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PLC-11-1242 (3)
81811i eh( i -fin at Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING OWNER: Name (Fee Simple Titleholder): Address: Pim t- k— Piro, City: 3 A Q S t.S, Tenant/Lessee Name: 24 % Email: b �� �� � � k��� a �,� „gyp . e,V Permit Natjr)tl-Ha4a� Master Permit No. d ' 3-86 Phone#: °-4'D - 5 .36 State: Zip: 'S`SaA JOB ADDRESS: CSCC A City: Miami Shores Folio/Parcel #: t ?)k) ODCC O County: Phone#: bM Z' Miami Dade Zip: ,, `' 61(,, Is the Building Historically Designated: Yes CONTRACTOR: Compan y Name: Address: City: Name: Dortk State Certification or Registration #: Contact Phone#: 954 '” 9 a) U� ;Jo, (A;Qy NO 2( P►uo:J State: lv Zip: S3,x, Flood Zone: J�'a► SOS X187 9'/d / Phone #: W -Li °-cxa °o Phone#: 954 --yS ?3, - 530,5' Certificate of Competency #: C Q 041'S /a Email Address: c5kkuAxpiuro.V7 , Co,-- . DESIGNER: Architect/Engineer: ' y awn &ma, ulittra phone: � C - 11/44.09 roil/411w 2ti‘-ner.&-rriosstrivi.tori)-1 45q-q15011 Value of Work for this Permit: $ =c:.-e f D Square/Linear Footage of Work: Type of Work: ❑Address DAlteration XINew ❑Repair/Replace ❑Demolition Description of Work: uc� ,/,,t c1- 3 54c' y - s nt�` o r `5°1!� f'� i'\ ***************************************Fees**** x******* ****m+x***+x******* * * ** * * ** **** Submittal Fee $ Permit Fee $ 17/ Woo ca, $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW Dim' m ()6 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 curs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be app reinspection fee will be charged. Signature ✓ Signa Owner or Agent The foregoing instrument was acknowledged before me this day of ' T 20 , by L'E_ ED uthti2Z� =, who is r who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: 044CAc u- Print: / . ' '" �• � •_„ T �.�- JP' rsit: #Dp ' :ar.:. :kV ************************* ** :4s� �xx�x� *�u�u�xx� ****pus *** * * **** �x��x� * ** ssi `A•. .• oe ��i 0... e APPROVED BY "� 1' ,..t0- Plans Examiner Zoning Structural Review Clerk Contractor The foregoing instrument was ackno edged before me this day of , 2011_, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: 4 S w .ee.e.ea®o6 ® ®Bceaaa ®88B ® ®!le6gR! LISSErrE B. F� U7 % My Commission Expires: o„,p,,„ comet# pD0798596 �- Expires 9/9/2012 s'*-7,oFf‘,S. Florida Notary Assn., Inc My Commission Expires: (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) ACCORD- CERTIFICATE OF LIABILITY INSURANCE 4ra.,..•."'" DATE(MM/DD/YYYY) 6/22/2011 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 POUCIES 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 Seitlin 6700 N. Andrews Ave. Suite 300 Ft. Lauderdale FL 33309 CONTACT NAME PHON WC.No. ExO: (954) 938 -8788 PHONE NC,No):(954) 938 -8566 E-MAIL S. INSURERS) AFFORDING COVERAGE NAIC 5 INSURER A: Hartford Fire Insurance Co. 19682 INSURED Right Way Plumbing Co. 1329 Shotgun Road Sunrise FL 33326 -1935 INSURERB :St. Paul Fire & Marine Ins. Co. 24767 INSURERC:Great American E &S Insurance 37532 INSURER D : CLAIMS -MADE INSURERE: OCCUR INSURER F : CERTI • 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 LTR TYPE OF INSURANCE ADDL ° INSR SUBR WVD POLICY NUMBER 2111=0E1683 POLICY EFF (MMtDD/YYW) 7/1/2011 POLICY EXP {MMIDOIYYYY) 7/1/2012 LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 AMAGE TO RENTED PREMISES Ea occurrence) MED EXP (Any one person) PERSONAL&ADVINJURY $ 500,000 $ 10,000 $ 1,000,000 CLAIMS -MADE X OCCUR GENERAL