inspection Type: Classification:Commercial Ventilation Approved:In Review Final Comments: Date Approved::In Review Rough Date Denied: Type of Work: Rough Duct Scanning:1 Duct Detector Test Review Mechanical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 DBPR Fee Involve# MC-3-16-59049 $2.00 04/11/2016 Credit Card $ 110.20 $0.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $110.20 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 thing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio ning. FuthermoUlt�ehe e ve-named contractor to do the work stated. April 11,2016 utho zed Signa ure:Ow r Applicant / Contractor / Agent Date Building Department Copy April 11,2016 1 �.-•� THERM-6 OP ID:C7 ACORO� DlYYYY) E(MM/D CERTIFICATE OF LIABILITY INSURANCE 0DATE(MMID016 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 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 NAME: Brown 8,Brown of Florida,Inc. PHONE FAX 1201 W Cypress Creek Rd#130 A/C No EI:964-776-2222 A/c No): 954-776-4446 P.O.Box 6727 E-MAIL Ft Lauderdale,FL 33310-5727 ADDRESS: James F.Murphy INSURE SI AFFORDING COVERAGE NAICA INSURER A:Amerisure Mutual Ins Co 23396 INSURED Thermal Concepts Inc. INSURER B:Amerisure Partners Ins Co 11050 2201 College Avenue INsuRERc:North River Insurance Co 21105 Davie,FL 33317 INsuRERD: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. OLTRR TYPE OF INSURANCE DL SUB POLICY SD POLICY NUMBER MM/DD EFF MOMIDD EXP LIMBS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 ❑X GL20572050702 09/04/2016 09/04/2016 GE TO RENTED i'000,000 CLAIMS-MADE OCCUR PREMISES Ea occurrence $ X Contract Liab MED EXP(Any one person) $ 10,00 X XCU Included PERSONAL&ADV INJURY $ 1,000,00 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY JELOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT $ 1,000,00 B X ANY AUTO CA20666620706 09/04/2016 09/04/2016 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-0WNED PROPERTY DAMAGE $ X HIREDAUTOS X AUTOS Peraccid t X X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,00 C EXCESS LIAB CLAIMS-MADE 5811068629 09/04/2015 09/04/2016 AGGREGATE $ 20,000,00 DED I X I RETENTION$ 0 $ WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE ER YIN D ANY PROPRIETOR/PARTNER/EXECUTIVE WC206863907 04/01/2016 04/01/2017 E.L.EACH ACCIDENT $ 500,00 OFFICER/MEMBER EXCLUDED? N❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 A Equipment Floater IM2094224102 09/04/2015 09/04/2016 Equipment 125,00 Leased/Rented Ded 2,50 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space is required) CAC039621 Mechanical Contractor FAX:306-756-8972 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 26(2014101) The ACORD name and logo are registered marks of ACORD ,1 t Miami Shores Village16 4 -�-Y Building Department artment M R 17 20I � 10050 N.E.2nd Avenue,Miami Shores,Florida 3313E BY: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201 (5 BUILDING Master Permit No:) --c t �-f - F 3 _ PERMIT APPLICATION sub Permit No.B 0—IC�, —koS�j . ❑BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION E]RENEWAL ❑PLUMBING JXMECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION [:]SHOP CONTR-�A�CnT�O'Rn -DRAWINGS JOB ADDRESS: City: Miami Shoresrr __ County: Miami Dade Zip: Folio/Parcel#: `JM� 1®1 l[� —Q9 _ Is theBlding_Historicail Des�nated:Yeses NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: (OWNER:Name(Fee Simple Titleh Ider): '✓ Address, kA City: \I V,t , &W-5 --Sta—t(i -�A ZtC p-- 1'W to Tenant/Lessee Name: Phone#: Email: T ^� CONTRACTOR:Company Name: Phone#: Address: C'Zw a.. City: �:. State: Zip: Qualifier Name: L KkMt Phone#: State Certification or Registration#: (0 6a2,N Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ -' � � Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration ❑ New ❑ Repair/Replace,�jDemolition Description Description of Work: ��• �®� @\ �� !-_t';tF-�J �, Specify color of color thru tile: Submittal Fee$_ 0 Permit Fee$ CZ CCF$1 • �_ CO/CC$ Scanning Fee$ S -CJZ� Radon Fee$ �'�� DBPR$a-2) Notary$ Technology Fee$ ` v 6 Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) r' ti 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 Signatu e C OWNER or AGENT �ONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day ofn�.0 of '20�, by C 2 day of r A �sv+�r —R 20° by Sc�sdN '�L AL ,who is personally known 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 PUBLIC: Sign: Sign: C�'C� Print: Print: Notary P Seal: J6*y J Yao Seal. OLIVIA C.DOYLE My Conlmflsion FP 16!481 MY COMMISSION#FF061981 E)"M 11112/2018 EXPIRES:October'10.2017 a APPROVED BY KI A - lans Examiner Zoning i Structural Review Clerk (Revised02/24/2014)