AGGREGATE $ 2,000,000 GENt AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG $ 2,000,000 7 POLICY X I JET 7 LOC $ A AUTOMOBILE X UABIUTY ANY AUTO ALL OWNED 21UEN0B1684 7/1/2011 7/1/2012 COMBINED SINGLE OMIT (Ee accident) $ 1,000,000 BODILY INJURY (Per parson) $ AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ B X X UMBRELLALIAB EXCESS UAB X OCCUR CLAIMS -MADE 944213 7/1/2011 7/1/2012 EACHOCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 DED X RETENTIONS Nil $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? I I (Mandatory In NH) II yea describe under DESCRIPTION OF OPERATIONS below N t A 21UENOH1682 7/1/2011 7/1/2012 , STATU- TORY LIMITS OTH- ER E.L EACH ACCIDENT $ 1,000,000 000, 000 E.L DISEASE - EA EMPLOYEE $ 1,000,000 E.L DISEASE - POLICY OMIT $ 1,000,000 C Pollution/ Prof. Liab. PC/3262899502 1/8/2011 1/8/2012 Each Claim $ 1,000,000 Aggregate $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace is required) PROOF OF INSURANCE ONLY. CANCELLATION CITY OF MIAMI SHORES 10050 NE 2ND AVENUN MIAMI FL 33147 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Bar Universi Student Housin BID CRITERIA Labor Rate % Sales Tax % Overhead % Profit % Mark -Up Factor ITEMIZED COSTS $21.00 17.00% 5.00% 2821% MATERIALS LABOR HRS NOTES 6 Men Days % Materials to Labor Split Fixture Count Cost per Fixture Hours per Fixture FACTOR 111 69%/'31% 291 $1,539.78 181/3 UNIT PRICE Quoted / Priced Items Allowances Drainage Products Labor Only TOTAL ITEMIZED COSTS PIPE & FITTING COSTS SANITARY DWV SYSTEM WATER DISTRIBUTION SYSTEM STORM DRAINAGE SYSTEM CONDENSATE DRAINAGE SYSTEM FUEL GAS PIPING SYSTEM TOTAL PIPE &. FITTING COSTS OTHER DIRECT COSTS $119,142.00 $3,524.90 $6,078.93 $128,745.83 MATERIALS $33,959.17 $25,944.28 $9,557.25 $6,72725 $2,582.21 $78,770.16 EST COST 984.00 984.00 Allowance Multiplier LABOR HRS 1,820.58 1,668.61 354.34 460.87 32.50 4,336.90 NOTES WITH % MTL FACTOR $33,959.17 $25,944.28 $9,557.25 $6,727.25 $2,582.21 100.00% 100.00% 100.00% 87.00% 100.00% 1.00% WITH % LBR FACTOR 1,820.58 1,668.61 354.34 460.87 32.50 100.00% % FACTOR $152,746.15 $4,519.10 $7,793.50 $26,492.31 $191,551.06 UNIT PRICE $92,553.01 $78,186.01 $21,792.81 $21,032.72 $4,185.53 $217,750.08 UNIT PRICE SUBCONTRACTED COSTS QUOTED COST NOTES % OH &P MARGIN UNIT PRICE Insulation TOTAL SUBCONTRACTED COSTS $38,773.86 {sub - contractor} $38,773.86 $38,773.86 $38,773.86 TOTAL JOB QUOTE MATERIALS COST $246,290.14 LABOR HOURS 5,320.90 LABOR COST $111,738.90 COST OF SALE SELL PRICE $358,029.04 448,075.00 8/5/2011 - 11:38 AM Page 1 El 1- 4082.8 Barry Student. Housing Barry University Student Housing Right E10-4062A April 22, 2011 Certified Plumbing - Pollutant Storage - Contractors CORPORATE OFFICE: 1329 SHOTGUN ROAD • SUNRISE, FL 33326 -1935 BROWARD (954) 423 -0000 • DADE (305) 885 -8948 • TOLL FREE (800) 921- 9289 TO: 2101 N Mathews AMMO F€ , FL 333111 PROJECT: Barry University Student Housing SEC 115th Street & 2nd Avenue Miami Shores, FL THEWORK: New Construction • 3 -Level 207 -Bed Dormitory Building • ARCHITECT • ENGINEER: CannonDesign. QUALIFYING PLANS/DRAWINGS: Issued for Permit Drawings 3 -25 -11 (Moss Stamp !4 -5 -11) OUAUFYING SPECIFICATIONS: Sheet P0101 QUAUFYING ADDENDA: None issued (to our knowledge). INCLUSIONS SCOPE OF WORK PLUMBING AS SHOWN ON QUALIFYING PLANS FURNISHED TO US ONLY: FIXTURES, TRIM & SPECIALTIES: WE PROPOSE: Residential Unit Plumbing Fixtures 61 WATER CLOSET 116 LAVATORY 80 SHOWER 1 BATHTUB 1 KITCHEN SINK 6 HC WATER CLOSET 6 HC LAVATORY 6 HC SHOWER Common Areas Plumbing Fixtures 2 HO WATER CLOSET 2 HC LAVATORY 3 WATER CLOSET 4 LAVATORY 1 URINAL 4 MOP SINK 1 WATER COOLER 6 WASHER BOX Domestic Water Heating 4 GWH WATER HEATER 1 DHW CIRCULATOR PUMP 1 MIXING VALVE 1 EXPANSION TANK 4 HEATER STAND Plumbing Drains & Bibbs 3 FINISHED ROOM DRAIN 4 EQUIPMENT ROOM DRAIN 12 ROOF DRAIN 12 OVERFLOW ROOF DRAIN 1 TRENCH DRAM 4 HOSE BIBB 8 WALL HYDRANT Plumbing Equipment 1 BOOSTER PUMP 1 ELEVATOR SUMP PUMP 1 UNT INTERCEPTOR Floor Mount EB VC Tank & Bowl Combination ad Seat 19° Countertop VC w/ SL Faucet & insulation Kit 38x36° FRP Enclosure all Pressure Balanced Stir Valve Assembly 5' Recessed Enameled Steel w/ Pressure Balanced T &S Valve Assembly Countertop SS 2- Compartment Sink vd Faucet & Drains ADA Floor Mount EB VC Tans & Bowl Combination w/ Seat ADA Wall Mount VC wt Faucet & Drain ADA 36x36" FRP Enclosure wl Pressure Balanced Shower Valve Assembly ADA Floor Mount 83 VC Tank& BovA Combination a / Seat ADA 10' Countertop VC w/ SL Faucet & Insulation tit Floor Mount EB VC Tank & Bow1 Combinaton wl Seat 19° Cormtertop VC ye' Si. Faucet & Insulation lit 2444° Floor Mount Composite Basin ved Service Faucet Surface Wall Mount i I -Level Self- Contalried Unit wt EIS Refrigeration Recessed Washing Machine Wall Box ad Valves, Drain Outlet &: WHAs 100GAL IS9MSTUH If•HP in-Une Bronze meAquastat & Timer 2° Hi -Low Thermostatic wl Wall Bracket 10.3GAL Dlaphram Type Fabricated Steel 2.4' CI ad 8' Square NB Grate 2-6' Ci atl 12" CI Grate & Sediment Bucket 2-4° CI w/ 13' PolyDome Receiver & Deck Clamp 2-4° Ci wf 13° PolyDome, Receiver, Deck Clamp & Water Dam 16' of e° HOPE Sloped Channel wl 8' Slotted HD D1 Grate Wall Faucet ad Vacuum Breaker Rased Wall Faucet ad SS Box & Cover & Vacuum Breaker 0.4HP 115.1-80VAC Submersabte ad Float Switch & Oil Monttoamg • Fixtures & trim to be white, chrome or standard finish and may be substituted with approved equals submitted. SANITARY DWV PIPING: WE PROPOSE: PVC SCH -400WV to 5'scutslde of the Building. PVC Fixture Drams. 8/5/2011 -11:38 AM Page 1 of 3 E11- 4062:5 Barry Student Housing WATER DISTRIBUTION PIPING: STORM WATER DRAIN PIPING: CONDENSATE DRAIN PIPING: FUEL GAS PIPING : WE PROPOSE: CPVC SCH-40 CTS FlowGuard® for risers and branches & CPVC SCH-80 Corzan®for all horizontal mains ASJ SSL Fiberglass Pipe Insulation (1° thick) on Circulated Hot Water Piping only. WE PROPOSE: PVC SCH-40 DWV to 5't outside of the Building. Fiberglass Pipe Insulation (1° thtckj on Horizontal AFF Piping above Air Conditioned Spaces only. WE PROPOSE: PVC SCH-40 DWV to 5'± outside of the Building. Elastomedc Pipe Insulation eh° thick) on Interior AFF Piping. WE PROPOSE: Black Steel SCH-40 (Buttweld 21i° & larger) as shown on the Qualifying Plumbing Plans only. Plumbing Permit Applications. Firestop & seal piping penetrations as required for this Scope of Work. Temporary Water & Sewer Allowance (Building and/or Trailer) of $250 per $100,000 of the Price Quote. Florida Sales Taxes, General Liability and Workmen's Compensation Insurances. EXCLUSIONS ANY PLUMBING WORK NOT SHOWN ON THE QUALIFYING PLANS FURNISHED TO US: HOUSE BACKFLOW PREVENTER: By Others - Not part of this Scope of Work. GENERATOR EXHAUST PIPING: By Others - Not part of this Scope of Work. ENGINEERING FEES: SEE ADD ALTERNATE FUEL OIL (DIESEL) TANK: By Others - Not part of this Scope of Work. SAW cuT & REMOVE CONCRETE: By Others - Not part of this Scope of Work. DEMOLITION WORK: None indicated on the Qualifying Plans - Not part of this Scope of Work. Site utilities or services including Sanitary & Storm Sewers, Water Services, Meters, Taps, Manholes and related fees or expenses. Any offsite work. Any work beyond five feet developed length outside of the Building. Site or area storm water drainage systems (catch basins, soakage pits, wells, detention tanks, etc.). Pipe Guards or Bollards. • Irrigation sprinkler piping or related equipment. Landscaping work of any kind. Consumable Products Including LP Gas & Diesel Fuel. LP Gas Tanks, Manifolds, Meters, Regulators or related equipment. Gas vent, flue or any duct systems. Exhaust hood fire suppression systems including gas automatic shut -off valves. Faucets, drains, quick disconnect fittings, filters, strainers, etc., and/or the distribution, uncrating or assembly of/for any equipment furnished by others (FBO). Constructed Shower Bases, including any masonry products required to raise base level above threshold or slop to drain. Cutting, patching or repairing any floors, walls, ceiling, roof, paving, curbs or sidewalks. Any concrete work. Cutting, notching or penetrating any structural members including structural floor slabs, grade beams, pile caps, column pads, etc. )(ray or any other related procedure used prior to floor penetrations. Painting of any piping, fasteners, devices or equipment (unless otherwise noted above). Toilet room accessories, including but not limited to, stall partitions, grab bars, paper holders/dispensers, towel bars, shower rods and/or curtains/doors, mirrors, etc. Temporary Toilets for use during construction. Trash removal off site, any dumpster fees or related expenses. Move or relocate anything obstructing the Work. Insulation on any Piping or Equipment except as specifically noted above or as required by the Florida Energy Code. Attach, fasten, support or hang any underground piping systems to the building structure. Clean fill for backlit] around piping if required or if existing is not adequate for use. Grade or level existing fill prior to excavation. Removal of excess or existing fill off site. Stabilization of trenchwork by use of shoring, sheeting, grouting or other related methods. Groundwater conditions that may require the use of any pumps, well points or other dewatering procedures. Temporary Water expense over $250 for each $100,000 of the Price Quote. Any Material & Labor (Buck) Hoist and/or Crane costs or expenses. Ufting or transporting materials and/or personnel up to floors on any structure over fifty feet (50') in height. Any work done at other than normal work hours and/or days. Workforce other than nominal crew complements. Prevailing wage or wage determination scales. Davis -Bacon Act. Certified Payroll Accounting. Reproduction, duplication or any other expenses related to Plans & Specifications required for our Work. Insurance requirements in excess of our current policies. Bond (available at an additional cost if required). NOTES QUALIFYING ASSUMPTIONS: Free and clear access to all area of work during normal work hours and/or days. All retum air Is ducted and no above ceiling space is to be used as a retum air plenum. This Price Quote shall supersede any and all previous issues. This Price Quote is based on the Qualifying Plans and Specifications listed above as shown, any changes required by the Building Department are NOT part of this Scope of Work. All Plumbing Piping Systems listed above shall be installed as shown on the Qualifying Plans, any deviation from the Plans may require issuance of revised Drawings, Building Department approval, and an executed Change Order. Excavation of earth shall be limited to trenching and backfllMg to rough grade, where any unusual or extensive operations are not required, including, but not limited to hard natural or buried substance which requires the use of special impact tools such as jackhammers, sledges, chisels or similar devices. We shall require (2) full sets of Plans & Specifications delivered to us prior to the commencement of any Work. This Scope of Work sheet is to be made part of any contract entered into. Thank you for allowing us to quote this project. 8/5/2011 -11:38 AM Page 2 of 3 E11- 4082.5 Barry Student Housing CONFIDENTIAL PRICE: $448,075.00 *This Price Allowance is contingent upon our acceptance of the Project Schedule (Job start date & manpower availability), and the Owners acceptance of a Material/Labor Escalation Clause being included in any Contract. BID ALTERNATES MAY WE OFFER SELECTED OPTIONAL ADDITIONS & VARIATIONS: BOND: ADD Performance & Payment Bond Premium for 100% of the Price Quote Amount. ADD to the Price Quote: $7,400.00 ADD FOR KAMM ENGINEERING FEES. ADD to the Price Quote: $15,000.00 This Proposal shall be Limited to plans and specifications furnished. This Proposal shall be valid for days; If none specified herein, It maybe withdrawn at any time. The qualiflcauons shown herein shall be Inserted and made part of any contract formed. 8/5/2011 -11:38 AM Page 3 of 3 E11- 4082.5 Barry Student Housing Barry lainiversity Residence Hall MIAMI SHORES VILLAGE PERMIT LOG (UPDATE 712112011) BARRY UNIVERSITY M9SS 1 Construction Cost for Commercial Direct Work and Moss Fees $10,611,248.00 2 Electrical - Main Building Pending MSV Submitted MSV Yes 7/15/2011 Sunshine State Electric Patrick Hauser 3 Electrical Fire Alarm Pending MSV Submitted MSV 7/15/2011 Sunshine State Electric Patrick Hauser $1;107,720.00 $58,000.00 4 Electrical Low Voltage Pending MSV Submitted MSV Yes 7/15/2011 Sunshine State Electic Patrick Hauser 6 Electrical Site Lighting Electrical Traffic pates Electrical /alt Boxes ELC- 7- 11- 1238 ELC -7 -11 -1241 ELC-7 -11 -1240 Approved Approved Approved MSV MSV MSV Yes 7/12/2011 7/14/2011* 7/12/2011 7/1412011' 7/12/2011 7/1412011* 1/10/2012 Sunshine State Electric Patrick Hauser 1/10/2012 Sunshine State Electric, Patrick Hauser 1/10/2012 Sunshine State Electric Patrick - Hauser $311,288.00 $33,380.00 8 Fire Sprinkler Pending MSV Yes Summers Fire Protection Patrick Hauser 9 Plumbing - Main Building Pending MSV Yes Rightway Plumbing Tim Morrison $95,000.00 $580,000.00 10 Plumbing Irrigation Pending MSV Yes 7/12/2011 7/14/2011' Valleycrest Karl Kaliebe $90 000.00 11 Plumbing Gas Pending MSV Yes Rightway Plumbing Tim Morrison 4S Plumbing-Water 4rtain-NOT-REQUIRED IAI AEDC WATER O SEWER Pending MSV America.. Engineering Mork Carpenter $3,500.00 IN AEDC WATER 4 SEWER Pending MSV Mark- Carpenter 14 15 16 Mechanical - Controls Mechanical - Main Building Site Li rrg ru rTral tpotesl Pending MSV 7/18/2011 Pending Approved MSV MSV Yes 7/18/2011 7/122/2011- ` 7/14/2011` Design Controls Inc. 1 Raymond Llotta Hlllyork John Cancel 1/10/2012 Sintshlne-State Elec6it := - Patrick Hauser $2,500.00 $1,150,000.00 13.00 17 Permanent Fence IPI ntuI. GONG Pending MSV Yes Carlson Fence Ron Davis $79,348.00 48 Approved MSV Mark Carpenter 19 7/1520 1 TEMS terns 21 MSV MSV 11/5/2011 American In rig Page 1 of 2 Barry University Residence Hall MIAMI SHORES VILLAGE PERMIT LOG (UPDATE 712112011) BARRY UNIVERSITY nncj�ss NOTES: * - Permit was issued on date; but Moss/Subcontractor could not pickup until 07/15/11 Submitted to Miami Shore Village Approved by Miami Shores Village Pending Submission to Miami Shores Village MSV Building Permit Fee 3% of all Trades Value MSV Main Builds Permit Fee 3% Balance Total $5,001,196.02 $150,035.88 $5,612 551.98 $168,376.56 $10,613,748.00 $318,412.44 T \z,V (51o.A, BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 I Permit No.P� ` I 1 1 Master Permit No. 11 'S %, S�I^3 0 2011 Phone #: 305'g99- 30.5' 0 OWNER: Name (Fee Simple Titleholder): I A.%% .14c61 \1 Address: %%ZOO t E a.^ 4 4,11 I City: ikta t slougr,cs State: FL Tenant/Lessee Name: Za.cr1 Ulna Jts51 k I Email: to ends Q. lit.-A. %*.rr . Gave JOB ADDRESS: 11300 NE Ate' F%lc City: Folio/Parcel #: Miami Shores County: 112136 ®odo a Is the Building Historically Designated: Yes zip: 33161 Phone#: 30 S • $i 30SO Miami Dade Zip: 331bt NO Flood Zone: CONTRACTOR: Company Name: ,g „pit- w'Y Address: Phone#: q5-14 City: 3yry s s k State: Qualifier Name: State Certification or Registration #: Contact Phone#: - - Email Address: DESIGNER: Architect/Engineer: Zip: 3 3 e.s Phone #: (i)^4 - 1441 "° alc3 Certificate of Competency #: Cfei(N /8 -- eir r y �f�,�s.. ,.C.oir Phone#: Value of Work for this Permit: $ lev-L INAt411 if\ (M01.9 400 QL r * Q1.4''7.11' Ii44quare/Linear Foo Type of Work: Address A, UAlteration NeNew Description of Work: }L\ n\ 6®0.5 terr-' e of Work: ❑Repair/Replace ❑Demolition ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** gees****** ********* *****+ x**+x**** * * *** **+x******** Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ • 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 oc urs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be appro % a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of Sff7 , 201/ , by I), I31 c 6- who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Signn Print: My Commission Expires: * * * * * * * *** * * ** * ** ** ** APPROVED BY 4 Notary Public State of Florida lCheryl Saida Gerber �eo My Commies on DD986126 e Expires 0610812014 Contractor The foregoing instrument was acknowledged before me this .2'9 day of e7 r1 bey, 20.1L, by Thto1r7 / Pzetrk who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commiss -i RES January 06, 2012 �, (�' ^7) 398 -0153 FloddallotaryService.com *ds*****sk +k************ * ** ******+ k******+k**>H****+Nrk*N+*** �"✓°�� Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk CertMed Plumbing - Pollutant Storage - Contractors CORPORATE OFFICE: 1329 SHOTGUN ROAD ° SUNRISE. FL 33326 -1835 BROWARD (954) 423 -0000 • DADE (305) 885 -8948 • TOLL FREE (800) 921- 9289 r11 -iY)-- .o May 8, 2012 Miami Shores Village — Building Department Miami Shores, Florida RE: Barry University — Residence Hall —11300 NW rd Avenue To whom it may concern, This letter is to certify that in accordance with the Florida Building Code and NFPA 54, a manometer drop test was performed and passed on the gas piping. The drop test was performed at 3 PSIG for 24 hours. This applies to the. Dormitory facility located at 11300 NW 2nd Avenue, Plumbing permit # PLC -9 -11 -1802. Sincerely, Tim Morrison Project Manager CFC045182 Cc: file